CCS EXAM | CERTIFIED CODING SPECIALIST EXAM | |LATEST VERSIONS AND PRACTICE QUESTIONS AND CORRECT DETAILED ANSWERS with rationales | ALREADY GRADED A+

CCS EXAM | CERTIFIED CODING SPECIALIST EXAM |
dr dr dr dr dr dr dr dr




dr |LATEST VERSIONS AND PRACTICE QUESTIONS AND dr dr dr dr dr




CORRECT DETAILED ANSWERS with rationales |
dr dr dr dr dr dr




ALREADY GRADED A+ dr dr dr




A 55-year-old client has hypertensive heart disease with congestive heart failure. What
dr dr dr dr dr dr dr dr dr dr dr




code would be assigned?
dr dr dr dr




a. I15.8, Other secondary hypertension dr dr dr




b. I11.0, Hypertensive heart disease with heart failure and I50.9, Heart
dr dr dr dr dr dr dr dr dr




dr failure,unspecified dr




c. I50.9, Heart failure, unspecified and I15.0, Renovascular hypertension
dr dr dr dr dr dr dr




d. N18.6, End stage renal disease dr dr dr dr dr




RIGHT ANS :->> b. I11.0, Hypertensive heart diseasewith heart failure and
dr dr dr dr dr dr dr d
r dr dr dr




dr I50.9, Heart failure, unspecified dr dr dr




Rationale :->> There is a cause and effect relationship established between the
dr dr dr dr dr dr dr dr dr dr dr




dr hypertension and the congestive heart failure. A separate code for the congestive heart dr dr dr dr dr dr dr dr dr dr dr dr




dr failure is assignedbased on the "code also" note (HHS 2017, Section I.C.9.a., 40).
dr dr r
d dr dr dr dr dr dr dr dr dr dr




A surgeon would like to undertake a research study on his clients with stage II
dr dr dr dr dr dr dr dr dr dr dr dr dr dr




dr malignant melanoma of the back, who have undergone wide excision of the dr dr dr dr dr dr dr dr dr dr dr




dr melanoma.What work processes and associated software could be used to provide r
d dr dr dr dr dr dr dr dr dr dr




dr this information?
dr




a. Obtain a summary of the cases from the cancer registry, import them into
dr dr dr dr dr dr dr dr dr dr dr dr




dr aspreadsheet, and provide to the surgeon.
dr dr dr dr dr dr




b. Obtain a summary of the cases from the chart completion software, import them
dr dr dr dr dr dr dr dr dr dr dr dr




dr intoa spreadsheet, and provide to the surgeon.
dr dr dr dr dr dr dr




c. Obtain a summary of the cases from the master client index, import them into a
dr dr dr dr dr dr dr dr dr dr dr dr dr dr




spreadsheet, and provide to the surgeon.
dr dr dr dr dr dr

,d. Obtain a summary of the cases from the transcription tracking software, import
dr dr dr dr dr dr dr dr dr dr dr




dr them into a spreadsheet, and provide to the surgeon.
dr dr dr dr dr dr dr dr dr




RIGHT ANS:->> a. Obtain a summary ofthe cases from the cancer registry,
dr dr dr dr dr dr d
r dr dr dr dr dr




dr import them into a spreadsheet, and provide to the surgeon.
dr dr dr dr dr dr dr dr dr




Rationale:->>The cancer registry can be used to undertake studies in addition to dr dr dr dr dr dr dr dr dr dr dr




dr reporting cases toa central registry (Sharp and Madlock-Brown 2016, 173).
dr dr r
d dr dr dr dr dr dr dr




A facility located near a national park has a significant number of snake bites, and
dr dr dr dr dr dr dr dr dr dr dr dr dr dr




dr clients receive treatment with antivenom in urgent-care settings. Sometimes a client
dr dr dr dr dr dr dr dr dr dr




is admitted to the hospital after several days. Can the urgent-care setting provide the
dr dr dr dr dr dr dr dr dr dr dr dr dr dr




dr hospital with a list of names of clients treated with snake antivenom?
dr dr dr dr dr dr dr dr dr dr dr




a. Only the names of clients who are admitted to the hospital can be requested if the
dr dr dr dr dr dr dr dr dr dr dr dr dr dr dr




dr physician needs it for continuity of care, but an entire list of clients cannot be
dr dr dr dr dr dr dr dr dr dr dr dr dr dr




dr provided.
b. A list of names could be provided.
dr dr dr dr dr dr




c. No information can be obtained under any circumstances.
dr dr dr dr dr dr dr




d. A list of clients may be available after consultation with the national park ranger.
dr dr dr dr dr dr dr dr dr dr dr dr dr dr




