2012 Annual Self-Review
CERTIFIED CODING SPECIALIST
Gill Sans
ahima.org
2012 CCS Coding Self-Review
1. The following statements are all true
regarding the coding of glaucoma, EXCEPT:
a. When a patient has bilateral glaucoma
and both are documented as being the
same type and stage, report only the
code for the type of glaucoma and one
code for the stage:
b. When a patient has bilateral glaucoma
and each eye is documented as having a
different stage, assign one code for the
type of glaucoma and one code for the
highest glaucoma stage
c. When a patient has bilateral glaucoma
and each eye is documented as having a
different type and a different stage,
assign one code for each type of
glaucoma and one code for the highest
glaucoma stage
d. If a patient is admitted with glaucoma
and the stage progresses during the
admission, assign codes for both stages
2. Patient has atherosclerosis of the right
coronary artery due to severely calcified
coronary lesion. How is this diagnosis
coded?
a. 414.00
b. 414.01
c. 414.01, 414.4
d. 414.4
3. Patient is diagnosed with Enteritis due to
Shiga toxin-producing E. coli O157. How is
this diagnosis coded?
a. 008.04
b. 041.41
c. 008.04, 041.41
d. 008.04, 041.4
4. Patient had a laparoscopic cholecystectomy
performed last week. Follow-up
examination revealed a retained gallstone
in the cystic duct. How is this diagnosis
coded?
a. 997.41
b. 997.49
c. 997.4
d. 574.20
5. Patient is diagnosed with depression and
anxiety. How is this coded?
a. 300.4
b. 311
c. 300.00
d. 311, 300.00
6. Patient is using marijuana on a long-term
basis for medical purposes. How is this
diagnosis coded?
a. 305.20
b. 305.21
c. V58.69
d. This is not coded
7. The patient is a 35-year-old female who
presents to the emergency room with
complaints of nausea and vomiting. She was
diagnosed as having gastric band infection.
She received intravenous antibiotics during
her hospitalization. What is the appropriate
code assignment for the infection
associated with gastric band erosion?
a. 996.59, 537.89
b. 539.01
c. 996.59
d. 537.89
8. Patient is diagnosed as having “subacute
deep vein thrombosis (DVT).” How is this
diagnosis coded?
a. 453.40
b. 453.50
c. 453.9
d. 459.81
9. Patient is admitted in an unconscious state
following a motor vehicle accident. CT scan
revealed a massive subdural hemorrhage
and an EEG showed no brain activity. The
physician documents “brain death.” How is
the diagnosis of brain death coded?
a. 348.82
b. 348.89
c. 348.5
d. 348.1
2012 CCS Coding Self-Review
10. A patient with metastatic colon cancer
developed pancytopenia following
chemotherapy. The patient presents to the
oncologist for follow-up. The oncologist
listed chemotherapy induced pancytopenia
in his final diagnostic statement. What code
should be assigned for chemotherapy
induced pancytopenia?
a. 284.1
b. 284.11
c. 284.12
d. 284.19
11. Patient with coronary atherosclerosis was
treated with a percutaneous transluminal
atherectomy of the left anterior descending
artery. How is this procedure coded?
a. 00.60, 00.40
b. 00.60
c. 17.55, 00.40
d. 17.55
12. A four-year-old patient with congenital
pulmonary atresia is admitted for
endovascular replacement of the
pulmonary valve. How is this procedure
coded?
a. 35.06
b. 35.07
c. 35.08
d. 35.09
13. Ultrasonic debridement of a wound is
classified to the code for ____________
debridement in ICD-9-CM.
a. Excisional
b. Nonexcisional
c. Either excisional or nonexcisional
d. Need additional information
14. Patient is experiencing increasing shortness
and breath and hemoptysis and is admitted
for a bronchoscopy with biopsy. Brushings
and washings were taken from the left
lower lobe of the lung, which revealed
carcinoma. How is this procedure coded?
a. 33.22
b. 33.24
c. 33.26
d. 33.27
15. Patient is admitted with a non-healing
amputation stump and is treated with a
DermaClose device. How is this procedure
coded?
a. 86.59
b. 86.63
c. 86.75
d. 86.89
16. Patient presents with ascites and an
abdominal paracentesis, with imaging
guidance, is performed. How is this
procedure coded?
a. 49082
b. 49083
c. 49084
d. 49000
17. Patient suffers from chronic thoracic back
pain. He presents for a facet joint injection
of a neurolytic agent at the T2-T3 joint with
fluoroscopic guidance. How is this
procedure coded?
a. 64633
b. 64633, 64634
c. 64630
d. 64640
2012 CCS Coding Self-Review
18. The physician providing initial observation
care spends 55 minutes at the bedside and
on the unit and the documentation shows a
detailed history and detailed examination
and medical decision making of moderate
complexity. Which E/M code should be
assigned?
a. 99218
b. 99219
c. 99220
d. 99226
22. True or False? Assign the Present on
Admission indicator “Y” for all congenital
conditions and anomalies.
a. True
b. False
19. A 15-year-old patient presents for surgery
for a surgical preparation and application of
a skin substitute graft of both legs totaling
110 sq cm. What is the appropriate CPT
code assignment (do not assign the HCPCS
Level II code for the skin substitute graft)?
a. 15002, 15273
b. 15002, 15003, 15273, 15274
c. 15002, 15003, 15271, 15272 x 4
d. 15002, 15271, 15272 x 4
24. Medicare Administrative Contractors
(MACs) process _____________ claims.
a. Part A only
b. Part B only
c. Part A and Part B
d. Part A, B, and C
20. Assign the code for endovascular placement
of an intravascular vena cava filter with
radiological supervision and interpretation.
a. 37191
b. 37619
c. 37192
d. 37191, 75825
21. Which of the following conditions is a
neurologic disorder that triggers involuntary
frequent and uncontrollable outbursts of
crying, laughing or both?
a. Pseudobulbar affect (PBA)
b. Postencephalitis syndrome
c. Postconcussion syndrome
d. Amyotrophic lateral sclerosis (ALS)
23. True or False? In ICD-9-CM, a “borderline”
diagnosis is coded the same as an
“uncertain” diagnosis.
a. True
b. False
25. True or False? In reference to CPT coding, a
multiple lead system is defined as a
pacemaker or cardioverter-defibrillator that
has pacing and sensing functions in two
chambers of the heart.
a. True
b. False