CCS EXAM STUDY GUIDE 2025 UPDATE QUESTIONS AND CORRECT
VERIFIED ANSWERS ALREADY GRADED A+ (BRAND NEW VISION)
A patient with a history of myocardial infarction is admitted for cardiac catheterization. It is also
noted the patient has unstable angina, hypertension, and diabetes with hypoglycemia.
a. I20.0, I10, E13.9, D10.9
b. I20.8, I10, E11.69, I25.2
c. I20.0, I10, E11.69, I25.2
d. I20.0, I21.3, E11.69, I25.2 - answersd. I20.0, unstable angina; I10, Essential (primary)
hypertension; I21.3 acute myocardial infarction, episode of care unspecified; E11.69 type 2
diabetes mellitus with other specified complication, code also the manifestation; I25.2 old
myocardial infarction.
By manipulation, under general anesthesia a 6 year old left tarsal's dislocation was reduced.
Correct alignment was confirmed by a two-view intraoperative x-rays. A short leg cast was then
applied to the left leg. Code only the reduction service.
a. 28545-LT
b. 28545-LT, 29405-LT, 73620
c. 28545-LT, 29405-LT-51
d. 28540-LT, 7360 - answersa. 28545-LT key words: under general anesthesia, dislocation, left
tarsal.
Brandon comes into the orthopedic department today with his father after falling from the top
bunk bed, where he and his sister were playing. He is having pain in his lower left leg and is
unable to bear weight on it. Brandon is taken to the x-ray department. After the physician talks
with the radiologist regarding the diagnosis of sprained ankle, the physician decides to apply a
short leg cast, designed for walking, just below the knee to his toes.
a. 29405-LT, S93.402A, W06.xxxA, Y92.013
b. 29425-LT, S93.402A, W06.xxxA, Y92.013
,c. 29515-LT, S93.402A, W19.xxxA, Y92.013
d. 29405-LT, S93.402A, W06.xxxA - answersb. 29425-RT application of walking cast; S93.402A
sprain left lower leg; W06.xxxA fall from bed. Code location as bedroom of single family
(private) house:Y92.013.
A 69 year old male is admitted for coronary ASHD. A prior cardiac catheterization showed
numerous native vessels to be 70% to 100% blocked. The patient was then taken to the
operating room. After opening the chest and separating the rib cage, a coronary artery bypass
was performed using five venous grafts and four coronary arterial grafts. Code the graft
procedures and the diagnosis:
a. 33514, I25.10
B. 33536, 33517-51, I25.9
c. 33533, 33522, I25.810
d. 33536, 33522, I25.10 - answersd. 33536, 4 or more coronary arterial grafts, 33522 an add on
code primary procedure first. I25.10, native coronary artery without angina pectoris.
A patient is taken to the operating room for a ruptured spleen. A partial splenectomy and repair
of a rupture was done.
a. 38101, S36.032A
b.38101-58, 38115-51, D73.5
c. 38115, D73.5
d. 38120, S36.032A - answersc. 38115, repair ruptured spleen D73.5, infarction of spleen
includes splenic rupture non-traumatic. There is no mention that it is laparoscopic.
A special type hospital that must have all ALOS greater than 25 days serves patients with
complex medical needs, and may suffer from multiple chronic problems.
a. special care hospital
b. long term care hospital
c. teaching hospital
,d. extended care hospital - answersb. long term care hospital. Long term care hospitals are
certified as acute care hospitals, but LTCHs focus on patients who on average stay more than
25 days.
This committee is responsible for developing guidelines and standards for ethical decision
making in the delivery of health care.
a. ethics committee
b. regulatory committee
c. human resource committee
d. oversight committee - answersa. ethics committee
This includes rights to patients such as confidentiality, consent, and the right to make decisions
regarding medical care.
a. admittance form
b. patient confidentiality clause
c. living will
d. patients bill of rights - answersd. Patients bill of rights.
Urban hospitals are in a county that is part of a metropolitan statistical area, population of
_____________________.
a. 25,000 or more
b. 50,000 or more
c. 100,000 or more
d. 250,000 or more - answersb. 50,000 or more. When the Health Care Financing
Administration implemented the Medicare prospective payment system (PPS), the payment
rates for inpatient hospital operating costs ere derived on an urban and rural basis within
each region.
, The hospital survey and construction act of 1946, referred to as the Hill-Burton Act, provided
federal grants to states for the construction of new ___________________________.
a. long term care facilities
b. emergency rooms
c. community hospital beds
d. all of the above - answersc. Community hospital beds. The Hill Burton Act gave hospitals,
nursing homes and other health facilities grants and loans for construction and
modernization.
When one or more hospitals are organized around a medical school they are referred to as an
_____________________.
a. academic medical center
b. learning hospital
c. teaching hospital
d. primary care facility - answersa. academic medical center
A patients wishes regarding continuation or withdrawal of treatment when patient lacks
decision making capacity is called______________________?
a. life support
b. advance healthcare directive
c. continuation or withdrawal agreement
d. power of attorney - answersb. advance healthcare directive. Also known as a living will,
personal directive, advance directive, medical directive and advance decision.
