Download Book - Delmar

6/26/2017
2009 CCS-P Review Guide Errata
Page
Question
76
54
83
17
90
60
98
98
65
65
Comments
Health Data Content, Requirements and Standards
Add answer for question 54. Correct answer is “A”.
Medical Science
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.
The most common bloodborne infection in the United States is
Typographical error in question: change “State” to “States.
Correct answer: D
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.
Page 1 of 4
2009 CCS-P Review Guide Errata
(continued)
131
140
140
16
147
152
155
157
2
39
59
71
159
165
88
115
171
137
189
13
Medical Billing and Reimbursement
Please omit using this question.
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
Answer option “B” should read: B: 038.11, V09.0, 707.03, 995.92, 785.52, 707.20
Answer option “D” should read: D: 410.41, 414.00, 427.31
Answer option “C” should read: C: 403.90, 250.41, 585.9, V58.67
Delete the procedure code 86.04 from option “A”.
Add options C and D to read:
C: 680.9
D: 682.0
Answer “D” should read: D: 771.82, 041.4
Question should read:
The patient has hypertensive heart disease and nephrosclerosis with end stage renal disease
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
Explanation should read: Diabetic ketoacidosis by definition is uncontrolled.
Page 2 of 4
2009 CCS-P Review Guide Errata
(continued)
174
147
189
189
190
116
199
197198
206
212
231
10-18
236
231
238
224
119
191
259
193
274
72
117
186
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 coder should not assume to use the fifth digit 1
unless documented as continuous.
Correct Answer is “A”
There is no question 88, delete answer key for question
CPT Coding
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.
Answer “A” should read: A: 43260, 43262, 43264
Answer “D” should read: D: 59300
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
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.
When tubal ligation is performed at the same time as hysterotomy, use 58611 in addition to 59100
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
Add option -59 to code option box: -59 Distinct procedural service
Answer “B” should read: B: 727.61, 29826-59, 23412
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.
Page 3 of 4
2009 CCS-P Review Guide Errata
(continued)
236
232
477
Case
Study
Case
Study
Case
Study
Case
Study
Case
Study
484
487
489
437
490
506
517
40
507
41
597
Mock
6
Mock
8
Mock
9
Mock
11
598
599
600
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.
Delete PR2
10
23
29
DX 2 should read: 997.39
DX 4 should read: 568.0
Additional DX: Diabetic neuropathy 357.2
Additional DX: Chronic kidney disease, unspecified 585.9
Add Additional DX: Pressure ulcer, stage II 707.22
33
Case
Delete references to micro or microscope use in procedure on page 437
Delete PR2
CCS-P Mock Examination
Answer “D” should read: D. 29881-LT
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.
Change code in box from 32581 to 32851
Answer “C” should read: 32852
Add DX 4: Tobacco use disorder 305.1
Case
Add DX 4: Wheelchair dependence V46.3
Case
Add DX 3: History of tobacco use V15.82
Delete PP3: G00001
Add DX 2: Tobacco use disorder 305.1
36
Case
Page 4 of 4