FINAL ccs exam ahima with complete
solutions
A patient undergoes a retrograde urethrocystogram. The same physician performs both
the injection and the supervision and interpretation, using equipment located in his
office. Choose the appropriate CPT code(s). - ANS-51610, 74450
The surgeon excised a malignant melanoma of the nose measuring 1.0 cm. in diameter.
In addition, the operative report stated that skin margins were taken, and the excised
diameter was 2.5 cm. What is the correct coding assignment for this procedure? - ANS-
11643
Which of the following codes is assigned for an ultrasound to document placental
location? - ANS-76815
A 55-year-old patient requires insertion of a venous access device for long-term
chemotherapy. Through a subclavian vein, the surgeon performs a tunnel to place the
subcutaneous port. What is the correct coding assignment for this procedure? - ANS-
36561
The anesthesiologist provided general anesthesia for a patient who underwent a
diagnostic arthroscopy of the acromioclavicular joint. - ANS-01622
Which of the following are official resources for CPT coding guidelines? - ANS-AMA and
CMS
Which of the following statements is TRUE concerning coding the placement of mesh
during hernia repairs? - ANS-Placement of mesh is separately coded when performed
as part of a ventral hernia repair.
Choose the correct CPT code for a closed procedure that reduces a femoral neck
fracture requiring manipulation. - ANS-27232
A physician performs laser surgery to remove a lesion from the patient's back. Choose
the CPT classification for this procedure. - ANS-Destruction
A patient is seen in the Emergency Department after tripping and injuring her hand on
the coffee table. The ED physician performed a problem focused history and
examination, and straightforward medical decision-making. What is the correct E/M
code for this encounter? - ANS-99281
,Select the correct code assignment for a proctosigmoidoscopy with biopsy of two
separate lesions. - ANS-45305
Which of the following modifiers is not approved for hospital outpatient department
reporting? - ANS-22 Increased Procedural Services
80061 is the CPT code assigned for Lipid panel to include serum total cholesterol,
triglycerides, and HDL levels. - ANS-True
An 82-year-old female Medicare patient had an enucleation of the right eye done
because of severe pain. Choose the correct code assignment. (Modifiers should be
assigned or not assigned as appropriate.) - ANS-65101-RT
The surgeon performed a flexible fiberoptic laryngoscopy for removal of a piece of a
chicken bone. What is the correct code assignment for this procedure? - ANS-31577
The patient had a total abdominal hysterectomy with bilateral salpingectomy. The
coding professional reported the procedure with codes 58150 and 58700. Which of the
following is the correct term for assigning these two codes together? - ANS-Unbundling
During a colonoscopy, the surgeon removes a polyp in the descending colon with use of
hot biopsy forceps and also removes a polyp in the ascending colon with snare. Choose
the correct CPT coding assignment. - ANS-45384, 45385
What code is assigned for high energy extracorporeal shock wave therapy involving the
musculoskeletal system? - ANS-0101T
A patient undergoes therapeutic acupuncture without electrical stimulation for a total of
32 minutes. This was one-on-one contact. Assign the appropriate CPT code(s) to report
this service. - ANS-97810, 97811
A patient who is followed in a community mental health center for heroin addiction
receives 10 mg of methadone HCl. Assign the appropriate HCPCS Level II code for this
drug. - ANS-J1230
An elderly patient fractured the radius in her arm. A static short arm splint is applied by
the ED physician to provide stabilization until it can be evaluated and treated by an
orthopedic surgeon. Which of the following code assignments is used to report this
physician service for Medicare reimbursement? - ANS-29125
In the hospital outpatient setting, laboratory codes are usually assigned by a
computerized process through the Chargemaster, rather than by an HIM employee. -
ANS-True
,An established patient is seen in the physician's office for a rash. The physician
performs a medically appropriate history and/or examination and the medical decision
making was straightforward. What is the correct E/M code for this visit? - ANS-99212
The arrangement of the Category III codes reflects the overall arrangement of CPT by
body system. - ANS-False - The Category III codes are arranged in numeric order
according to the date that they were added and do not reflect the overall organization of
CPT.
In the Special Procedures suite, a patient underwent a transcranial Doppler study of the
intracranial arteries for emboli detection, without the use of intravenous microbubble
injection. Assign the appropriate CPT code to report this procedure. - ANS-
ICD-10-CM includes combination codes? - ANS-true
The Alphabetic Index includes what - ANS-Entries for main terms, sub terms, and more
specific sub terms
can there be alphanumeric codes in the ICD-10-CM? - ANS-true
The 7th character in an ICD-10-CM code is always a letter? - ANS-false
using the alphabetic index and the tabular list, what is the icd-10-cm code for the
following diagnosis? identify if the code is an unspecified or not otherwise specified
code (NOS)
a. repeated falls, r29.6
b. chronic respiratory disease j98.9
c. dental caries, k02.9 - ANS-b, c
what is the intent for the two types of Excludes Notes that appear in the Tabular List of
ICD-10-CM? - ANS-excludes1 means "not coded here" the code excluded should only
be used at the same time as the code abuse the excludes1 note in specific
circumstances
excludes2 means 'not included here' an excludes2 note indicates that the condition
excluded is not apart of the condition represented by the code, but a patient may have
both conditions at the same time.
