2024/25 EXAM 2 CCS |2024 ACTUAL
EXAM QUESTIONS AND VERIFIED
ANSWERS /GET IT 100%
ACCURATE|ALREADY GRADED A+
Assign code(s) for the following diagnosis: Congestive heart failure due to
hypertension.
I10Essential (primary) hypertension
I11.0Hypertensive heart disease with heart failure
I50.9Heart failure, unspecified
I50.23Acute on chronic systolic (congestive) heart failure
a. I10, I50.9
b. I11.0
c. I50.23, I10
d. I11.0, I50.9 - ✔✔Correct Answer: D
Heart failure is assigned a combination code when a causal relationship is stated
(due to hypertension) or implied (hypertensive). Use an additional code to
identify the type of heart failure in those patients with heart failure (CMS
2020a, Section I.C.9.a.1, 46-47).
1|Page
©JOSHCLAY 2025/2026. YEAR PUBLISHED 2025.
,A patient is seen for evaluation of a right orbital roof fracture. How should this
be coded?
S02.121AFracture of orbital roof, right side, initial encounter for closed fracture
S02.31XAFracture of orbital floor, right side, initial encounter for closed fracture
S02.92XAUnspecified fracture of facial bones, initial encounter for closed
fracture
S02.91XAUnspecified fracture of skull, initial encounter for closed fracture
a. S02.121A
b. S02.31XA
c. S02.92XA
d. S02.91XA - ✔✔Correct Answer: A
Alphabetic Index for fracture, traumatic; orbit, orbital; roof guides the coder to
S02.12. Evaluation of a fracture is an example of active treatment which is
reported with 7th character "A" (Schraffenberger and Palkie 2020, 580-584).
Patient presents in the ER with thrombosis of a loop PTFE hemodialysis fistula
without mechanical complications. The physician performed a percutaneous
thrombectomy of the left brachial vein. Assign a facility code for this outpatient
procedure.
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©JOSHCLAY 2025/2026. YEAR PUBLISHED 2025.
,05CA3ZZExtirpation of matter from left brachial vein, percutaneous approach
36904Percutaneous transluminal mechanical thrombectomy and/or infusion for
thrombolysis, dialysis circuit, any method, including all imaging and radiological
supervision and interpretation, diagnostic angiography, fluoroscopic guidance,
catheter placement(s), and intraprocedural pharmacological thrombolytic
injection(s)
36832Revision, open, arteriovenous fistula; without thrombectomy, autogenous
or nonautogenous dialysis graft (separate procedure)
37184Primary percutaneous transluminal mechanical thrombectomy,
noncoronary, arterial or arterial bypass graft, including fluoroscopic guidance
and intrapro - ✔✔Correct Answer: B
This episode of care occurs in the ER which is an outpatient setting, therefore, a
CPT code should be used. CPT code 36904 correctly identifies the thrombectomy
procedure because it specifies the site of the thrombectomy as "dialysis circuit."
36904 includes imaging guidance, diagnostic angiography, catheter placement,
and intraprocedural pharmacological thrombolytic injections" (Kirchoff 2009,
203).
Patient admitted for laparoscopic repair of right diaphragmatic hernia. Assign
the ICD-10-PCS procedure code for this surgery.
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©JOSHCLAY 2025/2026. YEAR PUBLISHED 2025.
, 0BQT4ZZRepair diaphragm, percutaneous endoscopic approach
0BQT3ZZRepair diaphragm, percutaneous approach
0WQF4ZZRepair abdominal wall, percutaneous endoscopic approach
0BQT0ZZRepair diaphragm, open approach
a. 0BQT4ZZ
b. 0BQT3ZZ
c. 0WQF4ZZ
d. 0BQT0ZZ - ✔✔Correct Answer: A
ICD-10-PCS code 0BQT4ZZ is the correct code based on the values for the body
part and approach. The correct body part is diaphragm and laparoscopy is
reported as a percutaneous endoscopic method of approach (Leon-Chisen 2020,
250-251).
A 23-year-old female is admitted for vaginal bleeding following a miscarriage
two weeks prior to this admission. She is afebrile at this time and is treated with
an aspiration dilation and curettage. Products of conception are found. Which of
the following should be the principal diagnosis?
a. O03.1, Delayed or excessive hemorrhage following incomplete spontaneous
abortion
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©JOSHCLAY 2025/2026. YEAR PUBLISHED 2025.
