CCS PRACTICE EXAM 2 QUESTIONS
AND VERIFIED ANSWERS
Mechanical ventilation codes require consideration of which of the following?
a. The time when a tracheal tube is inserted
b. The replacement of an endotracheal tube
c. The start time of endotracheal tube insertion followed by mechanical ventilation
d. Mechanical ventilation during surgery ✅✅ANSW-c. The start time of endotracheal tube
insertion followed by mechanical ventilation
An example of beast reconstruction is:
a. Total reconstruction
b. Insertion of drains
c. Removal of lymph nodes
d. Mammography ✅✅ANSW-a. Total reconstruction
Name the types of pacemaker devices that each have a unique ICD-10-PCS code.
a. Dual chamber rate responsive
b. Single chamber rate responsive, and dual chamber
c. Multiple chamber
d. Multiple chamber rate responsive ✅✅ANSW-b. Single chamber rate responsive and dual
chamber
If a patient undergoes a biopsy immediately before the definitive surgery for a frozen section, how
should this be coded with ICD-10-PCS code?
a. The approach to the definitive surgery
b. Suture method
c. Exploratory surgery
d. Open biopsy and definitive surgery ✅✅ANSW-d. Open biopsy and definitive surgery
A patient was given heparin during hospitalization for a deep vein thrombophlebitis of the right
lower extremity. The patient had back pain and the nurse was not answering the bell, so he decided
,to take two aspirin. The interaction between the aspirin and heparin caused a subcutaneous
hemorrhage of the thigh of the right lower extremity. How should the interaction between the
aspirin and heparin be coded?
a. Poisoning codes for aspirin and heparin, and subcutaneous hemorrhage of the thigh of the right
lower extremity as secondary conditions
b. Poisoning codes for aspirin and heparin, and subcutaneous hemorrhage of the thigh of the right
lower extremity as principal
c. Adverse effects of drugs for aspirin and heparin, and subcutaneous hemorrhage of the thigh of the
right lower extremity as secondary conditions
d. Adverse effects of drugs for aspirin and heparin as secondary diagnoses, and subcutaneous
hemorrhage of t ✅✅ANSW-a. Poisoning codes for aspirin and heparin, and subcutaneous
hemorrhage of the thigh of the right lower extremity as secondary conditions
A 77 year old patient has hypertensive heart disease with congestive heart failure and stage 5 renal
disease. What codes would be assigned?
a. I11.0, Hypertensive heart disease with heart failure
b. I13.2, Hypertensive heart and chronic kidney disease with heart failure and with stage 5 chronic
kidney disease, or end stage renal disease; N18.5 Chronic kidney disease, stage 5; I50.9, heart
failure, unspecified
c. I50.9, Heart failure, unspecified
d. N18.6, End stage renal disease ✅✅ANSW-b. I13.2, Hypertensive heart disease and chronic
kidney disease with heart failure and stage 5 chronic kidney disease or end stage renal disease;
N18.5, Chronic kidney disease, stage 5; I50.9, Heart failure, unspecified
According to the UHDDS, the definition of a secondary diagnosis is a condition that:
a. Is recorded in the patient record
b. Receives evaluation and is documented by the physician
c. Receives clinical evaluation, therapeutic treatment, further evaluation, extends the length of stay,
increases nursing monitoring and care
d. Is considered to be essential by the physicians involved and is reflected in the record
✅✅ANSW-c. Receives clinical evaluation, therapeutic treatment, further evaluation, extends the
length of stay, increases nursing monitoring and care
A female patient is diagnosed with congestive heart failure and also has a stage IV pressure ulcer.
Which of the following POA indicators must be present so that the ulcer will be classified as a MCC
for this admission?
a. N
, b. Y
c. W
d. U ✅✅ANSW-b. Y
A patient is admitted to a healthcare facility with ataxia and syncope. The patient has a history of
lung cancer. The patient also has a fractured arm as a result of falling. The patient undergoes a
closed reduction of the fracture in the emergency department and a complete workup for
metastatic carcinoma of the brain. The patient is found to have metastatic carcinoma of the lung to
the brain and undergoes radiation therapy to the brain. The principal diagnosis should be:
a. Fractured arm
b. Syncope
c. Metastatic carcinoma of the brain
d. Carcinoma of the lung ✅✅ANSW-c. Metastatic carcinoma of the brain
A 78 year old patient is admitted with shortness of breath and a chest x-ray reveals infiltrates in the
lung with pleural effusion. The patient also has a history of hypertension with left ventricular
hypertrophy. The patient is given Lasix and the shortness of breath is relieved. From the information
given, what is the probable principle diagnosis?
a. Pneumonia
b. Congestive heart failure
c. Pleural effusion
d. Chronic obstructive pulmonary disease ✅✅ANSW-b. Congestive heart failure
A patient is admitted with abdominal pain. The discharge documentation states "pancreatitis vs.
noncalculus cholecystitis" as the final diagnoses. Both the diagnoses are equally treated. Based on
coding guidelines, what is the correct sequencing for these diagnoses?
a. Sequence either the pancreatitis or non calculus cholecystitis first
b. Pancreatitis; non calculus cholecystitis; abdominal pain
c. Non calculus cholecytitis; pancreatitis
d. Sequence the abdominal pain first, followed by pancreatitis and non calculus cholecytitis as
secondary diagnosis ✅✅ANSW-a. Sequence either the pancreatitis or non calculus cholecystitis
first
AND VERIFIED ANSWERS
Mechanical ventilation codes require consideration of which of the following?
