CCS NEWEST PREP EXAM 2024 WITH COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)

is the proper sequencing of ICD-10-CM and CPT codes for outpt catheterization? - ANSWERS,I25.10 (Atherosclerotic heart disease of native coronary artery without angina pectoris) 93458 (Catheter placement in coronary artery(s) for coronary angiography, incl intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation with left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed 65yo pt adm w/pain and loosening of left total hip prosthesis along with the loosening of the acetabular component which has become painful. Pt ad for open removal/replacement of acetabular component of left hip prosthesis, so what is the correct coding for admission? - ANSWERS,T84.031A (mechanical loosening of int lt hip prosth jt, initial enc 0SPB0JZ (removal synthetic sub fro lt hip jt, open approach 0SRE0JZ (replacement lt hip jt, acetabular surface w/synthetic sub, open approach) Maternity pt adm in labor at 43 wks and has normal delivery with vacuum extraction to facilitate baby's delivery. What is the PD? - ANSWERS,O48.1 (prolonged pg) With regard to implementation of ICD-10-CM, all of these are correct: - ANSWERS,ICD-10-CM was developed by NCHS; it was implemented on 10/1/15; was already being used by death certificate coding in US; the process of adopting ICD10-CM is specified in HIPAA What does NCHS stand for? - ANSWERS,National Center for Health Statistics 75yo female was adm for AMI and underwent a diagnostic cardiac cath. Following the cath, pt dev a thrombophlebitis documented as due to the catheter in the common femoral artery. The thrombophlebitis would be coded as: - ANSWERS,T81.718A, complication of other artery following a procedure, NEC, initial enc Pt adm to ED w/chest pain, and dx w/abort MI w/acute myocardial ischemia with no prior cardiac surgery, and normal cardiac enzymes. What is coding for this case? - ANSWERS,I24.0 (acute coronary thrombosis not resulting in MI) Pts w/acute ischemic heart disease or acute myocardial ischemia do not always indicate an infarction and it is often possible to prevent infarction by means of surgery or use of thrombolytic agents if tx promptly Pt has nausea, vomiting, abdominal pain due to acute cholecystitis. Phys doc the following on DS: Acute cholecystitis, nausea, vomiting, and abdominal pain. What is correct coding? - ANSWERS,Acute cholecystitis Pt adm bc of CHF, and also found to have elevated liver function tests. Phys worked up ELF test but able to determine dx, so the following dx is assigned: - ANSWERS,CHF and abnormal liver function tests Pt adm with hypotension due to dobutamine taken and prescribed correctly. How is this coded? - ANSWERS,I95.2, Hypotension due to drugs T44.5X5A, adverse effects of dobutamine Pt adm 2 wks after laminectomy for spinal stenosis w/headache (headache due to tear in dura accidentally occurred during prior laminectomy surgery). Pt taken to OR for repair of dura. How is this case coded? - ANSWERS,G97.41, Accidental puncture or laceration of dura during procedure Pt adm w/SOB, CHF, and subsequently dev resp fail. Pt undergoes intubation w/ventilator mgmt. Correct seq of dx would be: - ANSWERS,CHF and resp failure Pt adm w/pneumococcal pneumonia and pneumococcal sepsis, so the coder should: - ANSWERS,Assign code for sepsis, pneumonia, and severe sepsis. Pt w/pneumococcal sepsis and pneumococcal pneumonia also has severe sepsis and Guidelines provide info related to coding, seq of sepsis, severe sepsis, and localized infection, such as pneumonia Pt adm w/ESRD following kidney transplant, who also had angina and COPD, so dx would be seq as: - ANSWERS,ESRD; status post kidney transplant; COPD; angina Pt adm to hosp due to fracture of rt hip and scheduled for open reduction with int fix, but pt dev cardiac arrhythmia which results in an inability to do planned surgery. Assign code for PD: - ANSWERS,Rt hip fracture (cond after study that occasioned adm should be seq first even if the plan of tx was not carried out due to unforeseen circumstances) What is not part of a facility coding compliance plan? - ANSWERS,Coding audits performed by payers (while this has value, payers are considered external reviewing) What are various parts of a facility coding compliance plan? - ANSWERS,Regular internal audits, audits performed by objective external reviewers, sharing/discussing results with coding staff In CPT, unlisted codes are reported only if: - ANSWERS,There is a not a HCPCS level II or a current CPT level III code available A virtual screening colonoscopy would be coded as: - ANSWERS,74263: Computed tomographic (CT) colonography, screening including image postprocessing Pt underwent excision of malignant lesion of chest measuring 1.0cm with 0.2cm margin, and based on 2015 CPT codes, which code is used for this procedure? - ANSWERS,11602, Excision malignant lesion of trunk; excised diameter 1.1-2.0cm Pt dx w/L4-5 lumbar neuropathy and discogenic pain. Pt underwent percutaneous intradiscal electrothermal annuloplasty (IDET) in radiology suite. What ICD-10-PCS code should be used? - ANSWERS,0S523ZZ, Destruction, lumbar vertebral disc, percutaneous (IDET is done w/thermal energy, or heat, directed into the outer disc wall, or annulus, and inner disc contents, or nucleus, via a heating coil, decreasing pressure inside the disc Laparoscopic tubal ligation with Falope ring is completed, so what is correct CPT code assignment? - ANSWERS,58671, Laparoscopy, surgical; with occlusion of oviducts by device (band, clip, or Falope ring) Carcinoma of multiple overlapping sites of the bladder, so dx cystoscopy and transurethral fulguration of bladder lesions (1.9cm, 6.0 cm) are undertaken. The appropriate CPT code(s) would be: - ANSWERS,52240, Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of lg bladder tumor(s