CERTIFIED CODING SPECIALIST (CCS) EXAM PREPARATION WITH ALL
CORRECT & 100% VERIFIED ANSWERS|ALREADY GRADED A+
1. Diagnostic-related groups (DRGs) and ambulatory d. Prospective payment sys-
patient classifications (APCs) are similar in that they tems
are both:
a. Determined by HCPCS codes ** Both are types of prospec-
b. Focused on hospital outpatients tive payment systems (Casto and
c. Focused on hospital inpatients Forrestal 2015, 6).
d. Prospective payment systems
2. A patient is treated for esophageal varices with d. K74.60, I85.11
hemorrhage due to cirrhosis. The diagnostic codes
that would be assigned are: K74.60: Unspecified cirrhosis of
liver
I85.01 Esophageal varices with bleeding
I85.11 Secondary esophageal varices with bleed- I85.11:Secondary esophageal
ing varices with bleeding
K74.60 Unspecified cirrhosis of liver
**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).
3. Assign the code(s) for bronchoscopy with bilateral
transbronchial biopsy for each lobe of each lung.
31628 Bronchoscopy, rigid or flexible, including flu-
oroscopic guidance, when performed; with trans-
bronchial lung biopsy(s), single lobe
31629 Bronchoscopy, rigid or flexible, including flu-
oroscopic guidance, when performed; with trans-
bronchial needle aspiration biopsy(s), trachea,
,CERTIFIED CODING SPECIALIST (CCS) EXAM PREPARATION WITH ALL
CORRECT & 100% VERIFIED ANSWERS|ALREADY GRADED A+
main stem and/or lobar bronchus(i)
31632 Bronchoscopy, rigid or flexible, including flu-
oroscopic guidance, when performed; with trans-
bronchial lung biopsy(s), each additional lobe
−50 Bilateral procedure
4. Assign the code(s) for endoscopic sinusotomy with b. 31254-50
bilateral anterior ethmoidectomy. 31254 Nasal/sinus endoscopy,
31231 Nasal endoscopy, diagnostic, unilateral or surgical; with ethmoidectomy,
bilateral (separate procedure) partial (anterior)
31254 Nasal/sinus endoscopy, surgical; with eth- −50 Bilateral procedurea.
moidectomy, partial (anterior)
−50 Bilateral procedurea. ** A code for the anterior eth-
a. 31254 moidectomy is assigned and to
b. 31254-50 denote the bilateral procedure,
c. 31254, 31254 a modifier of -50 is added (CPT
d. 31231 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.
5. The most common language used for both data d. Structured query language
definition language and data manipulation lan-
guage is: ** Structured query language
a. Unified modeling language (SQL) is used commonly for data
b. JAVA language and data definitions
c. Perl (Sharp 2016, 184).
d. Structured query language
6. An ethmoidectomy removes infected tissue and
bone in the ethmoid sinuses that blocks natural
,CERTIFIED CODING SPECIALIST (CCS) EXAM PREPARATION WITH ALL
CORRECT & 100% VERIFIED ANSWERS|ALREADY GRADED A+
drainage. The surgeon views your ethmoid sinuses
with an endoscope, a thin flexible tube with a very
small camera and light at the end of it.
7. Documentation from the nursing or other allied a. Body mass index (BMI)
health professionals' notes can be used to estab-
lish which of the following diagnoses: ** The physician must estab-
lish the diagnosis—obesity or
a. Body mass index (BMI) morbid obesity—and the addi-
b. Malnutrition tional information can be pulled
c. Aspiration pneumonia from ancillary documentation to
d. Fatigue establish the correct code as-
signment for body mass index
(BMI) (Leon-Chisen 2017, 168).
8. A 55-year-old patient has hypertensive heart dis- b. I11.0, Hypertensive heart dis-
ease with congestive heart failure. What code ease with heart failure and
would be assigned? I50.9, Heart failure, unspecified
a. I15.8, Other secondary hypertension ** There is a cause and ettect re-
b. I11.0, Hypertensive heart disease with heart fail- lationship established between
ure and I50.9, Heart failure, unspecified the hypertension and the con-
c. I50.9, Heart failure, unspecified and I15.0, Reno- gestive heart failure. A separate
vascular hypertension code for the congestive heart
d. N18.6, End stage renal disease failure is assigned based on the
"code also" note (HHS 2017,
Section I.C.9.a., 40).
