CCS EXAM QUESTIONS AND
COMPREHENSIVE ANSWERS
BPH ✅✅ANSW-Urinary frequency, urgency, nocturia, incontinence, and hesitancy are all
symptoms of
cerebrospinal fluid analysis ✅✅ANSW-Diagnostic testing for meningitis usually involves
inpatient hospital stays ✅✅ANSW-The prospective payment system (PPS) requiring the use of
DRGs for inpatient care was implemented in 1983. This PPS is used to manage the costs for
durable medical equipment ✅✅ANSW-The following services are excluded under the Hospital
Outpatient Prospective Payment System (OPPS) Ambulatory Payment Classification (APC)
methodology.
a WBC diff ✅✅ANSW-A 13-year-old patient is brought to her pediatrician with a 2-week history
of fatigue, an occasional low-grade fever, and malaise. The pediatrician indicates it is a possible
infection but needs to know what type of infection. She orders a hematology laboratory test to
determine the relative number and percentage of each type of leukocytes. This test is referred to as
a
cancer ✅✅ANSW-Dr. Zambrano ordered a CEA test for Mr. Logan, a 67-year-old African American
male patient. Dr. Zambrano may be considering a diagnosis of
employer-based group health insurers ✅✅ANSW-The category "Commercial payers" includes
private health insurance companies and
cocktail ✅✅ANSW-Mary Smith, a 48-year-old patient, is receiving an IV mixture of four different
medications to treat stage two invasive ductal breast carcinoma. Each of the medications acts upon
a different aspect of the cancer cells. This mixture is typically termed a(n)
hemoglobin determination ✅✅ANSW-A 62-year-old female presents to her family doctor
complaining of fatigue; constantly feeling cold, especially in her hands and feet; weakness; and
pallor. O2 must be transported to the cells and exchanged with CO2, which is then transported back
,to the lungs to be expelled. A hematology laboratory test that evaluates the oxygen-carrying
capacity of blood is referred to as a
retrospective, prospective ✅✅ANSW-Commercial insurance plans usually reimburse health care
providers under some type of __________ payment system, whereas the federal Medicare program
uses some type of _________ payment system.
the H&P copy is acceptable as long as she documents any interval changes ✅✅ANSW-As a
concurrent record reviewer for an acute care facility, you have asked Dr. Crossman to provide an
updated history and physical for one of her recent admissions. Dr. Crossman pages through the
medical record to a copy of an H&P performed in her office a week before admission. You tell Dr.
Crossman that
American Medical Association ✅✅ANSW-The Level I (CPT) codes of the HCPCS coding system are
maintained by the
47605 ✅✅ANSW-Patient was admitted for right upper quadrant pain. Workup included various
X-rays that showed cholelithiasis. Patient was taken to the operating room where a laparoscopic
cholecystectomy was performed. During the procedure, the physician was unable to visualize
through the ports, and an open cholecystectomy was elected to be performed. An intraoperative
cholangiogram was performed. Pathology report states acute and chronic cholecystitis with
cholelithiasis.
47605= Cholecystectomy with cholangiography
47563= Laparoscopy, surgical; cholecystectomy with cholangiography
R78.81 ✅✅ANSW-A patient is admitted with fever due to bacteremia.
26951-F6, 26951-F7, 26951-F8 ✅✅ANSW-Patient presents with a traumatic partial amputation of
the second, third, and fourth fingers on the right hand. Patient was taken to the operating room
where completion of the amputation of three fingers was performed with direct closure.
,32650 ✅✅ANSW-Patient has recurrent spontaneous pneumothorax, which has resulted in a
chemical pleurodesis by thoracoscopy.
extirpation ✅✅ANSW-Removal of a foreign body right external auditory canal is
0TF7XZZ ✅✅ANSW-In ICD-10-PCS, ESWL left ureter wave lithotripsy
43842 ✅✅ANSW-Morbidly obese patient comes in for vertical banding of the stomach.
3E09728 ✅✅ANSW-In ICD-10-PCS, administration of Oxazolidinone, inhaled through the nose
D82.1 ✅✅ANSW-Peggy has thymic dysplasia with immunodeficiency.
