CCS NEWEST PREP EXAM WITH COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWER
syncope; bradycardia ruled out; due to taking Valium as prescribed by a physician. patient also took an antihistamine as directed on the package without consulting a healthcare provider. what codes should be assigned? a. R55, T42.4X1A, T45.0X1A b. T42.4X1A, T45.0X1A, R55 c. T45.0X1A, T42.4X1A d. T42.4X6A, T45.0X5A, R55 - ANSWERS,b assign the code for dilation and curettage for retained products of conception abortion at 11 weeks' gestation. 10A07ZW-Abortion of products of conception, laminar, via natural or artificial opening 10A07ZZ-Abortion of products of conception, via natural or artificial opening 10D17ZZ-Extraction of products of conception, retained, via natural or artificial opening 10D27ZZ-Extraction of products of conception, ectopic, via natural or artificial opening a. 10D17ZZ b. 10A07ZZ c. 10A07ZW d. 10D27ZZ - ANSWERS,a assign the code(s) for bilateral epidural lumbar injection of steroids: 62282-injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other therapeutic substance; epidural, lumbar, sacral (caudal) 62322-injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, including needle or catheter placement, inter laminar epidural or subarachnoid; lumbar or sacral (caudal); without imaging guidance -50-bilateral procedure a. 62282 b. 62322 c. 62322, 62322 d. 62322-50 - ANSWERS,b a laparoscopic tubal ligation is completed. what is the correct CPT code assignment? 49320-laparoscopy, abdomen, peritoneum, and momentum, diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure) 58662-laparoscopy, surgical; with fulguration or excision of lesions of the ovary, pelvic viscera, or peritoneal surface by any method 58670-laparoscopy, surgical; with fulguration of oviducts (with or without transection) 58671-laparoscopy, surgical; with occlusion of oviducts by device (eg, band, clip, or Falope ring) a. 49320, 58662 b. 58670 c. 58671 d. 49320 - ANSWERS,b a laparoscopic cholecystectomy Was performed. what is the correct ICD-10-PCS code? 0FB40ZZ-Excision of gallbladder, open approach 0FB44ZZ-Excision of gallbladder, percutaneous endoscopic approach 0FT40ZZ-Resection of gallbladder, open approach 0FT44ZZ-Resection of gallbladder, percutaneous endoscopic approach a. 0FB40ZZ b. 0FT40ZZ c. 0FT44ZZ d. 0FB44ZZ - ANSWERS,c a female patient is admitted for a second-degree cystocele. a repair is performed. in order to code this accurately, what document provides the required additional information? a. History and Physical b. Discharge summary c. Consultation d. Operative report - ANSWERS,d this is the first admission for a patient with adenocarcinoma of the right lower lung who was also found with metastasis to the brain. the patient underwent a complete right lower lung lobectomy via laparotomy. what codes should be assigned? a. C34.31, C79.31, 0BTF0ZZ b. C79.31, C34.31, 0BTF0ZZ c. C34.31, C79.31, 0BTF4ZZ d. C34.11, C79.31, 0BTF4ZZ - ANSWERS,a 50-year-old woman is admitted with a diagnosis of metastatic ovarian cancer to the pleura. a thoracoscopic pleurodesis is performed. what codes should be assigned? a. C56.9, C78.2, 32650 b. C78.2, C56.9, 32650 c. C78.2, C56.9, 32661 d. C56.9, C78.2, 32609 - ANSWERS,b a patient with chronic cholecystitis and gallbladder stones underwent a laparoscopic cholecystectomy in an acute care facility. however, due to extensive gallbladder adhesions, the procedure was converted to an open cholecystectomy. what codes should be assigned? a. K80.20, K82.9, Z53.31, 0FJ44ZZ b. K80.10, K82.8, Z53.31, 0FT40ZZ c. K80.10, K82.8, Z53.31, 0FT40ZZ, 0FJ44ZZ d. K80.10, K82.8, 0FT40ZZ, 0FJ44ZZ - ANSWERS,c a patient is admitted to the inpatient setting with hydronephrosis and a stag horn calculus of the right kidney. the patient underwent an ureteroscopy with placement of bilateral ureteral stents for dilation purposes and removal of calculus of right kidney. what codes should be assigned? a. N13.0, 0T788DZ, 0TC08ZZ b. N13.9, 0T787DZ, 0TC08ZZ c. N13.2, 0T788DZ, 0TC08DZ d. N13.2, 0T788DZ, 0TC08ZZ - ANSWERS,d a 77-year-old nursing home patient was admitted to the acute care setting for excisional debridement of decubitus stage 3 ulcer of the right heel via surgical excision in the OR. the patient also has degenerative joint disease of both knees. what codes should be assigned? a. L89.623, M17.0, 0HBMXZZ b. L89.623, M17.0, 0HBMXZZ c. L89.613, M17.0, 0HBMXZX d. L89.613, M17.4, 0HBMXZZ - ANSWERS,c if a patient has a principal diagnosis of septicemia, which of the following procedures will increase the MS-DRG assignment the most? a. Excision of left main bronchus, percutaneous endoscopic approach, diagnostic (0BB74ZX) b. Excision of toe nail, external approach (0HBRXZZ) c. Extraction of perineum skin, external approach (0HD9XZZ) d. Respiratory ventilation, greater than 96 consecutive hours (5A1955Z) - ANSWERS,d
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