what does excludes1 mean?
a. code is not here?
b. code is not included here?
c. code otherwise not specified?
d. code doesn't exist? - ANS-a. CODE IS NOT HERE
, what does code excludes2 mean?
a. code is not here?
b. code is not included here?
c. code otherwise not specified?
d. code doesn't exist? - ANS-B. CODE IS NOT INCLUDED
A 75-year-old male patient was admitted from a nursing home with dehydration and
dysphagia due to a previous stroke. During hospitalization, the patient was rehydrated
and transferred back to the nursing home. What codes should be assigned? - ANS-c.
Assign dehydration as the first-listed diagnosis as it is the key circumstance of the
admission and was treated. Code the previous stroke and dysphagia as additional
diagnoses (CMS 2023a, Section II, 104; Section III, 107; Schraffenberger and Palkie
2022, 203)
when was the ICD 10 released?
a. 1995
b. 1997
c. 1993
d. 2015 - ANS-c. 1993
Sepsis due to the presence of an indwelling urinary catheter with a positive blood
culture reflected in the progress notes as Staphylococcus aureus sepsis. What codes
should be assigned? - ANS-a. For a diagnosis of sepsis secondary to the presence of
an indwelling urinary catheter, assign an additional appropriate code for the underlying
systemic infection. Category T83 classifies complications of genitourinary devices
(Leon-Chisen 2023, 150-154; CMS 2023a, Section I.C.1. d.1.a, 22).
who asked the World Health Organization for a US specific version of the ICD-10?
a. CMS
b. AMA
c. AHIMA
d. NCHS - ANS-d. NCHS
is the ICD-10-CM public domain? - ANS-true
ICD-10-CM - ANS-International Classification of Diseases, 10th Revision, Clinical
Modification
ICD-10-PCS codes - ANS-7 CHARACTERS: SECTION, BODY, ROOT, SPECIFIC,
APPROACH, DEVICE, QUALIFIER.
ICD-10-PCS codes contain _______ characters. - ANS-7
solutions
A patient undergoes a retrograde urethrocystogram. The same physician performs both
the injection and the supervision and interpretation, using equipment located in his
office. Choose the appropriate CPT code(s). - ANS-51610, 74450
The surgeon excised a malignant melanoma of the nose measuring 1.0 cm. in diameter.
In addition, the operative report stated that skin margins were taken, and the excised
diameter was 2.5 cm. What is the correct coding assignment for this procedure? - ANS-
11643
Which of the following codes is assigned for an ultrasound to document placental
location? - ANS-76815
A 55-year-old patient requires insertion of a venous access device for long-term
chemotherapy. Through a subclavian vein, the surgeon performs a tunnel to place the
subcutaneous port. What is the correct coding assignment for this procedure? - ANS-
36561
The anesthesiologist provided general anesthesia for a patient who underwent a
diagnostic arthroscopy of the acromioclavicular joint. - ANS-01622
Which of the following are official resources for CPT coding guidelines? - ANS-AMA and
CMS
Which of the following statements is TRUE concerning coding the placement of mesh
during hernia repairs? - ANS-Placement of mesh is separately coded when performed
as part of a ventral hernia repair.
