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CCS EXAM 2 QUESTIONS WITH CORRECT ANSWERS LATEST UPDATE.
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CCS EXAM 2 QUESTIONS WITH CORRECT ANSWERS LATEST UPDATE.
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CCS EXAM 2 QUESTIONS WITHCORRECT ANSWERS LATEST UPDATE
Assign rrcode(s) rrfor rrthe rrfollowing rrdiagnosis: rrCongestive rrheart rrfailure rrdue rrto
rrhypertension.
I10Essential rr(primary) rrhypertension
I11.0Hypertensive rrheart rrdisease rrwith rrheart rrfailure
I50.9Heart rrfailure, rrunspecified
I50.23Acute rron rrchronic rrsystolic rr(congestive) rrheart rrfailure
a. rrI10, rrI50.9
b. rrI11.0
c. rrI50.23, rrI10
d. rrI11.0, rrI50.9 rr- rrCorrect rrAnswer rr- rrCorrect rrAnswer: rrD
Heart rrfailure rris rrassigned rra rrcombination rrcode rrwhen rra rrcausal rrrelationship rris
rrstated rr(due rrto rrhypertension) rror rrimplied rr(hypertensive). rrUse rran rradditional rrcode
rrto rridentify rrthe rrtype rrof rrheart rrfailure rrin rrthose rrpatients rrwith rrheart rrfailure rr(CMS
rr2020a, rrSection rrI.C.9.a.1, rr46-47).
A rrpatient rris rrseen rrfor rrevaluation rrof rra rrright rrorbital rrroof rrfracture. rrHow rrshould
rrthis rrbe rrcoded?
S02.121AFracture rrof rrorbital rrroof, rrright rrside, rrinitial rrencounter rrfor rrclosed rrfracture
S02.31XAFracture rrof rrorbital rrfloor, rrright rrside, rrinitial rrencounter rrfor rrclosed rrfracture
S02.92XAUnspecified rrfracture rrof rrfacial rrbones, rrinitial rrencounter rrfor rrclosed
rrfracture
S02.91XAUnspecified rrfracture rrof rrskull, rrinitial rrencounter rrfor rrclosed rrfracture
a. rrS02.121A
b. rrS02.31XA
c. rrS02.92XA
d. rrS02.91XA rr- rrCorrect rrAnswer rr- rrCorrect rrAnswer: rrA
Alphabetic rrIndex rrfor rrfracture, rrtraumatic; rrorbit, rrorbital; rrroof rrguides rrthe rrcoder rrto
rrS02.12. rrEvaluation rrof rra rrfracture rris rran rrexample rrof rractive rrtreatment rrwhich rris
rrreported rrwith rr7th rrcharacter rr"A" rr(Schraffenberger rrand rrPalkie rr2020, rr580-584).
Patient rrpresents rrin rrthe rrER rrwith rrthrombosis rrof rra rrloop rrPTFE rrhemodialysis rrfistula
rrwithout rrmechanical rrcomplications. rrThe rrphysician rrperformed rra rrpercutaneous
rrthrombectomy rrof rrthe rrleft rrbrachial rrvein. rrAssign rra rrfacility rrcode rrfor rrthis
rroutpatient rrprocedure.