EXAM QUESTIONS AND VERIFIED
ANSWERS /GET IT 100%
ACCURATE|ALREADY GRADED A+
Assign code(s) for the following diagnosis: Congestive heart failure due to
hypertension.
I10Essential (primary) hypertension
I11.0Hypertensive heart disease with heart failure
I50.9Heart failure, unspecified
I50.23Acute on chronic systolic (congestive) heart failure
a. I10, I50.9
b. I11.0
c. I50.23, I10
d. I11.0, I50.9 - ✔✔Correct Answer: D
Heart failure is assigned a combination code when a causal relationship is stated
(due to hypertension) or implied (hypertensive). Use an additional code to
identify the type of heart failure in those patients with heart failure (CMS
2020a, Section I.C.9.a.1, 46-47).
1|Page
©JOSHCLAY 2025/2026. YEAR PUBLISHED 2025.
,A patient is seen for evaluation of a right orbital roof fracture. How should this
be coded?
S02.121AFracture of orbital roof, right side, initial encounter for closed fracture
S02.31XAFracture of orbital floor, right side, initial encounter for closed fracture
S02.92XAUnspecified fracture of facial bones, initial encounter for closed
fracture
S02.91XAUnspecified fracture of skull, initial encounter for closed fracture
a. S02.121A
b. S02.31XA
c. S02.92XA
d. S02.91XA - ✔✔Correct Answer: A
Alphabetic Index for fracture, traumatic; orbit, orbital; roof guides the coder to
S02.12. Evaluation of a fracture is an example of active treatment which is
reported with 7th character "A" (Schraffenberger and Palkie 2020, 580-584).
Patient presents in the ER with thrombosis of a loop PTFE hemodialysis fistula
without mechanical complications. The physician performed a percutaneous
thrombectomy of the left brachial vein. Assign a facility code for this outpatient
procedure.
2|Page
©JOSHCLAY 2025/2026. YEAR PUBLISHED 2025.
,05CA3ZZExtirpation of matter from left brachial vein, percutaneous approach
36904Percutaneous transluminal mechanical thrombectomy and/or infusion for
thrombolysis, dialysis circuit, any method, including all imaging and radiological
supervision and interpretation, diagnostic angiography, fluoroscopic guidance,
catheter placement(s), and intraprocedural pharmacological thrombolytic
injection(s)
36832Revision, open, arteriovenous fistula; without thrombectomy, autogenous
or nonautogenous dialysis graft (separate procedure)
37184Primary percutaneous transluminal mechanical thrombectomy,
noncoronary, arterial or arterial bypass graft, including fluoroscopic guidance
and intrapro - ✔✔Correct Answer: B
This episode of care occurs in the ER which is an outpatient setting, therefore, a
CPT code should be used. CPT code 36904 correctly identifies the thrombectomy
procedure because it specifies the site of the thrombectomy as "dialysis circuit."
36904 includes imaging guidance, diagnostic angiography, catheter placement,
and intraprocedural pharmacological thrombolytic injections" (Kirchoff 2009,
203).
Patient admitted for laparoscopic repair of right diaphragmatic hernia. Assign
the ICD-10-PCS procedure code for this surgery.
3|Page
©JOSHCLAY 2025/2026. YEAR PUBLISHED 2025.
, 0BQT4ZZRepair diaphragm, percutaneous endoscopic approach
0BQT3ZZRepair diaphragm, percutaneous approach
0WQF4ZZRepair abdominal wall, percutaneous endoscopic approach
0BQT0ZZRepair diaphragm, open approach
a. 0BQT4ZZ
b. 0BQT3ZZ
c. 0WQF4ZZ
d. 0BQT0ZZ - ✔✔Correct Answer: A
ICD-10-PCS code 0BQT4ZZ is the correct code based on the values for the body
part and approach. The correct body part is diaphragm and laparoscopy is
reported as a percutaneous endoscopic method of approach (Leon-Chisen 2020,
250-251).
A 23-year-old female is admitted for vaginal bleeding following a miscarriage
two weeks prior to this admission. She is afebrile at this time and is treated with
an aspiration dilation and curettage. Products of conception are found. Which of
the following should be the principal diagnosis?
a. O03.1, Delayed or excessive hemorrhage following incomplete spontaneous
abortion
4|Page
©JOSHCLAY 2025/2026. YEAR PUBLISHED 2025.