9. A surgeon would like to undertake a research study a. Obtain a summary of the cas-
on his patients with stage II malignant melanoma es from the cancer registry, im-
of the back, who have undergone wide excision port them into a spreadsheet,
of the melanoma. What work processes and as- and provide to the surgeon.
sociated software could be used to provide this
, CERTIFIED CODING SPECIALIST (CCS) EXAM PREPARATION WITH ALL
CORRECT & 100% VERIFIED ANSWERS|ALREADY GRADED A+
information? **The cancer registry can be
used to undertake studies in
a. Obtain a summary of the cases from the cancer addition to reporting cases to
registry, import them into a spreadsheet, and pro- a central registry (Sharp and
vide to the surgeon. Madlock-Brown 2016, 173).
b. Obtain a summary of the cases from the chart
completion software, import them into a spread-
sheet, and provide to the surgeon.
c. Obtain a summary of the cases from the master
patient index, import them into a spreadsheet, and
provide to the surgeon.
d. Obtain a summary of the cases from the tran-
scription tracking software, import them into a
spreadsheet, and provide to the surgeon.
10. A facility located near a national park has a signifi- a. Only the names of patients
cant number of snake bites, and patients receive who are admitted to the hospital
treatment with antivenom in urgent-care settings. can be requested if the physi-
Sometimes a patient is admitted to the hospital cian needs it for continuity of
after several days. Can the urgent-care setting pro- care, but an entire list of patients
vide the hospital with a list of names of patients tion with the
treated with snake antivenom? national park
ranger.
a. Only the names of patients who are admitted
to the hospital can be requested if the physician
needs it for continuity of care, but an entire list of
patients cannot be provided.
b. A list of names could be provided.
c. No information can be obtained under any cir-
cumstances.
d. A list of patients may be available after consulta-
CORRECT & 100% VERIFIED ANSWERS|ALREADY GRADED A+
1. Diagnostic-related groups (DRGs) and ambulatory d. Prospective payment sys-
patient classifications (APCs) are similar in that they tems
are both:
a. Determined by HCPCS codes ** Both are types of prospec-
b. Focused on hospital outpatients tive payment systems (Casto and
c. Focused on hospital inpatients Forrestal 2015, 6).
d. Prospective payment systems
2. A patient is treated for esophageal varices with d. K74.60, I85.11
hemorrhage due to cirrhosis. The diagnostic codes
that would be assigned are: K74.60: Unspecified cirrhosis of
liver
I85.01 Esophageal varices with bleeding
I85.11 Secondary esophageal varices with bleed- I85.11:Secondary esophageal
ing varices with bleeding
K74.60 Unspecified cirrhosis of liver
**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).
3. Assign the code(s) for bronchoscopy with bilateral
transbronchial biopsy for each lobe of each lung.
31628 Bronchoscopy, rigid or flexible, including flu-
oroscopic guidance, when performed; with trans-
bronchial lung biopsy(s), single lobe
31629 Bronchoscopy, rigid or flexible, including flu-
oroscopic guidance, when performed; with trans-
bronchial needle aspiration biopsy(s), trachea,
,CERTIFIED CODING SPECIALIST (CCS) EXAM PREPARATION WITH ALL
CORRECT & 100% VERIFIED ANSWERS|ALREADY GRADED A+
main stem and/or lobar bronchus(i)
31632 Bronchoscopy, rigid or flexible, including flu-
oroscopic guidance, when performed; with trans-
bronchial lung biopsy(s), each additional lobe
−50 Bilateral procedure
4. Assign the code(s) for endoscopic sinusotomy with b. 31254-50
bilateral anterior ethmoidectomy. 31254 Nasal/sinus endoscopy,
31231 Nasal endoscopy, diagnostic, unilateral or surgical; with ethmoidectomy,
bilateral (separate procedure) partial (anterior)
31254 Nasal/sinus endoscopy, surgical; with eth- −50 Bilateral procedurea.
moidectomy, partial (anterior)
−50 Bilateral procedurea. ** A code for the anterior eth-
a. 31254 moidectomy is assigned and to
b. 31254-50 denote the bilateral procedure,
c. 31254, 31254 a modifier of -50 is added (CPT
d. 31231 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.
