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Diagnostic-related groups (DRGs) and ambulatory patient classifications
(APCs) are similar in that they are both:
a. Determined by HCPCS codes
b. Focused on hospital outpatients
c. Focused on hospital inpatients
d. Prospective payment systems - correct answer ✅d. Prospective payment
systems
** Both are types of prospective payment systems (Casto and Forrestal
2015, 6).
A patient is treated for esophageal varices with hemorrhage due to cirrhosis.
The diagnostic codes that would be assigned are:
I85.01 Esophageal varices with bleeding
I85.11 Secondary esophageal varices with bleeding
Certified Coding Specialist (CCS) Exam Preparation Q&As
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,Certified Coding Specialist (CCS) Exam Preparation
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K74.60 Unspecified cirrhosis of liver - correct answer ✅d. K74.60, I85.11
K74.60: Unspecified cirrhosis of liver
I85.11:Secondary esophageal varices with bleeding
**The patient has cirrhosis of the liver with resulting bleeding esophageal
varices. Cirrhosis of liver is sequenced first followed by the code for the
bleeding esophageal varices (HHS 2017, Section I.A.13, 11).
Assign the code(s) for bronchoscopy with bilateral transbronchial biopsy for
each lobe of each lung.
31628 Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when
performed; with transbronchial lung biopsy(s), single lobe
31629 Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when
performed; with transbronchial needle aspiration biopsy(s), trachea, main
stem and/or lobar bronchus(i)
Certified Coding Specialist (CCS) Exam Preparation Q&As
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,Certified Coding Specialist (CCS) Exam Preparation
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31632 Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when
performed; with transbronchial lung biopsy(s), each additional lobe
−50 Bilateral procedure - correct answer ✅
Assign the code(s) for endoscopic sinusotomy with bilateral anterior
ethmoidectomy.
31231 Nasal endoscopy, diagnostic, unilateral or bilateral (separate
procedure)
31254 Nasal/sinus endoscopy, surgical; with ethmoidectomy, partial
(anterior)
−50 Bilateral procedurea.
a. 31254
b. 31254-50
c. 31254, 31254
d. 31231 - correct answer ✅b. 31254-50
31254 Nasal/sinus endoscopy, surgical; with ethmoidectomy, partial
(anterior)
Certified Coding Specialist (CCS) Exam Preparation Q&As
(Latest Update 2023) (Verified Answers) 85 Questions
, Certified Coding Specialist (CCS) Exam Preparation
Q&As (Latest Update 2024) (Verified Answers) 85
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−50 Bilateral procedurea.
** A code for the anterior ethmoidectomy is assigned and to denote the
bilateral procedure, a modifier of -50 is added (CPT Assistant Winter 1993,
23; Jan. 1997, 4; Sept. 1997, 10; Oct. 1997, 5; Dec. 2001, 6; May 2003, 5).
The sinusotomy is not coded separately, as it is a diagnostic procedure.
The most common language used for both data definition language and data
manipulation language is:
a. Unified modeling language
b. JAVA
c. Perl
d. Structured query language - correct answer ✅d. Structured query
language
** Structured query language (SQL) is used commonly for data language and
data definitions (Sharp 2016, 184).
Certified Coding Specialist (CCS) Exam Preparation Q&As
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