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CCS Exam Prep

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CCS Exam Prep

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1. Pt w/HIV with methicillin susceptible pneumonia due to staph aureus was discharged from acute-care setting, so how should this be coded?

Outpatient hospital servicesI24.0 (acute coronary thrombosis not resulting in MI) Pts w/acute ischemic heart disease or acute myocardial ischemia do not always indicate an infarction and it is often possible to prevent infarction by means of surgery or use of thrombolytic agents if tx promptlyAssign code for sepsis, pneumonia, and severe sepsis. Pt w/pneumococcal sepsis and pneumococcal pneumonia also has severe sepsis and Guidelines provide info related to coding, seq of sepsis, severe sepsis, and localized infection, such as pneumoniaB20, HIV | J15.211, Pneumonia due to methicillin susceptible Staphylococcus aureus

2. Pt adm w/pneumococcal pneumonia and pneumococcal sepsis, so the coder should:

B20, HIV | J15.211, Pneumonia due to methicillin susceptible Staphylococcus aureusI24.0 (acute coronary thrombosis not resulting in MI) Pts w/acute ischemic heart disease or acute myocardial ischemia do not always indicate an infarction and it is often possible to prevent infarction by means of surgery or use of thrombolytic agents if tx promptlyOutpatient hospital servicesAssign code for sepsis, pneumonia, and severe sepsis. Pt w/pneumococcal sepsis and pneumococcal pneumonia also has severe sepsis and Guidelines provide info related to coding, seq of sepsis, severe sepsis, and localized infection, such as pneumonia

3. Pt adm to ED w/chest pain, and dx w/abort MI w/acute myocardial ischemia with no prior cardiac surgery, and normal cardiac enzymes. What is coding for this case?

B20, HIV | J15.211, Pneumonia due to methicillin susceptible Staphylococcus aureusAssign code for sepsis, pneumonia, and severe sepsis. Pt w/pneumococcal sepsis and pneumococcal pneumonia also has severe sepsis and Guidelines provide info related to coding, seq of sepsis, severe sepsis, and localized infection, such as pneumoniaOutpatient hospital servicesI24.0 (acute coronary thrombosis not resulting in MI) Pts w/acute ischemic heart disease or acute myocardial ischemia do not always indicate an infarction and it is often possible to prevent infarction by means of surgery or use of thrombolytic agents if tx promptly

4. What services are paid under the outpatient prospective payment system (OPPS)?

Assign code for sepsis, pneumonia, and severe sepsis. Pt w/pneumococcal sepsis and pneumococcal pneumonia also has severe sepsis and Guidelines provide info related to coding, seq of sepsis, severe sepsis, and localized infection, such as pneumoniaOutpatient hospital servicesI24.0 (acute coronary thrombosis not resulting in MI) Pts w/acute ischemic heart disease or acute myocardial ischemia do not always indicate an infarction and it is often possible to prevent infarction by means of surgery or use of thrombolytic agents if tx promptlyB20, HIV | J15.211, Pneumonia due to methicillin susceptible Staphylococcus aureus

5. QI study showed maternity cases not being coded w/correct procedure code for manually assisted vaginal delivery codes associated. What HIM software could be used to eval this?

Assign code for sepsis, pneumonia, and severe sepsis. Pt w/pneumococcal sepsis and pneumococcal pneumonia also has severe sepsis and Guidelines provide info related to coding, seq of sepsis, severe sepsis, and localized infection, such as pneumoniaB20, HIV | J15.211, Pneumonia due to methicillin susceptible Staphylococcus aureusI24.0 (acute coronary thrombosis not resulting in MI) Pts w/acute ischemic heart disease or acute myocardial ischemia do not always indicate an infarction and it is often possible to prevent infarction by means of surgery or use of thrombolytic agents if tx promptlyBilling and reimbursement abstracting system

6. Pt adm to healthcare facility with ataxia and syncope, who has hx of lung cancer, and has a fractured arm from falling. Pt undergoes closed reduction in ED and complete workup for metastatic carcinoma of brain. Pt found to have metastatic carcinoma of lung to brain and undergoes radiation therapy. PD should be:

I24.0 (acute coronary thrombosis not resulting in MI) Pts w/acute ischemic heart disease or acute myocardial ischemia do not always indicate an infarction and it is often possible to prevent infarction by means of surgery or use of thrombolytic agents if tx promptlyB20, HIV | J15.211, Pneumonia due to methicillin susceptible Staphylococcus aureusMetastatic carcinoma of the brain because PD=That condition established after study to be chiefly responsible for occasioning the admission of the patient to the hospital for care.""Assign code for sepsis, pneumonia, and severe sepsis. Pt w/pneumococcal sepsis and pneumococcal pneumonia also has severe sepsis and Guidelines provide info related to coding, seq of sepsis, severe sepsis, and localized infection, such as pneumonia

7. What do Comprehensive Error Rate Testing, CERT, contractors do?

Assign code for sepsis, pneumonia, and severe sepsis. Pt w/pneumococcal sepsis and pneumococcal pneumonia also has severe sepsis and Guidelines provide info related to coding, seq of sepsis, severe sepsis, and localized infection, such as pneumoniaconduct medical reviews to measure inpatient hospital payment error ratesI24.0 (acute coronary thrombosis not resulting in MI) Pts w/acute ischemic heart disease or acute myocardial ischemia do not always indicate an infarction and it is often possible to prevent infarction by means of surgery or use of thrombolytic agents if tx promptlyB20, HIV | J15.211, Pneumonia due to methicillin susceptible Staphylococcus aureus

8. The National Correct Coding Initiative (NCCI) has resulted in the use of edits in:

Assign code for sepsis, pneumonia, and severe sepsis. Pt w/pneumococcal sepsis and pneumococcal pneumonia also has severe sepsis and Guidelines provide info related to coding, seq of sepsis, severe sepsis, and localized infection, such as pneumoniaI24.0 (acute coronary thrombosis not resulting in MI) Pts w/acute ischemic heart disease or acute myocardial ischemia do not always indicate an infarction and it is often possible to prevent infarction by means of surgery or use of thrombolytic agents if tx promptlyB20, HIV | J15.211, Pneumonia due to methicillin susceptible Staphylococcus aureusMedicare Part B claims processing software

9. When coding a documented ventilator associated pneumonia, VAP, what codes should be assigned?

I24.0 (acute coronary thrombosis not resulting in MI) Pts w/acute ischemic heart disease or acute myocardial ischemia do not always indicate an infarction and it is often possible to prevent infarction by means of surgery or use of thrombolytic agents if tx promptlyAssign code for sepsis, pneumonia, and severe sepsis. Pt w/pneumococcal sepsis and pneumococcal pneumonia also has severe sepsis and Guidelines provide info related to coding, seq of sepsis, severe sepsis, and localized infection, such as pneumoniaThe specific code for ventilator associated pneumonia is coded first, and the organism code, if known, is coded as secondaryB20, HIV | J15.211, Pneumonia due to methicillin susceptible Staphylococcus aureus

10. T/F: You can assume a relationship between hypertension and CKD, whether or not the condition is so designated?

TrueI24.0 (acute coronary thrombosis not resulting in MI) Pts w/acute ischemic heart disease or acute myocardial ischemia do not always indicate an infarction and it is often possible to prevent infarction by means of surgery or use of thrombolytic agents if tx promptlyB20, HIV | J15.211, Pneumonia due to methicillin susceptible Staphylococcus aureusAssign code for sepsis, pneumonia, and severe sepsis. Pt w/pneumococcal sepsis and pneumococcal pneumonia also has severe sepsis and Guidelines provide info related to coding, seq of sepsis, severe sepsis, and localized infection, such as pneumonia

