FINAL CCS EXAM AHIMA QUESTIONS
AND ANSWERS
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). - Correct Answers -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? -
Correct Answers -11643
Which of the following codes is assigned for an ultrasound to document placental
location? - Correct Answers -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? - Correct
Answers -36561
The anesthesiologist provided general anesthesia for a patient who underwent a
diagnostic arthroscopy of the acromioclavicular joint. - Correct Answers -01622
Which of the following are official resources for CPT coding guidelines? - Correct
Answers -AMA and CMS
Which of the following statements is TRUE concerning coding the placement of mesh
during hernia repairs? - Correct Answers -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. - Correct Answers -27232
A physician performs laser surgery to remove a lesion from the patient's back. Choose
the CPT classification for this procedure. - Correct Answers -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? - Correct Answers -99281
Select the correct code assignment for a proctosigmoidoscopy with biopsy of two
separate lesions. - Correct Answers -45305
Which of the following modifiers is not approved for hospital outpatient department
reporting? - Correct Answers -22 Increased Procedural Services
80061 is the CPT code assigned for Lipid panel to include serum total cholesterol,
triglycerides, and HDL levels. - Correct Answers -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.) - Correct Answers -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? - Correct
Answers -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? - Correct Answers
-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. - Correct Answers -45384, 45385
What code is assigned for high energy extracorporeal shock wave therapy involving the
musculoskeletal system? - Correct Answers -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. - Correct Answers -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. - Correct Answers -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? - Correct Answers -29125
,In the hospital outpatient setting, laboratory codes are usually assigned by a
computerized process through the Chargemaster, rather than by an HIM employee. -
Correct Answers -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? - Correct
Answers -99212
The arrangement of the Category III codes reflects the overall arrangement of CPT by
body system. - Correct Answers -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. - Correct Answers -
ICD-10-CM includes combination codes? - Correct Answers -true
The Alphabetic Index includes what - Correct Answers -Entries for main terms, sub
terms, and more specific sub terms
can there be alphanumeric codes in the ICD-10-CM? - Correct Answers -true
The 7th character in an ICD-10-CM code is always a letter? - Correct Answers -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 - Correct Answers -b, c
what is the intent for the two types of Excludes Notes that appear in the Tabular List of
ICD-10-CM? - Correct Answers -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? - Correct Answers -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? - Correct Answers -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? - Correct
Answers -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 - Correct Answers -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? - Correct Answers -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 - Correct Answers -d. NCHS
is the ICD-10-CM public domain? - Correct Answers -true
ICD-10-CM - Correct Answers -International Classification of Diseases, 10th Revision,
Clinical Modification
AND ANSWERS
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). - Correct Answers -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? -
Correct Answers -11643
Which of the following codes is assigned for an ultrasound to document placental
location? - Correct Answers -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? - Correct
Answers -36561
The anesthesiologist provided general anesthesia for a patient who underwent a
diagnostic arthroscopy of the acromioclavicular joint. - Correct Answers -01622
Which of the following are official resources for CPT coding guidelines? - Correct
Answers -AMA and CMS
Which of the following statements is TRUE concerning coding the placement of mesh
during hernia repairs? - Correct Answers -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. - Correct Answers -27232
A physician performs laser surgery to remove a lesion from the patient's back. Choose
the CPT classification for this procedure. - Correct Answers -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? - Correct Answers -99281
Select the correct code assignment for a proctosigmoidoscopy with biopsy of two
separate lesions. - Correct Answers -45305
Which of the following modifiers is not approved for hospital outpatient department
reporting? - Correct Answers -22 Increased Procedural Services
80061 is the CPT code assigned for Lipid panel to include serum total cholesterol,
triglycerides, and HDL levels. - Correct Answers -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.) - Correct Answers -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? - Correct
Answers -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? - Correct Answers
-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. - Correct Answers -45384, 45385
What code is assigned for high energy extracorporeal shock wave therapy involving the
musculoskeletal system? - Correct Answers -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. - Correct Answers -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. - Correct Answers -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? - Correct Answers -29125
,In the hospital outpatient setting, laboratory codes are usually assigned by a
computerized process through the Chargemaster, rather than by an HIM employee. -
Correct Answers -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? - Correct
Answers -99212
The arrangement of the Category III codes reflects the overall arrangement of CPT by
body system. - Correct Answers -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. - Correct Answers -
ICD-10-CM includes combination codes? - Correct Answers -true
The Alphabetic Index includes what - Correct Answers -Entries for main terms, sub
terms, and more specific sub terms
can there be alphanumeric codes in the ICD-10-CM? - Correct Answers -true
The 7th character in an ICD-10-CM code is always a letter? - Correct Answers -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 - Correct Answers -b, c
what is the intent for the two types of Excludes Notes that appear in the Tabular List of
ICD-10-CM? - Correct Answers -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? - Correct Answers -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? - Correct Answers -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? - Correct
Answers -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 - Correct Answers -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? - Correct Answers -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 - Correct Answers -d. NCHS
is the ICD-10-CM public domain? - Correct Answers -true
ICD-10-CM - Correct Answers -International Classification of Diseases, 10th Revision,
Clinical Modification
