CCS Practice Exam Questions &
Answers (Grade A+)
A 12-year-old boy was seen in an ambulatory surgical center for
pain in his right arm. The x-ray showed fracture of ulna. Patient
underwent closed reduction of fracture right proximal ulna and an
elbow-to-finger cast was applied. What diagnostic and procedure
codes should be assigned?
S52.101AUnspecified fracture of upper end of right radius, initial
encounter for closed fracture
S52.101BUnspecified fracture of upper end of right radius, initial
encounter for open fracture
S52.001AUnspecified fracture of upper end of right ulna, initial
encounter for closed fracture
S52.001BUnspecified fracture of upper end of right ulna, initial
encounter for open fracture
0PSH0ZZReposition right radius, open approach
0PSK0ZZReposition right ulna, open approach
24670Closed treatment of ulnar fracture, proximal end (eg,
olecranon or coronoid process(es) ); without manipulation
24675Closed treatment of ulnar fracture, proximal end (eg -
correct answer : D
The patient has a fracture of the right proximal ulna and closed
reduction is necessary. In the ICD-10-CM Code Book, under
Fracture, ulna, proximal, the coder is referred to Fracture, ulna,
upper end. The term "manipulation" is used to indicate reduction in
,CCS Practice Exam Questions &
Answers (Grade A+)
CPT. According to CPT guidelines, cast application or strapping
(including removal) is only reported as a replacement procedure or
when the cast application or strapping is an initial service
performed without a restorative treatment or procedure (AMA CPT
Professional Edition 2020, 182). (Note: Since this is an ambulatory
surgery center case, CPT codes are assigned rather than ICD-10-PCS
codes.)
A laparoscopic tubal ligation is completed. What is the correct CPT
code assignment?
49320Laparoscopy, abdomen, peritoneum, and omentum,
diagnostic, with or without collection of specimen(s) by brushing or
washing (separate procedure)
58662Laparoscopy, surgical; with fulguration or excision of lesions
of the ovary, pelvic viscera, or peritoneal surface by any method
58670Laparoscopy, surgical; with fulguration of oviducts (with or
without transection)
58671Laparoscopy, surgical; with occlusion of oviducts by device
(eg, band, clip, or Falope ring)
a. 49320, 58662
b. 58670
,CCS Practice Exam Questions &
Answers (Grade A+)
c. 58671
d. 49320 -
correct answer : B
The code that best reports the tubal ligation is 58670 Laparoscopy,
surgical; with fulguration of oviducts because there are no clips or
excision of lesion completed during the procedure (CPT Assistant
Nov. 1999, 29; March 2000, 10).
Normal twin delivery at 30 weeks. Both babies were delivered
vaginally and were liveborn. What conditions should have codes
assigned?
O30.003Twin pregnancy, unspecified number of placenta and
unspecified number of amniotic sacs, third trimester
O30.009Twin pregnancy, unspecified number of placenta and
unspecified number of amniotic sacs, unspecified trimester
O60.14X0Preterm labor third trimester with preterm delivery third
trimester, not applicable or unspecified
O60.14X1 Preterm labor third trimester with preterm delivery third
trimester, fetus 1
O60.14X2Preterm labor third trimester with preterm delivery third
trimester, fetus
2O80Encounter for full-term uncomplicated delivery
, CCS Practice Exam Questions &
Answers (Grade A+)
Z3A.3030 weeks gestation of pregnancy
Z37.0Single live birth
Z37.2Twins, both liveborn
a. O80, Z3A.30, Z37.0
b. O30.003, O60.14X0, Z3A.30, Z37.2
c. O60.14X1, O60.14X2 O30.003, Z3A.30, Z37.2
d. O80, O30.009, Z3A.30, Z37.2 -
correct answer : C
A code for preterm labor and delivery is assigned for each fetus
since both babies were born preterm as noted in Coding Clinic.
Additionally, a code from category O30, Multiple gestations, must
be assigned (Leon-Chisen 2020, 325; AHA Coding Clinic 2016 2nd
Quarter, 10-11).
A patient with acute respiratory failure, hypertension, and
congestive heart failure is admitted for intubation and ventilation.
The patient's heart failure is stable on current medications. What
are the correct diagnosis codes and sequencing?
