CCS Exam Preparation

IMPORTANT TOPICS TO REVIEW FOR CCS PREPRATION

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