CCS Exam Study Guide 2017: Complete Prep &
Key Insights
A separate procedure is coded per CPT guidelines:
a. Is considered to be an integral part of a larger service
b. Is coded when it is performed as a part of another larger procedure
c. Is never coded under any circumstances
d. both a and b above
a. Because a separate procedure is considered a part of, and integral to, another, larger procedure, it is
not coded when performed as part of the more extensive procedure. See Surgery Guidelines. It may,
however, be coded when it is not performed as part of another, large service.
The Black Triangle symbol before a code in the CPT manuals means?
a. The code is exempt from bundling requirements.
b. The code has been revised in some way.
c. The code is exempt from unbundling requirements.
d. The code can be used as an add-on code, never reported alone or first.
b. The code description has been revised. You will see this throughout the book.
Which is true of the CPT codes?
a. They describe both physician and non physician services
b. They are numeric.
c. Only physicians can report them.
d. All of the above are correct.
a. They describe both physician and non-physician services. Category I are numeric ranging from 00100-
99499 and correspond to a procedure or service. Category II and III CPT codes are alphanumeric with a T
or F at the end.
CPT has been developed and maintained by
a. AMA
b. CMS
,c. The Cooperating Parties
d. WHO
a. American Medical Association. CPT codes were first published in 1996 and are developed, maintained
and copyrighted by the AMA.
This group performs the daily operations for CMS.
a. OIG
b. PRO
c. FI (and carriers)
d. WHO
c. FI and carriers. A fiscal intermediary is a private company contracted by Medicare to pay bills like
hospital expenses for Medicare Part A and Part B.
When using the ICD-10-CM
a. Always use the index when coding
b. Check the tabular before assigning a code
c. It is perfectly appropriate to memorize codes
d. b and c are correct
b. ALWAYS check the tabular before assigning a code.
ICD-10-CM codes are composed of 3-7 alpha and numeric digit codes, when using them:
a. Code to the greatest detail
b. It's appropriate to code the 3 digit code when the category is further defined
c. Code to the 4th digit when you don't have the information in your notes
d. b and c is correct
a. Code to the greatest detail.
When Acute and Chronic Conditions are noted:
a. Always code the Chronic condition first
b. Always coed the Acute condition first
c. Code both and sequence the acute (sub-acute) code first
d. b and c are correct
d. B and C are correct
A 60 year old female comes to the clinic with shortness of breath. The doctor orders a chest x-ray,
frontal and lateral.
a. 71020x2, R06.2
b. 71035x2, R06.89
c. 71015, R06.09
d. 71020, R06.02
d. 71020, R06.02
d. 71020, radiologic examination, chest, 2 views, frontal and lateral. R06.02, shortness of breath.
, A patient presents for an MRI of the pelvis with contrast materials.
a. 72125
b. 72198
c. 72196
d. 72159
c. 72196, Magnetic resonance imaging, pelvis; with contract materials
Code an endoscopic catheterization of the biliary ductal system for the professional radiology
component only.
a. 74330-TC
b. 74330-26
c. 74328-26
b. 74300-26
c. 74328-26 interpretation of , Endoscopic catheterization of the biliary ductal system, radiological
supervision and interpretation.
Marcy is a 29 year old pregnant female in for a follow-up ultrasound with image documentation of the
uterus.
a. 76856
b. 74740
c. 76816
d. 74710
c. 76816, Ultrasound, pregnant uterus, real time with image documentation, follow-up.
Code a complex brachytherapy isodose calculation for a patient with prostate cancer:
a. 77318, C61
b. 77317-22, C62.90
c. 77772, C52
d. 77300, C52
a. 77318, Brachytherapy isodose plan complex. C61, Malignant neoplasm of the prostate.
This patient received a prescription for a therapeutic radiology for a cancerous neoplasm of the
adrenal gland. What code would you use for complex treatment planning?
a. 60520
b. 77307
c. 77401
d.77263
d. 77263, keyword; therapeutic radiology treatment planning, complex.
