CCS Exam Preparation
ICD-9-CM Diagnoses:
• Heart valve disease, with/without heart disease
• Combination codes for hypertension with heart or renal failure
• Congenital disorders treated later in life
• Late effect codes (how late is late?)
• Any section of the official guidelines that has multiple instructions (neoplasms, cardiovascular, HIV, etc.)
• Fifth digit designations (DM, osteoarthritis)
• Complications (confirming causative relationship, correct sequencing)
• Identifying infectious organisms
• Complicated wounds, crush injuries
• Differentiating primary from secondary neoplasms
• Symptoms (when it is appropriate to report them separately, inpt vs outpt use)
• Specified vs unspecified anemias
• Mental disorders (lots of changes for 2005)
• CAD if native vs. bypass vessel
• Atherosclerosis category 440.2x (explain includes notes)
• Cholecystitis (acute, chronic, with/without stones)
• OB delivery with problems (multiple codes, causes of obstructed labor)
ICD-9-CM Vol III Procedures:
• Endoscopic procedures (are there any places left where this approach is not specifically delineated?)
• Omit operative approach (laminectomy)
• Biopsy vs. excision of lesion
• PTCA (what’s included- thrombolytic, what’s not- drug eluting stent)
• Heart caths (multiple coding)
• Intestinal procedures (excisions, with/without anastomosis)
• Fracture repairs with bone grafts
• Spinal fusion (multiple coding)
CPT:
• Excision of lesions
• Skin grafts
• Breast procedures
• Bunionectomy
• Hammertoe procedures
• Bronchoscopy
• Nasal/sinus endoscopy
• Arteriovenous fistulas
• Central venous access
• Laminectomies
• Strabismus surgery
• Spinal fusion
• New procedures for control of epilepsy
• CABG
• Hemodialysis access
• Nissen fundoplasty
• Incomplete colonoscopy
• Transurethral procedures
• Repair of genital prolapse
• Scleral buckle or other type of scleral procedure instead of cataracts