11. Mult surgical procedures performed during the same operative session are discounted with what indicator?

TAssign code for sepsis, pneumonia, and severe sepsis. Pt w/pneumococcal sepsis and pneumococcal pneumonia also has severe sepsis and Guidelines provide info related to coding, seq of sepsis, severe sepsis, and localized infection, such as pneumoniaB20, HIV | J15.211, Pneumonia due to methicillin susceptible Staphylococcus aureusI24.0 (acute coronary thrombosis not resulting in MI) Pts w/acute ischemic heart disease or acute myocardial ischemia do not always indicate an infarction and it is often possible to prevent infarction by means of surgery or use of thrombolytic agents if tx promptly

12. What is disproportionate share hospital or DSH?

Assign code for sepsis, pneumonia, and severe sepsis. Pt w/pneumococcal sepsis and pneumococcal pneumonia also has severe sepsis and Guidelines provide info related to coding, seq of sepsis, severe sepsis, and localized infection, such as pneumoniathe add-on payment given to hospitals that treat low-income patients, which is applied to the adjusted base payment rateI24.0 (acute coronary thrombosis not resulting in MI) Pts w/acute ischemic heart disease or acute myocardial ischemia do not always indicate an infarction and it is often possible to prevent infarction by means of surgery or use of thrombolytic agents if tx promptlyB20, HIV | J15.211, Pneumonia due to methicillin susceptible Staphylococcus aureus

13. Significant procedure is one that req's that it be:

B20, HIV | J15.211, Pneumonia due to methicillin susceptible Staphylococcus aureusAssign code for sepsis, pneumonia, and severe sepsis. Pt w/pneumococcal sepsis and pneumococcal pneumonia also has severe sepsis and Guidelines provide info related to coding, seq of sepsis, severe sepsis, and localized infection, such as pneumoniaI24.0 (acute coronary thrombosis not resulting in MI) Pts w/acute ischemic heart disease or acute myocardial ischemia do not always indicate an infarction and it is often possible to prevent infarction by means of surgery or use of thrombolytic agents if tx promptlySurgical in nature, carries anesthetic risk, and requires specialized training

14. All other procedures w/pymt status indicator T are reimbursed at what percentage?

50%Assign code for sepsis, pneumonia, and severe sepsis. Pt w/pneumococcal sepsis and pneumococcal pneumonia also has severe sepsis and Guidelines provide info related to coding, seq of sepsis, severe sepsis, and localized infection, such as pneumoniaI24.0 (acute coronary thrombosis not resulting in MI) Pts w/acute ischemic heart disease or acute myocardial ischemia do not always indicate an infarction and it is often possible to prevent infarction by means of surgery or use of thrombolytic agents if tx promptlyB20, HIV | J15.211, Pneumonia due to methicillin susceptible Staphylococcus aureus

15. What is unique about code O80, encounter for full-term, uncomplicated pregnancy?

This code is always a PD, and can be used with additional codes if they are not related to or are in any way complicating the pregnancy; O80 may be used if the pregnancy was complicated earlier, but not at this time; always code outcome of pregnancy with deliveriesI24.0 (acute coronary thrombosis not resulting in MI) Pts w/acute ischemic heart disease or acute myocardial ischemia do not always indicate an infarction and it is often possible to prevent infarction by means of surgery or use of thrombolytic agents if tx promptlyB20, HIV | J15.211, Pneumonia due to methicillin susceptible Staphylococcus aureusAssign code for sepsis, pneumonia, and severe sepsis. Pt w/pneumococcal sepsis and pneumococcal pneumonia also has severe sepsis and Guidelines provide info related to coding, seq of sepsis, severe sepsis, and localized infection, such as pneumonia

16. What does a colposcopy visualize?

I24.0 (acute coronary thrombosis not resulting in MI) Pts w/acute ischemic heart disease or acute myocardial ischemia do not always indicate an infarction and it is often possible to prevent infarction by means of surgery or use of thrombolytic agents if tx promptlywomen's genital area, including cervix, vagina, and vulvaAssign code for sepsis, pneumonia, and severe sepsis. Pt w/pneumococcal sepsis and pneumococcal pneumonia also has severe sepsis and Guidelines provide info related to coding, seq of sepsis, severe sepsis, and localized infection, such as pneumoniaB20, HIV | J15.211, Pneumonia due to methicillin susceptible Staphylococcus aureus

