CCS PRACTICE EXAM 1 & 2 LATEST EXAM 2023-2024
ACTUAL EXAM 200 QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES| (ALREADY GRADED A+)
|BRAND NEW!!
CCS PRACTICE EXAM 1
A patient was admitted to the emergency department for abdominal pain with
diarrhea and was diagnosed with infectious gastroenteritis. In addition to
gastroenteritis, the final diagnostic statement included angina and chronic
obstructive pulmonary disease. List the diagnoses that would be coded and their
correct sequence.
a. Abdominal pain, infectious gastroenteritis, chronic obstructive pulmonary
disease, angina
b. Infectious gastroenteritis, chronic obstructive pulmonary disease, angina
c. Gastroenteritis, abdominal pain, angina
d. Diarrhea, chronic obstructive pulmonary disease, angina – ANSWER- Correct
Answer: B
Rationale: The abdominal pain and diarrhea are not coded as they are symptoms
integral to the diagnosis of infectious gastroenteritis. Review Coding Guideline
IV.D for additional information on coding of symptoms, signs, and ill-defined
conditions (CMS 2020a, Section IV.D., 113).
A patient was admitted to the endoscopy unit for a screening colonoscopy. During
the colonoscopy, polyps of the colon were found and a polypectomy was
performed. What diagnostic codes should be used and how should they be
sequenced?
Z12.11Encounter for screening for malignant neoplasm of colon
D12.6Benign neoplasm of colon, unspecified
Z86.010Personal history of colonic polyps
a. Z12.11, Z86.010
b. D12.6, Z12.11, Z86.010
c. Z12.11, D12.6
d. D12.6, Z12.11 – ANSWER- Correct Answer: C<\/p>\n\n\n\n
Rationale: The circumstances of the encounter are for a screening colonoscopy.
Because of this screening, colonoscopy is listed first, followed by a code for the
polyps (CMS 2020a, Section I.C.21.c.5, 97-98).
The patient is admitted for chest pain and is found to have an acute inferior
myocardial infarction with coronary artery disease and atrial fibrillation. After the
atrial fibrillation was controlled and the patient was stabilized, the patient
underwent a CABG \u00d72 from aorta to the right anterior descending and right obtuse,
using the left greater saphenous vein which was harvested via an open approach.
Cardiopulmonary bypass was utilized. The appropriate sequencing and ICD codes
for the hospitalization would be:
I25.10Atherosclerotic heart disease of native coronary artery without angina
pectorisI21.19ST elevation (STEMI) myocardial infarction involving other
coronary artery of inferior wallI22.1Subsequent ST elevation (STEMI) myocardial
infarction of inferior wallI21.3ST elevation (STEMI) myocardial infarction, of
unspecified siteI22.9Subsequent ST elevation (STEMI) myocardial infarction of
unspecified siteI48.91Unspecified atrial fibrillationR07.9Chest pain,
unspecified02100AWBypass coronary artery, one artery from aorta with
autologous arterial tissue, open approach021109WBypass coronary artery, two
arteries from aorta with autologous venous tissue, open
approach06BQ0ZZExcision of left saphenous vein, open
approach5A1221ZPerformance of cardiac output, continuous
a. R07.9, I21.3, I48.91, I22.9, 02100AW, 5A1221Z
b. I21.19, I48.91, I22.9, 02100AW
c. I21.19, I25.10, I48.91, 021109W, 06BQ0ZZ, 5A1221Z
d. I22.1, I48.91, I21.19, 021109W – ANSWER- Correct Answer: C
Rationale: The patient’s hospitalization includes a definitive diagnosis of
myocardial infarction of the inferior wall as well as the other diagnoses of coronary
artery disease and atrial fibrillation. The chest pain is not coded as it is a symptom
of the MI. The patient underwent CABG \u00d72 with cardiopulmonary bypass and
harvesting of the left saphenous vein to be used as graft material. All three
procedures are reportable and should be coded (Leon-Chisen 2020, 393-396, 430-
434).
A patient is admitted with hemoptysis. A bronchoscopy with transbronchial biopsy
of the lower lobe was undertaken that revealed squamous cell carcinoma of the
right lung. Which conditions should be identified as present on admission?
