CCS Exam Study Questions with 100% Correct Answers Updated this Year

CCS Exam Study Questions with
100% Correct Answers Updated this
Year
AAfemaleApatientAisAdiagnosedAwithAcongestiveAheartAfailure.AWhichAofAtheAfollowingAwillAi
ncreaseAtheAMS-DRGAweightAifApresentAonAadmission?
AtrialAfibrillation


StageAIIIApressureAulcer


BloodAlossAanemia


CoronaryAarteryAdiseaseA-AAnswer✓AStageAIIIApressureAulcer


MS-
DRGA291A(weightA=A01.5010)AforAcongestiveAheartAfailureAwithAstageAIIIApressureAulcerAw
ouldAoptimizeAtheAMS-DRG.AMS-
DRGA293A(weightA=A0.A6756)AisAassignedAforAcongestiveAheartAfailureAalone,AwithAatrialAfi
brillation,AwithAbloodAlossAanemia,AandAwithAcoronaryAarteryAdiseaseAallAremainAtheAsame
A(MedicareAGrouperAVersionA29-10/11)


AA70-year-
oldApatientAwasAadmittedAwithApneumonia.ATheAhistoryAandAphysicalAdocumentedAthatAtheA
patientAhasAaAhistoryAofAdiabetes,Ahypertension,AandAmigraineAheadacheAaboutA10AyearsAa
goAwithoutArecurrence.ATheApatientAwasAadministeredAIVAantibiotics,Ametformin,AandAAltace
AduringAtheAhospitalization.AWhichAconditionsAwouldAbeAreportedAatAtheAtimeAofAdischarge?
A-AAnswer✓APneumonia,Adiabetes,AandAhypertension


AApatientAisAadmittedAforAchestApain.ATheApatientAwasAstabilizedAandAdischarged.AInAaAsu
bsequentAadmission,AtheApatientAwasAadmittedAasAanAoutpatientAforAaAleftAheartAcatheteriz
ation,AcoronaryAarteriographyAusingAtwoAcathetersAandAleftAventricularAangiography.ATheApa
tientAwasAfoundAtoAhaveAarterioscleroticAheartAdisease.ATheApatientAhasAnoAhistoryAofAcardi
acAsurgery.ATheAappropriateAsequencingAofAICD-
9AandACPTAcodesAforAtheAoutpatientAcatheterizationAwouldAbe:


411.1-IntermediateAcoronaryAsyndromeA(unstableAangina)

,413.9-AOtherAandAunspecifiedAanginaApectoris


414.00-CoronaryAatherosclerosisAofAunspecifiedAtypeAofAvessel,AnativeAorAgraft


414.01-CoronaryAatherosclerosisAofAnativeAcoronaryAartery


786.50-ChestApain,Aunspecified


93452-
LeftAheartAcatheterizationAincludingAintraproceduralAinjection(s)AforAleftAventriculography,Aim
agingAsupervisionAandAinterpretation,AwhenAperformed


93453-CombinedArightAandAleftAheartA-AAnswer✓A414.01,A93458


CodeA414.01AisAassignedAtoAshowAcoronaryAarteryAdiseaseAinAaAnativeAcoronaryAarteryAand
AisAusedAwhenAaApatientAhasAcoronaryAarteryAdiseaseAandAnoAhistoryAofAcoronaryAbypassA
graftA(CABG)AsurgeryA(SchraffenbergerA2012,A190-
192).ACodeA93458AincludesAintraproceduralAinjection(s)AforAleftAventricular/leftAatrialAangiog
raphy,AimagingAsupervision,AandAinterpretationAwhenAperformedA(AMAACPTAProfessionalAEdi
tionA2013,ACardiacACatheterizationAGuidelines,A500-503).


AccordingAtoACPT,AanAendoscopyAthatAisAundertakenAtoAtheAlevelAofAtheAmidtransverseAcolo
nAwouldAbeAcodedAasAaA-AAnswer✓Acolonoscopy


AAchestAx-
rayAdoneAtoAevaluateAaAchronicAcoughArevealedAaAasymptomaticAcompressionAfractureAofAaA
lumbarAvertebrae.ANoAfurtherAevaluationAwasAundertaken.ATheAcoderAshould:


NotAassignAaAcodeAforAanAacuteAconditionAbutAassignAaAcodeAforAchronicAcompressionAfract
ure


AssignAaAcodeAforApathologicAlumbarAcompressionAfracture


AssignAaAcodeAforAacuteAtraumaticAvertebralAfracture

,NotAassignAaAcodeAforAthisAconditionA-AAnswer✓ANotAassignAaAcodeAforAthisAcondition


DoAnotAassignAaAcodeAforAthisAconditionAbecauseAthisAisAaAfrequentAconditionAinAtheAelderl
y,AisAasymptomatic,AandAthereAisAnoAdocumentationAofAtreatingAtheAconditionAsoAitAshouldA
notAbeAcodedA(BrownA2012,A33).


