Certified Coding Specialist Practice
Exam #2 Questions and Answers
Updated 2026
AA23-year-
oldAfemaleAisAadmittedAforAvaginalAbleedingAfollowingAaAmiscarriageAtwoAweeksApriorAtoAt
hisAadmission.ASheAisAafebrileAatAthisAtimeAandAisAtreatedAwithAanAaspirationAdilationAand
Acurettage.AProductsAofAconceptionAareAfound.AWhichAoneAofAtheAfollowingAshouldAbeAtheAp
rincipalAdiagnosis?A-
AAnswer✓AO03.1,ADelayedAorAexcessiveAhemorrhageAfollowingAincompleteAspontaneousAab
ortion
AApsychiatristAdocumentsAthatAaApatientAhasAwideAmoodAswingsAfromAexcessiveAhappinessA
toAlossAenergyAandAcrying.AWhatAconditionAisAsuspected?A-AAnswer✓ABipolarAdisorder
AApatientAwithAaAcephalicApresentationAanticipatingAaAvaginalAdeliveryAfailedAtoAprogress.A
AfterAmeasurementAofAtheAfetalAheadAandAaAtrailAofAoxycontin,AtheApatientAunderwentAaAc
esareanAsection.AWhatAconditionAshouldAtheAcoderAsuspectAandAqueryAtheAphysicianAabout?A
-AAnswer✓ACephalopelvicAdisproportion
AA45-year-
oldAwomanAunderwentAaAcarotidAbypassAandAexperiencedAaAsignificantAdropAinAbloodApress
ureAduringAtheAsurgery.ATheAdocumentationAsuggestedAtheApatientAmayAhaveAhadAaAmyocar
dialAinfraction.AInAaccordanceAwithAtheAcodingAguidelines,AwhatAshouldAtheAcodingAprofessio
nalAdo?A-
AAnswer✓AQueryAtheAphysicianAtoAdetermineAfiAthereAwasAaAcomplianceAofAsurgery
IfAaApatient'sAdischargeAsummaryAdoesAnotAcontainAthatAisAdocumentedAbyAtheAanesthesiolo
gistAinAaApostoperativeAevaluationAandAthatAisAdiagnosisAwouldAimpactAMS-
DRGAassignment,AtheAcoderAshouldA_____________________________________.A-
AAnswer✓AQueryAtheAattendingAphysicianAregardingAtheAclinicalAsignificanceAofAthatAdiag
nosis
AApatientArecordAhasAdocumentationAofAesophagealAvarices.AWhatAconditionAmayAbeArelated
AthatAmayAaffectAcoding?A-AAnswer✓ALiverAdisease
AApatientAadmittedAwithAacuteAabdominalApainAisAfoundAtoAhaveAappendicitisAandAhasAanA
appendectomy.ATheApatientAhasAaAlengthAofAstayAofAtwoAdays.AWhatAtypeAofApatientAencou
nterAisAthis?A-AAnswer✓AInpatient
, AApatientAwasAtreatedAinAtheAemergencyAdepartmentAforAaAswollenAkneeAandAanAaspiratio
nAofAtheAjointAwasAperformed.ATheApatientAwasAthenAdischargedAhome.AItAisAimportantAtoA
makeAsureAthatAwhichAofAtheAfollowingAareAdocumentedAandAcapturedAforAbillingApurposes?
