CCS EXAM (Certified Coding Specialist) ACTUAL EXAM
COMPLETE REAL QUESTIONS AND CORRECT VERIFIED
ANSWERS (A NEW UPDATED VERSION) |ALREADY
GRADED A+
aplastic anemia - ANSWER: The type of anemia caused by a failure of the bone
marrow to produce red blood cells is
CPT/HCPCS codes - ANSWER: The APC payment system is based on what coding
system(s)?
the third-degree burn only - ANSWER: In the diagnosis "first-, second-, and third-
degree burns of the chest wall," a code is required for
K80.10, I66.9, Z53.09 - ANSWER: 6) Patient is admitted for elective cholecystectomy
for treatment of chronic cholecystitis with cholelithiasis. Prior to administration of
general anesthesia, patient suffers cerebral thrombosis. Surgery is subsequently
canceled. Code and sequence the coding using the following codes.
J96.00, I50.1, 5A1935Z - ANSWER: Patient was admitted from the nursing home in
acute respiratory failure due to congestive heart failure. Chest X-ray also showed
acute pulmonary edema. Patient was intubated and placed on mechanical
ventilation for less than 24 hours and expired the day after admission. (Code
diagnoses using ICD-10-CM and procedures using ICD-PCS.)
laboratory information system - ANSWER: You have been asked to give an example
of a clinical information system. Which one of the following would you cite?
whether the patient is obese - ANSWER: In order to correctly code a hernia repair,
the coder needs to know all of the following EXCEPT
natural language processing - ANSWER: You have been hired to work with a
computer-assisted coding initiative. The technology you will be working with is
the sympathetic system and the parasympathetic system - ANSWER: The autonomic
nervous system has two divisions.
- 24 - ANSWER: A patient has major surgery and sees the surgeon 10 days later for an
unrelated E/M service. Indicate the modifier that should be attached to the E/M
code for the service provided.
Holter monitor - ANSWER: Which diagnostic technique records the patient's heart
rates and rhythms over a 24-hour period?
67108 - ANSWER: Repair of retinal detachment with vitrectomy.
,Chromosomal - ANSWER: Down's syndrome, Edwards' syndrome, and Patau
syndrome are all examples of _________ defects.
L97.219, L98.429, 0HBKXZZ, 0HB6XZZ, 0HR6X74 - ANSWER: John has chronic ulcers
of the right calf and back. Both ulcers are excisionally debrided, and the ulcer of the
back has a split-thickness skin graft, autologous. (Code the diagnoses using ICD-10-
CM and procedures using ICD-10-PCS.)
the Medicare administrative contractor (MAC) - ANSWER: CMS delegates its daily
operations of the Medicare and Medicaid programs to
revenue code - ANSWER: A four-digit code that describes a classification of a product
or service provided to a patient is a
reattachment - ANSWER: What is the root operation main term? Reattachment
fourth finger
National Provider Identifier (NPI) - ANSWER: This is a 10-digit, intelligence-free,
numeric identifier designed to replace all previous provider legacy numbers. This
number identifies the physician universally to all payers. This number is issued to all
HIPAA-covered entities. It is mandatory on the CMS-1500 and UB-04 claim forms.
cancer hospital - ANSWER: This type of hospital is considered excluded when it
applies for, and receives, a waiver from CMS. This means that the hospital does not
participate in the inpatient prospective payment system (IPPS).
an initial inpatient consult and a subsequent hospital visit - ANSWER: The attending
physician requests a consultation from a cardiologist. The cardiologist takes a
detailed history, performs a detailed examination, and utilizes moderate medical
decision making. The cardiologist orders diagnostic tests and prescribes medication.
He documents his findings in the patient's medical record and communicates in
writing with the attending physician. The following day the consultant visits the
patient to evaluate the patient's response to the medication, to review results from
the diagnostic tests, and to discuss treatment options. What codes should the
consultant report for the two visits?