E32.0 = Persistent hyperplasia of thymus
E32.8 = Other diseases of thymus gland
E32.9 = Unspecified disease of thymus gland
D81.9 = Combined immunodeficiency, unspecified
D82.1 = Thymic aplasia or hypoplasia with immunodeficiency (Di George's syndrome)
D84.9 = Immunodeficiency, unspecified
50722 ✅✅ANSW-Patient has ovarian vein syndrome and has ureterolysis performed.
93312 ✅✅ANSW-Transesophageal echocardiography (TEE) with probe placement, image, and
interpretation and report
, C78.6, R18.0, Z85.038 ✅✅ANSW-A patient is admitted with malignant ascites with widespread
metastatic peritoneal lesions, primary site sigmoid colon; sigmoid colon resection 6 months ago.
yes ✅✅ANSW-The patient is admitted in preterm labor. The present on admission indicator is
0DBN8ZZ ✅✅ANSW-In ICD-10-PCS, colonoscopy with sigmoid colon polypectomy
C23GQZZ ✅✅ANSW-In ICD-10-PCS, a PET imaging of the myocardium using Rubidium 82
Q05.0 ✅✅ANSW-A patient is admitted with cervical spina bifida with hydrocephalus.
63272 ✅✅ANSW-Laminectomy and excision of intradural lumbar lesion
31628-RT, 31632-RT ✅✅ANSW-Bronchoscopy with multiple transbronchial right upper and right
lower lobe lung biopsy with fluoroscopic guidance
O32.1xx1, Z37.0 ✅✅ANSW-A patient is admitted with obstructed labor due to breech
presentation. A single live-born infant was delivered via cesarean section. Do not assign the code for
the procedure.
E11.22, N18.6, Z99.2 ✅✅ANSW-A patient is a type 2 diabetic with chronic kidney disease
dependent on dialysis.
73630 ✅✅ANSW-Patient undergoes X-ray of the foot with three views.
J45.990 ✅✅ANSW-A patient is admitted with an exercise-induced bronchospasm.
L89.151, L89.152 ✅✅ANSW-A patient is admitted with a stage 1 pressure ulcer of the sacrum.
During the hospitalization, the ulcer progressed to a stage 2
50389 ✅✅ANSW-Removal of nephrostomy tube with fluoroscopic guidance
COMPREHENSIVE ANSWERS
BPH ✅✅ANSW-Urinary frequency, urgency, nocturia, incontinence, and hesitancy are all
symptoms of
cerebrospinal fluid analysis ✅✅ANSW-Diagnostic testing for meningitis usually involves
inpatient hospital stays ✅✅ANSW-The prospective payment system (PPS) requiring the use of
DRGs for inpatient care was implemented in 1983. This PPS is used to manage the costs for
durable medical equipment ✅✅ANSW-The following services are excluded under the Hospital
Outpatient Prospective Payment System (OPPS) Ambulatory Payment Classification (APC)
methodology.
a WBC diff ✅✅ANSW-A 13-year-old patient is brought to her pediatrician with a 2-week history
of fatigue, an occasional low-grade fever, and malaise. The pediatrician indicates it is a possible
infection but needs to know what type of infection. She orders a hematology laboratory test to
determine the relative number and percentage of each type of leukocytes. This test is referred to as
a
cancer ✅✅ANSW-Dr. Zambrano ordered a CEA test for Mr. Logan, a 67-year-old African American
male patient. Dr. Zambrano may be considering a diagnosis of
employer-based group health insurers ✅✅ANSW-The category "Commercial payers" includes
private health insurance companies and
cocktail ✅✅ANSW-Mary Smith, a 48-year-old patient, is receiving an IV mixture of four different
medications to treat stage two invasive ductal breast carcinoma. Each of the medications acts upon
a different aspect of the cancer cells. This mixture is typically termed a(n)
hemoglobin determination ✅✅ANSW-A 62-year-old female presents to her family doctor
complaining of fatigue; constantly feeling cold, especially in her hands and feet; weakness; and
pallor. O2 must be transported to the cells and exchanged with CO2, which is then transported back
,to the lungs to be expelled. A hematology laboratory test that evaluates the oxygen-carrying
capacity of blood is referred to as a
retrospective, prospective ✅✅ANSW-Commercial insurance plans usually reimburse health care
providers under some type of __________ payment system, whereas the federal Medicare program
uses some type of _________ payment system.
the H&P copy is acceptable as long as she documents any interval changes ✅✅ANSW-As a
concurrent record reviewer for an acute care facility, you have asked Dr. Crossman to provide an
updated history and physical for one of her recent admissions. Dr. Crossman pages through the
medical record to a copy of an H&P performed in her office a week before admission. You tell Dr.
