These CCS practice questions target procedure coding — including Femoral Artery, Anterior Tibial Artery, Body Part. The complete CCS deck holds 1009 flashcards, 30 of them dedicated to this topic. Study the free samples below, then unlock the whole collection for a one-time $7.
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A patient undergoes a partial excision of the tail of the pancreas for a localized tumor. What is the correct ICD-10-PCS root operation for this procedure?
Show answer →The correct root operation is Excision (B). Rationale: In ICD-10-PCS, Excision is defined as cutting out or off, without replacement, a portion of a body part. Since only the tail (a portion) of the pancreas was removed, and the pancreas is defined as a single body part in the PCS tables, Excision is appropriate. CCS Exam Tip: AHIMA frequently tests the portion vs. all distinction. If the procedure involves a body part that PCS does not further subdivide (like the pancreas), any partial removal is coded to Excision. Distinguish this from organs with subdivided body parts (like the lungs) where removing a whole subdivision is coded as Resection.
A patient undergoes a sigmoid colectomy for diverticulitis. The entire sigmoid colon is removed and an end-to-end anastomosis is performed. Root operation?
Show answer →The correct root operation is Resection (T). Rationale: The sigmoid colon is listed as a specific body part in the Gastrointestinal system (Character 4, Value N). Since the entire sigmoid colon was removed, the objective meets the definition of Resection. Clinical Pearl: The anastomosis (reconnecting the remaining colon) is considered integral to the Resection and is not coded separately unless a different root operation like Bypass or Supplement (using a graft) is performed.
When coding a bypass of the Femoral Artery to the Anterior Tibial Artery, which vessel is coded as the Body Part (Character 4) and which as the Qualifier (Character 7)?
Show answer →For non-coronary vessels, Character 4 (Body Part) is the origin of the bypass (Femoral Artery) and Character 7 (Qualifier) is the destination (Anterior Tibial Artery). Rationale: This follows the standard from-to logic used for all body systems except Coronary Arteries. Clinical Pearl: Always verify the direction of flow described in the operative report.
If a single saphenous vein graft is used to bypass from the Aorta to both the LAD and the Diagonal artery (sequential graft), how many sites are coded in Character 4?
Show answer →Two sites. Code: 021109W (Bypass Coronary Artery, Two Sites from Aorta). Rationale: Character 4 reflects the number of distal coronary artery sites treated, regardless of whether a single continuous graft or multiple separate grafts were used. Exam Tip: Count the to sites for coronary body parts.
A patient is seen for a preventive medicine exam (99396). During the exam, the physician also spends significant time managing the patient's uncontrolled Type 2 Diabetes. Which modifier is used to report both services?
Show answer →Modifier 25 is appended to the office/outpatient E/M code (99202-99215). According to CPT guidelines and AHIMA best practices, if a preventive service and a problem-oriented E/M are performed during the same encounter, both are reported, and the problem-oriented E/M requires Modifier 25 to show it was significant and separately identifiable.
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Try 30 free CCS cards firstThe full CCS deck contains 1009 flashcards, and 30 of them focus on procedure coding. This page shows 5 free samples.
Our CCS deck dedicates 30 of 1009 cards (3%) to procedure coding — always cross-check the official AHIMA exam outline for the current blueprint weighting.
Yes — the samples on this page are free, and the CCS preview page has 30 more free cards. Full access to all 1009 cards is a one-time $7.
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