CCS Exam Preparation/ Study Guide Questions with Corr
p p p p p p p
ect Verified Answers Latest Update 2024/ Rated A+
p p p p p p p
appatientpispadmittedptopthephospitalpcomplainingpofpabdominalppain.pfollowingpevaluation,pitpwas
determinedpthatptheppatientphadpanpintestinalpobstructionpofpthepleftpcolonpdueptopadhesionspfrompappriorpabd
ominalpsurgery.ptheppatientpunderwentpanpexploratoryplaparotomypwithplysispofpadhesions.pwhatpconditionspa
ndpprocedurespshouldpbepcoded?
a. abdominalppain,pabdominalpadhesions,pabdominalpobstruction,plaparotomy,plysispofpadhesions
b. abdominalpadhesions,pabdominalpobstruction,ppostoperativepcomplicationspofpthepdigestivepsystem,
plaparotomy,plysispofpadhesions
c. abdominalpadhesionspwithpobstruction,plysispofpadhesions
d. abdominalpadhesionspandpabdominalpobstruction,ppostoperativepcomplicationspofpthepdigestivepsystem,
plysispofpadhesionsp-pANSWERp-pc
appatientphaspapprincipalpdiagnosispofppneumoniap(J18.9)p(MS-DRGp195).pwhichpofpthepfollowingpmay
legitimatelypchangepthepcodingpofptheppneumoniapinpaccordancepwithpthepUHDDSpandprelevantpclinicalpdocum
entation?
a. sputumpculturepreflectspgrowthpofpnormalpflora
b. patientphaspappositivepgrampstain
c. patientpispfoundptophavepdysphagiapwithpaspiration
d. patientphaspnonproductivepsputump-pANSWERp-pc
theprequirementspforpdocumentationpandprecordpcompletionp(documentspsuchpasphistorypandpphysicals,pdisch
argepsummaries,pandpconsultations)paspwellpasppenaltiespforpnon-adherencepmustpbepspecifiedpin:
a. hospitalprulespandpregulations
b. conditionspofpnonpparticipation
c. medicalpstaffpbylaws
d. nursingpstaffppoliciesp-pANSWERp-pc
pg.p1
,appolicypstatespthatpinpatientspwhopundergopopenpreductionpandpinternalpfixationpofpapfracturedpfemurps
houldpbeproutinelypcodedpwithpbloodplosspanemiapwhenptherepispintraoperativepbloodplosspofp500pccporpm
orepdocumentedpinpthepoperativepreportpandppatientphasplowphemoglobin.pispthispcorrectporpincorrectpand
pwhy?
a. itpispcorrectptopcodepbloodplosspanemiapbecauseptheppolicyprequirespit.
b. itpispcorrectpbecausepthepclinicalpsignsparepdocumentedpinptheprecord.
c. itpispincorrectpbecauseptheppatientpmustpalsophavepapbloodptransfusionpinporderpforpbloodplosspanemiapt
opbepcoded.
d. itpispincorrectpbecausepthepphysicianpdidpnotpdocumentpthepbloodplosspanemiapinpthepprogresspnotes.p-
ANSWERp-pd
ap64-year-
oldpfemalepwaspdischargedpwithpthepfinalpdiagnosispofpacuteprenalpfailurepandphypertension.pwhatpcodingp
rulepapplies?
a. usepcombinationpcodepofphypertensionpandprenalpfailure.
b. usepseparatepcodespforphypertensionpandpchronicprenalpfailure.
c. usepseparatepcodespforphypertensionpandpacuteprenalpfailure.
d. usepseparatepcodespforpelevatedpbloodppressurepandpchronicprenalpfailure.p-pANSWERp-pc
appatientpwaspadmittedptopanpacutepcarepfacilitypwithpaptemperaturepofp102pandpatrialpfibrillation.pthepchest
px-
rayprevealsppneumoniapwithpsubsequentpdocumentationpbypthepphysicianpofppneumoniapinpthepprogresspn
otespandpdischargepsummary.ptheppatientpwasptreatedpwithporalpantiparrhythmicpmedicationspandpIVpantib
iotics.pwhatpispthepcorrectpcodepsequence?
a. J18.9,pI48.91
b. I48.91,pJ18.9
c. itpdoespnotpmatterpwhichpispusedpaspthepprincipalpdiagnosis.
d. notpenoughpinformationpisppresent.pquerypthepphysician.p-pANSWERp-pa
syncope;pbradycardiapruledpout;pdueptoptakingpValiumpaspprescribedpbypapphysician.ppatientpalsoptookpanpantih
istaminepaspdirectedponptheppackagepwithoutpconsultingpaphealthcarepprovider.pwhatpcodespshouldpbepassigned
?
a. R55,pT42.4X1A,pT45.0X1A
b. T42.4X1A,pT45.0X1A,pR55
c. T45.0X1A,pT42.4X1A
pg.p2
,d. T42.4X6A,pT45.0X5A,pR55p-pANSWERp-pb
assignpthepcodepforpdilationpandpcurettagepforpretainedpproductspofpconceptionpabortionpatp11pweeks'pges
tation.