AApatientAisAadmittedAwithAhypotensionAdueAtoAdobutamineAtaken,Aadministered,AandApresc
ribedAcorrectly.AHowAshouldAthisAbeAcoded?A-
AAnswer✓ACodeA458.2,AIatrogenicAhypotension,AshouldAbeAassignedAtoAdescribeAthisAcond
ition.AThisAcodeAshouldAbeAassignedAwhenAhypotensionAdevelopsAasAaAresultAofAanyAtypeAo
fAmedicalAcare.AAssignAcodeAE941.2,ASympathomimeticsA(adrenergics),AtoAindicateAthatAitAis
AanAadverseAeffectAofAtheAdrug


MS-DRGAassignmentAisAbasedAonAinformationAthatAincludesA-
AAnswer✓ADiagnosesA(principalAandAsecondary);ASurgicalAproceduresA(principalAandAsecon
dary;ADischargeAdispositionAorAstatus;APresenceAofAmajorAorAotherAcomplicationsAandAcomor
biditiesA(MCCAorACCAasAsecondaryAdiagnosis)


TheseAelementsAareAusedAtoAdetermineAtheAMS-DRG)AMS-
DRGAassignmentAgoesAthroughAfourAsteps:A-AAnswer✓APre-
MDCAassignments,AMDCAdetermination,AMedical/surgicalAdetermination,AandArefinement


IfAaApatientAhasAanAexcisionAofAaAmalignantAlesionAofAtheAskin,AtheACPTAcodeAisAdetermin
edAbyAtheAbodyAareaAfromAwhichAtheAexcisionAoccursAandAtheA-
AAnswer✓ADiameterAofAtheAlesionAasAwellAasAtheAmarginsAexcisedAasAdescribedAinAtheA
operativeAreport


TheAoperativeAreportAshouldAbeAreviewedAforAtheAbodyApartAinvolvedAwithAtheAlesion.ATheA
totalAsizeAofAtheAexcisedAarea,AincludingAmargins,AisAneededAforAaccurateAcoding.ATheApath
ologyAreportAtypicallyAprovidesAtheAspecimenAsizeAratherAthanAtheAlesionAorAexcisedAsize.A
BecauseAtheAspecimenAtendsAtoAshrink,AthisAisAnotAanAaccurateAmeasurementAaccordingAtoAt
heAintentAofAtheAcodeAassignment


TheAcase-mixAindexAforAtheAinformationAprovidedAaboveAis:


MS-DRGAWeightANumberAofAPatients
MS-DRGA193,ASimpleApneumoniaAandApleurisyAageA>17Aw/ACC;A
WEIGHTA3.0;A#AofApatientsA10

, MS-DRGA195,ASimpleApneumoniaAwithoutAMCCAorACC
2.0;A10


MS-DRGA192,AChronicAobstructiveApulmonaryAdiseaseAw/oACC

1.0;A10A-AAnswer✓A2.0
TheAcaseAmixAisAdefinedAasAaAmethodsAofAgroupingApatients.AMS-
DRGsAareAoftenAusedAtoAdetermineAcaseAmixAinAhospitals.ATheAcase-
mixAindexAisAtheAaverageAMS-
DRGAweightAbasedAonAtheAspecificApatientAgroupAandAisAdeterminedAbyAmultiplyingAtheADR
GAweightsAbyAtheAnumberAofApatientsAandAthenAdividedAbyAtheAtotalAnumberAofApatients:A
30A+A20A+A10A=A60A/A30A=A2.0


75-year-
oldAwomanAisAadmittedAtoAtheAhospitalAafterAtrippingAandAfallingAatAhome.ASheAunderwent
AanAopenAreductionAwithAinternalAfixationAofAtheAfemur.AWhichAofAtheAfollowingAwouldAbe
AimportantAtoAcaptureAinAadditionAtoAdiagnosticAcodes?A-
AAnswer✓AEAcodesAforACauseAofAInjury,APlaceAofAOccurrence,AActivity,AandAStatus


ExternalAcauseAofAinjuryAcodesAareAusedAtoAprovideAinformationAaboutAhowAanAinjuryAoccur
red,AtheAintentA(intentionalAorAunintentional),AprovideAinformationAaboutAwhereAtheAinjuryA
occurred,AandAtheAstatusAofAtheApersonAatAtheAtimeAtheAinjuryAoccurred.AInAtheAcaseAofAaA
personAwhoAseeksAcareAforAanAinjuryAorAotherAhealthAconditionAthatAresultedAfromAanAacti
vity,AorAwhenAanAactivityAcontributedAtoAtheAinjuryAorAhealthAcondition,AactivityAcodesAareA
usedAtoAdescribeAtheAactivity


DuringAanAambulatoryAsurgeryAvisitAforAexcisionAofAaAmalignantAmelanomaAofAtheArightAfo
rearm,AtheAattendingAsurgeonAlistedAhistoryAofAbenignAbreastAcyst,AhistoryAofAhypertension
AcurrentlyAonATenormin,AandAaAcurrentAhammerAtoe.AWhichAconditionsAareAtoAbeAcoded?A-
AAnswer✓AMalignantAmelanomaAofAforearm,Ahypertension


AssignAcodesAforAmalignantAmelanomaAofAforearm,Ahypertension.ACodeAchronicAconditionsAif
AtheyAaffectAtheApatient'sAtreatment.ATheAhypertensionAwasAbeingAtreatedAwithAaAcurrentAm
edicationAandAforAthisAreasonAtheAhypertensionAisAcoded


ChronicAconditionsAmustAbeA_____AbyAphysicianA-
AAnswer✓AThisAisAanAexampleAofAaAcircumstanceAwhereAtheAchronicAconditionAmustAbeAv
erified.AAllAsecondaryAconditionsAmustAmeetAtheAUHDDSAdefinitions