a. The time when a tracheal tube is inserted
b. The replacement of an endotracheal tube
c. The start time of endotracheal tube insertion followed by mechanical ventilation
d. Mechanical ventilation during surgery ✅✅ANSW-c. The start time of endotracheal tube
insertion followed by mechanical ventilation
An example of beast reconstruction is:
a. Total reconstruction
b. Insertion of drains
c. Removal of lymph nodes
d. Mammography ✅✅ANSW-a. Total reconstruction
Name the types of pacemaker devices that each have a unique ICD-10-PCS code.
a. Dual chamber rate responsive
b. Single chamber rate responsive, and dual chamber
c. Multiple chamber
d. Multiple chamber rate responsive ✅✅ANSW-b. Single chamber rate responsive and dual
chamber
If a patient undergoes a biopsy immediately before the definitive surgery for a frozen section, how
should this be coded with ICD-10-PCS code?
a. The approach to the definitive surgery
b. Suture method
c. Exploratory surgery
d. Open biopsy and definitive surgery ✅✅ANSW-d. Open biopsy and definitive surgery
A patient was given heparin during hospitalization for a deep vein thrombophlebitis of the right
lower extremity. The patient had back pain and the nurse was not answering the bell, so he decided
,to take two aspirin. The interaction between the aspirin and heparin caused a subcutaneous
hemorrhage of the thigh of the right lower extremity. How should the interaction between the
aspirin and heparin be coded?
a. Poisoning codes for aspirin and heparin, and subcutaneous hemorrhage of the thigh of the right
lower extremity as secondary conditions
b. Poisoning codes for aspirin and heparin, and subcutaneous hemorrhage of the thigh of the right
lower extremity as principal
c. Adverse effects of drugs for aspirin and heparin, and subcutaneous hemorrhage of the thigh of the
right lower extremity as secondary conditions
d. Adverse effects of drugs for aspirin and heparin as secondary diagnoses, and subcutaneous
hemorrhage of t ✅✅ANSW-a. Poisoning codes for aspirin and heparin, and subcutaneous
hemorrhage of the thigh of the right lower extremity as secondary conditions
A 77 year old patient has hypertensive heart disease with congestive heart failure and stage 5 renal
disease. What codes would be assigned?
a. I11.0, Hypertensive heart disease with heart failure
b. I13.2, Hypertensive heart and chronic kidney disease with heart failure and with stage 5 chronic
kidney disease, or end stage renal disease; N18.5 Chronic kidney disease, stage 5; I50.9, heart
failure, unspecified
c. I50.9, Heart failure, unspecified
d. N18.6, End stage renal disease ✅✅ANSW-b. I13.2, Hypertensive heart disease and chronic
kidney disease with heart failure and stage 5 chronic kidney disease or end stage renal disease;
N18.5, Chronic kidney disease, stage 5; I50.9, Heart failure, unspecified
According to the UHDDS, the definition of a secondary diagnosis is a condition that:
a. Is recorded in the patient record
b. Receives evaluation and is documented by the physician
c. Receives clinical evaluation, therapeutic treatment, further evaluation, extends the length of stay,
increases nursing monitoring and care
d. Is considered to be essential by the physicians involved and is reflected in the record
✅✅ANSW-c. Receives clinical evaluation, therapeutic treatment, further evaluation, extends the
length of stay, increases nursing monitoring and care
A female patient is diagnosed with congestive heart failure and also has a stage IV pressure ulcer.
Which of the following POA indicators must be present so that the ulcer will be classified as a MCC
for this admission?
a. N
, b. Y
c. W
d. U ✅✅ANSW-b. Y
A patient is admitted to a healthcare facility with ataxia and syncope. The patient has a history of
lung cancer. The patient also has a fractured arm as a result of falling. The patient undergoes a
closed reduction of the fracture in the emergency department and a complete workup for
metastatic carcinoma of the brain. The patient is found to have metastatic carcinoma of the lung to
the brain and undergoes radiation therapy to the brain. The principal diagnosis should be:
a. Fractured arm
b. Syncope
c. Metastatic carcinoma of the brain
d. Carcinoma of the lung ✅✅ANSW-c. Metastatic carcinoma of the brain
A 78 year old patient is admitted with shortness of breath and a chest x-ray reveals infiltrates in the
lung with pleural effusion. The patient also has a history of hypertension with left ventricular
hypertrophy. The patient is given Lasix and the shortness of breath is relieved. From the information
given, what is the probable principle diagnosis?
a. Pneumonia
b. Congestive heart failure
c. Pleural effusion
d. Chronic obstructive pulmonary disease ✅✅ANSW-b. Congestive heart failure
A patient is admitted with abdominal pain. The discharge documentation states "pancreatitis vs.
noncalculus cholecystitis" as the final diagnoses. Both the diagnoses are equally treated. Based on
coding guidelines, what is the correct sequencing for these diagnoses?
a. Sequence either the pancreatitis or non calculus cholecystitis first
b. Pancreatitis; non calculus cholecystitis; abdominal pain
c. Non calculus cholecytitis; pancreatitis
d. Sequence the abdominal pain first, followed by pancreatitis and non calculus cholecytitis as
secondary diagnosis ✅✅ANSW-a. Sequence either the pancreatitis or non calculus cholecystitis
first