C34.30Malignant neoplasm of lower lobe, unspecified bronchus or lung
C34.31Malignant neoplasm of lower lobe, right bronchus or lung<\/p>\n\n\n\n
P26.9Unspecified pulmonary hemorrhage originating in the perinatal period
R04.2Hemoptysis
a. C34.31, R04.2
b. R04.2
c. C34.31
d. C34.30, P26.9, R04.2 – ANSWER- Correct Answer: C
Rationale: The diagnosis after study (lung cancer) was present on admission. The
symptom (hemoptysis) of the carcinoma should not be assigned and therefore, will
not have a POA indicator. Code P26.9 would not be assigned because it is not
diagnosed and only applies to the perinatal period (CMS 2020a, Appendix I, 117-
121).
A condition is considered present on admission when it is:
a. The principal diagnosis
b. In accordance with medical staff bylaws
c. A condition that occurs prior to an inpatient admission
d. Present within three days after admission – ANSWER- Correct Answer: C
Rationale: It is important to understand the time frame for assigning a status code
specifying that a condition is present on admission. A condition is present on
admission when it occurs prior to inpatient admission (CMS 2020a, Appendix I,
117-121).
A newborn is diagnosed with meconium aspiration at birth. What is the appropriate
POA indicator for the meconium aspiration?
a. Y
b. N
c. U
d. W – ANSWER- Correct Answer: A
Rationale: Conditions present at birth are considered POA for newborns (CMS
2020a, Appendix I, 117-121).
A woman is admitted to the hospital for an exacerbation of COPD and mentions a
lump she has noticed in her right breast. While she in the hospital, a biopsy is done
of the breast lump and a diagnosis of ductal carcinoma is made. What is the POA
assignment for the carcinoma?
a. Y
b. N
c. U
d. W – ANSWER- Correct Answer: A<\/p>\n\n\n\n
Rationale: Even though the diagnosis of cancer was made after admission, the
patient clearly had the condition when admitted. Therefore, a POA indicator of Y
should be assigned (CMS 2020a, Appendix I, 117-121).
The use of the outpatient code editor (OCE) is designed to:
a. Correct documentation of home health visits
b. Facilitate reporting of adverse drug events
c. Reduce the use of computer assisted coding
d. Identify incomplete or incorrect claims – ANSWER- Correct Answer: D
Rationale: The code editor software reviews many data elements and compares
them to what data specifications are required in order to weed out incomplete or
incorrect claims (Smith 2020, 314-315).
Medicare’s identification of medically necessary services is outlined in:
a. Program transmittals
b. Claims processing manual
c. Local coverage determinations
d. National Correct Coding Initiative – ANSWER- Correct Answer: C
Rationale: Local coverage determinations (LCDs) are the mechanism by which
Medicare identifies medical necessity for services, procedures, and supplies (Casto
2018, 255).
Medically unlikely edits are used to identify:
a. Pairs of procedure codes that should not be billed together
b. Maximum units of service for a HCPCS code
c. Diagnoses that don’t meet medical necessity
d. Procedure and gender discrepancies – ANSWER- Correct Answer: B
Rationale: Medically unlikely edits are in place to identify the maximum number
of units of service for a given HCPCS code for one beneficiary on one date of
service (Casto 2018, 256).
National Correct Coding Initiative (NCCI) Edits are released how often?
a. Monthly
b. Quarterly
c. Semi-annually
d. Annually – ANSWER- Correct Answer: B
Rationale: NCCI edits are released on a quarterly basis by Medicare (Casto 2018,
256).
<\/p>\n","protected":false},"excerpt":{"rendered":"
CCS PRACTICE EXAM 1 & 2 LATEST EXAM 2023-2024ACTUAL EXAM 200 QUESTIONS AND CORRECT DETAILEDANSWERS WITH RATIONALES| (ALREADY GRADED A+)|BRAND NEW!!CCS PRACTICE EXAM 1A patient was admitted to the emergency department for abdominal pain withdiarrhea and was diagnosed with infectious gastroenteritis. In addition togastroenteritis, the final diagnostic statement included angina and chronicobstructive pulmonary disease. List […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-112269","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/112269","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=112269"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/112269\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=112269"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=112269"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=112269"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}