CCS EXAM 2 LATEST VERSIONS 2024 (VERSION A AND B) COMPLETE 400 QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+

1 | P a g e CCS EXAM 2 LATEST VERSIONS 2024 (VERSION A AND B) COMPLETE 400 QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+ CCS EXAM VERSION A According to CPT, an endoscopy that is undertaken to the level of the midtransverse colon would be coded as a: a. Proctosigmoidoscopy b. Sigmoidoscopy c. Colonoscopy d. Proctoscopy - ANSWER- c A 56-year-old woman is admitted to an acute-care facility from a skilled nursing facility. The patient has multiple sclerosis and hypertension. During the course of hospitalization, a decubitus ulcer is found and debrided at the bedside by a physician. There is no typed operative report and no pathology report. The coder should: a. Use an excisional debridement code as these charts are rarely reviewed to verify the excisional debridement b. Code with a nonexcisional debridement procedure code c. Query the healthcare provider who performed the procedure to determine if the debridement was excisional d. Eliminate the procedure code all together - ANSWER- c 2 | P a g e During a coronary artery bypass surgery, the patient underwent saphenous bypass grafts; from the aorta to the left anterior descending branch of the left main coronary artery, and the left posterior descending of the left main coronary artery. The patient also underwent a repositioning of the mammary artery to the right coronary artery. Choose the best description for this procedure. a. Three aortocoronary grafts b. Two aortocoronary grafts and one mammary-coronary graft c. Two aortocoronary grafts and two saphenous bypass grafts d. Three aortocoronary grafts and one mammary-coronary graft - ANSWER- b A patient is discharged with a diagnosis of acute pulmonary edema due to congestive heart failure. What condition(s) should be coded? a. Acute pulmonary edema b. Congestive heart failure c. Acute pulmonary edema and congestive heart failure d. Unable to determine based on the information provided - ANSWERb A patient is admitted with an acute inferior myocardial infarction and discharged alive. Which condition would increase the MS-DRG weight? a. Respiratory failure b. Atrial fibrillation c. Hypertension 3 | P a g e d. History of myocardial infarction - ANSWER- a A female patient is diagnosed with congestive heart failure. Which of the following will increase the MS-DRG weight if present on admission? a. Atrial fibrillation b. Stage III pressure ulcer c. Blood loss anemia d. Coronary artery disease - ANSWER- b If the principal diagnosis is an initial episode of an anterior wall myocardial infarction, which procedure will result in the highest DRG? a. Mechanical ventilator b. Insertion central venous catheter c. Right heart cardiac catheterization d. Transbronchial lung biopsy - ANSWER- d A patient is admitted with spotting and fever. She is found to have been treated for a miscarriage (spontaneous abortion), which was resolved two weeks prior to this admission. She is treated with aspiration dilation and curettage and products of conception are found. She is found to be septic. Which of the following diagnoses should be principal diagnosis? a. Complications following abortion and ectopic or other pregnancy b. Complications of spontaneous abortion with sepsis c. Sepsis 4 | P a g e d. Sepsis following incomplete spontaneous abortion - ANSWER- d During an admission for congestive heart failure (CHF), a chest x-ray was done to evaluate for the presence of CHF. An asymptomatic hernia was also found for which no treatment or evaluation was done. What is the reason that the hernia should not be coded? a. The patient's primary condition of interest is the CHF. b. The hernia is an incidental finding and does not meet the UHDDS requirements. c. The patient is asymptomatic. d. The condition does not impact the reimbursement. - ANSWER- b The outpatient code editor (OCE) has all of the following types of edits except: a. Claim accuracy b. Discharge date discrepancy c. Assigning APCs to the claim d. Age and sex edits - ANSWER- b According to the UHDDS, section III, the definition of other diagnoses is all conditions that: a. Coexist at the time of admission, that develop subsequently, or that affect the treatment received or the length of stay b. Receive evaluation and are documented by the physician