RIGHT ANS :->> a. Only the names of clients who are admitted to the hospital can
dr dr dr dr dr dr dr dr dr dr dr dr dr dr dr




dr berequested if the physician needs it for continuity of care, but an entire list of
dr dr dr dr dr dr dr dr dr dr dr dr dr dr dr




dr clients cannot be provided.
dr dr dr




Rationale:->>Only records that are required for care or authorized by the client can be dr dr dr dr dr dr dr dr dr dr dr dr dr




dr released by the urgent-care facility to the acute-care facility (Brodnik 2012, 225;
dr r
d dr dr dr dr dr dr dr dr dr




dr Rinehart-Thompson2016b, 243-247). r
d dr




What diagnoses and procedures should be reported for recurrent left inguinal hernia
dr dr dr dr dr dr dr dr dr dr dr

, with laparoscopic repair?
dr dr dr




K40.30 Unilateral inguinal hernia, with obstruction, without gangrene, not specified as
dr dr dr dr dr dr dr dr dr dr




recurrent
dr




K40.31 Unilateral inguinal hernia, with obstruction, without gangrene, recurrent
dr dr dr dr dr dr dr dr




K40.91 Unilateral inguinal hernia, without mention of obstruction or gangrene,
dr dr dr dr dr dr dr dr dr




dr recurrent49520 Repair recurrent inguinal hernia, any age; reducible
dr dr dr dr dr dr dr dr




49521 Repair recurrent inguinal hernia, any age; incarcerated or strangulated
dr dr dr dr dr dr dr dr dr




49651 Laparoscopy, surgical; repair recurrent inguinal hernia
dr dr dr dr dr dr dr




a. K40.91, 49520
dr dr




b. K40.31, 49521
dr dr




c. K40.91, 49651
dr dr




d. K40.30, 49520
dr dr dr




RIGHT ANS:->> c. K40.91:Unilateral inguinal hernia, without mentionof
dr dr dr dr dr dr dr dr




dr obstruction or gangrene, recurrent 49651:Laparoscopy, surgical; repair recurrent
dr dr dr dr dr dr dr




inguinal hernia
dr dr




Rationale:->>The client has a recurrent hernia without obstruction and this is captured dr dr dr dr dr dr dr dr dr dr dr




dr in diagnosiscode K40.91 (Leon-Chisen 2017, 253; CPT Assistant Nov. 1999, 24;
dr r
d dr dr dr dr dr dr dr dr dr




dr March 2000, 9). dr dr




.In order to accurately code a cardiac catheterization, what needs to be determined
dr dr dr dr dr dr dr dr dr dr dr dr




based on a review of the documentation?
dr dr dr dr dr dr dr




a. The approach and the side of the heart (chambers) into which the catheter was
dr dr dr dr dr dr dr dr dr dr dr dr dr




inserted
dr




b. The approach, the side of the heart (chambers) into which the catheter was inserted,
dr dr dr dr dr dr dr dr dr dr dr dr dr




as well as any additional procedures performed
dr dr dr dr dr dr dr




c. The duration of the procedure dr dr dr dr




d. If there is documentation of the procedure in the medical record that stents are
dr dr dr dr dr dr dr dr dr dr dr dr dr

, dr considered dr




RIGHT ANS:->> b. The approach, the side of the heart (chambers) intowhich
dr dr dr dr dr dr dr dr dr dr dr dr




dr the catheter was inserted, as well as any additional procedures performed
dr dr dr dr dr dr dr dr dr dr




A condition is present on admission when:
dr dr dr dr dr dr




a. It is the principal diagnosis
dr dr dr dr




b. It is accordance with medical staff bylaws
dr dr dr dr dr dr




c. A condition that occurs prior to an inclient admission
dr dr dr dr dr dr dr dr




d. It is present within 3 days after admission
dr dr dr dr dr dr dr dr




RIGHT ANS:->> c. A condition that occursprior to an inclient admission
dr dr dr dr dr dr dr dr dr dr dr




Rationale :->>It is important to understand the time frame for assigning a status code
dr dr dr dr dr dr dr dr dr dr dr dr dr




dr specifying thata condition is present on admission (Leon-Chisen 2017, 571-574).
dr r
d dr dr dr dr dr dr dr dr




Diagnostic-related groups (DRGs) and ambulatory client classifications (APCs) are dr dr dr dr dr dr dr dr




similar in that they are both:
dr dr dr dr dr dr




a. Determined by HCPCS codes dr dr dr




b. Focused on hospital outclients dr dr dr




c. Focused on hospital inclients dr dr dr




d. Prospective payment systems dr dr dr




RIGHT ANS:->> d. Prospective payment systems dr dr dr dr dr




Rationale:->> Both are types of prospective payment systems (Casto and Forrestal dr dr dr dr dr dr dr dr dr dr




2015, 6).
dr dr




A client is treated for esophageal varices with hemorrhage due to cirrhosis. The
dr dr dr dr dr dr dr dr dr dr dr dr




diagnostic codes that would be assigned are:
dr dr dr dr dr dr dr




I85.01 Esophageal varices with bleeding
dr dr dr dr




I85.11 Secondary esophageal varices with bleeding
dr dr dr dr dr




K74.60 Unspecified cirrhosis of liverdr dr dr dr dr