CCS STUDY GUIDE EXAM QUESTIONS
AND ANSWERS (100% PASS)
Objective - Answer-factual or not influenced by personal feelings or opinions
concurrent review - Answer-review of the medical record carried out while the patient is
actively receiving care
possible, probably, suspected, likely, questionable - Answer-when a diagnosis for an
inpatient admission is qualified as "_________________", at the time of discharge, the
condition should be coded and reported as though the diagnosis were established.
Code unconfirmed diagnosis as if established - Answer-excludes: outpatient services,
HIV infection/illness and influenza due to certain identified influenza viruses, or
physician services (regardless of setting)
acute and chronic conditions - Answer-if separate subterms for acute and chronic are
listed at the same indention level, both codes are assigned with the code for acute
sequenced first
threatened or impending diagnosis - Answer-if condition actually occurred, threatened
condition is coded as a confirmed diagnosis
Example: Threatened preterm labor at 28 weeks. Record indicated stillborn was
delivered during the hospital stay.
Code: O60.14X0- preterm labor third trimester with preterm delivery third trimester
only once - Answer-How many times can each unique ICD-10-CM diagnosis code be
reported for an encounter?
True - Answer-T or F: Because many of the terms used to construct ICD-10-PCS codes
are defined within the system, the physician is NOT expected to use to the exact terms
used in ICD-10_PCS code descriptions
retrospective review - Answer-audit or review that takes place after physician has
completed care for patient
- date and location inconsistencies
-missing physician signatures
-incorrect patient identification - Answer-Common documentation errors
Health information exchange - Answer-Electronically transferring medical records
between facilities around the country
AND ANSWERS (100% PASS)
Objective - Answer-factual or not influenced by personal feelings or opinions
concurrent review - Answer-review of the medical record carried out while the patient is
actively receiving care
possible, probably, suspected, likely, questionable - Answer-when a diagnosis for an
inpatient admission is qualified as "_________________", at the time of discharge, the
condition should be coded and reported as though the diagnosis were established.
Code unconfirmed diagnosis as if established - Answer-excludes: outpatient services,
HIV infection/illness and influenza due to certain identified influenza viruses, or
physician services (regardless of setting)
acute and chronic conditions - Answer-if separate subterms for acute and chronic are
listed at the same indention level, both codes are assigned with the code for acute
sequenced first
threatened or impending diagnosis - Answer-if condition actually occurred, threatened
condition is coded as a confirmed diagnosis
Example: Threatened preterm labor at 28 weeks. Record indicated stillborn was
delivered during the hospital stay.
Code: O60.14X0- preterm labor third trimester with preterm delivery third trimester
only once - Answer-How many times can each unique ICD-10-CM diagnosis code be
reported for an encounter?
True - Answer-T or F: Because many of the terms used to construct ICD-10-PCS codes
are defined within the system, the physician is NOT expected to use to the exact terms
used in ICD-10_PCS code descriptions
retrospective review - Answer-audit or review that takes place after physician has
completed care for patient
- date and location inconsistencies
-missing physician signatures
-incorrect patient identification - Answer-Common documentation errors
Health information exchange - Answer-Electronically transferring medical records
between facilities around the country
