Book
8/10/2009
2009 CCS Review Guide Errata
|Page |Question |Comments |
| | |Health Data Content, Requirements, and Standards |
|60 |25 |Under which of the following conditions can an original patient health record be physically removed from the hospital? |
| | |A. when the patient is brought to the hospital emergency department following a motor vehicle accident and, after assessment, is transferred with his health |
| | |record to a trauma designated emergency department at another hospital |
| | |B. when the director of health records is acting in response to a subpoena duces tecum and takes the health record to court |
| | |C. when the patient is discharged by the physician and at the time of discharge is transported to a long-term care facility with his health record |
| | |D. when the record is taken to a physician’s private office for a follow-up patient visit postdischarge |
| | |Correct answer: B |
| | |Use options A-D to correct error in typesetting question options in book. |
| | |Option B was left out and option C was changed to become B and option D became C. |
|61 |32 |Joint Commission standards require that a complete history and physical be documented on the health records of operative patients. Does this report carry a time|
| | |requirement? |
| | |A. yes, within 8 hours post-surgery |
| | |B. no, as long as it is dictated before surgery |
| | |C. yes, prior to surgery |
| | |D. yes, within 24 hours post-surgery |
| | |Correct answer: C |
| | |Use options A-D to correct error in typesetting question options in book. |
| | |Error in typesetting question options. Options B and D were left out. |
2009 CCS Review Guide Errata
(continued)
|Page |Question |Comments |
| | |Medical Science |
|85 |17 |Correct option D to read: either staphylococcus or streptococcus |
|100 | |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. |
|92 |60 |The most common bloodborne infection in the United States is |
| | |Typographical error in question: change “State” to “States. |
|100 |65 |Correct answer: D |
|95 |83 |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. |
|163 |34 |Correct answer: A |
|146 |39 |Please omit using this question. |
| | |ICD-9-CM Coding |
|171 |2 | |
| | |Answer option “B” should read: B: 038.11, V09.0, 707.03, 995.92, 785.52, 707.20, 38.93, 00.11 |
|177 |39 |Answer option “D” should read: D: 410.41, 414.00, 427.31 |
|180 |59 |Answer option “C” should read: C: 403.90, 250.41, 585.9, V58.67 |
|185 |88 |Answer “D” should read: D: 771.82, 041.4 |
|190 |115 |Question should read: |
| | |The patient has hypertensive heart disease and nephrosclerosis with end stage renal disease |
2009 CCS Review Guide Errata
(continued)
|Page |Question |Comments |
|198 |138 |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 |
|222 | |Explanation should read: Diabetic ketoacidosis by definition is uncontrolled. |
|202 |148 |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 |
| | | |
|222 | |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 |
| | |coder should not assume to use the fifth digit 1 unless documented as continuous. |
| | |CPT Coding |
|229- |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.|
|230 | | |
|239 |72 |Answer “A” should read: A: 43260, 43262, 43264 |
|246 |117 |Answer “D” should read: D: 59300 |
|256 |186 |Last sentence of question should read: The decubitus ulcer was debrided down to the bone. |
|258 |191 |Add code option -25 to code 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 |
|225 |193 |Add option -59 to code option box: -59 Distinct procedural service |
| | |Answer “B” should read: B: 727.61, 29826-59, 23412 |
| | | |
|275 | |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 Review Guide Errata
|Page |Question |Comments |
|269 |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. |
|269 |232 |Laryngoscopic submucosal removal of non-neoplastic lesion of the vocal cord with graft reconstruction. An operating microscope was used. |
| | |A. 31546, 69990 C. 31546 |
| | |B. 31546, 20926 D. 31546, 20926-51 |
| | |REFERENCE: CPT Assistant, May 2006, p 16-17 |
| | |Correction: First word in question should be: Laryngoscopic. |
|273 |119 |When tubal ligation is performed at the same time as hysterotomy, use 58611 in addition to 59100 |
| | |Case Study Coding Review |
|471 |Case 5 |DX 3 should read: 303.90 |
| |Answer | |
|347 |Case 10 |Add to Postoperative diagnoses: Uterine adhesions |
| | | |
|473 |Answer |Change Microscopic Diagnosis 1 to read: Uterus: Dense adhesions |
| | |Add: DX4 Intrauterine synechiae 621.5 |
|476 |Case 15 |Add: Additional DX Supplemental Oxygen V46.2 |
| |Answer | |
|373 |Case 17 |Add DX 2: Tobacco use disorder 305.1 (Added since many facilities are tracking tobacco use.) |
|394 |Case 21 |Delete Discharge Diagnosis 5. Osteoarthritis |
|479 | |Add: DX 5 Tobacco use disorder 305.1 (Added since many facilities are tracking tobacco use.) |
|479 |Case 22 |Add: Additional DX Long term (current) use of insulin V58.67 |
| | |Add: Additional DX History of tobacco use V15.82 (Added since many facilities are tracking tobacco use.) |
|480 |Case 23 |Change Principal Diagnosis to read: Other specified cardiac dysrhythmias 427.89 |
|483 |Case 29 |Add: DX9 History of tobacco use V15.82 (Added since many facilities are tracking tobacco use.) |
|483 |Case 30 |Add: DX9 History of tobacco use V15.82 (Added since many facilities are tracking tobacco use.) |
2009 CCS Review Guide Errata
|Page |Question |Comments |
| | |CCS Mock Part 1 Examination 1 |
|502 |Mock 1 |Answer D should read: 29881-LT |
|512 |54 |To Answer add: If debridement or shaving of articular cartilage and meniscectomy are performed in the same compartment of the knee, then code only 29881. |
| | |Add reference: CPT Assistant, April 2005, p14 |
| | |CCS Mock Part 1 Examination 2 |
|522 |Mock 2 |Answer B should read: 276.51, 584.9, 403.90, 585.9 |
| |22 | |
| | |CCS Mock Part II Coding Cases |
|548 |Mock Case 2 |Second sentence under Procedure heading, delete: “using the microscope” |
|611 | |Delete DX 2 |
|585 |Mock Case 10 |Delete Admitting diagnosis 4. Osteoarthritis |
| | |Delete Discharge diagnosis 8. Osteoarthritis |
|616 | |Add: Additional DX pacemaker (other postprocedural states) V45.01 |
|617 |Mock Case 11 |Add: DX 11 Tobacco use disorder 305.1 (Added since many facilities are tracking tobacco use.) |
| | |CCS Quiz |
|CD |16 |CD only: Answer Key should read: A |
| | |CCS Mock Examination Part II |
|549 |Case 1 |Note: In the case, it was mentioned twice that the patient was vomiting blood. In real life, we would probably query the physician to make sure that the |
| | |discharge summary was correct. The discharge summary in case could be amended in future editions to be more consistent or the two statements with vomiting blood|
| | |could be amended to follow the current discharge summary. So, as the case stands you could code it to discharge summary if you felt uncomfortable using the code|
| | |for vomiting blood. |
|550 |Case 4 |Note: The coding of smoking is becoming more prevalent as an individual facility choice. However, there is no "rule" in coding that it must be coded even if |
| | |there is a respiratory diagnosis. You wouldn't necessarily be "wrong" in adding it, but it is not mandatory |
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