A-
AAnswer✓AAllAservicesAprovidedAincludingAdiagnosticAandAtreatmentAprocedures,AasAwellA
asAphysicianAservices
AApatientAhasAdocumentationAonAtheAdischargeAsummaryAofAurosepsis.ATheAcodingAstaffAqu
eriesAtheAattendingAphysicianAaboutAtheAconditionAandAisAprovidedAfurtherAinformationAthat
AtheApatientAhasAsepticemia.AThisAisAinAalignmentAwithAtheAlaboratoryAtestsAandAmedicatio
nAgiven,AbutAtheAdiagnosisAofAsepticemiaAwasAnotAdocumentedAbyAtheAphysician.AHowAshou
ldAtheAphysicianAbeArequestedAtoAdocumentAtheAsepticemia?A-
AAnswer✓AAnAaddendumAtoAtheAchartAshouldAbeAwritten
TheAcommitteeAresponsibleAforAmedicalArecordAcompletionAreportsAtoAwhichAmedicalAstaffAco
mmittee?A-AAnswer✓AMedicalAExecutiveACommittee
TwoAareasAofAdocumentationAinAtheAhealthArecordAthatAareAsignificantAareasAofAfocusAofAac
creditingAagenciesAareA_________________.A-
AAnswer✓ATimelinessAandAlegibilityAofAmedicalAdocuments
InAteachingAfacilitiesAwhereAelectronicAsignaturesAareAusedAforAresidentsAandAattendingAphy
siciansA________________________________________.A-
AAnswer✓AAttendingAshouldAcosignAafterAtheAresidentAsignsAtheAdocumentation
AnA84-year-
oldAwomanAwasAadmittedAandAdischargedAwithAhemiplegiaAandAaphasia.AAACTAscanAofAthe
AbrainAwasAperformedAthatArevealedAanAacuteAcerebralAinfarctionAandAaApossibleAsmallAbra
inAmass.AAfterAfurtherAtesting,AtheApatientAwasAdischargedAwithAaAfinalAdiagnosisAofAacute
AcerebralAinfarction.ATheAcondition(s)AthatAshouldAbeAcodedAareA______________________
_____________.A-AAnswer✓AAcuteAcerebralAinfarction,Ahemiplegia,AandAaphasia
AccordingAtoAtheAAHIMAAStandardsAofAEthicalACoding,A"AAcoderAshouldAprotectAtheAconfiden
tiallyAofAtheAhealthArecordAatAallAtimesAandArefuseAtoAaccessAprotectedAhealthAinformationA
notArequiredAforAcoding-
relatedAactivities."AWhichAoneAofAtheAfollowingAisAnotAconsideredAaAcoding-
relatedAactivity?A-AAnswer✓ARiskAanalysisAofAmedicalArecordAdocumentation
Exam #2 Questions and Answers
Updated 2026
AA23-year-
oldAfemaleAisAadmittedAforAvaginalAbleedingAfollowingAaAmiscarriageAtwoAweeksApriorAtoAt
hisAadmission.ASheAisAafebrileAatAthisAtimeAandAisAtreatedAwithAanAaspirationAdilationAand
Acurettage.AProductsAofAconceptionAareAfound.AWhichAoneAofAtheAfollowingAshouldAbeAtheAp
rincipalAdiagnosis?A-
AAnswer✓AO03.1,ADelayedAorAexcessiveAhemorrhageAfollowingAincompleteAspontaneousAab
ortion
AApsychiatristAdocumentsAthatAaApatientAhasAwideAmoodAswingsAfromAexcessiveAhappinessA
toAlossAenergyAandAcrying.AWhatAconditionAisAsuspected?A-AAnswer✓ABipolarAdisorder
AApatientAwithAaAcephalicApresentationAanticipatingAaAvaginalAdeliveryAfailedAtoAprogress.A
AfterAmeasurementAofAtheAfetalAheadAandAaAtrailAofAoxycontin,AtheApatientAunderwentAaAc
esareanAsection.AWhatAconditionAshouldAtheAcoderAsuspectAandAqueryAtheAphysicianAabout?A
-AAnswer✓ACephalopelvicAdisproportion
AA45-year-
oldAwomanAunderwentAaAcarotidAbypassAandAexperiencedAaAsignificantAdropAinAbloodApress
ureAduringAtheAsurgery.ATheAdocumentationAsuggestedAtheApatientAmayAhaveAhadAaAmyocar
