CCS Exam: Questions With Expert-Approved Solutions
Patient was admitted from the nursing home in acute respiratory failure due
to congestive heart failure. Chest X-ray also showed acute pulmonary edema.
Patient was intubated and placed on mechanical ventilation for less than 24
hours and expired the day after admission. (Code diagnoses using ICD-10-CM
and procedures using ICD-PCS.) Correct Answer - J96.00, I50.1, 5A1935Z
You have been asked to give an example of a clinical information system.
Which one of the following would you cite? Correct Answer - laboratory
information system
The type of anemia caused by a failure of the bone marrow to produce red
blood cells is Correct Answer - aplastic anemia
The APC payment system is based on what coding system(s)? Correct
Answer - CPT/HCPCS codes
In the diagnosis "first-, second-, and third-degree burns of the chest wall," a
code is required for Correct Answer - the third-degree burn only
6) Patient is admitted for elective cholecystectomy for treatment of chronic
cholecystitis with cholelithiasis. Prior to administration of general anesthesia,
patient suffers cerebral thrombosis. Surgery is subsequently canceled. Code
and sequence the coding using the following codes. Correct Answer -
K80.10, I66.9, Z53.09
In order to correctly code a hernia repair, the coder needs to know all of the
following EXCEPT Correct Answer - whether the patient is obese
You have been hired to work with a computer-assisted coding initiative. The
technology you will be working with is Correct Answer - natural
language processing
The autonomic nervous system has two divisions. Correct Answer - the
sympathetic system and the parasympathetic system
,A patient has major surgery and sees the surgeon 10 days later for an
unrelated E/M service. Indicate the modifier that should be attached to the
E/M code for the service provided. Correct Answer - - 24
Which diagnostic technique records the patient's heart rates and rhythms
over a 24-hour period? Correct Answer - Holter monitor
Repair of retinal detachment with vitrectomy. Correct Answer - 67108
Down's syndrome, Edwards' syndrome, and Patau syndrome are all examples
of _________ defects. Correct Answer - Chromosomal
John has chronic ulcers of the right calf and back. Both ulcers are excisionally
debrided, and the ulcer of the back has a split-thickness skin graft, autologous.
(Code the diagnoses using ICD-10-CM and procedures using ICD-10-PCS.)
Correct Answer - L97.219, L98.429, 0HBKXZZ, 0HB6XZZ, 0HR6X74
CMS delegates its daily operations of the Medicare and Medicaid programs to
Correct Answer - the Medicare administrative contractor (MAC)
A four-digit code that describes a classification of a product or service
provided to a patient is a Correct Answer - revenue code
What is the root operation main term? Reattachment fourth finger Correct
Answer - reattachment
This is a 10-digit, intelligence-free, numeric identifier designed to replace all
previous provider legacy numbers. This number identifies the physician
universally to all payers. This number is issued to all HIPAA-covered entities.
It is mandatory on the CMS-1500 and UB-04 claim forms. Correct Answer -
National Provider Identifier (NPI)
This type of hospital is considered excluded when it applies for, and receives,
a waiver from CMS. This means that the hospital does not participate in the
inpatient prospective payment system (IPPS). Correct Answer - cancer
hospital
The attending physician requests a consultation from a cardiologist. The
cardiologist takes a detailed history, performs a detailed examination, and
,utilizes moderate medical decision making. The cardiologist orders diagnostic
tests and prescribes medication. He documents his findings in the patient's
medical record and communicates in writing with the attending physician.
The following day the consultant visits the patient to evaluate the patient's
response to the medication, to review results from the diagnostic tests, and to
discuss treatment options. What codes should the consultant report for the
two visits? Correct Answer - an initial inpatient consult and a
subsequent hospital visit
You have been asked to recommend time-limited documentation standards
for inclusion in the Medical Staff Bylaws, Rules, and Regulations. The
committee documentation standards must meet the standards of both the
Joint Commission and the Medicare Conditions of Participation. The standards
for the history and physical exam documentation are discussed first. You
advise them that the time period for completion of this report should be set at
Correct Answer - 24 hours after admission or prior to surgery
The patient is diagnosed with congestive heart failure. A drug of choice is
Correct Answer - Digoxin
In the past, Joint Commission standards have focused on promoting the use of
a facility-approved abbreviation list to be used by hospital care providers.