I10Essential hypertension
I11.0Hypertensive heart with heart failure
Answers (Grade A+)
A 12-year-old boy was seen in an ambulatory surgical center for
pain in his right arm. The x-ray showed fracture of ulna. Patient
underwent closed reduction of fracture right proximal ulna and an
elbow-to-finger cast was applied. What diagnostic and procedure
codes should be assigned?
S52.101AUnspecified fracture of upper end of right radius, initial
encounter for closed fracture
S52.101BUnspecified fracture of upper end of right radius, initial
encounter for open fracture
S52.001AUnspecified fracture of upper end of right ulna, initial
encounter for closed fracture
S52.001BUnspecified fracture of upper end of right ulna, initial
encounter for open fracture
0PSH0ZZReposition right radius, open approach
0PSK0ZZReposition right ulna, open approach
24670Closed treatment of ulnar fracture, proximal end (eg,
olecranon or coronoid process(es) ); without manipulation
24675Closed treatment of ulnar fracture, proximal end (eg -
correct answer : D
The patient has a fracture of the right proximal ulna and closed
reduction is necessary. In the ICD-10-CM Code Book, under
Fracture, ulna, proximal, the coder is referred to Fracture, ulna,
upper end. The term "manipulation" is used to indicate reduction in
,CCS Practice Exam Questions &
Answers (Grade A+)
CPT. According to CPT guidelines, cast application or strapping
(including removal) is only reported as a replacement procedure or
when the cast application or strapping is an initial service
performed without a restorative treatment or procedure (AMA CPT
Professional Edition 2020, 182). (Note: Since this is an ambulatory
surgery center case, CPT codes are assigned rather than ICD-10-PCS
codes.)
A laparoscopic tubal ligation is completed. What is the correct CPT
code assignment?
49320Laparoscopy, abdomen, peritoneum, and omentum,
diagnostic, with or without collection of specimen(s) by brushing or
washing (separate procedure)
58662Laparoscopy, surgical; with fulguration or excision of lesions
of the ovary, pelvic viscera, or peritoneal surface by any method
58670Laparoscopy, surgical; with fulguration of oviducts (with or
without transection)
58671Laparoscopy, surgical; with occlusion of oviducts by device
(eg, band, clip, or Falope ring)
a. 49320, 58662
b. 58670
,CCS Practice Exam Questions &
Answers (Grade A+)
c. 58671
d. 49320 -
correct answer : B
The code that best reports the tubal ligation is 58670 Laparoscopy,
surgical; with fulguration of oviducts because there are no clips or
excision of lesion completed during the procedure (CPT Assistant
Nov. 1999, 29; March 2000, 10).
Normal twin delivery at 30 weeks. Both babies were delivered
vaginally and were liveborn. What conditions should have codes
assigned?
O30.003Twin pregnancy, unspecified number of placenta and
unspecified number of amniotic sacs, third trimester
O30.009Twin pregnancy, unspecified number of placenta and
unspecified number of amniotic sacs, unspecified trimester
O60.14X0Preterm labor third trimester with preterm delivery third
trimester, not applicable or unspecified
O60.14X1 Preterm labor third trimester with preterm delivery third
trimester, fetus 1
O60.14X2Preterm labor third trimester with preterm delivery third
trimester, fetus
2O80Encounter for full-term uncomplicated delivery
, CCS Practice Exam Questions &
Answers (Grade A+)
Z3A.3030 weeks gestation of pregnancy
Z37.0Single live birth
Z37.2Twins, both liveborn
a. O80, Z3A.30, Z37.0
b. O30.003, O60.14X0, Z3A.30, Z37.2
c. O60.14X1, O60.14X2 O30.003, Z3A.30, Z37.2
d. O80, O30.009, Z3A.30, Z37.2 -
correct answer : C
A code for preterm labor and delivery is assigned for each fetus
since both babies were born preterm as noted in Coding Clinic.
Additionally, a code from category O30, Multiple gestations, must
be assigned (Leon-Chisen 2020, 325; AHA Coding Clinic 2016 2nd
Quarter, 10-11).
A patient with acute respiratory failure, hypertension, and
congestive heart failure is admitted for intubation and ventilation.
The patient's heart failure is stable on current medications. What
are the correct diagnosis codes and sequencing?
I10Essential hypertension
I11.0Hypertensive heart with heart failure
