CCS FINAL EXAM 2025 QUESTIONS AND
ANSWERS GRADED A+ LATEST
A patient was admitted to the hospital with unstable angina and congestive heart
failure. The unstable angina is treated with nitrates, and intravenous Lasix is given
to manage the heart failure. What is the appropriate coding action?
Assign the codes for the unstable angina and congestive heart failure, sequence
either first.
A patient presents to the outpatient surgical area for a cystoscopy with multiple
biopsies of the bladder. The patient's presenting symptom is hematuria. What is the
correct facility code assignment for this procedure?
52204
A patient has blepharoplasty of the left upper eyelid. What modifier should be used
with the procedure?
E1
,Facilities may use X modifiers in place of which modifier?
59
A sigmoidectomy takes the physician more time than originally planned. The
reason was extensive lysis of adhesions, which took over two hours. What modifier
can the physician use to indicate this procedure required increased time?
22
A patient is admitted to the hospital with shortness of breath and congestive heart
failure and subsequently develops respiratory failure. The patient undergoes
intubation with ventilator management. The correct sequencing of the diagnoses in
this case would be:
Congestive heart failure and respiratory failure
A patient was admitted with end stage renal disease (ESRD) following kidney
transplant. The patient undergoes dialysis during admission. The patient's angina
and chronic obstructive pulmonary disease are managed with medication while
admitted. The diagnoses would be sequenced as:
ESRD; status post kidney transplant; chronic obstructive pulmonary disease;
angina
, This patient was admitted for chemotherapy due to a primary hepatocellular
carcinoma of the transplanted liver. What codes are assigned?
Z51.11, T86.49, C80.2, C22.0
A patient comes to the ED with chest pain and shortness of breath. An EKG was
performed, and the patient's history of COPD was noted. Unstable angina was
diagnosed as the chest pain came on while the patient was at rest and did not
resolve with nitroglycerin. The patient was admitted for a left heart catheterization,
coronary arteriography using two catheters, and left ventricular angiography. The
patient was found to have arteriosclerotic heart disease. The patient has no history
of cardiac surgery. The appropriate sequencing of ICD-10-CM and CPT codes
would be:
I25.110, J44.9, 93458
An obstetric patient is admitted with vaginal spotting and fever. She is found to
have been treated for a miscarriage (spontaneous abortion), which was resolved
two weeks prior to this admission. She is treated with aspiration dilation and
curettage and products of conception are found. She is found to be septic. Which of
the following is the correct sequencing of the diagnoses for this case?
O03.37, A41.9
The patient is seen in the pain clinic for chronic neoplasm-related pain that was
known to be caused by the metastatic bone carcinoma of the vertebra that has
spread from carcinoma of the left main bronchus of the lung. How should this be
coded?
ANSWERS GRADED A+ LATEST
A patient was admitted to the hospital with unstable angina and congestive heart
failure. The unstable angina is treated with nitrates, and intravenous Lasix is given
to manage the heart failure. What is the appropriate coding action?
Assign the codes for the unstable angina and congestive heart failure, sequence
either first.
A patient presents to the outpatient surgical area for a cystoscopy with multiple
biopsies of the bladder. The patient's presenting symptom is hematuria. What is the
correct facility code assignment for this procedure?
52204
A patient has blepharoplasty of the left upper eyelid. What modifier should be used
with the procedure?
E1
,Facilities may use X modifiers in place of which modifier?
59
A sigmoidectomy takes the physician more time than originally planned. The
reason was extensive lysis of adhesions, which took over two hours. What modifier
can the physician use to indicate this procedure required increased time?
22
A patient is admitted to the hospital with shortness of breath and congestive heart
failure and subsequently develops respiratory failure. The patient undergoes
intubation with ventilator management. The correct sequencing of the diagnoses in
this case would be:
Congestive heart failure and respiratory failure
A patient was admitted with end stage renal disease (ESRD) following kidney
transplant. The patient undergoes dialysis during admission. The patient's angina
and chronic obstructive pulmonary disease are managed with medication while
admitted. The diagnoses would be sequenced as:
ESRD; status post kidney transplant; chronic obstructive pulmonary disease;
angina
, This patient was admitted for chemotherapy due to a primary hepatocellular
carcinoma of the transplanted liver. What codes are assigned?
Z51.11, T86.49, C80.2, C22.0
A patient comes to the ED with chest pain and shortness of breath. An EKG was
performed, and the patient's history of COPD was noted. Unstable angina was
diagnosed as the chest pain came on while the patient was at rest and did not
resolve with nitroglycerin. The patient was admitted for a left heart catheterization,
coronary arteriography using two catheters, and left ventricular angiography. The
patient was found to have arteriosclerotic heart disease. The patient has no history
of cardiac surgery. The appropriate sequencing of ICD-10-CM and CPT codes
would be:
I25.110, J44.9, 93458
An obstetric patient is admitted with vaginal spotting and fever. She is found to
have been treated for a miscarriage (spontaneous abortion), which was resolved
two weeks prior to this admission. She is treated with aspiration dilation and
curettage and products of conception are found. She is found to be septic. Which of
the following is the correct sequencing of the diagnoses for this case?
O03.37, A41.9
The patient is seen in the pain clinic for chronic neoplasm-related pain that was
known to be caused by the metastatic bone carcinoma of the vertebra that has
spread from carcinoma of the left main bronchus of the lung. How should this be
coded?