5. The most common language used for both data d. Structured query language
definition language and data manipulation lan-
guage is: ** Structured query language
a. Unified modeling language (SQL) is used commonly for data
b. JAVA language and data definitions
c. Perl (Sharp 2016, 184).
d. Structured query language
6. An ethmoidectomy removes infected tissue and
bone in the ethmoid sinuses that blocks natural
,CERTIFIED CODING SPECIALIST (CCS) EXAM PREPARATION WITH ALL
CORRECT & 100% VERIFIED ANSWERS|ALREADY GRADED A+
drainage. The surgeon views your ethmoid sinuses
with an endoscope, a thin flexible tube with a very
small camera and light at the end of it.
7. Documentation from the nursing or other allied a. Body mass index (BMI)
health professionals' notes can be used to estab-
lish which of the following diagnoses: ** The physician must estab-
lish the diagnosis—obesity or
a. Body mass index (BMI) morbid obesity—and the addi-
b. Malnutrition tional information can be pulled
c. Aspiration pneumonia from ancillary documentation to
d. Fatigue establish the correct code as-
signment for body mass index
(BMI) (Leon-Chisen 2017, 168).
8. A 55-year-old patient has hypertensive heart dis- b. I11.0, Hypertensive heart dis-
ease with congestive heart failure. What code ease with heart failure and
would be assigned? I50.9, Heart failure, unspecified
a. I15.8, Other secondary hypertension ** There is a cause and ettect re-
b. I11.0, Hypertensive heart disease with heart fail- lationship established between
ure and I50.9, Heart failure, unspecified the hypertension and the con-
c. I50.9, Heart failure, unspecified and I15.0, Reno- gestive heart failure. A separate
vascular hypertension code for the congestive heart
d. N18.6, End stage renal disease failure is assigned based on the
"code also" note (HHS 2017,
Section I.C.9.a., 40).
9. A surgeon would like to undertake a research study a. Obtain a summary of the cas-
on his patients with stage II malignant melanoma es from the cancer registry, im-
of the back, who have undergone wide excision port them into a spreadsheet,
of the melanoma. What work processes and as- and provide to the surgeon.
sociated software could be used to provide this
, CERTIFIED CODING SPECIALIST (CCS) EXAM PREPARATION WITH ALL
CORRECT & 100% VERIFIED ANSWERS|ALREADY GRADED A+
information? **The cancer registry can be
used to undertake studies in
a. Obtain a summary of the cases from the cancer addition to reporting cases to
registry, import them into a spreadsheet, and pro- a central registry (Sharp and
vide to the surgeon. Madlock-Brown 2016, 173).
b. Obtain a summary of the cases from the chart
completion software, import them into a spread-
sheet, and provide to the surgeon.
c. Obtain a summary of the cases from the master
patient index, import them into a spreadsheet, and
provide to the surgeon.
d. Obtain a summary of the cases from the tran-
scription tracking software, import them into a
spreadsheet, and provide to the surgeon.
10. A facility located near a national park has a signifi- a. Only the names of patients
cant number of snake bites, and patients receive who are admitted to the hospital
treatment with antivenom in urgent-care settings. can be requested if the physi-
Sometimes a patient is admitted to the hospital cian needs it for continuity of
after several days. Can the urgent-care setting pro- care, but an entire list of patients
vide the hospital with a list of names of patients tion with the
treated with snake antivenom? national park
ranger.
a. Only the names of patients who are admitted
to the hospital can be requested if the physician
needs it for continuity of care, but an entire list of
patients cannot be provided.
b. A list of names could be provided.
c. No information can be obtained under any cir-
cumstances.
d. A list of patients may be available after consulta-