dialAinfraction.AInAaccordanceAwithAtheAcodingAguidelines,AwhatAshouldAtheAcodingAprofessio
nalAdo?A-
AAnswer✓AQueryAtheAphysicianAtoAdetermineAfiAthereAwasAaAcomplianceAofAsurgery
IfAaApatient'sAdischargeAsummaryAdoesAnotAcontainAthatAisAdocumentedAbyAtheAanesthesiolo
gistAinAaApostoperativeAevaluationAandAthatAisAdiagnosisAwouldAimpactAMS-
DRGAassignment,AtheAcoderAshouldA_____________________________________.A-
AAnswer✓AQueryAtheAattendingAphysicianAregardingAtheAclinicalAsignificanceAofAthatAdiag
nosis
AApatientArecordAhasAdocumentationAofAesophagealAvarices.AWhatAconditionAmayAbeArelated
AthatAmayAaffectAcoding?A-AAnswer✓ALiverAdisease
AApatientAadmittedAwithAacuteAabdominalApainAisAfoundAtoAhaveAappendicitisAandAhasAanA
appendectomy.ATheApatientAhasAaAlengthAofAstayAofAtwoAdays.AWhatAtypeAofApatientAencou
nterAisAthis?A-AAnswer✓AInpatient
, AApatientAwasAtreatedAinAtheAemergencyAdepartmentAforAaAswollenAkneeAandAanAaspiratio
nAofAtheAjointAwasAperformed.ATheApatientAwasAthenAdischargedAhome.AItAisAimportantAtoA
makeAsureAthatAwhichAofAtheAfollowingAareAdocumentedAandAcapturedAforAbillingApurposes?
A-
AAnswer✓AAllAservicesAprovidedAincludingAdiagnosticAandAtreatmentAprocedures,AasAwellA
asAphysicianAservices
AApatientAhasAdocumentationAonAtheAdischargeAsummaryAofAurosepsis.ATheAcodingAstaffAqu
eriesAtheAattendingAphysicianAaboutAtheAconditionAandAisAprovidedAfurtherAinformationAthat
AtheApatientAhasAsepticemia.AThisAisAinAalignmentAwithAtheAlaboratoryAtestsAandAmedicatio
nAgiven,AbutAtheAdiagnosisAofAsepticemiaAwasAnotAdocumentedAbyAtheAphysician.AHowAshou
ldAtheAphysicianAbeArequestedAtoAdocumentAtheAsepticemia?A-
AAnswer✓AAnAaddendumAtoAtheAchartAshouldAbeAwritten
TheAcommitteeAresponsibleAforAmedicalArecordAcompletionAreportsAtoAwhichAmedicalAstaffAco
mmittee?A-AAnswer✓AMedicalAExecutiveACommittee
TwoAareasAofAdocumentationAinAtheAhealthArecordAthatAareAsignificantAareasAofAfocusAofAac
creditingAagenciesAareA_________________.A-
AAnswer✓ATimelinessAandAlegibilityAofAmedicalAdocuments
InAteachingAfacilitiesAwhereAelectronicAsignaturesAareAusedAforAresidentsAandAattendingAphy
siciansA________________________________________.A-
AAnswer✓AAttendingAshouldAcosignAafterAtheAresidentAsignsAtheAdocumentation
AnA84-year-
oldAwomanAwasAadmittedAandAdischargedAwithAhemiplegiaAandAaphasia.AAACTAscanAofAthe
AbrainAwasAperformedAthatArevealedAanAacuteAcerebralAinfarctionAandAaApossibleAsmallAbra
inAmass.AAfterAfurtherAtesting,AtheApatientAwasAdischargedAwithAaAfinalAdiagnosisAofAacute
AcerebralAinfarction.ATheAcondition(s)AthatAshouldAbeAcodedAareA______________________
_____________.A-AAnswer✓AAcuteAcerebralAinfarction,Ahemiplegia,AandAaphasia
AccordingAtoAtheAAHIMAAStandardsAofAEthicalACoding,A"AAcoderAshouldAprotectAtheAconfiden
tiallyAofAtheAhealthArecordAatAallAtimesAandArefuseAtoAaccessAprotectedAhealthAinformationA
notArequiredAforAcoding-
relatedAactivities."AWhichAoneAofAtheAfollowingAisAnotAconsideredAaAcoding-
relatedAactivity?A-AAnswer✓ARiskAanalysisAofAmedicalArecordAdocumentation
