Certified Coding Specialist (CCS) Exam Preparation 2026 || Most
Recent Exam 2026-2027 Actual Complete Real Exam Questions
And Correct Answers (Verified Answers) Already Graded A+
|Guaranteed Success!! Newest Exam | Just Released!!
If a patient has a principal diagnosis of septicemia, which
of the following
procedures will increase the MS-DRG
assignment the most?
a. Bronchoscopy with left bronchus biopsy (0BB74ZX)
b. Debridement of toenail (0HBRXZZ)
c. Nonexcisional debridement of skin ulcer of perineum with
abrasion
(0HD9XZZ)
d. Respiratory Ventilation, Greater than 96 Consecutive Hours
(5A1955Z) - ANSWER -d. Respiratory Ventilation, Greater than
96 Consecutive Hours
(5A1955Z)
**The ventilator management is the procedure that will impact
the MS-DRG to provide appropriate reimbursement. The MS-
DRG with the highest weight is 870 (Medicare Grouper Version
2017).
,Respiratory Ventilation, Greater than 96 Consecutive Hours
(5A1955Z). Medicare DRG assigned: 0870, SEPTICEMIA OR
SEVERE SEPSIS W MV 96+ HOURS DRG weight = 05.8960.
Incorrect answer option explanations provided for clarity:
a. Bronchoscopy with biopsy (0BB74ZX) reference: Medicare
DRG assigned:
872 SEPTICEMIA OR SEVERE SEPSIS W/O MV 96 + HOURS
W/O MCC
MDC: 18 DRG weight = 1.0283
(incorrect)
b. Debridement of toenail (0HBRXZZ) reference: Medicare DRG
assigned: 872
SEPTICEMIA OR SEVERE SEPSIS W/O MV 96 + HOURS W/O
MCC MDC: 18
DRG weight = 1.0283 (incorrect)
c. Nonexcisional debridement of skin ulcer with abrasion
(0HD9XZZ) reference:
Medicare DRG assigned: 872 SEPTICEMIA OR SEVERE SEPSIS
W/O MV 96
+ HOURS W/O MCC MDC: 18 DRG weight = 1.0283
(incorrect)
When coding benign lipomatous neoplasms of skin, the
section noted above
,directs the
coder to:
D23- Other benign neoplasms of skin
Includes: Benign neoplasm of hair follicles
Benign neoplasm of sebaceous glands
Benign neoplasm of sweat glands
Excludes 1: benign lipomatous
neoplasms of skin (D17.0-D17.3)
melanocytic nevi (D22.-)
a. Use category D23
b. Use a code from D17.0-D17.3
c. Use code E88.2
d. Use category D22 - ANSWER -b. Use a code from D17.0-D17.3
**Excludes note 1 directs the coder to D17.0-D17.3 (HHS 2017,
I.A.12a, 11).
The patient is admitted for chest pain and is found to have an
acute inferior myocardial infarction with coronary artery
disease and atrial fibrillation. After the atrial fibrillation was
controlled and the patient was stabilized, the patient underwent
a CABG X2 from aorta to the right anterior descending and right
obtuse, autologous venous tissue using the left greater
saphenous vein which was harvested via an open approach.
Cardiopulmonary bypass was utilized.
The appropriate sequencing and ICD codes for the
hospitalization would be:
, I25.10 Atherosclerotic heart disease of native coronary artery
without angina pectoris
I21.19 ST elevation (STEMI) myocardial infarction involving
other coronary artery of inferior wall
I22.1 Subsequent ST elevation (STEMI) myocardial infarction
of inferior wall I21.3 ST elevation (STEMI) myocardial
infarction, of unspecified site I22.9 Subsequent ST elevation
(STEMI) myocardial infar - ANSWER -c. I21.19:ST elevation
(STEMI) myocardial infarction involving other coronary
artery of inferior wall
I25.10: Atherosclerotic heart disease of native coronary artery
without angina
pectoris
I48.91: Unspecified atrial fibrillation
021109W: Bypass coronary artery, two arteries from aorta
with autologous
venous tissue, open
approach
06BQ0ZZ: Excision of left greater saphenous vein, open
approach
5A1221Z: Performance of cardiac output, continuous
Recent Exam 2026-2027 Actual Complete Real Exam Questions
And Correct Answers (Verified Answers) Already Graded A+
|Guaranteed Success!! Newest Exam | Just Released!!