A hospital that has no more than 25 acute care or swing beds and must provide 24 hour
emergency medical services.
a. rural hospital
b. emergency medical center
VERIFIED ANSWERS ALREADY GRADED A+ (BRAND NEW VISION)
A patient with a history of myocardial infarction is admitted for cardiac catheterization. It is also
noted the patient has unstable angina, hypertension, and diabetes with hypoglycemia.
a. I20.0, I10, E13.9, D10.9
b. I20.8, I10, E11.69, I25.2
c. I20.0, I10, E11.69, I25.2
d. I20.0, I21.3, E11.69, I25.2 - answersd. I20.0, unstable angina; I10, Essential (primary)
hypertension; I21.3 acute myocardial infarction, episode of care unspecified; E11.69 type 2
diabetes mellitus with other specified complication, code also the manifestation; I25.2 old
myocardial infarction.
By manipulation, under general anesthesia a 6 year old left tarsal's dislocation was reduced.
Correct alignment was confirmed by a two-view intraoperative x-rays. A short leg cast was then
applied to the left leg. Code only the reduction service.
a. 28545-LT
b. 28545-LT, 29405-LT, 73620
c. 28545-LT, 29405-LT-51
d. 28540-LT, 7360 - answersa. 28545-LT key words: under general anesthesia, dislocation, left
tarsal.
Brandon comes into the orthopedic department today with his father after falling from the top
bunk bed, where he and his sister were playing. He is having pain in his lower left leg and is
unable to bear weight on it. Brandon is taken to the x-ray department. After the physician talks
with the radiologist regarding the diagnosis of sprained ankle, the physician decides to apply a
short leg cast, designed for walking, just below the knee to his toes.
a. 29405-LT, S93.402A, W06.xxxA, Y92.013
b. 29425-LT, S93.402A, W06.xxxA, Y92.013
,c. 29515-LT, S93.402A, W19.xxxA, Y92.013
d. 29405-LT, S93.402A, W06.xxxA - answersb. 29425-RT application of walking cast; S93.402A
sprain left lower leg; W06.xxxA fall from bed. Code location as bedroom of single family
(private) house:Y92.013.
A 69 year old male is admitted for coronary ASHD. A prior cardiac catheterization showed
numerous native vessels to be 70% to 100% blocked. The patient was then taken to the
operating room. After opening the chest and separating the rib cage, a coronary artery bypass
was performed using five venous grafts and four coronary arterial grafts. Code the graft
procedures and the diagnosis:
a. 33514, I25.10
B. 33536, 33517-51, I25.9
c. 33533, 33522, I25.810
d. 33536, 33522, I25.10 - answersd. 33536, 4 or more coronary arterial grafts, 33522 an add on
code primary procedure first. I25.10, native coronary artery without angina pectoris.
A patient is taken to the operating room for a ruptured spleen. A partial splenectomy and repair
of a rupture was done.
a. 38101, S36.032A
b.38101-58, 38115-51, D73.5
c. 38115, D73.5
d. 38120, S36.032A - answersc. 38115, repair ruptured spleen D73.5, infarction of spleen
includes splenic rupture non-traumatic. There is no mention that it is laparoscopic.
A special type hospital that must have all ALOS greater than 25 days serves patients with
complex medical needs, and may suffer from multiple chronic problems.
a. special care hospital
b. long term care hospital
c. teaching hospital
,d. extended care hospital - answersb. long term care hospital. Long term care hospitals are
certified as acute care hospitals, but LTCHs focus on patients who on average stay more than
25 days.
This committee is responsible for developing guidelines and standards for ethical decision
making in the delivery of health care.
a. ethics committee
b. regulatory committee
c. human resource committee
d. oversight committee - answersa. ethics committee
This includes rights to patients such as confidentiality, consent, and the right to make decisions
regarding medical care.
a. admittance form
b. patient confidentiality clause
c. living will
d. patients bill of rights - answersd. Patients bill of rights.
Urban hospitals are in a county that is part of a metropolitan statistical area, population of
_____________________.
a. 25,000 or more
b. 50,000 or more
c. 100,000 or more
d. 250,000 or more - answersb. 50,000 or more. When the Health Care Financing
Administration implemented the Medicare prospective payment system (PPS), the payment
rates for inpatient hospital operating costs ere derived on an urban and rural basis within
each region.
, The hospital survey and construction act of 1946, referred to as the Hill-Burton Act, provided
federal grants to states for the construction of new ___________________________.
a. long term care facilities
b. emergency rooms
c. community hospital beds
d. all of the above - answersc. Community hospital beds. The Hill Burton Act gave hospitals,
nursing homes and other health facilities grants and loans for construction and
modernization.
When one or more hospitals are organized around a medical school they are referred to as an
_____________________.
a. academic medical center
b. learning hospital
c. teaching hospital
d. primary care facility - answersa. academic medical center
A patients wishes regarding continuation or withdrawal of treatment when patient lacks
decision making capacity is called______________________?
a. life support
b. advance healthcare directive
c. continuation or withdrawal agreement
d. power of attorney - answersb. advance healthcare directive. Also known as a living will,
personal directive, advance directive, medical directive and advance decision.
A hospital that has no more than 25 acute care or swing beds and must provide 24 hour
emergency medical services.
a. rural hospital
b. emergency medical center
