CERTIFIED CODING SPECIALIST EXAM (CCS EXAM) LATEST VERSION 2024 AND
PRACTICE QUESTIONS 220+ QUESTIONS AND CORRECT DETAILED ANSWERS ALREADY
GRADED
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A patient has a diabetic ulcer of the right foot. How should this patient's record be coded? -
E11.621, L97.419
When assigning codes for diabetes and its associated conditions, the code(s) from the
diabetes category must be sequenced before the codes for the associated conditions
This patient was admitted for chemotherapy due to a primary hepatocellular carcinoma of
the transplanted liver. What codes are assigned? - Z51.11, T86.49, C80.2, C22.0
Z51.11 When a patient is admitted for chemotherapy, that is the principal diagnosis assigned.
T86.49 should be assigned for complication of liver transplant.
C80.2 for malignancy associated with organ transplant.
C22.0 for liver cell carcinoma.
A female patient with terminal carcinoma of the breast, metastatic to the liver, brain, and
intrahepatic and extrahepatic bile ducts, was admitted with dehydration. Patient was
rehydrated with IVs and discharged, with no treatment given to the cancer. What are the
codes assigned? - E86.0, C50.919, C78.7, C79.31, C78.89
When an encounter is for management of a complication associated with a neoplasm, such
as dehydration, and the treatment is only for the complication, the complication is coded
first followed by the appropriate code(s) for the neoplasm.
To assign modifier ______correctly, two physicians of different ________ must have worked
together as co-surgeons and each surgeon dictated his/her own operative report. - -62
specialties
When more than two physicians work together to complete a complicated procedure and
each physician has a specific portion of the surgery to complete, they are called.... - cosurgeons
This modifier indicates an increased service and is overused and results in an increase in
payment of 20% to 30%. As such, the assignment of this modifier comes under particularly
close scrutiny by third-party payers. What is this modifier? - -22
When adding multiple CPT modifiers to a code, you would list the modifiers from:
When adding multiple HCPCS modifiers, list in:
If CPT modifiers and HCPCS modifiers are both used, list: - CPT- highest to lowest
HCPS-ascending alphabetical order
both- CPT (highest to lowest) then HCPS (ascend. alpha.)
What part of the CPT manual lists a full description for all modifiers? - appendix A
When a CPT codes does not fully explain an unusual procedure,what should be added to the
code? - modifier
Third-Party payers require this modifier for a mandated service. - -32
(like a rape test required by police, or phyiscal exam needed for workers comp; third-party
payer will pay 100% for mandated services)
Modifier -47, anesthesia by the surgeon, is never added to what CPT code? - Anesthesia
Code
How many units of service may be billed when reporting the -50 modifier (bilateral) to
Medicare? - one unit
(For medicare, just submit 27447-50 for procedure done left and right; whereas other
payers want two lines 27447 and 27447-50.)
When reporting -51 modifier to indicate multiple procedure performed, which procedure
should be reported first on the claim? - Primary Procedure
Medicare considers what service to be part of the surgery and bundled payment not allowing
the -56 modifier? - preoperative
E&M services provided the day before or the day of a major surgery are included in what
package? - Global Day
Modifier -63 indicates procedure provided to a neonate or infant up to what weight? - 4 kg
or 8.8 lbs
Patient status (for E/M) - new, established, outpatient, inpatient
A new patient is one who has not received a face-to-face professional service from that
physician or another physician in the same practice of the same specialty for _____ years. -
3 years
Another name for the HCPCS Level II is: - national codes
The face-to-face encounter between a physician and a patient for primary management of
the patient's health status is a/an _____. - office visit
The key component of E/M service is _____. - medical decision-making
The four levels of medical decision-making complexity are: - 1.straightforward
2.low
3.moderate
4.high [Show Less]