CERTIFIED CODING SPECIALIST (CCS) EXAM PREPARATION
EXAM QUESTIONS AND ANSWERS GRADED A+ 100% VERIFIED.
Diagnostic-related groups (Drags) 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 ANS >>> d. Prospective payment systems
** Both are types of prospective payment systems (Casto and Forrestal
2015, 6).
A patient is treated for oesophageal varices with haemorrhage due to
cirrhosis. The diagnostic codes that would be assigned are:
I85.01 Oesophageal varices with bleeding
I85.11 Secondary oesophageal varices with bleeding
,K74.60 Unspecified cirrhosis of liver ANS >>> d. K74.60, I85.11
K74.60: Unspecified cirrhosis of liver
I85.11: Secondary oesophageal varices with bleeding
**The patient has cirrhosis of the liver with resulting bleeding
oesophageal varices. Cirrhosis of liver is sequenced first followed by the
code for the bleeding oesophageal 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(in)
31632 Bronchoscopy, rigid or flexible, including fluoroscopic guidance,
when performed; with transbronchial lung biopsy(s), each additional
lobe
−50 Bilateral procedure ANS >>>
,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 procedure.
a. 31254
b. 31254-50
c. 31254, 31254
d. 31231 ANS >>> b. 31254-50
31254 Nasal/sinus endoscopy, surgical; with ethmoidectomy, partial
(anterior)
−50 Bilateral procedure.
** 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 modelling language
b. JAVA
, c. Perl
d. Structured query language ANS >>> d. Structured query language
** Structured query language (SQL) is used commonly for data language
and data definitions (Sharp 2016, 184).
An ethmoidectomy removes infected tissue and bone in the ethmoid
sinuses that blocks natural 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. ANS >>>
Documentation from the nursing or other allied health professionals'
notes can be used to establish which of the following diagnoses:
a. Body mass index (BMI)
b. Malnutrition
c. Aspiration pneumonia
d. Fatigue ANS >>> a. Body mass index (BMI)
** The physician must establish the diagnosis—obesity or morbid
obesity—and the additional information can be pulled from ancillary
documentation to establish the correct code assignment for body mass
index (BMI) (Leon-Chinen 2017, 168).
EXAM QUESTIONS AND ANSWERS GRADED A+ 100% VERIFIED.
Diagnostic-related groups (Drags) 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 ANS >>> d. Prospective payment systems
** Both are types of prospective payment systems (Casto and Forrestal
2015, 6).
A patient is treated for oesophageal varices with haemorrhage due to
cirrhosis. The diagnostic codes that would be assigned are:
I85.01 Oesophageal varices with bleeding
I85.11 Secondary oesophageal varices with bleeding
,K74.60 Unspecified cirrhosis of liver ANS >>> d. K74.60, I85.11
K74.60: Unspecified cirrhosis of liver
I85.11: Secondary oesophageal varices with bleeding
**The patient has cirrhosis of the liver with resulting bleeding
oesophageal varices. Cirrhosis of liver is sequenced first followed by the
code for the bleeding oesophageal 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(in)
31632 Bronchoscopy, rigid or flexible, including fluoroscopic guidance,
when performed; with transbronchial lung biopsy(s), each additional
lobe
−50 Bilateral procedure ANS >>>
,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 procedure.
a. 31254
b. 31254-50
c. 31254, 31254
d. 31231 ANS >>> b. 31254-50
31254 Nasal/sinus endoscopy, surgical; with ethmoidectomy, partial
(anterior)
−50 Bilateral procedure.
** 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 modelling language
b. JAVA
, c. Perl
d. Structured query language ANS >>> d. Structured query language
** Structured query language (SQL) is used commonly for data language
and data definitions (Sharp 2016, 184).
An ethmoidectomy removes infected tissue and bone in the ethmoid
sinuses that blocks natural 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. ANS >>>
Documentation from the nursing or other allied health professionals'
notes can be used to establish which of the following diagnoses:
a. Body mass index (BMI)
b. Malnutrition
c. Aspiration pneumonia
d. Fatigue ANS >>> a. Body mass index (BMI)
** The physician must establish the diagnosis—obesity or morbid
obesity—and the additional information can be pulled from ancillary
documentation to establish the correct code assignment for body mass
index (BMI) (Leon-Chinen 2017, 168).