Crossman that
American Medical Association ✅✅ANSW-The Level I (CPT) codes of the HCPCS coding system are
maintained by the
47605 ✅✅ANSW-Patient was admitted for right upper quadrant pain. Workup included various
X-rays that showed cholelithiasis. Patient was taken to the operating room where a laparoscopic
cholecystectomy was performed. During the procedure, the physician was unable to visualize
through the ports, and an open cholecystectomy was elected to be performed. An intraoperative
cholangiogram was performed. Pathology report states acute and chronic cholecystitis with
cholelithiasis.
47605= Cholecystectomy with cholangiography
47563= Laparoscopy, surgical; cholecystectomy with cholangiography
R78.81 ✅✅ANSW-A patient is admitted with fever due to bacteremia.
26951-F6, 26951-F7, 26951-F8 ✅✅ANSW-Patient presents with a traumatic partial amputation of
the second, third, and fourth fingers on the right hand. Patient was taken to the operating room
where completion of the amputation of three fingers was performed with direct closure.
,32650 ✅✅ANSW-Patient has recurrent spontaneous pneumothorax, which has resulted in a
chemical pleurodesis by thoracoscopy.
extirpation ✅✅ANSW-Removal of a foreign body right external auditory canal is
0TF7XZZ ✅✅ANSW-In ICD-10-PCS, ESWL left ureter wave lithotripsy
43842 ✅✅ANSW-Morbidly obese patient comes in for vertical banding of the stomach.
3E09728 ✅✅ANSW-In ICD-10-PCS, administration of Oxazolidinone, inhaled through the nose
D82.1 ✅✅ANSW-Peggy has thymic dysplasia with immunodeficiency.
E32.0 = Persistent hyperplasia of thymus
E32.8 = Other diseases of thymus gland
E32.9 = Unspecified disease of thymus gland
D81.9 = Combined immunodeficiency, unspecified
D82.1 = Thymic aplasia or hypoplasia with immunodeficiency (Di George's syndrome)
D84.9 = Immunodeficiency, unspecified
50722 ✅✅ANSW-Patient has ovarian vein syndrome and has ureterolysis performed.
93312 ✅✅ANSW-Transesophageal echocardiography (TEE) with probe placement, image, and
interpretation and report
, C78.6, R18.0, Z85.038 ✅✅ANSW-A patient is admitted with malignant ascites with widespread
metastatic peritoneal lesions, primary site sigmoid colon; sigmoid colon resection 6 months ago.
yes ✅✅ANSW-The patient is admitted in preterm labor. The present on admission indicator is
0DBN8ZZ ✅✅ANSW-In ICD-10-PCS, colonoscopy with sigmoid colon polypectomy
C23GQZZ ✅✅ANSW-In ICD-10-PCS, a PET imaging of the myocardium using Rubidium 82
Q05.0 ✅✅ANSW-A patient is admitted with cervical spina bifida with hydrocephalus.
63272 ✅✅ANSW-Laminectomy and excision of intradural lumbar lesion
31628-RT, 31632-RT ✅✅ANSW-Bronchoscopy with multiple transbronchial right upper and right
lower lobe lung biopsy with fluoroscopic guidance
O32.1xx1, Z37.0 ✅✅ANSW-A patient is admitted with obstructed labor due to breech
presentation. A single live-born infant was delivered via cesarean section. Do not assign the code for
the procedure.
E11.22, N18.6, Z99.2 ✅✅ANSW-A patient is a type 2 diabetic with chronic kidney disease
dependent on dialysis.
73630 ✅✅ANSW-Patient undergoes X-ray of the foot with three views.
J45.990 ✅✅ANSW-A patient is admitted with an exercise-induced bronchospasm.
L89.151, L89.152 ✅✅ANSW-A patient is admitted with a stage 1 pressure ulcer of the sacrum.
During the hospitalization, the ulcer progressed to a stage 2
50389 ✅✅ANSW-Removal of nephrostomy tube with fluoroscopic guidance
