Certified Coding Specialist (CCS) Exam
Preparation Questions With Correct
Answers
Diagnostic-related |groups |(DRGs) |and |ambulatory |patient |classifications |(APCs) |are |similar |in |
that |they |are |both:
a. |Determined |by |HCPCS |codes
b. |Focused |on |hospital |outpatients
c. |Focused |on |hospital |inpatients
d. |Prospective |payment |systems |- |CORRECT |ANSWER✔✔-d. |Prospective |payment |systems
** |Both |are |types |of |prospective |payment |systems |(Casto |and |Forrestal |2015, |6).
A |patient |is |treated |for |esophageal |varices |with |hemorrhage |due |to |cirrhosis. |The |diagnostic |
codes |that |would |be |assigned |are:
I85.01 |Esophageal |varices |with |bleeding
I85.11 |Secondary |esophageal |varices |with |bleeding
K74.60 |Unspecified |cirrhosis |of |liver |- |CORRECT |ANSWER✔✔-d. |K74.60, |I85.11
K74.60: |Unspecified |cirrhosis |of |liver
I85.11:Secondary |esophageal |varices |with |bleeding
**The |patient |has |cirrhosis |of |the |liver |with |resulting |bleeding |esophageal |varices. |Cirrhosis |of
|liver |is |sequenced |first |followed |by |the |code |for |the |bleeding |esophageal |varices |(HHS |2017, |
Section |I.A.13, |11).
,Assign |the |code(s) |for |bronchoscopy |with |bilateral |transbronchial |biopsy |for |each |lobe |of |each
|lung.
31628 |Bronchoscopy, |rigid |or |flexible, |including |fluoroscopic |guidance, |when |performed; |with |
transbronchial |lung |biopsy(s), |single |lobe
31629 |Bronchoscopy, |rigid |or |flexible, |including |fluoroscopic |guidance, |when |performed; |with |
transbronchial |needle |aspiration |biopsy(s), |trachea, |main |stem |and/or |lobar |bronchus(i)
31632 |Bronchoscopy, |rigid |or |flexible, |including |fluoroscopic |guidance, |when |performed; |with |
transbronchial |lung |biopsy(s), |each |additional |lobe
−50 |Bilateral |procedure |- |CORRECT |ANSWER✔✔-
Assign |the |code(s) |for |endoscopic |sinusotomy |with |bilateral |anterior |ethmoidectomy.
31231 |Nasal |endoscopy, |diagnostic, |unilateral |or |bilateral |(separate |procedure)
31254 |Nasal/sinus |endoscopy, |surgical; |with |ethmoidectomy, |partial |(anterior)
−50 |Bilateral |procedurea. |
a. |31254
b. |31254-50
c. |31254, |31254
d. |31231 |- |CORRECT |ANSWER✔✔-b. |31254-50
31254 |Nasal/sinus |endoscopy, |surgical; |with |ethmoidectomy, |partial |(anterior)
−50 |Bilateral |procedurea. |
** |A |code |for |the |anterior |ethmoidectomy |is |assigned |and |to |denote |the |bilateral |procedure, |
a |modifier |of |-50 |is |added |(CPT |Assistant |Winter |1993, |23; |Jan. |1997, |4; |Sept. |1997, |10; |Oct. |
1997, |5; |Dec. |2001, |6; |May |2003, |5). |The |sinusotomy |is |not |coded |separately, |as |it |is |a |
diagnostic |procedure.
,The |most |common |language |used |for |both |data |definition |language |and |data |manipulation |
language |is:
a. |Unified |modeling |language
b. |JAVA
c. |Perl
d. |Structured |query |language |- |CORRECT |ANSWER✔✔-d. |Structured |query |language
** |Structured |query |language |(SQL) |is |used |commonly |for |data |language |and |data |definitions |
(Sharp |2016, |184).
An |ethmoidectomy |removes |infected |tissue |and |bone |in |the |ethmoid |sinuses |that |blocks |
natural |drainage. |The |surgeon |views |your |ethmoid |sinuses |with |an |endoscope, |a |thin |flexible |
tube |with |a |very |small |camera |and |light |at |the |end |of |it. |- |CORRECT |ANSWER✔✔-
Documentation |from |the |nursing |or |other |allied |health |professionals' |notes |can |be |used |to |
establish |which |of |the |following |diagnoses:
a. |Body |mass |index |(BMI)
b. |Malnutrition
c. |Aspiration |pneumonia
d. |Fatigue |- |CORRECT |ANSWER✔✔-a. |Body |mass |index |(BMI)
** |The |physician |must |establish |the |diagnosis—obesity |or |morbid |obesity—and |the |additional |
information |can |be |pulled |from |ancillary |documentation |to |establish |the |correct |code |
assignment |for |body |mass |index |(BMI) |(Leon-Chisen |2017, |168).