17. To correct an entry in the MR, the provider should:

Assign code for sepsis, pneumonia, and severe sepsis. Pt w/pneumococcal sepsis and pneumococcal pneumonia also has severe sepsis and Guidelines provide info related to coding, seq of sepsis, severe sepsis, and localized infection, such as pneumoniaI24.0 (acute coronary thrombosis not resulting in MI) Pts w/acute ischemic heart disease or acute myocardial ischemia do not always indicate an infarction and it is often possible to prevent infarction by means of surgery or use of thrombolytic agents if tx promptlyDraw single line through the error, add a note explaining the error, initial, date, and add correct info in chronological orderB20, HIV | J15.211, Pneumonia due to methicillin susceptible Staphylococcus aureus

18. Pt takes Coumadin as prescribed and correctly adm'rd, however pt develops hematuria secondary to Coumadin use, so the correct coding would be:

B20, HIV | J15.211, Pneumonia due to methicillin susceptible Staphylococcus aureusHematuria, adverse reaction to CoumadinI24.0 (acute coronary thrombosis not resulting in MI) Pts w/acute ischemic heart disease or acute myocardial ischemia do not always indicate an infarction and it is often possible to prevent infarction by means of surgery or use of thrombolytic agents if tx promptlyAssign code for sepsis, pneumonia, and severe sepsis. Pt w/pneumococcal sepsis and pneumococcal pneumonia also has severe sepsis and Guidelines provide info related to coding, seq of sepsis, severe sepsis, and localized infection, such as pneumonia

19. CPT quantitative studies refers to:

B20, HIV | J15.211, Pneumonia due to methicillin susceptible Staphylococcus aureusAssign code for sepsis, pneumonia, and severe sepsis. Pt w/pneumococcal sepsis and pneumococcal pneumonia also has severe sepsis and Guidelines provide info related to coding, seq of sepsis, severe sepsis, and localized infection, such as pneumoniaI24.0 (acute coronary thrombosis not resulting in MI) Pts w/acute ischemic heart disease or acute myocardial ischemia do not always indicate an infarction and it is often possible to prevent infarction by means of surgery or use of thrombolytic agents if tx promptlyresults expressing specific numerical amounts of an analyte in a specimen; usually performed after qualitative study to identify how much of a substance in a sample

20. Pt adm with hemorrhage due to placenta previa w/twin pgs. Pt had 2 prior C-section deliveries. Emergency C-Section was performed due to hemorrhage. Assign PD:

Placenta previa with hemorrhageAssign code for sepsis, pneumonia, and severe sepsis. Pt w/pneumococcal sepsis and pneumococcal pneumonia also has severe sepsis and Guidelines provide info related to coding, seq of sepsis, severe sepsis, and localized infection, such as pneumoniaI24.0 (acute coronary thrombosis not resulting in MI) Pts w/acute ischemic heart disease or acute myocardial ischemia do not always indicate an infarction and it is often possible to prevent infarction by means of surgery or use of thrombolytic agents if tx promptlyB20, HIV | J15.211, Pneumonia due to methicillin susceptible Staphylococcus aureus

21. Pt presents to facility for upper endoscopy implant of material into muscle of lower esophageal sphincter, so what is correct coding, seq of pt's record?

43236, Upper gastrointestinal endoscopy including esophagus, stomach, and either the duodenum and/or jejunum as appropriate; diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure) with directed submucosal injection(s), any substanceB20, HIV | J15.211, Pneumonia due to methicillin susceptible Staphylococcus aureusI24.0 (acute coronary thrombosis not resulting in MI) Pts w/acute ischemic heart disease or acute myocardial ischemia do not always indicate an infarction and it is often possible to prevent infarction by means of surgery or use of thrombolytic agents if tx promptlyAssign code for sepsis, pneumonia, and severe sepsis. Pt w/pneumococcal sepsis and pneumococcal pneumonia also has severe sepsis and Guidelines provide info related to coding, seq of sepsis, severe sepsis, and localized infection, such as pneumonia