With the advent of the Commission's national patient safety goals, the focus
has shifted to the Correct Answer - use of prohibited or "dangerous"
abbreviations
According to the UHDDS, a procedure that is surgical in nature, carries a
procedural or anesthetic risk, or requires special training is defined as a
Correct Answer - significant procedure
CMS adjusts the Medicare Severity DRGs and the reimbursement rates every
Correct Answer - fiscal year beginning October 1
What is the root operation main term?
Total left knee replacement Correct Answer - replacement
What is the root operation main term?
Gastric lap band for treatment of morbid obesity Correct Answer -
restriction
, What main term would be used?
Percutaneous angioplasty right coronary artery using a balloon-tipped
catheter to expand the vessel Correct Answer - dilation
A patient with Medicare is seen in the physician's office.
The total charge for this office visit is $250.00.
The patient has previously paid his deductible under Medicare Part B.
The PAR Medicare fee schedule amount for this service is $200.00.
The non-PAR Medicare fee schedule amount for this service is $190.00.
If this physician is a participating physician who accepts assignment for this
claim, the total amount the physician will receive is Correct Answer -
$200.00
Vaginal delivery with episiotomy of full-term liveborn infant. Patient
undergoes repair of delivery episiotomy and postdelivery elective vaginal
endoscopic ligation of fallopian tubes bilaterally. (Code the diagnoses using
ICD-10-CM and procedures using ICD-10-PCS.) Correct Answer - O80,
Z37.0, Z30.2, 10E0XZZ, 0W8NXZZ, 0UL74ZZ
Codes from category O36, known or suspected fetal abnormality affecting the
mother, should Correct Answer - be assigned when they affect the
management of the mother
HCPCS codes beginning with the letter J represent __________________. Correct
Answer - drugs
NDC codes represent __________________. Correct Answer - drug products
Medicare covers which of the following scenarios? Correct Answer -
People over 65, People under 65 with certain disabilities, and ESRD
Patient was admitted from the nursing home in acute respiratory failure due
to congestive heart failure. Chest X-ray also showed acute pulmonary edema.
Patient was intubated and placed on mechanical ventilation for less than 24
hours and expired the day after admission. (Code diagnoses using ICD-10-CM
and procedures using ICD-PCS.) Correct Answer - J96.00, I50.1, 5A1935Z
You have been asked to give an example of a clinical information system.
Which one of the following would you cite? Correct Answer - laboratory
information system
The type of anemia caused by a failure of the bone marrow to produce red
blood cells is Correct Answer - aplastic anemia
The APC payment system is based on what coding system(s)? Correct
Answer - CPT/HCPCS codes
In the diagnosis "first-, second-, and third-degree burns of the chest wall," a
code is required for Correct Answer - the third-degree burn only
6) Patient is admitted for elective cholecystectomy for treatment of chronic
cholecystitis with cholelithiasis. Prior to administration of general anesthesia,
patient suffers cerebral thrombosis. Surgery is subsequently canceled. Code
and sequence the coding using the following codes. Correct Answer -
K80.10, I66.9, Z53.09
In order to correctly code a hernia repair, the coder needs to know all of the
following EXCEPT Correct Answer - whether the patient is obese
You have been hired to work with a computer-assisted coding initiative. The
technology you will be working with is Correct Answer - natural
language processing
The autonomic nervous system has two divisions. Correct Answer - the
sympathetic system and the parasympathetic system
,A patient has major surgery and sees the surgeon 10 days later for an
unrelated E/M service. Indicate the modifier that should be attached to the
E/M code for the service provided. Correct Answer - - 24
Which diagnostic technique records the patient's heart rates and rhythms
over a 24-hour period? Correct Answer - Holter monitor
Repair of retinal detachment with vitrectomy. Correct Answer - 67108
Down's syndrome, Edwards' syndrome, and Patau syndrome are all examples
of _________ defects. Correct Answer - Chromosomal
John has chronic ulcers of the right calf and back. Both ulcers are excisionally
debrided, and the ulcer of the back has a split-thickness skin graft, autologous.