A |55-year-old |patient |has |hypertensive |heart |disease |with |congestive |heart |failure. |What |code |
would |be |assigned?
, a. |I15.8, |Other |secondary |hypertension
b. |I11.0, |Hypertensive |heart |disease |with |heart |failure |and |I50.9, |Heart |failure, |unspecified
c. |I50.9, |Heart |failure, |unspecified |and |I15.0, |Renovascular |hypertension
d. |N18.6, |End |stage |renal |disease |- |CORRECT |ANSWER✔✔-b. |I11.0, |Hypertensive |heart |disease
|with |heart |failure |and |I50.9, |Heart |failure, |unspecified
** |There |is |a |cause |and |effect |relationship |established |between |the |hypertension |and |the |
congestive |heart |failure. |A |separate |code |for |the |congestive |heart |failure |is |assigned |based |on |
the |"code |also" |note |(HHS |2017, |Section |I.C.9.a., |40).
A |surgeon |would |like |to |undertake |a |research |study |on |his |patients |with |stage |II |malignant |
melanoma |of |the |back, |who |have |undergone |wide |excision |of |the |melanoma. |What |work |
processes |and |associated |software |could |be |used |to |provide |this |information?
a. |Obtain |a |summary |of |the |cases |from |the |cancer |registry, |import |them |into |a |spreadsheet, |
and |provide |to |the |surgeon.
b. |Obtain |a |summary |of |the |cases |from |the |chart |completion |software, |import |them |into |a |
spreadsheet, |and |provide |to |the |surgeon.
c. |Obtain |a |summary |of |the |cases |from |the |master |patient |index, |import |them |into |a |
spreadsheet, |and |provide |to |the |surgeon.
d. |Obtain |a |summary |of |the |cases |from |the |transcription |tracking |software, |import |them |into |
a |spreadsheet, |and |provide |to |the |surgeon. |- |CORRECT |ANSWER✔✔-a. |Obtain |a |summary |of |
the |cases |from |the |cancer |registry, |import |them |into |a |spreadsheet, |and |provide |to |the |
surgeon.
**The |cancer |registry |can |be |used |to |undertake |studies |in |addition |to |reporting |cases |to |a |
central |registry |(Sharp |and |Madlock-Brown |2016, |173).
A |facility |located |near |a |national |park |has |a |significant |number |of |snake |bites, |and |patients |
receive |treatment |with |antivenom |in |urgent-care |settings. |Sometimes |a |patient |is |admitted |to |
Preparation Questions With Correct
Answers
Diagnostic-related |groups |(DRGs) |and |ambulatory |patient |classifications |(APCs) |are |similar |in |
that |they |are |both:
a. |Determined |by |HCPCS |codes
b. |Focused |on |hospital |outpatients
c. |Focused |on |hospital |inpatients
d. |Prospective |payment |systems |- |CORRECT |ANSWER✔✔-d. |Prospective |payment |systems
** |Both |are |types |of |prospective |payment |systems |(Casto |and |Forrestal |2015, |6).
A |patient |is |treated |for |esophageal |varices |with |hemorrhage |due |to |cirrhosis. |The |diagnostic |
codes |that |would |be |assigned |are:
I85.01 |Esophageal |varices |with |bleeding
I85.11 |Secondary |esophageal |varices |with |bleeding
K74.60 |Unspecified |cirrhosis |of |liver |- |CORRECT |ANSWER✔✔-d. |K74.60, |I85.11
K74.60: |Unspecified |cirrhosis |of |liver
I85.11:Secondary |esophageal |varices |with |bleeding
**The |patient |has |cirrhosis |of |the |liver |with |resulting |bleeding |esophageal |varices. |Cirrhosis |of
|liver |is |sequenced |first |followed |by |the |code |for |the |bleeding |esophageal |varices |(HHS |2017, |
Section |I.A.13, |11).
,Assign |the |code(s) |for |bronchoscopy |with |bilateral |transbronchial |biopsy |for |each |lobe |of |each
|lung.
31628 |Bronchoscopy, |rigid |or |flexible, |including |fluoroscopic |guidance, |when |performed; |with |
transbronchial |lung |biopsy(s), |single |lobe
31629 |Bronchoscopy, |rigid |or |flexible, |including |fluoroscopic |guidance, |when |performed; |with |
transbronchial |needle |aspiration |biopsy(s), |trachea, |main |stem |and/or |lobar |bronchus(i)
31632 |Bronchoscopy, |rigid |or |flexible, |including |fluoroscopic |guidance, |when |performed; |with |
transbronchial |lung |biopsy(s), |each |additional |lobe
−50 |Bilateral |procedure |- |CORRECT |ANSWER✔✔-
Assign |the |code(s) |for |endoscopic |sinusotomy |with |bilateral |anterior |ethmoidectomy.
