Certified Coding Specialist (CCS) Exam 2024/2025 – Latest Versions, Practice Questions, and Correct Detailed Answers with Rationales | A+ Graded

2024/2025 CCS EXAM | CERTIFIED CODING SPECIALIST s s s s s s




s EXAM | |LATEST VERSIONS AND PRACTICE QUESTIONS s s s s s s




AND CORRECT DETAILED ANSWERS with rationales |
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ALREADY GRADED A+ s s s




A 55-year-old client has hypertensive heart disease with congestive heart failure. What
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code would be assigned?
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a. I15.8, Other secondary hypertension s s s




b. I11.0, Hypertensive heart disease with heart failure and I50.9, Heart
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failure,unspecified
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c. I50.9, Heart failure, unspecified and I15.0, Renovascular hypertension
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d. N18.6, End stage renal disease s s s s s




RIGHT ANS :->> b. I11.0, Hypertensive heart diseasewith heart failure and
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s I50.9, Heart failure, unspecified
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Rationale :->> There is a cause and effect relationship established between the
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s hypertension and the congestive heart failure. A separate code for the congestive heart s s s s s s s s s s s s




failure is assignedbased on the "code also" note (HHS 2017, Section I.C.9.a., 40).
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A surgeon would like to undertake a research study on his clients with stage II
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s malignant melanoma of the back, who have undergone wide excision of the melanoma.
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What work processes and associated software could be used to provide this
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s information?

a. Obtain a summary of the cases from the cancer registry, import them into a
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spreadsheet, and provide to the surgeon.
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b. Obtain a summary of the cases from the chart completion software, import them
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s intoa spreadsheet, and provide to the surgeon.
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c. Obtain a summary of the cases from the master client index, import them into a
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spreadsheet, and provide to the surgeon.
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,d. Obtain a summary of the cases from the transcription tracking software, import
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s them into a spreadsheet, and provide to the surgeon.
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RIGHT ANS:->> a. Obtain a summary ofthe cases from the cancer registry,
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s import them into a spreadsheet, and provide to the surgeon.
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Rationale:->>The cancer registry can be used to undertake studies in addition to s s s s s s s s s s s




s reporting cases toa central registry (Sharp and Madlock-Brown 2016, 173).
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A facility located near a national park has a significant number of snake bites, and
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s clients receive treatment with antivenom in urgent-care settings. Sometimes a clientis
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s admitted to the hospital after several days. Can the urgent-care setting provide the
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s hospital with a list of names of clients treated with snake antivenom?
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a. Only the names of clients who are admitted to the hospital can be requested if the
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s physician needs it for continuity of care, but an entire list of clients cannot be provided.
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b. A list of names could be provided.
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c. No information can be obtained under any circumstances.
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d. A list of clients may be available after consultation with the national park ranger.
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RIGHT ANS :->> a. Only the names of clients who are admitted to the hospital can
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berequested if the physician needs it for continuity of care, but an entire list of clients
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s cannot be provided. s s




Rationale:->>Only records that are required for care or authorized by the client can be s s s s s s s s s s s s s




released by the urgent-care facility to the acute-care facility (Brodnik 2012, 225;
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s Rinehart-Thompson2016b, 243-247). s s




What diagnoses and procedures should be reported for recurrent left inguinal hernia
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with laparoscopic repair?
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, K40.30 Unilateral inguinal hernia, with obstruction, without gangrene, not specified as
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recurrent
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K40.31 Unilateral inguinal hernia, with obstruction, without gangrene, recurrent
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K40.91 Unilateral inguinal hernia, without mention of obstruction or gangrene,
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recurrent49520 Repair recurrent inguinal hernia, any age; reducible
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49521 Repair recurrent inguinal hernia, any age; incarcerated or strangulated
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49651 Laparoscopy, surgical; repair recurrent inguinal hernia
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a. K40.91, 49520
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b. K40.31, 49521
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c. K40.91, 49651
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d. K40.30, 49520
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RIGHT ANS:->> c. K40.91:Unilateral inguinal hernia, without mentionof
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s obstruction or gangrene, recurrent 49651:Laparoscopy, surgical; repair recurrent
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inguinal hernia
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Rationale:->>The client has a recurrent hernia without obstruction and this is captured s s s s s s s s s s s




in diagnosiscode K40.91 (Leon-Chisen 2017, 253; CPT Assistant Nov. 1999, 24; March
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2000, 9).
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.In order to accurately code a cardiac catheterization, what needs to be determined
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based on a review of the documentation?
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a. The approach and the side of the heart (chambers) into which the catheter was
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inserted
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b. The approach, the side of the heart (chambers) into which the catheter was inserted,
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as well as any additional procedures performed
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c. The duration of the procedure
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d. If there is documentation of the procedure in the medical record that stents are
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s considered s

, RIGHT ANS:->> b. The approach, the side of the heart (chambers) intowhich
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the catheter was inserted, as well as any additional procedures performed
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A condition is present on admission when:
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a. It is the principal diagnosis
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b. It is accordance with medical staff bylaws
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c. A condition that occurs prior to an inclient admission
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d. It is present within 3 days after admission
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RIGHT ANS:->> c. A condition that occursprior to an inclient admission
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Rationale :->>It is important to understand the time frame for assigning a status code
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specifying thata condition is present on admission (Leon-Chisen 2017, 571-574).
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Diagnostic-related groups (DRGs) and ambulatory client classifications (APCs) are s s s s s s s s




similar in that they are both:
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a. Determined by HCPCS codes s s s




b. Focused on hospital outclients s s s




c. Focused on hospital inclients s s s




d. Prospective payment systems s s s




RIGHT ANS:->> d. Prospective payment systems s s s s s




Rationale:->> Both are types of prospective payment systems (Casto and Forrestal s s s s s s s s s s




2015, 6).
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A client is treated for esophageal varices with hemorrhage due to cirrhosis. The
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diagnostic codes that would be assigned are:
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I85.01 Esophageal varices with bleeding
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I85.11 Secondary esophageal varices with bleeding
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K74.60 Unspecified cirrhosis of liver
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