Free CCS-P Practice Questions

Question 1

An established patient returns for poorly controlled type 2 diabetes without an acute metabolic complication. The physician increases an oral medication, orders a CBC, comprehensive metabolic panel, and hemoglobin A1c, and reviews the previous result of each of those same tests. There is no independent test interpretation, external discussion, or documented total time. Which office E/M assignment is supported?

Accepted Answer

99214: moderate MDM from the chronic disease, data reviewed, and prescription-drug management

Answer

99213: low MDM because the laboratory work falls within only one data category

Answer

99215: high MDM because ordering and reviewing the tests produces six data items

Answer

99215: high MDM because increasing a prescription dose establishes high management risk

Question 2

At a nephrology follow-up, a 68-year-old patient's assessment lists type 2 diabetes, hypertension, and CKD stage 3b as separate entries. All three conditions affect care. The provider does not state that the CKD is unrelated to either diabetes or hypertension, and no heart disease is documented. Considering disease codes only, which set captures the required relationships and CKD specificity?

Accepted Answer

E11.22 (type 2 with CKD), I12.9 (hypertension with CKD), N18.32 (stage 3b CKD)

Answer

E11.9 (type 2, no complications), I10 (hypertension), N18.32 (stage 3b CKD)

Answer

E11.22 (type 2 with CKD), I10 (hypertension), N18.32 (stage 3b CKD)

Answer

E11.9 (type 2, no complications), I12.9 (hypertension with CKD), N18.32 (stage 3b CKD)

Question 3

The report from a complete colonoscopy for rectal bleeding documents two lesions. A sigmoid polyp is biopsied and then removed by snare. A separate ascending-colon lesion is biopsied but not removed. For the physician's Medicare claim, what procedure reporting reflects both the distinct lesions and the work included in each code?

Accepted Answer

45385 plus 45380-XS, with one unit of each code

Answer

45385 plus 45380-XS, with two units of the biopsy code

Answer

45385 alone, with both biopsies included in the snare-removal service

Answer

45378 plus 45385 and 45380-XS, with one unit of each code

Question 4

An established Original Medicare patient sees a nurse practitioner for new painful urination. The NP diagnoses an uncomplicated urinary tract infection and initiates treatment. The physician is in the office suite but does not see the patient or participate in the assessment or plan. The NP is enrolled in Medicare and practices within state scope. How should the practice bill this E/M service?

Accepted Answer

Under the NP's NPI, using the payment rate for an independently billed NP service

Answer

Under the physician's NPI, because direct supervision was available during the visit

Answer

Under the physician's NPI after the physician reviews and cosigns the completed note

Answer

Hold the claim until the physician evaluates the new condition in person

Question 5

A pharmacy dispenses warfarin tablets at twice the prescribed strength. The patient follows the bottle's instructions and develops gross hematuria. During emergency treatment, the physician links the bleeding to the excess warfarin caused by the dispensing error; the event was unintentional. Identify the ICD-10-CM classification and sequence for this drug event.

Accepted Answer

Accidental poisoning: T45.511A first, followed by the bleeding manifestation

Answer

Adverse effect: the bleeding manifestation first, then T45.515A

Answer

Accidental poisoning: code the bleeding manifestation before reporting T45.511A

Answer

Adverse effect: report T45.515A before reporting the documented bleeding manifestation

Question 6

A payer's 277CA acknowledgement rejects a professional claim because the rendering NPI contains too few digits. No adjudication has occurred, and the filing deadline remains open. The authenticated encounter note identifies the enrolled clinician who performed the service. What should happen next?

Accepted Answer

Correct the rendering NPI and resubmit the claim for initial processing

Answer

Request a medical-necessity appeal and attach the authenticated encounter note

Answer

Replace the rendering NPI with the billing organization's NPI and resubmit

Answer

Transfer the unpaid charge to the patient because the payer rejected the claim

Question 7

During a 15-year-old established patient's preventive visit, the physician completes the age-appropriate preventive service and separately evaluates worsening asthma. The additional assessment leads to an increased controller-medication dose and a follow-up plan; that work independently supports moderate MDM. No procedures are performed. Which combination reports the two E/M services?

Accepted Answer

99394 and 99214-25, placing the modifier on the problem-oriented service

Answer

99394 only, treating the asthma assessment as part of the preventive visit

Answer

99214 only, replacing the preventive service with the problem-oriented visit

Answer

99394-25 and 99214, placing the modifier on the preventive service

Question 8

An independent audit of a computer-assisted coding system finds diagnosis-level precision of 96% and recall of 58%. The reviewers compare its output with all diagnoses reportable from the authenticated encounter notes. Which interpretation is justified by these results?

Accepted Answer

Its suggestions are usually supported, but it misses many reportable diagnoses

Answer

Unsupported suggestions, rather than omitted reportable diagnoses, are its main error

Answer

Its overall accuracy is 96%, including diagnoses it never suggests

Answer

It detects 96% of reportable diagnoses, and 58% of its suggestions are supported

Question 9

A patient at 23 weeks 4 days of gestation receives treatment for acute cystitis. The obstetrician documents that the infection complicates the pregnancy. This is a problem visit, not routine prenatal supervision. Which approach preserves the correct first-listed diagnosis category and completed weeks of gestation?

Accepted Answer

A second-trimester pregnancy-complication code first, with 23 completed weeks

Answer

Acute cystitis first; add incidental pregnancy and 23 completed weeks

Answer

A second-trimester pregnancy-complication code first, with 24 completed weeks

Answer

A normal-pregnancy supervision code first, followed by cystitis and 23 completed weeks

Question 10

In the same authenticated cardiology encounter, the assessment states 'acute systolic heart failure,' while the impression states 'chronic systolic heart failure without exacerbation.' The remainder of the note does not resolve the difference. Before assigning heart-failure acuity, the coder should:

Accepted Answer

Query the physician to reconcile the conflicting acuity statements

Answer

Assign acute-on-chronic systolic heart failure by combining the two statements

Answer

Assign acute systolic heart failure because the assessment takes priority

Answer

Assign chronic systolic heart failure because it describes the baseline condition

Free CCS-P Practice Questions

Domain 1: Diagnosis Coding (24-26%)

Question 1

Question 2

Question 3

Domain 2: Procedure Coding (28-32%)

Question 4

Question 5

Question 6

Domain 3: Research (6-10%)

Question 7

Domain 4: Compliance (18-22%)

Question 8

Question 9

Domain 5: Revenue Cycle (14-18%)

Question 10

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