Because of frequent headaches, this 50 year old females doctor ordered a CT scan of her head,
without contrast materials.
a. 70450
b. 70460
Key Insights
A separate procedure is coded per CPT guidelines:
a. Is considered to be an integral part of a larger service
b. Is coded when it is performed as a part of another larger procedure
c. Is never coded under any circumstances
d. both a and b above
a. Because a separate procedure is considered a part of, and integral to, another, larger procedure, it is
not coded when performed as part of the more extensive procedure. See Surgery Guidelines. It may,
however, be coded when it is not performed as part of another, large service.
The Black Triangle symbol before a code in the CPT manuals means?
a. The code is exempt from bundling requirements.
b. The code has been revised in some way.
c. The code is exempt from unbundling requirements.
d. The code can be used as an add-on code, never reported alone or first.
b. The code description has been revised. You will see this throughout the book.
Which is true of the CPT codes?
a. They describe both physician and non physician services
b. They are numeric.
c. Only physicians can report them.
d. All of the above are correct.
a. They describe both physician and non-physician services. Category I are numeric ranging from 00100-
99499 and correspond to a procedure or service. Category II and III CPT codes are alphanumeric with a T
or F at the end.
CPT has been developed and maintained by
a. AMA
b. CMS
,c. The Cooperating Parties
d. WHO
a. American Medical Association. CPT codes were first published in 1996 and are developed, maintained
and copyrighted by the AMA.
This group performs the daily operations for CMS.
a. OIG
b. PRO
c. FI (and carriers)
d. WHO
c. FI and carriers. A fiscal intermediary is a private company contracted by Medicare to pay bills like
hospital expenses for Medicare Part A and Part B.
When using the ICD-10-CM
a. Always use the index when coding
b. Check the tabular before assigning a code
c. It is perfectly appropriate to memorize codes
d. b and c are correct
b. ALWAYS check the tabular before assigning a code.
ICD-10-CM codes are composed of 3-7 alpha and numeric digit codes, when using them:
a. Code to the greatest detail
b. It's appropriate to code the 3 digit code when the category is further defined
c. Code to the 4th digit when you don't have the information in your notes
d. b and c is correct
a. Code to the greatest detail.
When Acute and Chronic Conditions are noted:
a. Always code the Chronic condition first
b. Always coed the Acute condition first
c. Code both and sequence the acute (sub-acute) code first
d. b and c are correct
d. B and C are correct
A 60 year old female comes to the clinic with shortness of breath. The doctor orders a chest x-ray,
frontal and lateral.
a. 71020x2, R06.2
b. 71035x2, R06.89
c. 71015, R06.09
d. 71020, R06.02
d. 71020, R06.02
d. 71020, radiologic examination, chest, 2 views, frontal and lateral. R06.02, shortness of breath.
, A patient presents for an MRI of the pelvis with contrast materials.
a. 72125
b. 72198
c. 72196
d. 72159
c. 72196, Magnetic resonance imaging, pelvis; with contract materials
Code an endoscopic catheterization of the biliary ductal system for the professional radiology
component only.
a. 74330-TC
b. 74330-26
c. 74328-26
b. 74300-26
c. 74328-26 interpretation of , Endoscopic catheterization of the biliary ductal system, radiological
supervision and interpretation.
Marcy is a 29 year old pregnant female in for a follow-up ultrasound with image documentation of the
uterus.
a. 76856
b. 74740
c. 76816
d. 74710
c. 76816, Ultrasound, pregnant uterus, real time with image documentation, follow-up.
Code a complex brachytherapy isodose calculation for a patient with prostate cancer:
a. 77318, C61
b. 77317-22, C62.90
c. 77772, C52
d. 77300, C52
a. 77318, Brachytherapy isodose plan complex. C61, Malignant neoplasm of the prostate.
This patient received a prescription for a therapeutic radiology for a cancerous neoplasm of the
adrenal gland. What code would you use for complex treatment planning?
a. 60520
b. 77307
c. 77401
d.77263
d. 77263, keyword; therapeutic radiology treatment planning, complex.
Because of frequent headaches, this 50 year old females doctor ordered a CT scan of her head,
without contrast materials.
a. 70450
b. 70460