31231 |Nasal |endoscopy, |diagnostic, |unilateral |or |bilateral |(separate |procedure)
31254 |Nasal/sinus |endoscopy, |surgical; |with |ethmoidectomy, |partial |(anterior)
−50 |Bilateral |procedurea. |
a. |31254
b. |31254-50
c. |31254, |31254
d. |31231 |- |CORRECT |ANSWER✔✔-b. |31254-50
31254 |Nasal/sinus |endoscopy, |surgical; |with |ethmoidectomy, |partial |(anterior)
−50 |Bilateral |procedurea. |
** |A |code |for |the |anterior |ethmoidectomy |is |assigned |and |to |denote |the |bilateral |procedure, |
a |modifier |of |-50 |is |added |(CPT |Assistant |Winter |1993, |23; |Jan. |1997, |4; |Sept. |1997, |10; |Oct. |
1997, |5; |Dec. |2001, |6; |May |2003, |5). |The |sinusotomy |is |not |coded |separately, |as |it |is |a |
diagnostic |procedure.
,The |most |common |language |used |for |both |data |definition |language |and |data |manipulation |
language |is:
a. |Unified |modeling |language
b. |JAVA
c. |Perl
d. |Structured |query |language |- |CORRECT |ANSWER✔✔-d. |Structured |query |language
** |Structured |query |language |(SQL) |is |used |commonly |for |data |language |and |data |definitions |
(Sharp |2016, |184).
An |ethmoidectomy |removes |infected |tissue |and |bone |in |the |ethmoid |sinuses |that |blocks |
natural |drainage. |The |surgeon |views |your |ethmoid |sinuses |with |an |endoscope, |a |thin |flexible |
tube |with |a |very |small |camera |and |light |at |the |end |of |it. |- |CORRECT |ANSWER✔✔-
Documentation |from |the |nursing |or |other |allied |health |professionals' |notes |can |be |used |to |
establish |which |of |the |following |diagnoses:
a. |Body |mass |index |(BMI)
b. |Malnutrition
c. |Aspiration |pneumonia
d. |Fatigue |- |CORRECT |ANSWER✔✔-a. |Body |mass |index |(BMI)
** |The |physician |must |establish |the |diagnosis—obesity |or |morbid |obesity—and |the |additional |
information |can |be |pulled |from |ancillary |documentation |to |establish |the |correct |code |
assignment |for |body |mass |index |(BMI) |(Leon-Chisen |2017, |168).
A |55-year-old |patient |has |hypertensive |heart |disease |with |congestive |heart |failure. |What |code |
would |be |assigned?
, a. |I15.8, |Other |secondary |hypertension
b. |I11.0, |Hypertensive |heart |disease |with |heart |failure |and |I50.9, |Heart |failure, |unspecified
c. |I50.9, |Heart |failure, |unspecified |and |I15.0, |Renovascular |hypertension
d. |N18.6, |End |stage |renal |disease |- |CORRECT |ANSWER✔✔-b. |I11.0, |Hypertensive |heart |disease
|with |heart |failure |and |I50.9, |Heart |failure, |unspecified
** |There |is |a |cause |and |effect |relationship |established |between |the |hypertension |and |the |
congestive |heart |failure. |A |separate |code |for |the |congestive |heart |failure |is |assigned |based |on |
the |"code |also" |note |(HHS |2017, |Section |I.C.9.a., |40).
A |surgeon |would |like |to |undertake |a |research |study |on |his |patients |with |stage |II |malignant |
melanoma |of |the |back, |who |have |undergone |wide |excision |of |the |melanoma. |What |work |
processes |and |associated |software |could |be |used |to |provide |this |information?
a. |Obtain |a |summary |of |the |cases |from |the |cancer |registry, |import |them |into |a |spreadsheet, |
and |provide |to |the |surgeon.
b. |Obtain |a |summary |of |the |cases |from |the |chart |completion |software, |import |them |into |a |
spreadsheet, |and |provide |to |the |surgeon.
c. |Obtain |a |summary |of |the |cases |from |the |master |patient |index, |import |them |into |a |
spreadsheet, |and |provide |to |the |surgeon.
d. |Obtain |a |summary |of |the |cases |from |the |transcription |tracking |software, |import |them |into |
a |spreadsheet, |and |provide |to |the |surgeon. |- |CORRECT |ANSWER✔✔-a. |Obtain |a |summary |of |
the |cases |from |the |cancer |registry, |import |them |into |a |spreadsheet, |and |provide |to |the |
surgeon.
**The |cancer |registry |can |be |used |to |undertake |studies |in |addition |to |reporting |cases |to |a |
central |registry |(Sharp |and |Madlock-Brown |2016, |173).
A |facility |located |near |a |national |park |has |a |significant |number |of |snake |bites, |and |patients |
receive |treatment |with |antivenom |in |urgent-care |settings. |Sometimes |a |patient |is |admitted |to |