24 hours after admission or prior to surgery - ANSWER: You have been asked to
recommend time-limited documentation standards for inclusion in the Medical Staff
Bylaws, Rules, and Regulations. The committee documentation standards must meet
the standards of both the Joint Commission and the Medicare Conditions of
Participation. The standards for the history and physical exam documentation are
discussed first. You advise them that the time period for completion of this report
should be set at
Digoxin - ANSWER: The patient is diagnosed with congestive heart failure. A drug of
choice is
,use of prohibited or "dangerous" abbreviations - ANSWER: In the past, Joint
Commission standards have focused on promoting the use of a facility-approved
abbreviation list to be used by hospital care providers. With the advent of the
Commission's national patient safety goals, the focus has shifted to the
significant procedure - ANSWER: According to the UHDDS, a procedure that is
surgical in nature, carries a procedural or anesthetic risk, or requires special training
is defined as a
fiscal year beginning October 1 - ANSWER: CMS adjusts the Medicare Severity DRGs
and the reimbursement rates every
replacement - ANSWER: What is the root operation main term?
Total left knee replacement
restriction - ANSWER: What is the root operation main term?
Gastric lap band for treatment of morbid obesity
dilation - ANSWER: What main term would be used?
Percutaneous angioplasty right coronary artery using a balloon-tipped catheter to
expand the vessel
$200.00 - ANSWER: A patient with Medicare is seen in the physician's office.
The total charge for this office visit is $250.00.
The patient has previously paid his deductible under Medicare Part B.
The PAR Medicare fee schedule amount for this service is $200.00.
The non-PAR Medicare fee schedule amount for this service is $190.00.
If this physician is a participating physician who accepts assignment for this claim,
the total amount the physician will receive is
O80, Z37.0, Z30.2, 10E0XZZ, 0W8NXZZ, 0UL74ZZ - ANSWER: Vaginal delivery with
episiotomy of full-term liveborn infant. Patient undergoes repair of delivery
episiotomy and postdelivery elective vaginal endoscopic ligation of fallopian tubes
bilaterally. (Code the diagnoses using ICD-10-CM and procedures using ICD-10-PCS.)
be assigned when they affect the management of the mother - ANSWER: Codes from
category O36, known or suspected fetal abnormality affecting the mother, should
, drugs - ANSWER: HCPCS codes beginning with the letter J represent
__________________.
drug products - ANSWER: NDC codes represent __________________.
People over 65, People under 65 with certain disabilities, and ESRD - ANSWER:
Medicare covers which of the following scenarios?
Coordination of care - ANSWER: _________________________ means that providers
work together to ensure that the patient receives the best care and providers in
different locations are not duplicating care.
Continuity of care - ANSWER: __________________ means that providers work
toward the same treatment goal for the patient.
The patient - ANSWER: The information the patient gives to the provider belongs to
____________________.
Seven years - ANSWER: State laws require providers to keep medical records for
patients discharged, no longer seen or deceased for a minimum period of
_______________.
Providers can simultaneously access the same patient's record - ANSWER: An
advantage of an electronic health record is _________________.
They may suffer financial distress - ANSWER: What is the major disadvantage for
providers who do not participate with Medicare or Medicaid?
Improve coordination and continuity of patient care - ANSWER: The federal
government will pay Medicare and Medicaid participating providers to implement
EHRs, because it will ________________________.
Morbidity - ANSWER: _________________ is the term used to classify the presence
of an illness, disease, or injury.
Tabular List - ANSWER: A coder should never code inpatient procedures directly from
the Alphabetic Index without cross-referencing the codes to the
____________________.
Z codes - ANSWER: _______________ represent reasons for encounters, other than
a disease, condition, or injury, with some exceptions.
V-Y codes - ANSWER: __________________ provide additional information about
the patient's injury or poisoning but do not represent the patient's actual condition.
When a more specific code is not available - ANSWER: When should a coder assign
an unspecified code?
