CCS ICD-10-PCS Procedures Practice Questions
ICD-10-PCS Procedures makes up 4 of every 50 questions on a Tigertest CCS practice test. Here are 10 of the 16 questions on it, each with the answer and the reason.
Updated by the Tigertest team. Weighted to the AHIMA CCS Exam Content Outline. Original questions on coding guidelines and concepts; not affiliated with AHIMA.
1. Removal of a whole kidney is coded to the root operation:
- A.Detachment
- B.Resection
- C.Excision
- D.Extraction
Answer: B. Resection is cutting out or off, without replacement, all of a body part. Excision takes only a portion. Detachment is for the extremities.
2. Removing a blood clot from inside an artery is coded to the root operation:
- A.Extraction
- B.Fragmentation
- C.Excision
- D.Extirpation
Answer: D. Extirpation is taking or cutting out solid matter from a body part, such as a thrombus, a foreign body or a stone. The matter is not a body part, so Excision does not apply.
3. A dilation and curettage of the endometrium is coded to the root operation:
- A.Extraction
- B.Resection
- C.Excision
- D.Extirpation
Answer: A. Extraction is pulling or stripping out or off all or a portion of a body part by force. Curettage of the endometrium removes the tissue by force, so it is Extraction.
4. Lithotripsy that breaks a kidney stone into pieces left to pass is coded to:
- A.Destruction
- B.Extraction
- C.Fragmentation
- D.Extirpation
Answer: C. Fragmentation is breaking solid matter in a body part into pieces. If the pieces are also removed in the same procedure, Extirpation is coded instead.
5. In most ICD-10-PCS bypass codes, the qualifier identifies the body part bypassed:
- A.Around
- B.Through
- C.To
- D.From
Answer: C. For Bypass, the body part character identifies the body part bypassed from and the qualifier the body part bypassed to. Coronary artery bypass is the exception.
6. For coronary artery bypass, the body part character identifies the:
- A.Number of arteries bypassed to
- B.Number of grafts harvested
- C.Type of graft material used
- D.Vessel the graft comes from
Answer: A. In coronary bypass codes the body part value shows the number of coronary arteries that receive a bypass, and the qualifier identifies the vessel bypassed from, such as the aorta or an internal mammary artery.
7. Surgically putting back a fully severed finger in its normal place is coded to:
- A.Transfer
- B.Replacement
- C.Transplantation
- D.Reattachment
Answer: D. Reattachment is putting back in or on all or a portion of a separated body part to its normal location or another suitable location. Transplantation uses a body part from another individual or animal.
8. A below-knee amputation is coded to the root operation:
- A.Reposition
- B.Detachment
- C.Resection
- D.Excision
Answer: B. Detachment is cutting off all or part of the upper or lower extremities. The body part value is where the detachment is made, here the lower leg, and the qualifier shows the level (high, mid or low).
9. Moving a skin flap to a new site while it keeps its own blood supply is coded to:
- A.Supplement
- B.Transfer
- C.Replacement
- D.Reposition
Answer: B. Transfer is moving all or a portion of a body part to another location to take over its function, without taking out the body part. A pedicle flap keeps its vascular and nerve supply.
10. A spinal fusion uses an interbody cage packed with bone graft. The device value is:
- A.Internal fixation device
- B.Synthetic substitute
- C.Autologous tissue substitute
- D.Interbody fusion device
Answer: D. When an interbody fusion device is used, even if it is filled with bone graft, the device value is Interbody fusion device. Bone graft alone takes a tissue substitute value.
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