Certified Coding Specialist (CCS) Exam Preparation
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A 55-year-old patient has hypertensive heart disease with
congestive heart failure. What code would be assigned?
a. I15.8, Other secondary hypertension
b. I11.0, Hypertensive heart disease with heart failure and
I50.9, Heart failure, unspecified
c. I50.9, Heart failure, unspecified and I15.0,
Renovascular hypertension
d. N18.6, End stage renal disease - Answer-b. I11.0,
Hypertensive heart disease with heart failure and I50.9,
Heart failure, unspecified
** There is a cause and effect relationship established
between the hypertension and the congestive heart failure.
A separate code for the congestive heart failure is
assigned based on the "code also" note (HHS 2017,
Section I.C.9.a., 40).
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A surgeon would like to undertake a research study on his
patients with stage II malignant melanoma of the back,
who have undergone wide excision of the melanoma.
What work processes and associated software could be
used to provide this information?
a. Obtain a summary of the cases from the cancer registry,
import them into a spreadsheet, and provide to the
surgeon.
b. Obtain a summary of the cases from the chart
completion software, import them into a spreadsheet, and
provide to the surgeon.
c. Obtain a summary of the cases from the master patient
index, import them into a spreadsheet, and provide to the
surgeon.
d. Obtain a summary of the cases from the transcription
tracking software, import them into a spreadsheet, and
provide to the surgeon. - Answer-a. Obtain a summary of
the cases from the cancer registry, import them into a
spreadsheet, and provide to the surgeon.
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**The cancer registry can be used to undertake studies in
addition to reporting cases to a central registry (Sharp and
Madlock-Brown 2016, 173).
A facility located near a national park has a significant
number of snake bites, and patients receive treatment with
antivenom in urgent-care settings. Sometimes a patient is
admitted to the hospital after several days. Can the
urgent-care setting provide the hospital with a list of
names of patients treated with snake antivenom?
a. Only the names of patients who are admitted to the
hospital can be requested if the physician needs it for
continuity of care, but an entire list of patients cannot be
provided.
b. A list of names could be provided.
c. No information can be obtained under any
circumstances.
d. A list of patients may be available after consultation with
the national park ranger. - Answer-a. Only the names of
patients who are admitted to the hospital can be requested
if the physician needs it for continuity of care, but an entire
list of patients cannot be provided.
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**Only records that are required for care or authorized by
the patient can be released by the urgent-care facility to
the acute-care facility (Brodnik 2012, 225; Rinehart-
Thompson 2016b, 243-247).
What diagnoses and procedures should be reported for
recurrent left inguinal hernia with laparoscopic repair?
K40.30 Unilateral inguinal hernia, with obstruction, without
gangrene, not specified as recurrent
K40.31 Unilateral inguinal hernia, with obstruction, without
gangrene, recurrent
K40.91 Unilateral inguinal hernia, without mention of
obstruction or gangrene, recurrent
49520 Repair recurrent inguinal hernia, any age; reducible
49521 Repair recurrent inguinal hernia, any age;
incarcerated or strangulated
49651 Laparoscopy, surgical; repair recurrent inguinal
hernia
a. K40.91, 49520