CCS Exam 2023/ 2024 | Questions and
Answers (Verified Answers)| Grade A
Q: Diagnostic-related groups (DRGs) and ambulatory patient classifications (APCs) are similar
in that they are both:
Answer:
Prospective payment systems
Q: Medicare exerts control of provider reimbursement through adjustment of this component of
the resource-based relative value scale (RBRVS).
Answer:
Conversion factor
Q: The process of collecting data elements from a source document is known as
Answer:
Abstracting
Q: What piece of claims data from Hospital A alerts a payer that the patient was transferred to
Hospital B?
Answer:
Discharge disposition
Q: When a patient is transferred from an acute-care facility to a skilled nursing facility, what
abstracted data element can impact the DRG assignment?
Answer:
Admission source
Q: For a patient with a principal diagnosis of septicemia, reporting which of the following
procedures will have the greatest impact on the MS-DRG? a. Excision of left main bronchus,
percutaneous endoscopic approach, diagnostic (0BB74ZX)
Answer:
Respiratory ventilation, greater than 96 consecutive hours (5A1955Z)
Q: Which of the following is considered a MAJOR complication or comorbidity?
A Cerebral infarction
b. Acute diastolic congestive heart failure
c. Hypertension
d. Dysphagia
Answer:
Hypernatremia
Q: Which condition meets the definition of comorbidity?
a. Cerebral infarction
b. Acute diastolic congestive heart failure
c. Hypertension
d. Dysphagia
Answer:
Hypertension
Q: A patient was admitted from the emergency department because of chest pain. Following
blood work, it was determined that the patient had elevated CK-MB enzymes. The EKG shows
nonspecific ST changes. What type of diagnosis might this indicate
A Unstable angina
b. Myocardial infarction
c. Congestive heart failure
d. Mitral valve stenosis
Answer:
Myocardial infarction
Q: A patient is admitted to the psychiatric unit of an acute-care facility. Almost every day for
the past month, the patient has experienced loss of interest in most or all activities, which is a
change from her prior level of functioning. She has also gained 15 lbs., has difficulty falling
asleep, feels fatigued, and has difficulty making decisions. What potential diagnosis most closely
fits the patient’s overall symptoms?
a. Insomnia
b. Major depression
c. Reye’s syndrome
Bipolar disorder
Answer:
Major depression
Q: A patient is admitted to the hospital complaining of abdominal pain. Following evaluation, it
was determined that the patient had an obstruction of the left colon due to adhesions from a prior
abdominal surgery. The patient underwent laparotomy with lysis of adhesions. What conditions
and procedures should be coded?
a. Abdominal pain, abdominal adhesions, abdominal obstruction, laparotomy, lysis of adhesions
b. Abdominal adhesions, abdominal obstruction, postoperative complications of the digestive
system, laparotomy, lysis of adhesions
c. Abdominal adhesions with obstruction, lysis of adhesions
d. Abdominal adhesions, abdominal obstruction, postoperative complications of the digestive
system, lysis of adhesions
Answer:
. Abdominal adhesions with obstruction, lysis of adhesions
Q: In order to accurately code a cardiac catheterization, in addition to the approach and the side
of the heart into which the catheter was inserted, what else needs to be determined?
a. The type of anesthesia used
b. If additional procedures were performed