05CA3ZZExtirpation rrof rrmatter rrfrom rrleft rrbrachial rrvein, rrpercutaneous rrapproach
36904Percutaneous rrtransluminal rrmechanical rrthrombectomy rrand/or rrinfusion rrfor
rrthrombolysis, rrdialysis rrcircuit, rrany rrmethod, rrincluding rrall rrimaging rrand rrradiological
,rrsupervision rrand rrinterpretation, rrdiagnostic rrangiography, rrfluoroscopic rrguidance,
rrcatheter rrplacement(s), rrand rrintraprocedural rrpharmacological rrthrombolytic
rrinjection(s)
36832Revision, rropen, rrarteriovenous rrfistula; rrwithout rrthrombectomy, rrautogenous rror
rrnonautogenous rrdialysis rrgraft rr(separate rrprocedure)
37184Primary rrpercutaneous rrtransluminal rrmechanical rrthrombectomy, rrnoncoronary,
rrarterial rror rrarterial rrbypass rrgraft, rrincluding rrfluoroscopic rrguidance rrand rrintrapro rr-
rrCorrect rrAnswer rr- rrCorrect rrAnswer: rrB
This rrepisode rrof rrcare rroccurs rrin rrthe rrER rrwhich rris rran rroutpatient rrsetting,
rrtherefore, rra rrCPT rrcode rrshould rrbe rrused. rrCPT rrcode rr36904 rrcorrectly rridentifies
rrthe rrthrombectomy rrprocedure rrbecause rrit rrspecifies rrthe rrsite rrof rrthe rrthrombectomy
rras rr"dialysis rrcircuit." rr36904 rrincludes rrimaging rrguidance, rrdiagnostic rrangiography,
rrcatheter rrplacement, rrand rrintraprocedural rrpharmacological rrthrombolytic rrinjections"
rr(Kirchoff rr2009, rr203).
Patient rradmitted rrfor rrlaparoscopic rrrepair rrof rrright rrdiaphragmatic rrhernia. rrAssign
rrthe rrICD-10-PCS rrprocedure rrcode rrfor rrthis rrsurgery.
0BQT4ZZRepair rrdiaphragm, rrpercutaneous rrendoscopic rrapproach
0BQT3ZZRepair rrdiaphragm, rrpercutaneous rrapproach
0WQF4ZZRepair rrabdominal rrwall, rrpercutaneous rrendoscopic rrapproach
0BQT0ZZRepair rrdiaphragm, rropen rrapproach
a. rr0BQT4ZZ
b. rr0BQT3ZZ
c. rr0WQF4ZZ
d. rr0BQT0ZZ rr- rrCorrect rrAnswer rr- rrCorrect rrAnswer: rrA
ICD-10-PCS rrcode rr0BQT4ZZ rris rrthe rrcorrect rrcode rrbased rron rrthe rrvalues rrfor rrthe
rrbody rrpart rrand rrapproach. rrThe rrcorrect rrbody rrpart rris rrdiaphragm rrand rrlaparoscopy
rris rrreported rras rra rrpercutaneous rrendoscopic rrmethod rrof rrapproach rr(Leon-Chisen
rr2020, rr250-251).
A rr23-year-old rrfemale rris rradmitted rrfor rrvaginal rrbleeding rrfollowing rra rrmiscarriage
rrtwo rrweeks rrprior rrto rrthis rradmission. rrShe rris rrafebrile rrat rrthis rrtime rrand rris rrtreated
rrwith rran rraspiration rrdilation rrand rrcurettage. rrProducts rrof rrconception rrare rrfound.
rrWhich rrof rrthe rrfollowing rrshould rrbe rrthe rrprincipal rrdiagnosis?
a. rrO03.1, rrDelayed rror rrexcessive rrhemorrhage rrfollowing rrincomplete rrspontaneous
rrabortion
b. rrO08.1, rrDelayed rror rrexcessive rrhemorrhage rrfollowing rrectopic rrand rrmolar
rrpregnancy
c. rrO03.6, rrDelayed rror rrexcessive rrhemorrhage rrfollowing rrcomplete rror rrunspecified
rrspontaneous rrabortion
d. rrO07.1, rrDelayed rror rrexcessive rrhemorrhage rrfollowing rrfailed rrattempted
rrtermination rrof rrpregnancy rr- rrCorrect rrAnswer rr- rrCorrect rrAnswer: rrA
A rrmiscarriage rris rra rrspontaneous rrabortion. rrIf rrthe rrreadmission rris rrfor rrthe rrpurpose
rrof rrdealing rrwith rrretained rrproducts rrof rrconception, rrthe rrspontaneous rrabortion rris
, rrincomplete; rruse rra rrcode rrfrom rrthe rrO03 rrcategory rr(CMS rr2020a, rrSection rrI.C.15.q.,
rr68).