22. Certain current complications following STEMI or NSTEMI occur within what timeframe?

28 days after infarctionI24.0 (acute coronary thrombosis not resulting in MI) Pts w/acute ischemic heart disease or acute myocardial ischemia do not always indicate an infarction and it is often possible to prevent infarction by means of surgery or use of thrombolytic agents if tx promptlyAssign code for sepsis, pneumonia, and severe sepsis. Pt w/pneumococcal sepsis and pneumococcal pneumonia also has severe sepsis and Guidelines provide info related to coding, seq of sepsis, severe sepsis, and localized infection, such as pneumoniaB20, HIV | J15.211, Pneumonia due to methicillin susceptible Staphylococcus aureus

23. 2 areas of doc'n in the med record that are significant areas of focus of accrediting agencies are:

Timeliness and legibility of med docsB20, HIV | J15.211, Pneumonia due to methicillin susceptible Staphylococcus aureusAssign code for sepsis, pneumonia, and severe sepsis. Pt w/pneumococcal sepsis and pneumococcal pneumonia also has severe sepsis and Guidelines provide info related to coding, seq of sepsis, severe sepsis, and localized infection, such as pneumoniaI24.0 (acute coronary thrombosis not resulting in MI) Pts w/acute ischemic heart disease or acute myocardial ischemia do not always indicate an infarction and it is often possible to prevent infarction by means of surgery or use of thrombolytic agents if tx promptly

24. If PD is initial episode of anterior wall myocardial infarction, which procedure will result in highest DRG?

B20, HIV | J15.211, Pneumonia due to methicillin susceptible Staphylococcus aureusTransbronchial lung biopsy would optimize DRG. Myocardial infarction alone, with insertion of central venous catheter are a lower weight, and myocardial infarction with mechanical ventilator is also a lower weight.I24.0 (acute coronary thrombosis not resulting in MI) Pts w/acute ischemic heart disease or acute myocardial ischemia do not always indicate an infarction and it is often possible to prevent infarction by means of surgery or use of thrombolytic agents if tx promptlyAssign code for sepsis, pneumonia, and severe sepsis. Pt w/pneumococcal sepsis and pneumococcal pneumonia also has severe sepsis and Guidelines provide info related to coding, seq of sepsis, severe sepsis, and localized infection, such as pneumonia

25. T/F: Codes from categories P05 and P07 are always used together.

I24.0 (acute coronary thrombosis not resulting in MI) Pts w/acute ischemic heart disease or acute myocardial ischemia do not always indicate an infarction and it is often possible to prevent infarction by means of surgery or use of thrombolytic agents if tx promptlyFalse; These two categories should not be assigned together, however when both birth weight and gestational age are available, two codes from P07 should be assigned with birth weight sequenced before gestational ageAssign code for sepsis, pneumonia, and severe sepsis. Pt w/pneumococcal sepsis and pneumococcal pneumonia also has severe sepsis and Guidelines provide info related to coding, seq of sepsis, severe sepsis, and localized infection, such as pneumoniaB20, HIV | J15.211, Pneumonia due to methicillin susceptible Staphylococcus aureus

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25 Questions

❤ If you liked Fatskills, consider supporting us by checking out The Life Manuals You Never Got.

About | Explore | User Guide | Topics | Subjects | Doubt Solver | Career Aptitude Test | Answers | Free Tools | What Should We Know? Privacy | Terms |

Without work one finishes nothing. - Ralph Waldo Emerson© 2026 Fatskills.com

All trademarks, logos and brand names are the property of their respective owners. All company, product and service names used in this website are for identification purposes only. Use of these names, trademarks and brands does not imply endorsement.

About | Explore | User Guide | Topics | Subjects | Doubt Solver | Career Aptitude Test | Answers | Free Tools | What Should We Know?
Privacy | Terms |

Without work one finishes nothing. - Ralph Waldo Emerson
© 2026 Fatskills.com