CCS Practice Exam.pdf file:///C:/Users/HP/Desktop/TYPA%20NEW/CCS%20Practice%20E
CCS Practice Exam Questions & Answers
1. 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
24670Closed treatment of ulnar fracture, proximal end (eg, olecranon or coro- noid
process(es) ); without manipulation
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24675Closed treatment of ulnar fracture, proximal end (eg, olecranon or coro- noid
process(es) ); with manipulation
25560Closed treatment of radial and ulnar shaft fractures; without manipula- tion
29075Application, cast; elbow to finger (short arm)
a. S52.101A, S52.001A, 0PSK0ZZ
b. S52.101B, S52.001B, 0PSH0ZZ
c. S52.101B, S52.001B, 25560, 29075
d. S52.001A, 24675:
ANS: D
The patient has a fracture of the right proximal ulna and closed reduction is nec- essary. 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 indi- cate 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.)
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2. 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 proce-
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dure)
58662Laparoscopy, surgical; with fulguration or excision of lesions of the ovary, pelvic
viscera, or peritoneal surface by any method 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:
ANS: 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).
3. Normal twin delivery at 30 weeks. Both babies were delivered vaginally and were
liveborn. What conditions should have codes assigned?
4 of 80 8/8/2024, 2:40
CCS Practice Exam Questions & Answers
1. 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
24670Closed treatment of ulnar fracture, proximal end (eg, olecranon or coro- noid
process(es) ); without manipulation
1 of 80 8/8/2024, 2:40
,CCS Practice Exam.pdf file:///C:/Users/HP/Desktop/TYPA%20NEW/CCS%20Practice%20E
24675Closed treatment of ulnar fracture, proximal end (eg, olecranon or coro- noid
process(es) ); with manipulation
25560Closed treatment of radial and ulnar shaft fractures; without manipula- tion
29075Application, cast; elbow to finger (short arm)
a. S52.101A, S52.001A, 0PSK0ZZ
b. S52.101B, S52.001B, 0PSH0ZZ
c. S52.101B, S52.001B, 25560, 29075
d. S52.001A, 24675:
ANS: D
The patient has a fracture of the right proximal ulna and closed reduction is nec- essary. 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 indi- cate 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.)
2 of 80 8/8/2024, 2:40
,CCS Practice Exam.pdf file:///C:/Users/HP/Desktop/TYPA%20NEW/CCS%20Practice%20E
2. 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 proce-
3 of 80 8/8/2024, 2:40
,CCS Practice Exam.pdf file:///C:/Users/HP/Desktop/TYPA%20NEW/CCS%20Practice%20E
dure)
58662Laparoscopy, surgical; with fulguration or excision of lesions of the ovary, pelvic
viscera, or peritoneal surface by any method 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:
ANS: 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).
3. Normal twin delivery at 30 weeks. Both babies were delivered vaginally and were
liveborn. What conditions should have codes assigned?
4 of 80 8/8/2024, 2:40