Choose the correct CPT code for a closed procedure that reduces a femoral neck
fracture requiring manipulation. - ANS-27232
A physician performs laser surgery to remove a lesion from the patient's back. Choose
the CPT classification for this procedure. - ANS-Destruction
A patient is seen in the Emergency Department after tripping and injuring her hand on
the coffee table. The ED physician performed a problem focused history and
examination, and straightforward medical decision-making. What is the correct E/M
code for this encounter? - ANS-99281
,Select the correct code assignment for a proctosigmoidoscopy with biopsy of two
separate lesions. - ANS-45305
Which of the following modifiers is not approved for hospital outpatient department
reporting? - ANS-22 Increased Procedural Services
80061 is the CPT code assigned for Lipid panel to include serum total cholesterol,
triglycerides, and HDL levels. - ANS-True
An 82-year-old female Medicare patient had an enucleation of the right eye done
because of severe pain. Choose the correct code assignment. (Modifiers should be
assigned or not assigned as appropriate.) - ANS-65101-RT
The surgeon performed a flexible fiberoptic laryngoscopy for removal of a piece of a
chicken bone. What is the correct code assignment for this procedure? - ANS-31577
The patient had a total abdominal hysterectomy with bilateral salpingectomy. The
coding professional reported the procedure with codes 58150 and 58700. Which of the
following is the correct term for assigning these two codes together? - ANS-Unbundling
During a colonoscopy, the surgeon removes a polyp in the descending colon with use of
hot biopsy forceps and also removes a polyp in the ascending colon with snare. Choose
the correct CPT coding assignment. - ANS-45384, 45385
What code is assigned for high energy extracorporeal shock wave therapy involving the
musculoskeletal system? - ANS-0101T
A patient undergoes therapeutic acupuncture without electrical stimulation for a total of
32 minutes. This was one-on-one contact. Assign the appropriate CPT code(s) to report
this service. - ANS-97810, 97811
A patient who is followed in a community mental health center for heroin addiction
receives 10 mg of methadone HCl. Assign the appropriate HCPCS Level II code for this
drug. - ANS-J1230
An elderly patient fractured the radius in her arm. A static short arm splint is applied by
the ED physician to provide stabilization until it can be evaluated and treated by an
orthopedic surgeon. Which of the following code assignments is used to report this
physician service for Medicare reimbursement? - ANS-29125
In the hospital outpatient setting, laboratory codes are usually assigned by a
computerized process through the Chargemaster, rather than by an HIM employee. -
ANS-True
,An established patient is seen in the physician's office for a rash. The physician
performs a medically appropriate history and/or examination and the medical decision
making was straightforward. What is the correct E/M code for this visit? - ANS-99212
The arrangement of the Category III codes reflects the overall arrangement of CPT by
body system. - ANS-False - The Category III codes are arranged in numeric order
according to the date that they were added and do not reflect the overall organization of
CPT.
In the Special Procedures suite, a patient underwent a transcranial Doppler study of the
intracranial arteries for emboli detection, without the use of intravenous microbubble
injection. Assign the appropriate CPT code to report this procedure. - ANS-
ICD-10-CM includes combination codes? - ANS-true
The Alphabetic Index includes what - ANS-Entries for main terms, sub terms, and more
specific sub terms
can there be alphanumeric codes in the ICD-10-CM? - ANS-true
The 7th character in an ICD-10-CM code is always a letter? - ANS-false
using the alphabetic index and the tabular list, what is the icd-10-cm code for the
following diagnosis? identify if the code is an unspecified or not otherwise specified
code (NOS)
a. repeated falls, r29.6
b. chronic respiratory disease j98.9
c. dental caries, k02.9 - ANS-b, c
what is the intent for the two types of Excludes Notes that appear in the Tabular List of
ICD-10-CM? - ANS-excludes1 means "not coded here" the code excluded should only
be used at the same time as the code abuse the excludes1 note in specific
circumstances
excludes2 means 'not included here' an excludes2 note indicates that the condition
excluded is not apart of the condition represented by the code, but a patient may have
both conditions at the same time.
what does excludes1 mean?
a. code is not here?
b. code is not included here?
c. code otherwise not specified?
d. code doesn't exist? - ANS-a. CODE IS NOT HERE
, what does code excludes2 mean?
a. code is not here?
b. code is not included here?
c. code otherwise not specified?
d. code doesn't exist? - ANS-B. CODE IS NOT INCLUDED
A 75-year-old male patient was admitted from a nursing home with dehydration and
dysphagia due to a previous stroke. During hospitalization, the patient was rehydrated
and transferred back to the nursing home. What codes should be assigned? - ANS-c.
Assign dehydration as the first-listed diagnosis as it is the key circumstance of the
admission and was treated. Code the previous stroke and dysphagia as additional
diagnoses (CMS 2023a, Section II, 104; Section III, 107; Schraffenberger and Palkie
2022, 203)
when was the ICD 10 released?
a. 1995
b. 1997
c. 1993
d. 2015 - ANS-c. 1993
Sepsis due to the presence of an indwelling urinary catheter with a positive blood
culture reflected in the progress notes as Staphylococcus aureus sepsis. What codes
should be assigned? - ANS-a. For a diagnosis of sepsis secondary to the presence of
an indwelling urinary catheter, assign an additional appropriate code for the underlying
systemic infection. Category T83 classifies complications of genitourinary devices
(Leon-Chisen 2023, 150-154; CMS 2023a, Section I.C.1. d.1.a, 22).
who asked the World Health Organization for a US specific version of the ICD-10?
a. CMS
b. AMA
c. AHIMA
d. NCHS - ANS-d. NCHS
is the ICD-10-CM public domain? - ANS-true
ICD-10-CM - ANS-International Classification of Diseases, 10th Revision, Clinical
Modification
ICD-10-PCS codes - ANS-7 CHARACTERS: SECTION, BODY, ROOT, SPECIFIC,
APPROACH, DEVICE, QUALIFIER.
ICD-10-PCS codes contain _______ characters. - ANS-7
