1|Page
CERTIFIED CLINICAL SUPERVISOR (CCS) FINAL
EXAM AND PRACTICE EXAM QUESTIONS 2025/ 2026
NEWEST ACTUAL EXAM COMPLETE 500 EXAM
QUESTIONS WITH DETAILED VERIFIED ANSWERS
WITH RATIONALES (100% CORRECT ANSWERS)
/ALREADY GRADED A+||LATEST EXAM||
A 12-year-old boy was seen in an ambulatory surgical
center for pain in his right arm. The x-ray showed fracture
of ulna. Patient underwent closed reduction of fracture
right proximal ulna and an elbow-to-finger cast was
applied. What diagnostic and procedure codes should be
assigned?
S52.101AUnspecified fracture of upper end of right radius,
initial encounter for closed fracture
S52.101BUnspecified fracture of upper end of right radius,
initial encounter for open fracture
S52.001AUnspecified fracture of upper end of right ulna,
initial encounter for closed fracture
S52.001BUnspecified fracture of upper end of right ulna,
initial encounter for open fracture
0PSH0ZZReposition right radius, open approach
0PSK0ZZReposition right ulna, open approach
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24670Closed treatment of ulnar fracture, proximal end (eg,
olecranon or coronoid process(es) ); without manipulation
24675Closed treatment of ulnar fracture, proximal end (eg
- Answer-Correct Answer: D
The patient has a fracture of the right proximal ulna and
closed reduction is necessary. In the ICD-10-CM Code
Book, under Fracture, ulna, proximal, the coder is referred
to Fracture, ulna, upper end. The term "manipulation" is
used to indicate reduction in CPT. According to CPT
guidelines, cast application or strapping (including
removal) is only reported as a replacement procedure or
when the cast application or strapping is an initial service
performed without a restorative treatment or procedure
(AMA CPT Professional Edition 2020, 182). (Note: Since
this is an ambulatory surgery center case, CPT codes are
assigned rather than ICD-10-PCS codes.)
A laparoscopic tubal ligation is completed. What is the
correct CPT code assignment?
49320Laparoscopy, abdomen, peritoneum, and omentum,
diagnostic, with or without collection of specimen(s) by
brushing or washing (separate procedure)
58662Laparoscopy, surgical; with fulguration or excision of
lesions of the ovary, pelvic viscera, or peritoneal surface
by any method
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58670Laparoscopy, surgical; with fulguration of oviducts
(with or without transection)
58671Laparoscopy, surgical; with occlusion of oviducts by
device (eg, band, clip, or Falope ring)
a. 49320, 58662
b. 58670
c. 58671
d. 49320 - Answer-Correct Answer: B
The code that best reports the tubal ligation is 58670
Laparoscopy, surgical; with fulguration of oviducts
because there are no clips or excision of lesion completed
during the procedure (CPT Assistant Nov. 1999, 29; March
2000, 10).
Normal twin delivery at 30 weeks. Both babies were
delivered vaginally and were liveborn. What conditions
should have codes assigned?
O30.003Twin pregnancy, unspecified number of placenta
and unspecified number of amniotic sacs, third trimester
O30.009Twin pregnancy, unspecified number of placenta
and unspecified number of amniotic sacs, unspecified
trimester
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O60.14X0Preterm labor third trimester with preterm
delivery third trimester, not applicable or unspecified
O60.14X1 Preterm labor third trimester with preterm
delivery third trimester, fetus 1
O60.14X2Preterm labor third trimester with preterm
delivery third trimester, fetus
2O80Encounter for full-term uncomplicated delivery
Z3A.3030 weeks gestation of pregnancy
Z37.0Single live birth
Z37.2Twins, both liveborn
a. O80, Z3A.30, Z37.0
b. O30.003, O60.14X0, Z3A.30, Z37.2
c. O60.14X1, O60.14X2 O30.003, Z3A.30, Z37.2
d. O80, O30.009, Z3A.30, Z37.2 - Answer-Correct Answer:
C
A code for preterm labor and delivery is assigned for each
fetus since both babies were born preterm as noted in
Coding Clinic. Additionally, a code from category O30,
Multiple gestations, must be assigned (Leon-Chisen 2020,
325; AHA Coding Clinic 2016 2nd Quarter, 10-11).
