Book



8/10/2009

2009 CCS-P Review Guide Errata

|Page |Question |Comments |

| | |Health Data Content, Requirements and Standards |

|76 |54 |Add answer for question 54. Correct answer is “A”. |

| | |Medical Science |

|83 |17 |Correct option D to read: either staphylococcus or streptococcus |

| | |Correct answer: D |

| | |Two types of bacteria cause impetigo — Staphylococcus aureus (staph), which is most common, and Streptococcus pyogenes (strep). Both types of bacteria can live |

| | |harmlessly on your skin until they enter through a cut or other wound and cause an infection. |

|90 |60 |The most common bloodborne infection in the United States is |

| | |Typographical error in question: change “State” to “States. |

|98 |65 |Correct answer: D |

|98 |65 |Correct Answer is: D |

| | |Information on vaginitis to support answer in book. |

| | |The most common types of vaginitis are: |

| | |Bacterial vaginosis. This type of vaginitis results from overgrowth of one of several organisms normally present in your vagina, upsetting the natural balance of |

| | |vaginal bacteria. |

| | |Yeast infections. A naturally occurring fungus called Candida albicans usually causes this type of vaginitis. An estimated three out of four women will have a yeast|

| | |infection in their lifetimes. |

| | |Trichomoniasis. This type is caused by a parasite and is commonly transmitted by sexual intercourse. |

| | |Atrophic vaginitis. This type results from reduced estrogen levels after menopause. The vaginal tissues become thinner and drier, which may lead to itching, burning|

| | |or pain. |

2009 CCS-P Review Guide Errata

(continued)

| | |Medical Billing and Reimbursement |

|131 |16 |Please omit using this question. |

|140 | | |

|140 |13 |Under the outpatient prospective payment system (OPPS), status indicator “___” is a payment indicator that refers to “significant procedures for which the multiple |

| | |procedure reduction applies”. This means that the reported CPT and/or HCPCS Level II code will be paid a discounted APC reimbursement rate when reported with other |

| | |procedures on the same claim. |

| | |A. “T” C. “S” |

| | |B. “X” D. “A” |

| | |Correct answer: A |

| | |ICD-9-CM Coding |

|147 |2 |Answer option “B” should read: B: 038.11, V09.0, 707.03, 995.92, 785.52, 707.20 |

|152 |39 |Answer option “D” should read: D: 410.41, 414.00, 427.31 |

|155 |59 |Answer option “C” should read: C: 403.90, 250.41, 585.9, V58.67 |

|157 |71 |Delete the procedure code 86.04 from option “A”. |

| | |Add options C and D to read: |

| | |C: 680.9 |

| | |D: 682.0 |

|159 |88 |Answer “D” should read: D: 771.82, 041.4 |

|165 |115 |Question should read: |

| | |The patient has hypertensive heart disease and nephrosclerosis with end stage renal disease |

|171 |137 |Add codes to box: |

| | |250.32 Diabetes mellitus with other coma, type II or unspecified type, uncontrolled |

| | |250.52 Diabetes mellitus with ophthalmic manifestations, type II or unspecified type, uncontrolled |

| | |Answer option “C” should read: C: 250.32, 250.52, 366.41 |

|189 | |Explanation should read: Diabetic ketoacidosis by definition is uncontrolled. |

2009 CCS-P Review Guide Errata

(continued)

|174 |147 |Correct option for code 303.90 in box: 303.90 Other and unspecified alcohol dependence, unspecified |

| | |Add option for code 303.91 in box: 303.91 Other and unspecified alcohol dependence, continuous |

| | |Answer “C” should read 303.90, 535.30 |

| | | |

| | |Add explanation to answer key: The term “continuous” refers to daily intake of large amounts of alcohol, or regular heavy drinking on weekends or days off. The |

|189 | |coder should not assume to use the fifth digit 1 unless documented as continuous. |

|189 |116 |Correct Answer is “A” |

|190 |199 |There is no question 88, delete answer key for question |

| | |CPT Coding |

|197-198 |10-18 |Questions from anesthesia need to have “anesthesia for” added at the beginning of the question on the interactive CD so that students know use the anesthesia code. |

|206 |72 |Answer “A” should read: A: 43260, 43262, 43264 |

|212 |117 |Answer “D” should read: D: 59300 |

|231 |186 |Last sentence of question should read: The decubitus ulcer was debrided down to the bone. |

| | |Add code option 707.20 to option box: 707.20 Pressure ulcer unspecified stage |

| | |Answer “C” should read: C: 250.80, 707.06, 707.20, 11044 |

|236 |231 |Laparoscopic takedown of the splenic flexure and a partial colectomy with anastomosis |

| | |A. 44203, 44213 C. 44213 |

| | |B. 44204 D. 44204, 44213 |

| | |REFERENCE: CPT Assistant, April 2006, p 19 |

| | |Correction: Codes in answer A should read: 44203, 44213 |

| | |Answer D is correct. |

|238 |119 |When tubal ligation is performed at the same time as hysterotomy, use 58611 in addition to 59100 |

|224 |191 |Add code option -25 to code option box: -25 Significant, separately identifiable evaluation and management service by the same physician on the same day of the |

| | |procedure or other service. |

| | |Answer “D” should read: D: 841.9, E927.2, 99281-25, 73080 |

|259 |193 |Add option -59 to code option box: -59 Distinct procedural service |

| | |Answer “B” should read: B: 727.61, 29826-59, 23412 |

|274 | |Add to answer explanation: Modifier -59 must be added to code 29826 because it is a component of comprehensive procedure 23412. That is allowed if an appropriate |

| | |modifier is used per NCCI edits. |

2009 CCS-P Review Guide Errata

(continued)

|236 |232 |Correction: First word in question should be: Laryngoscopic: |

| | |Laryngoscopic submucosal removal of non-neoplastic lesion of the vocal cord with graft reconstruction. An operating microscope was used. |

|477 |Case Study 10 |Delete PR2 |

|484 |Case Study 23 |DX 2 should read: 997.39 |

| | |DX 4 should read: 568.0 |

|487 |Case Study 29 |Additional DX: Diabetic neuropathy 357.2 |

| | |Additional DX: Chronic kidney disease, unspecified 585.9 |

|489 |Case Study 33 |Add Additional DX: Pressure ulcer, stage II 707.22 |

|437 |Case Study 36 |Delete references to micro or microscope use in procedure on page 437 |

|490 | |Delete PR2 |

| | |CCS-P Mock Examination |

|506 |40 |Answer “D” should read: D. 29881-LT |

|517 | |Add explanation to answer key; If debridement or shaving of articular cartilage and meniscectomy are performed in the same compartment of the knee, then code only |

| | |29881. |

|507 |41 |Change code in box from 32581 to 32851 |

| | |Answer “C” should read: 32852 |

|597 |Mock Case 6 |Add DX 4: Tobacco use disorder 305.1 |

|598 |Mock Case 8 |Add DX 4: Wheelchair dependence V46.3 |

|599 |Mock Case 9 |Add DX 3: History of tobacco use V15.82 |

| | |Delete PP3: G00001 |

|600 |Mock Case 11 |Add DX 2: Tobacco use disorder 305.1 |

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