CCS Practice Test 15
10 free CCS practice questions in the real exam format, covering the official content areas, with an explanation for every answer.
Question 1 of 10
Coding Knowledge and SkillsEmergency Department Record
ED physician note
A 66-year-old woman with COPD, maintained on an inhaled corticosteroid/long-acting bronchodilator combination, presents with 3 days of productive cough, fever of 38.5 °C and wheezing.
Chest x-ray: left lower lobe consolidation. Sputum Gram stain: many gram-positive diplococci; culture pending.
Treatment: Three separate albuterol/ipratropium nebulizer treatments given 20 minutes apart, each through a separate setup, with improved air movement. First dose of oral antibiotic given in the ED.
Impression: Community-acquired pneumonia, left lower lobe, in a patient with COPD with acute lower respiratory infection. No COPD exacerbation. Discharged home on oral antibiotics with follow-up in 48 hours.
| Time | Temp (°C) | Resp. rate | SpO2 (%) |
|---|---|---|---|
| Arrival | 38.5 | 24 | 91 |
| After nebulizers | 38.1 | 20 | 94 |
The hospital follows the CPT instruction for this inhalation-treatment code: each additional treatment on the same date goes on its own line, marked with the modifier for a repeat of the same procedure by the same clinician. How are the three nebulizer treatments reported on the facility claim?