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CCS Practice Exam ( 2024 ) Actual Questions and Verified Answers (2024 / 2025) / A+ Grade 100% Guarantee

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CCS Practice Exam ( 2024 ) Actual Questions and Verified Answers (2024 / 2025) / A+ Grade 100% Guarantee

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  • August 9, 2024
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CCS Practice Exam Questions & Answers



1. A 12-year-old boy was seen in an ambulatory surgical center for pain in his right

arm. The x-ray showed fracture of ulna. Patient underwent closed reduction of fracture

right proximal ulna and an elbow-to-finger cast was applied. What diagnostic and

procedure codes should be assigned? S52.101AUnspecified fracture of upper end of

right radius, initial encounter for closed fracture

S52.101BUnspecified fracture of upper end of right radius, initial encounter for open

fracture

S52.001AUnspecified fracture of upper end of right ulna, initial encounter for closed

fracture

S52.001BUnspecified fracture of upper end of right ulna, initial encounter for open

fracture

0PSH0ZZReposition right radius, open approach 0PSK0ZZReposition right

ulna, open approach

24670Closed treatment of ulnar fracture, proximal end (eg, olecranon or coro- noid

process(es) ); without manipulation





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24675Closed treatment of ulnar fracture, proximal end (eg, olecranon or coro- noid

process(es) ); with manipulation

25560Closed treatment of radial and ulnar shaft fractures; without manipula- tion

29075Application, cast; elbow to finger (short arm)


a. S52.101A, S52.001A, 0PSK0ZZ

b. S52.101B, S52.001B, 0PSH0ZZ

c. S52.101B, S52.001B, 25560, 29075

d. S52.001A, 24675:

ANS: D

The patient has a fracture of the right proximal ulna and closed reduction is nec- essary. In the

ICD-10-CM Code Book, under Fracture, ulna, proximal, the coder is referred to Fracture, ulna,

upper end. The term "manipulation" is used to indi- cate reduction in CPT. According to CPT

guidelines, cast application or strapping (including removal) is only reported as a replacement

procedure or when the cast

application or strapping is an initial service performed without a restorative treatment or

procedure (AMA CPT Professional Edition 2020, 182). (Note: Since this is an ambulatory

surgery center case, CPT codes are assigned rather than ICD-10-PCS codes.)






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2. A laparoscopic tubal ligation is completed. What is the correct CPT code assignment?

49320Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without

collection of specimen(s) by brushing or washing (separate proce-









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dure)

58662Laparoscopy, surgical; with fulguration or excision of lesions of the ovary, pelvic

viscera, or peritoneal surface by any method 58670Laparoscopy, surgical; with

fulguration of oviducts (with or without transection)

58671Laparoscopy, surgical; with occlusion of oviducts by device (eg, band, clip, or Falope

ring)


a. 49320, 58662

b. 58670

c. 58671

d. 49320:

ANS: B

The code that best reports the tubal ligation is 58670 Laparoscopy, surgical; with fulguration

of oviducts because there are no clips or excision of lesion completed during the procedure

(CPT Assistant Nov. 1999, 29; March 2000, 10).




3. Normal twin delivery at 30 weeks. Both babies were delivered vaginally and were

liveborn. What conditions should have codes assigned?





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