2024/2025 CCS EXAM | CERTIFIED CODING SPECIALIST EXAM | |LATEST VERSIONS AND PRACTICE QUESTIONS AND CORRECT DETAILED ANSWERS with rationales | ALREADY GRADED A+

2024/2025 CCS EXAM | CERTIFIED CODING xx xx xx xx xx



SPECIALIST EXAM | |LATEST VERSIONS AND
xx xx xx xx xx xx



xx PRACTICE QUESTIONS AND CORRECT DETAILED xx xx xx xx



xx ANSWERS with rationales | ALREADY GRADED A+ xx xx xx xx xx xx




A 55-year-old client has hypertensive heart disease with congestive
xx xx xx xx xx xx xx xx




xx heart failure. Whatcode would be assigned?
xx xx x xx xx xx




a. I15.8, xxOther xxsecondary xxhypertension

b. I11.0, xxHypertensive xxheart xxdisease xxwith xxheart xxfailure xxand

xx I50.9, Heart failure,unspecified
xx xx x




c. I50.9, xxHeart xxfailure, xxunspecified xxand xxI15.0, xxRenovascular xxhypertension

d. N18.6, xxEnd xxstage xxrenal xxdisease xx

RIGHT ANS :->> b. I11.0, Hypertensive heart diseasewith heart
xx xx xx xx xx xx xx x xx




xx failure and I50.9, Heart failure, unspecified
xx xx xx xx xx




Rationale :->> There is a cause and effect relationship established
xx xx xx xx xx xx xx xx xx




xx between the hypertension and the congestive heart failure. A
xx xx xx xx xx xx xx xx




xx separate code for the congestive heart failure is assignedbased on
xx xx xx xx xx xx xx xx x xx




xx the "code also" note (HHS 2017, Section I.C.9.a., 40).
xx xx xx xx xx xx xx xx




A surgeon would like to undertake a research study on his clients
xx xx xx xx xx xx xx xx xx xx xx




xx with stage II malignant melanoma of the back, who have undergone
xx xx xx xx xx xx xx xx xx xx




xx wide excision of the melanoma.What work processes and associated
xx xx xx xx x xx xx xx xx




xx software could be used to provide this information?
xx xx xx xx xx xx xx




a. Obtain xxa xxsummary xxof xxthe xxcases xxfrom xxthe xxcancer xxregistry,

xx import them into aspreadsheet, and provide to the surgeon.
xx xx xx x xx xx xx xx xx




b. Obtain xxa xxsummary xxof xxthe xxcases xxfrom xxthe xxchart xxcompletion

, software, import them intoa spreadsheet, and provide to the
xx xx xx xx x xx xx xx xx xx




xx surgeon.
c. Obtain xxa xxsummary xxof xxthe xxcases xxfrom xxthe xxmaster xxclient xxindex,

import them into aspreadsheet, and provide to the surgeon.
xx xx xx xx x xx xx xx xx xx




d. Obtain xxa xxsummary xxof xxthe xxcases xxfrom xxthe xxtranscription xxtracking

xx software, import them into a spreadsheet, and provide to the
xx xx xx xx xx xx xx xx xx




xx surgeon. xx




RIGHT ANS:->> a. Obtain a summary ofthe cases from the cancer
xx xx xx xx xx xx x xx xx xx xx




xx registry, import them into a spreadsheet, and provide to the
xx xx xx xx xx xx xx xx xx




xx surgeon.


Rationale:->>The cancer registry can be used to undertake studies in
xx xx xx xx xx xx xx xx xx




addition to reporting cases toa central registry (Sharp and Madlock-
xx xx xx xx xx x xx xx xx xx xx




Brown 2016, 173). xx xx




A facility located near a national park has a significant number of
xx xx xx xx xx xx xx xx xx xx xx




xx snake bites, and clients receive treatment with antivenom in urgent-
xx xx xx xx xx xx xx xx xx




care settings. Sometimes a clientis admitted to the hospital after
xx xx xx xx x xx xx xx xx xx




xx several days. Can the urgent-care setting provide the hospital with
xx xx xx xx xx xx xx xx xx




xx a list of names of clients treated with snake antivenom?
xx xx xx xx xx xx xx xx xx




a. Only xxthe xxnames xxof xxclients xxwho xxare xxadmitted xxto xxthe xxhospital xxcan

xx be requested if the physician needs it for continuity of care, but an
xx xx xx xx xx xx xx xx xx xx xx xx




entire list of clients cannot be provided.
xx xx xx xx xx xx xx




b. A xxlist xxof xxnames xxcould xxbe xxprovided.