A rrpatient rrpresents rrto rrthe rremergency rrdepartment rrwith rra rrfractured rrarm
rrsecondary rrto rra rrfall rrprecipitated rrby rrsyncope rrand rrataxia. rrThe rrpatient rrundergoes
rra rrclosed rrreduction rrof rrthe rrfracture rrin rrthe rremergency rrdepartment rrand rris rrthen
rradmitted rrfor rrwork rrup rrfor rrmetastatic rrcarcinoma rrsecondary rrto rrataxia rrand
rrsyncope rrin rra rrpatient rrwith rrrecent rrhistory rrof rrlung rrcancer. rrThe rrpatient's rrwork-up
rrconfirms rrrecurrent rrlung rrcarcinoma rrmetastatic rrto rrthe rrbrain.The rrprincipal
rrdiagnosis rrshould rrbe:
a. rrFractured rrarm
b. rrSyncope
c. rrMetastatic rrcarcinoma rrof rrthe rrbrain
d. rrCarcinoma rrof rrthe rrlung rr- rrCorrect rrAnswer rr- rrCorrect rrAnswer: rrC
According rrto rrthe rrUHDDS rrdefinition, rrthe rrprincipal rrdiagnosis rris rr"that rrcondition
rrestablished rrafter rrstudy rrto rrbe rrchiefly rrresponsible rrfor rroccasioning rrthe rradmission
rrof rrthe rrpatient rrto rrthe rrhospital rrfor rrcare." rrIn rrthis rrcase, rrmetastatic rrcarcinoma rrof
rrthe rrbrain rris rrresponsible rrfor rrthe rrpatient's rrataxia rrand rrsyncope, rrwhich rrled rrto rrthe
rrfall rr(CMS rr2020a, rrSection rrII, rr107).
A rrfemale rrpatient rrwith rrhematochezia rrpresents rrto rrthe rrhospital rroutpatient rrsurgery
rrdepartment rrfor rra rrcolonoscopy rrbut rrthe rrprocedure rrwas rrnot rrperformed rrdue rrto
rrelevated rrblood rrpressure. rrWhat rris rrthe rrfirstlisted rrdiagnosis rrfor rrthis rrencounter?
a. rrElevated rrblood rrpressure
b. rrHematochezia
c. rrProcedure rrnot rrperformed rrdue rrto rrcontraindication
d. rrProcedure rrnot rrperformed rrfor rrother rrreason rr- rrCorrect rrAnswer rr- rrCorrect
rrAnswer: rrB
When rra rrpatient rrpresents rrfor rroutpatient rrsurgery, rrcode rrthe rrreason rrfor rrthe
rrsurgery rras rrthe rrfirstlisted rrdiagnosis rr(reason rrfor rrthe rrencounter) rreven rrif rrthe
rrsurgery rris rrnot rrperformed rrdue rrto rra rrcontraindication rr(CMS rr2020a, rrSection
rrIV.A.1., rr113).
A rr55-year-old rrpatient rrwith rrAIDS rradmitted rrafter rrbeing rrstruck rrby rrcar rrwhile
rrwalking rrin rra rrparking rrlot. rrShe rrhas rra rrcomminuted, rrright rrfemoral rrshaft rrfracture
rrand rra rrcontusion rrof rrboth rrhands rrand rrright rrelbow rrabrasion. rrThe rrprincipal
rrdiagnosis rrshould rrbe rrthe:
a. rrAIDS
b. rrFractured rrfemur
c. rrAbrasion rrelbow
d. rrContusion rrhand rr- rrCorrect rrAnswer rr- rrCorrect rrAnswer: rrB
If rra rrpatient rrwith rrHIV rrdisease rris rradmitted rrfor rran rrunrelated rrcondition rr(such rras rra
rrtraumatic rrinjury), rrthe rrcode rrfor rrthe rrunrelated rrcondition rr(for rrexample, rrthe rrnature
rrof rrinjury rrcode) rrshould rrbe rrthe rrprincipal rrdiagnosis. rrThe rrmost rrsevere rrinjury
rrshould rrbe rrsequenced rrfirst. rrOther rrdiagnoses rrwould rrbe rrB20 rrfollowed rrby
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