10A07ZW-
Abortionpofpproductspofpconception,plaminar,pviapnaturalporpartificialpopeningp10A07ZZ-
Abortionpofpproductspofpconception,pviapnaturalporpartificialpopening
10D17ZZ-
Extractionpofpproductspofpconception,pretained,pviapnaturalporpartificialpopeningp10D27ZZ
-Extractionpofpproductspofpconception,pectopic,pviapnaturalporpartificialpopening
a. 10D17ZZ
b. 10A07ZZ
c. 10A07ZW
d. 10D27ZZp-pANSWERp-pa
assignpthepcode(s)pforpbilateralpepiduralplumbarpinjectionpofpsteroids:
62282-
injection/infusionpofpneurolyticpsubstancep(eg,palcohol,pphenol,picedpsalinepsolutions),pwithporpwithoutpot
herptherapeuticpsubstance;pepidural,plumbar,psacralp(caudal)
62322-
injection(s),pofpdiagnosticporptherapeuticpsubstance(s)p(eg,panesthetic,pantispasmodic,popioid,psteroid,pot
herpsolution),pnotpincludingpneurolyticpsubstances,pincludingpneedleporpcatheterpplacement,pinterplaminar
pepiduralporpsubarachnoid;plumbarporpsacralp(caudal);pwithoutpimagingpguidance
-50-bilateralp procedure
a. 62282
b. 62322
c. 62322,p62322
d. 62322-50p-pANSWERp-pb
aplaparoscopicptubalpligationpispcompleted.pwhatpispthepcorrectpCPTpcodepassignment?
49320-
laparoscopy,pabdomen,pperitoneum,pandpmomentum,pdiagnostic,pwithporpwithoutpcollectionpofpspecime
n(s)pbypbrushingporpwashingp(separatepprocedure)
pg.p3
, 58662-
laparoscopy,psurgical;pwithpfulgurationporpexcisionpofplesionspofpthepovary,ppelvicpviscera,porpperitonealpsur
facepbypanypmethod
58670-laparoscopy,psurgical;pwithpfulgurationpofpoviductsp(withporpwithoutptransection)
pg.p4
p p p p p p p
ect Verified Answers Latest Update 2024/ Rated A+
p p p p p p p
appatientpispadmittedptopthephospitalpcomplainingpofpabdominalppain.pfollowingpevaluation,pitpwas
determinedpthatptheppatientphadpanpintestinalpobstructionpofpthepleftpcolonpdueptopadhesionspfrompappriorpabd
ominalpsurgery.ptheppatientpunderwentpanpexploratoryplaparotomypwithplysispofpadhesions.pwhatpconditionspa
ndpprocedurespshouldpbepcoded?
a. abdominalppain,pabdominalpadhesions,pabdominalpobstruction,plaparotomy,plysispofpadhesions
b. abdominalpadhesions,pabdominalpobstruction,ppostoperativepcomplicationspofpthepdigestivepsystem,
plaparotomy,plysispofpadhesions
c. abdominalpadhesionspwithpobstruction,plysispofpadhesions
d. abdominalpadhesionspandpabdominalpobstruction,ppostoperativepcomplicationspofpthepdigestivepsystem,
plysispofpadhesionsp-pANSWERp-pc
appatientphaspapprincipalpdiagnosispofppneumoniap(J18.9)p(MS-DRGp195).pwhichpofpthepfollowingpmay
legitimatelypchangepthepcodingpofptheppneumoniapinpaccordancepwithpthepUHDDSpandprelevantpclinicalpdocum
entation?
a. sputumpculturepreflectspgrowthpofpnormalpflora
b. patientphaspappositivepgrampstain
c. patientpispfoundptophavepdysphagiapwithpaspiration
d. patientphaspnonproductivepsputump-pANSWERp-pc
theprequirementspforpdocumentationpandprecordpcompletionp(documentspsuchpasphistorypandpphysicals,pdisch
argepsummaries,pandpconsultations)paspwellpasppenaltiespforpnon-adherencepmustpbepspecifiedpin:
a. hospitalprulespandpregulations
b. conditionspofpnonpparticipation
c. medicalpstaffpbylaws
d. nursingpstaffppoliciesp-pANSWERp-pc
pg.p1
,appolicypstatespthatpinpatientspwhopundergopopenpreductionpandpinternalpfixationpofpapfracturedpfemurps
houldpbeproutinelypcodedpwithpbloodplosspanemiapwhenptherepispintraoperativepbloodplosspofp500pccporpm
orepdocumentedpinpthepoperativepreportpandppatientphasplowphemoglobin.pispthispcorrectporpincorrectpand
pwhy?