(Code the diagnoses using ICD-10-CM and procedures using ICD-10-PCS.)
Correct Answer - L97.219, L98.429, 0HBKXZZ, 0HB6XZZ, 0HR6X74
CMS delegates its daily operations of the Medicare and Medicaid programs to
Correct Answer - the Medicare administrative contractor (MAC)
A four-digit code that describes a classification of a product or service
provided to a patient is a Correct Answer - revenue code
What is the root operation main term? Reattachment fourth finger Correct
Answer - reattachment
This is a 10-digit, intelligence-free, numeric identifier designed to replace all
previous provider legacy numbers. This number identifies the physician
universally to all payers. This number is issued to all HIPAA-covered entities.
It is mandatory on the CMS-1500 and UB-04 claim forms. Correct Answer -
National Provider Identifier (NPI)
This type of hospital is considered excluded when it applies for, and receives,
a waiver from CMS. This means that the hospital does not participate in the
inpatient prospective payment system (IPPS). Correct Answer - cancer
hospital
The attending physician requests a consultation from a cardiologist. The
cardiologist takes a detailed history, performs a detailed examination, and
,utilizes moderate medical decision making. The cardiologist orders diagnostic
tests and prescribes medication. He documents his findings in the patient's
medical record and communicates in writing with the attending physician.
The following day the consultant visits the patient to evaluate the patient's
response to the medication, to review results from the diagnostic tests, and to
discuss treatment options. What codes should the consultant report for the
two visits? Correct Answer - an initial inpatient consult and a
subsequent hospital visit
You have been asked to recommend time-limited documentation standards
for inclusion in the Medical Staff Bylaws, Rules, and Regulations. The
committee documentation standards must meet the standards of both the
Joint Commission and the Medicare Conditions of Participation. The standards
for the history and physical exam documentation are discussed first. You
advise them that the time period for completion of this report should be set at
Correct Answer - 24 hours after admission or prior to surgery
The patient is diagnosed with congestive heart failure. A drug of choice is
Correct Answer - Digoxin
In the past, Joint Commission standards have focused on promoting the use of
a facility-approved abbreviation list to be used by hospital care providers.
With the advent of the Commission's national patient safety goals, the focus
has shifted to the Correct Answer - use of prohibited or "dangerous"
abbreviations
According to the UHDDS, a procedure that is surgical in nature, carries a
procedural or anesthetic risk, or requires special training is defined as a
Correct Answer - significant procedure
CMS adjusts the Medicare Severity DRGs and the reimbursement rates every
Correct Answer - fiscal year beginning October 1
What is the root operation main term?
Total left knee replacement Correct Answer - replacement
What is the root operation main term?
Gastric lap band for treatment of morbid obesity Correct Answer -
restriction
, What main term would be used?
Percutaneous angioplasty right coronary artery using a balloon-tipped
catheter to expand the vessel Correct Answer - dilation
A patient with Medicare is seen in the physician's office.
The total charge for this office visit is $250.00.
The patient has previously paid his deductible under Medicare Part B.
The PAR Medicare fee schedule amount for this service is $200.00.
The non-PAR Medicare fee schedule amount for this service is $190.00.
If this physician is a participating physician who accepts assignment for this
claim, the total amount the physician will receive is Correct Answer -
$200.00
Vaginal delivery with episiotomy of full-term liveborn infant. Patient
undergoes repair of delivery episiotomy and postdelivery elective vaginal
endoscopic ligation of fallopian tubes bilaterally. (Code the diagnoses using
ICD-10-CM and procedures using ICD-10-PCS.) Correct Answer - O80,
Z37.0, Z30.2, 10E0XZZ, 0W8NXZZ, 0UL74ZZ
Codes from category O36, known or suspected fetal abnormality affecting the
mother, should Correct Answer - be assigned when they affect the
management of the mother
HCPCS codes beginning with the letter J represent __________________. Correct
Answer - drugs
NDC codes represent __________________. Correct Answer - drug products
Medicare covers which of the following scenarios? Correct Answer -
People over 65, People under 65 with certain disabilities, and ESRD
