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CCS Model Question Paper Set1

The document contains a model question paper for the Certified Coding Specialist (CCS) exam, including multiple-choice questions and coding scenarios. It covers topics such as correct coding sequences, ICD-10-PCS vs. CPT coding, and compliance with patient health information privacy. Additionally, it emphasizes the importance of accurate documentation and coding practices.

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597 views3 pages

CCS Model Question Paper Set1

The document contains a model question paper for the Certified Coding Specialist (CCS) exam, including multiple-choice questions and coding scenarios. It covers topics such as correct coding sequences, ICD-10-PCS vs. CPT coding, and compliance with patient health information privacy. Additionally, it emphasizes the importance of accurate documentation and coding practices.

Uploaded by

madhumitha2377
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

Certified Coding Specialist (CCS) – Model Question

Paper (Set 1)

Part A: Multiple-Choice Questions


1. A patient is admitted with pneumonia due to Streptococcus pneumoniae. The final diagnosis also
lists COPD and hypertension. What is the correct sequencing for coding?
A. J44.0, J13, I10
B. J13, J44.0, I10
C. J44.9, J13, I10
D. I10, J44.0, J13
Answer: B
2. Which of the following procedures would be coded with ICD-10-PCS and not CPT?
A. Colonoscopy performed in outpatient setting
B. Insertion of central venous catheter in ER
C. Coronary artery bypass graft (CABG) in inpatient hospital
D. Removal of skin lesion in physician’s office
Answer: C
3. Which organization maintains the ICD-10-CM Official Guidelines for Coding and Reporting?
A. CMS
B. AMA
C. AHIMA
D. NCHS
Answer: D
4. A coder notices documentation doesn’t specify if a wound is acute or chronic. What should the
coder do?
A. Assign unspecified code
B. Query the physician for clarification
C. Choose chronic by default
D. Code both acute and chronic
Answer: B
5. The principal diagnosis is defined as:
A. The first-listed condition after discharge
B. The condition established after study to be chiefly responsible for admission
C. The main chronic condition
D. The first condition listed in the progress note
Answer: B
Part B: Coding Scenarios
Case 1 (Inpatient Record)
A 65-year-old male admitted with chest pain. Cardiac enzymes and EKG confirmed acute inferior
wall myocardial infarction. Patient has a history of type 2 diabetes mellitus and hyperlipidemia. PCI
with one stent placed in right coronary artery performed successfully.
Diagnosis Codes:
I21.19 – STEMI inferior wall
E11.9 – Type 2 diabetes mellitus
E78.5 – Hyperlipidemia
Procedure: 02703DZ – Dilation of right coronary artery with drug-eluting stent, percutaneous
approach

Case 2 (Outpatient Record)


Excision of benign skin lesion, 2.5 cm, from left cheek, with intermediate layered closure.
CPT Codes: 11443, 12052

Case 3 (Emergency Department)


Patient seen for syncope. Workup reveals dehydration due to acute gastroenteritis. IV fluids given.
ICD-10-CM: K52.9, E86.0, R55
Principal diagnosis: K52.9
Part C: Compliance and Data Quality
1. Which act enforces the privacy of patient health information?
A. HIPAA
B. EMTALA
C. COBRA
D. OIG Act
Answer: A
2. Upcoding can result in:
A. Increased reimbursement and potential penalties
B. Lower DRG weight
C. Data loss only
D. None of the above
Answer: A
3. What is the main purpose of a query to the provider?
A. To clarify documentation for accurate coding
B. To obtain higher reimbursement
C. To verify the patient’s insurance
D. To change the principal diagnosis
Answer: A

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