a. itpispcorrectptopcodepbloodplosspanemiapbecauseptheppolicyprequirespit.
b. itpispcorrectpbecausepthepclinicalpsignsparepdocumentedpinptheprecord.
c. itpispincorrectpbecauseptheppatientpmustpalsophavepapbloodptransfusionpinporderpforpbloodplosspanemiapt
opbepcoded.
d. itpispincorrectpbecausepthepphysicianpdidpnotpdocumentpthepbloodplosspanemiapinpthepprogresspnotes.p-
ANSWERp-pd
ap64-year-
oldpfemalepwaspdischargedpwithpthepfinalpdiagnosispofpacuteprenalpfailurepandphypertension.pwhatpcodingp
rulepapplies?
a. usepcombinationpcodepofphypertensionpandprenalpfailure.
b. usepseparatepcodespforphypertensionpandpchronicprenalpfailure.
c. usepseparatepcodespforphypertensionpandpacuteprenalpfailure.
d. usepseparatepcodespforpelevatedpbloodppressurepandpchronicprenalpfailure.p-pANSWERp-pc
appatientpwaspadmittedptopanpacutepcarepfacilitypwithpaptemperaturepofp102pandpatrialpfibrillation.pthepchest
px-
rayprevealsppneumoniapwithpsubsequentpdocumentationpbypthepphysicianpofppneumoniapinpthepprogresspn
otespandpdischargepsummary.ptheppatientpwasptreatedpwithporalpantiparrhythmicpmedicationspandpIVpantib
iotics.pwhatpispthepcorrectpcodepsequence?
a. J18.9,pI48.91
b. I48.91,pJ18.9
c. itpdoespnotpmatterpwhichpispusedpaspthepprincipalpdiagnosis.
d. notpenoughpinformationpisppresent.pquerypthepphysician.p-pANSWERp-pa
syncope;pbradycardiapruledpout;pdueptoptakingpValiumpaspprescribedpbypapphysician.ppatientpalsoptookpanpantih
istaminepaspdirectedponptheppackagepwithoutpconsultingpaphealthcarepprovider.pwhatpcodespshouldpbepassigned
?
a. R55,pT42.4X1A,pT45.0X1A
b. T42.4X1A,pT45.0X1A,pR55
c. T45.0X1A,pT42.4X1A
pg.p2
,d. T42.4X6A,pT45.0X5A,pR55p-pANSWERp-pb
assignpthepcodepforpdilationpandpcurettagepforpretainedpproductspofpconceptionpabortionpatp11pweeks'pges
tation.
10A07ZW-
Abortionpofpproductspofpconception,plaminar,pviapnaturalporpartificialpopeningp10A07ZZ-
Abortionpofpproductspofpconception,pviapnaturalporpartificialpopening
10D17ZZ-
Extractionpofpproductspofpconception,pretained,pviapnaturalporpartificialpopeningp10D27ZZ
-Extractionpofpproductspofpconception,pectopic,pviapnaturalporpartificialpopening
a. 10D17ZZ
b. 10A07ZZ
c. 10A07ZW
d. 10D27ZZp-pANSWERp-pa
assignpthepcode(s)pforpbilateralpepiduralplumbarpinjectionpofpsteroids:
62282-
injection/infusionpofpneurolyticpsubstancep(eg,palcohol,pphenol,picedpsalinepsolutions),pwithporpwithoutpot
herptherapeuticpsubstance;pepidural,plumbar,psacralp(caudal)
62322-
injection(s),pofpdiagnosticporptherapeuticpsubstance(s)p(eg,panesthetic,pantispasmodic,popioid,psteroid,pot
herpsolution),pnotpincludingpneurolyticpsubstances,pincludingpneedleporpcatheterpplacement,pinterplaminar
pepiduralporpsubarachnoid;plumbarporpsacralp(caudal);pwithoutpimagingpguidance
-50-bilateralp procedure
a. 62282
b. 62322
c. 62322,p62322
d. 62322-50p-pANSWERp-pb
aplaparoscopicptubalpligationpispcompleted.pwhatpispthepcorrectpCPTpcodepassignment?
49320-
laparoscopy,pabdomen,pperitoneum,pandpmomentum,pdiagnostic,pwithporpwithoutpcollectionpofpspecime
n(s)pbypbrushingporpwashingp(separatepprocedure)
pg.p3
, 58662-
laparoscopy,psurgical;pwithpfulgurationporpexcisionpofplesionspofpthepovary,ppelvicpviscera,porpperitonealpsur
facepbypanypmethod
58670-laparoscopy,psurgical;pwithpfulgurationpofpoviductsp(withporpwithoutptransection)
pg.p4