COMPLETE REAL QUESTIONS AND CORRECT VERIFIED
ANSWERS (A NEW UPDATED VERSION) |ALREADY
GRADED A+
aplastic anemia - ANSWER: The type of anemia caused by a failure of the bone
marrow to produce red blood cells is
CPT/HCPCS codes - ANSWER: The APC payment system is based on what coding
system(s)?
the third-degree burn only - ANSWER: In the diagnosis "first-, second-, and third-
degree burns of the chest wall," a code is required for
K80.10, I66.9, Z53.09 - ANSWER: 6) Patient is admitted for elective cholecystectomy
for treatment of chronic cholecystitis with cholelithiasis. Prior to administration of
general anesthesia, patient suffers cerebral thrombosis. Surgery is subsequently
canceled. Code and sequence the coding using the following codes.
J96.00, I50.1, 5A1935Z - ANSWER: Patient was admitted from the nursing home in
acute respiratory failure due to congestive heart failure. Chest X-ray also showed
acute pulmonary edema. Patient was intubated and placed on mechanical
ventilation for less than 24 hours and expired the day after admission. (Code
diagnoses using ICD-10-CM and procedures using ICD-PCS.)
laboratory information system - ANSWER: You have been asked to give an example
of a clinical information system. Which one of the following would you cite?
whether the patient is obese - ANSWER: In order to correctly code a hernia repair,
the coder needs to know all of the following EXCEPT
natural language processing - ANSWER: You have been hired to work with a
computer-assisted coding initiative. The technology you will be working with is
the sympathetic system and the parasympathetic system - ANSWER: The autonomic
nervous system has two divisions.
- 24 - ANSWER: A patient has major surgery and sees the surgeon 10 days later for an
unrelated E/M service. Indicate the modifier that should be attached to the E/M
code for the service provided.
Holter monitor - ANSWER: Which diagnostic technique records the patient's heart
rates and rhythms over a 24-hour period?
67108 - ANSWER: Repair of retinal detachment with vitrectomy.
,Chromosomal - ANSWER: Down's syndrome, Edwards' syndrome, and Patau
syndrome are all examples of _________ defects.
L97.219, L98.429, 0HBKXZZ, 0HB6XZZ, 0HR6X74 - ANSWER: John has chronic ulcers
of the right calf and back. Both ulcers are excisionally debrided, and the ulcer of the
back has a split-thickness skin graft, autologous. (Code the diagnoses using ICD-10-
CM and procedures using ICD-10-PCS.)
the Medicare administrative contractor (MAC) - ANSWER: CMS delegates its daily
operations of the Medicare and Medicaid programs to
revenue code - ANSWER: A four-digit code that describes a classification of a product
or service provided to a patient is a
reattachment - ANSWER: What is the root operation main term? Reattachment
fourth finger
National Provider Identifier (NPI) - ANSWER: This is a 10-digit, intelligence-free,
numeric identifier designed to replace all previous provider legacy numbers. This
number identifies the physician universally to all payers. This number is issued to all
HIPAA-covered entities. It is mandatory on the CMS-1500 and UB-04 claim forms.
cancer hospital - ANSWER: This type of hospital is considered excluded when it
applies for, and receives, a waiver from CMS. This means that the hospital does not
participate in the inpatient prospective payment system (IPPS).
an initial inpatient consult and a subsequent hospital visit - ANSWER: The attending
physician requests a consultation from a cardiologist. The cardiologist takes a
detailed history, performs a detailed examination, and utilizes moderate medical
decision making. The cardiologist orders diagnostic tests and prescribes medication.
He documents his findings in the patient's medical record and communicates in
writing with the attending physician. The following day the consultant visits the
patient to evaluate the patient's response to the medication, to review results from
the diagnostic tests, and to discuss treatment options. What codes should the
consultant report for the two visits?
