AHIMA Practice exam 1 CCS-P PREP
AHIMA PRACTICE EXAM 1 CCS-P PREP NEWEST 2026/2027
ACTUAL EXAM COMPLETE QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+||BRAND
NEW VERSION!!
Inpatient admission: The patient is a 78-year-old female with heart palpitations
and abdominal pain who was brought to the ED by her grandson. The physician
ordered an EKG, a complete blood count, and upper GI series. The GI revealed
significant gastritis. The EKG was not significantly abnormal. The CBC revealed the
following: Hct 23%; Hgb 6.5; and WBC 6,000. The cardiologist who admitted the
patient into the hospital indicated he felt the palpitations were a symptom of the
patient's significant anemia. Social services were notified because the physician
felt that the patient was not receiving the proper nutritional support causing the
hemoglobin deficiency. The patient received 2 units of packed cells and was
discharged the following day. The discharge diagnoses included nutritional anemia
and gastritis. What codes would be reported for this encounter?
A.D53.9, K29.70
B.D53.9, K29.70, R00.2
C.D53.9, K29.70, R10.9 - Correct Answer-A.
D53.9, K29.70—The signs and symptoms would not be coded as they are integral
to the diagnoses of anemia and gastritis (CMS 2023a, 1.C.18.b).
A 77-year-old white female is seen with interstitial pneumonitis. Hospital course
here has been complicated by hypoxemia, renal insufficiency, and steroid-induced
diabetes mellitus. The patient has been taking steroids as prescribed for quite
1|Page
, AHIMA Practice exam 1 CCS-P PREP
some time for her rheumatoid arthritis. The patient reports having episodes of
small volume painless hematochezia at home secondary to hemorrhoids. Last
evening and this morning, the patient experienced larger volume bright red blood
per rectum. The patient reports having a colonoscopy about three years ago
performed elsewhere revealing diverticulosis and hemorrhoids. She states she had
sequential colonoscopies performed in the past. However, she is unclear on the
findings.
Final Diagnoses Upon Discharge:
1.Hematochezia
2.Interstitial pneumonitis
3.Steroid-induced diabetes mellitus
4.Chronic renal insufficiency
5.Hypoxemia
What codes are reported for this condition?
A.E11.9, J - Correct Answer-B
E09.9, J84.9, K92.1, R09.02, M06.9, N18.9, T38.0X5A—DM caused by drug use is
coded to category E09 (Schraffenberger and Palkie 2022, 197).
Using the following illustration from the Table of Drugs and Chemicals in the ICD-
10-CM code book, which code would a coding professional select for the following
diagnosis: "Initial presentation for excessive drowsiness due to sensitivity to
Periactin taken as prescribed"?
Table of Drugs and Chemicals
Substance: Periactin
2|Page
, AHIMA Practice exam 1 CCS-P PREP
Poisoning: Accidental T45.0X1
Intentional T45.0X2
Assault T45.0X3
Undetermined T45.0X4
Adverse Effect T45.0X5
Underdosing T45.0X6
Note: 7th character "A" is assigned to indicate initial encounter.
A.T45.0X2A
B.T45.0X6A
C.T45.0X4A
D.T45.0X5A - Correct Answer-D.
The patient experienced an adverse effect (drowsiness) due to sensitivity to the
Periactin medication. The Adverse Effect column is selected from the Table of
Drugs and Chemicals as the medication was taken as prescribed (Schraffenberger
and Palkie 2022, 620-621).
A patient visits his physician's office and indicates that he has left arm paralysis
due to a case of poliomyelitis that he suffered as a young child. What diagnosis
codes would be assigned for this diagnosis?
A80.9 Acute poliomyelitis, unspecified
B91 Sequelae of poliomyelitis
G81.90 Hemiplegia, unspecified affecting unspecified side
3|Page
AHIMA PRACTICE EXAM 1 CCS-P PREP NEWEST 2026/2027
ACTUAL EXAM COMPLETE QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+||BRAND
NEW VERSION!!
Inpatient admission: The patient is a 78-year-old female with heart palpitations
and abdominal pain who was brought to the ED by her grandson. The physician
ordered an EKG, a complete blood count, and upper GI series. The GI revealed
significant gastritis. The EKG was not significantly abnormal. The CBC revealed the
following: Hct 23%; Hgb 6.5; and WBC 6,000. The cardiologist who admitted the
patient into the hospital indicated he felt the palpitations were a symptom of the
patient's significant anemia. Social services were notified because the physician
felt that the patient was not receiving the proper nutritional support causing the
hemoglobin deficiency. The patient received 2 units of packed cells and was
discharged the following day. The discharge diagnoses included nutritional anemia
and gastritis. What codes would be reported for this encounter?
A.D53.9, K29.70
B.D53.9, K29.70, R00.2
C.D53.9, K29.70, R10.9 - Correct Answer-A.
D53.9, K29.70—The signs and symptoms would not be coded as they are integral
to the diagnoses of anemia and gastritis (CMS 2023a, 1.C.18.b).
A 77-year-old white female is seen with interstitial pneumonitis. Hospital course
here has been complicated by hypoxemia, renal insufficiency, and steroid-induced
diabetes mellitus. The patient has been taking steroids as prescribed for quite
1|Page
, AHIMA Practice exam 1 CCS-P PREP
some time for her rheumatoid arthritis. The patient reports having episodes of
small volume painless hematochezia at home secondary to hemorrhoids. Last
evening and this morning, the patient experienced larger volume bright red blood
per rectum. The patient reports having a colonoscopy about three years ago
performed elsewhere revealing diverticulosis and hemorrhoids. She states she had
sequential colonoscopies performed in the past. However, she is unclear on the
findings.
Final Diagnoses Upon Discharge:
1.Hematochezia
2.Interstitial pneumonitis
3.Steroid-induced diabetes mellitus
4.Chronic renal insufficiency
5.Hypoxemia
What codes are reported for this condition?
A.E11.9, J - Correct Answer-B
E09.9, J84.9, K92.1, R09.02, M06.9, N18.9, T38.0X5A—DM caused by drug use is
coded to category E09 (Schraffenberger and Palkie 2022, 197).
Using the following illustration from the Table of Drugs and Chemicals in the ICD-
10-CM code book, which code would a coding professional select for the following
diagnosis: "Initial presentation for excessive drowsiness due to sensitivity to
Periactin taken as prescribed"?
Table of Drugs and Chemicals
Substance: Periactin
2|Page
, AHIMA Practice exam 1 CCS-P PREP
Poisoning: Accidental T45.0X1
Intentional T45.0X2
Assault T45.0X3
Undetermined T45.0X4
Adverse Effect T45.0X5
Underdosing T45.0X6
Note: 7th character "A" is assigned to indicate initial encounter.
A.T45.0X2A
B.T45.0X6A
C.T45.0X4A
D.T45.0X5A - Correct Answer-D.
The patient experienced an adverse effect (drowsiness) due to sensitivity to the
Periactin medication. The Adverse Effect column is selected from the Table of
Drugs and Chemicals as the medication was taken as prescribed (Schraffenberger
and Palkie 2022, 620-621).
A patient visits his physician's office and indicates that he has left arm paralysis
due to a case of poliomyelitis that he suffered as a young child. What diagnosis
codes would be assigned for this diagnosis?
A80.9 Acute poliomyelitis, unspecified
B91 Sequelae of poliomyelitis
G81.90 Hemiplegia, unspecified affecting unspecified side
3|Page