CERTIFIED CLINICAL SUPERVISOR (CCS) FINAL
EXAM AND PRACTICE EXAM QUESTIONS 2025/ 2026
NEWEST ACTUAL EXAM COMPLETE 500 EXAM
QUESTIONS WITH DETAILED VERIFIED ANSWERS
WITH RATIONALES (100% CORRECT ANSWERS)
/ALREADY GRADED A+||LATEST EXAM||
A 12-year-old boy was seen in an ambulatory surgical
center for pain in his right arm. The x-ray showed fracture
of ulna. Patient underwent closed reduction of fracture
right proximal ulna and an elbow-to-finger cast was
applied. What diagnostic and procedure codes should be
assigned?
S52.101AUnspecified fracture of upper end of right radius,
initial encounter for closed fracture
S52.101BUnspecified fracture of upper end of right radius,
initial encounter for open fracture
S52.001AUnspecified fracture of upper end of right ulna,
initial encounter for closed fracture
S52.001BUnspecified fracture of upper end of right ulna,
initial encounter for open fracture
0PSH0ZZReposition right radius, open approach
0PSK0ZZReposition right ulna, open approach
,2|Page
24670Closed treatment of ulnar fracture, proximal end (eg,
olecranon or coronoid process(es) ); without manipulation
24675Closed treatment of ulnar fracture, proximal end (eg
- Answer-Correct Answer: D
The patient has a fracture of the right proximal ulna and
closed reduction is necessary. In the ICD-10-CM Code
Book, under Fracture, ulna, proximal, the coder is referred
to Fracture, ulna, upper end. The term "manipulation" is
used to indicate reduction in CPT. According to CPT
guidelines, cast application or strapping (including
removal) is only reported as a replacement procedure or
when the cast application or strapping is an initial service
performed without a restorative treatment or procedure
(AMA CPT Professional Edition 2020, 182). (Note: Since
this is an ambulatory surgery center case, CPT codes are
assigned rather than ICD-10-PCS codes.)
A laparoscopic tubal ligation is completed. What is the
correct CPT code assignment?
49320Laparoscopy, abdomen, peritoneum, and omentum,
diagnostic, with or without collection of specimen(s) by
brushing or washing (separate procedure)
58662Laparoscopy, surgical; with fulguration or excision of
lesions of the ovary, pelvic viscera, or peritoneal surface
by any method
,3|Page
58670Laparoscopy, surgical; with fulguration of oviducts
(with or without transection)
58671Laparoscopy, surgical; with occlusion of oviducts by
device (eg, band, clip, or Falope ring)
a. 49320, 58662
b. 58670
c. 58671
d. 49320 - Answer-Correct Answer: B
The code that best reports the tubal ligation is 58670
Laparoscopy, surgical; with fulguration of oviducts
because there are no clips or excision of lesion completed
during the procedure (CPT Assistant Nov. 1999, 29; March
2000, 10).
Normal twin delivery at 30 weeks. Both babies were
delivered vaginally and were liveborn. What conditions
should have codes assigned?
O30.003Twin pregnancy, unspecified number of placenta
and unspecified number of amniotic sacs, third trimester
O30.009Twin pregnancy, unspecified number of placenta
and unspecified number of amniotic sacs, unspecified
trimester
, 4|Page
O60.14X0Preterm labor third trimester with preterm
delivery third trimester, not applicable or unspecified
O60.14X1 Preterm labor third trimester with preterm
delivery third trimester, fetus 1
O60.14X2Preterm labor third trimester with preterm
delivery third trimester, fetus
2O80Encounter for full-term uncomplicated delivery
Z3A.3030 weeks gestation of pregnancy
Z37.0Single live birth
Z37.2Twins, both liveborn
a. O80, Z3A.30, Z37.0
b. O30.003, O60.14X0, Z3A.30, Z37.2
c. O60.14X1, O60.14X2 O30.003, Z3A.30, Z37.2
d. O80, O30.009, Z3A.30, Z37.2 - Answer-Correct Answer:
C
A code for preterm labor and delivery is assigned for each
fetus since both babies were born preterm as noted in
Coding Clinic. Additionally, a code from category O30,
Multiple gestations, must be assigned (Leon-Chisen 2020,
325; AHA Coding Clinic 2016 2nd Quarter, 10-11).