24 hours after admission or prior to surgery - ANSWER: You have been asked to
recommend time-limited documentation standards for inclusion in the Medical Staff
Bylaws, Rules, and Regulations. The committee documentation standards must meet
the standards of both the Joint Commission and the Medicare Conditions of
Participation. The standards for the history and physical exam documentation are
discussed first. You advise them that the time period for completion of this report
should be set at
Digoxin - ANSWER: The patient is diagnosed with congestive heart failure. A drug of
choice is
,use of prohibited or "dangerous" abbreviations - ANSWER: In the past, Joint
Commission standards have focused on promoting the use of a facility-approved
abbreviation list to be used by hospital care providers. With the advent of the
Commission's national patient safety goals, the focus has shifted to the
significant procedure - ANSWER: According to the UHDDS, a procedure that is
surgical in nature, carries a procedural or anesthetic risk, or requires special training
is defined as a
fiscal year beginning October 1 - ANSWER: CMS adjusts the Medicare Severity DRGs
and the reimbursement rates every
replacement - ANSWER: What is the root operation main term?
Total left knee replacement
restriction - ANSWER: What is the root operation main term?
Gastric lap band for treatment of morbid obesity
dilation - ANSWER: What main term would be used?
Percutaneous angioplasty right coronary artery using a balloon-tipped catheter to
expand the vessel
$200.00 - ANSWER: A patient with Medicare is seen in the physician's office.
The total charge for this office visit is $250.00.
The patient has previously paid his deductible under Medicare Part B.
The PAR Medicare fee schedule amount for this service is $200.00.
The non-PAR Medicare fee schedule amount for this service is $190.00.
If this physician is a participating physician who accepts assignment for this claim,
the total amount the physician will receive is
O80, Z37.0, Z30.2, 10E0XZZ, 0W8NXZZ, 0UL74ZZ - ANSWER: Vaginal delivery with
episiotomy of full-term liveborn infant. Patient undergoes repair of delivery
episiotomy and postdelivery elective vaginal endoscopic ligation of fallopian tubes
bilaterally. (Code the diagnoses using ICD-10-CM and procedures using ICD-10-PCS.)
be assigned when they affect the management of the mother - ANSWER: Codes from
category O36, known or suspected fetal abnormality affecting the mother, should
, drugs - ANSWER: HCPCS codes beginning with the letter J represent
__________________.
drug products - ANSWER: NDC codes represent __________________.
People over 65, People under 65 with certain disabilities, and ESRD - ANSWER:
Medicare covers which of the following scenarios?
Coordination of care - ANSWER: _________________________ means that providers
work together to ensure that the patient receives the best care and providers in
different locations are not duplicating care.
Continuity of care - ANSWER: __________________ means that providers work
toward the same treatment goal for the patient.
The patient - ANSWER: The information the patient gives to the provider belongs to
____________________.
Seven years - ANSWER: State laws require providers to keep medical records for
patients discharged, no longer seen or deceased for a minimum period of
_______________.
Providers can simultaneously access the same patient's record - ANSWER: An
advantage of an electronic health record is _________________.
They may suffer financial distress - ANSWER: What is the major disadvantage for
providers who do not participate with Medicare or Medicaid?
Improve coordination and continuity of patient care - ANSWER: The federal
government will pay Medicare and Medicaid participating providers to implement
EHRs, because it will ________________________.
Morbidity - ANSWER: _________________ is the term used to classify the presence
of an illness, disease, or injury.
Tabular List - ANSWER: A coder should never code inpatient procedures directly from
the Alphabetic Index without cross-referencing the codes to the
____________________.
Z codes - ANSWER: _______________ represent reasons for encounters, other than
a disease, condition, or injury, with some exceptions.
V-Y codes - ANSWER: __________________ provide additional information about
the patient's injury or poisoning but do not represent the patient's actual condition.
When a more specific code is not available - ANSWER: When should a coder assign
an unspecified code?