c. No xxinformation xxcan xxbe xxobtained xxunder xxany xxcircumstances.

d. A xxlist xxof xxclients xxmay xxbe xxavailable xxafter xxconsultation xxwith xxthe

,xx national park ranger. xx xx xx




RIGHT ANS :->> a. Only the names of clients who are admitted
xx xx xx xx xx xx xx xx xx xx xx




xx to the hospital can berequested if the physician needs it for
xx xx xx xx x xx xx xx xx xx xx




xx continuity of care, but an entire list of clients cannot be provided.
xx xx xx xx xx xx xx xx xx xx xx




Rationale:->>Only records that are required for care or authorized by xx xx xx xx xx xx xx xx xx




xx the client can be released by the urgent-care facility to the acute-care
xx xx xx xx xx x xx xx xx xx xx




xx facility (Brodnik 2012, 225; Rinehart-Thompson2016b, 243-247).
xx xx xx xx x xx




What diagnoses and procedures should be reported for recurrent left
xx xx xx xx xx xx xx xx xx




inguinal herniawith laparoscopic repair?
xx xx x xx xx




K40.30 Unilateral inguinal hernia, with obstruction, without gangrene,
xx xx xx xx xx xx xx




xx not specified asrecurrent
xx xx x




K40.31 Unilateral inguinal hernia, with obstruction, without gangrene,
xx xx xx xx xx xx xx


recurrent
xx



K40.91 Unilateral inguinal hernia, without mention of obstruction or
xx xx xx xx xx xx xx xx




xx gangrene, recurrent49520 Repair recurrent inguinal hernia, any age;
xx x xx xx xx xx xx xx




xx reducible
49521 Repair recurrent inguinal hernia, any age; incarcerated or
xx xx xx xx xx xx xx xx




strangulated49651 Laparoscopy, surgical; repair recurrent inguinal
xx x xx xx xx xx xx




xx hernia


a. K40.91, 49520
xx xx



b. K40.31, 49521
xx xx



c. K40.91, 49651
xx xx



d. K40.30, 49520
xx xx xx




RIGHT ANS:->> c. K40.91:Unilateral inguinal hernia, without
xx xx xx xx xx xx

, mentionof obstruction or gangrene, recurrent 49651:Laparoscopy,
xx x xx xx xx xx xx




surgical; repair recurrent inguinal hernia
xx xx xx xx xx




Rationale:->>The client has a recurrent hernia without obstruction and
xx xx xx xx xx xx xx xx




xx this is captured in diagnosiscode K40.91 (Leon-Chisen 2017, 253; CPT
xx xx xx xx x xx xx xx xx xx




Assistant Nov. 1999, 24; March 2000, 9).
xx xx xx xx xx xx xx




.In order to accurately code a cardiac catheterization, what needs to
xx xx xx xx xx xx xx xx xx xx




be determinedbased on a review of the documentation?
xx xx x xx xx xx xx xx xx




a. The xxapproach xxand xxthe xxside xxof xxthe xxheart xx(chambers) xxinto xxwhich

xx the catheter wasinserted
xx xx x




b. The xxapproach, xxthe xxside xxof xxthe xxheart xx(chambers) xxinto xxwhich xxthe

xx catheter was inserted,as well as any additional procedures
xx xx x xx xx xx xx xx




xx performed
c. The xxduration xxof xxthe xxprocedure

d. If xxthere xxis xxdocumentation xxof xxthe xxprocedure xxin xxthe xxmedical

xx record that stents are considered
xx xx xx xx xx




RIGHT ANS:->> b. The approach, the side of the heart
xx xx xx xx xx xx xx xx xx




xx (chambers) intowhich the catheter was inserted, as well as any
xx x xx xx xx xx xx xx xx xx




additional procedures performed
xx xx xx




A condition is present on admission when:
xx xx xx xx xx xx




a. It xxis xxthe xxprincipal xxdiagnosis

b. It xxis xxaccordance xxwith xxmedical xxstaff xxbylaws

c. A xxcondition xxthat xxoccurs xxprior xxto xxan xxinclient xxadmission

d. It xxis xxpresent xxwithin xx3 xxdays xxafter xxadmission xx