If a patient has a principal diagnosis of septicemia, which
of the following
procedures will increase the MS-DRG
assignment the most?
a. Bronchoscopy with left bronchus biopsy (0BB74ZX)
b. Debridement of toenail (0HBRXZZ)
c. Nonexcisional debridement of skin ulcer of perineum with
abrasion
(0HD9XZZ)
d. Respiratory Ventilation, Greater than 96 Consecutive Hours
(5A1955Z) - ANSWER -d. Respiratory Ventilation, Greater than
96 Consecutive Hours
(5A1955Z)
**The ventilator management is the procedure that will impact
the MS-DRG to provide appropriate reimbursement. The MS-
DRG with the highest weight is 870 (Medicare Grouper Version
2017).
,Respiratory Ventilation, Greater than 96 Consecutive Hours
(5A1955Z). Medicare DRG assigned: 0870, SEPTICEMIA OR
SEVERE SEPSIS W MV 96+ HOURS DRG weight = 05.8960.
Incorrect answer option explanations provided for clarity:
a. Bronchoscopy with biopsy (0BB74ZX) reference: Medicare
DRG assigned:
872 SEPTICEMIA OR SEVERE SEPSIS W/O MV 96 + HOURS
W/O MCC
MDC: 18 DRG weight = 1.0283
(incorrect)
b. Debridement of toenail (0HBRXZZ) reference: Medicare DRG
assigned: 872
SEPTICEMIA OR SEVERE SEPSIS W/O MV 96 + HOURS W/O
MCC MDC: 18
DRG weight = 1.0283 (incorrect)
c. Nonexcisional debridement of skin ulcer with abrasion
(0HD9XZZ) reference:
Medicare DRG assigned: 872 SEPTICEMIA OR SEVERE SEPSIS
W/O MV 96
+ HOURS W/O MCC MDC: 18 DRG weight = 1.0283
(incorrect)
When coding benign lipomatous neoplasms of skin, the
section noted above
,directs the
coder to:
D23- Other benign neoplasms of skin
Includes: Benign neoplasm of hair follicles
Benign neoplasm of sebaceous glands
Benign neoplasm of sweat glands
Excludes 1: benign lipomatous
neoplasms of skin (D17.0-D17.3)
melanocytic nevi (D22.-)
a. Use category D23
b. Use a code from D17.0-D17.3
c. Use code E88.2
d. Use category D22 - ANSWER -b. Use a code from D17.0-D17.3
**Excludes note 1 directs the coder to D17.0-D17.3 (HHS 2017,
I.A.12a, 11).
The patient is admitted for chest pain and is found to have an
acute inferior myocardial infarction with coronary artery
disease and atrial fibrillation. After the atrial fibrillation was
controlled and the patient was stabilized, the patient underwent
a CABG X2 from aorta to the right anterior descending and right
obtuse, autologous venous tissue using the left greater
saphenous vein which was harvested via an open approach.
Cardiopulmonary bypass was utilized.
The appropriate sequencing and ICD codes for the
hospitalization would be:
, I25.10 Atherosclerotic heart disease of native coronary artery
without angina pectoris
I21.19 ST elevation (STEMI) myocardial infarction involving
other coronary artery of inferior wall
I22.1 Subsequent ST elevation (STEMI) myocardial infarction
of inferior wall I21.3 ST elevation (STEMI) myocardial
infarction, of unspecified site I22.9 Subsequent ST elevation
(STEMI) myocardial infar - ANSWER -c. I21.19:ST elevation
(STEMI) myocardial infarction involving other coronary
artery of inferior wall
I25.10: Atherosclerotic heart disease of native coronary artery
without angina
pectoris
I48.91: Unspecified atrial fibrillation
021109W: Bypass coronary artery, two arteries from aorta
with autologous
venous tissue, open
approach
06BQ0ZZ: Excision of left greater saphenous vein, open
approach
5A1221Z: Performance of cardiac output, continuous
