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Certified Coding Specialist (CCS) Exam Prep Questions 2026 – AHIMA 6th Edition with 300+ Practice Questions on ICD-10-CM, ICD-10-PCS, CPT Coding, DRGs & Medical Record Documentation

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This comprehensive Certified Coding Specialist (CCS) Exam Prep Questions study guide is designed for students and healthcare professionals preparing for the AHIMA CCS certification examination, medical coding assessments, and advanced inpatient and outpatient coding roles. The document contains more than 300 CCS-style practice questions and verified answers covering ICD-10-CM diagnosis coding, ICD-10-PCS inpatient procedure coding, CPT coding, HCPCS classifications, DRG assignment, outpatient coding, reimbursement systems, clinical documentation requirements, and healthcare compliance standards used in professional coding environments. The material follows an exam-focused question-and-answer format that strengthens coding accuracy, coding guideline interpretation, reimbursement knowledge, and clinical reasoning essential for success on CCS certification exams and real-world coding responsibilities. The study guide provides extensive coverage of inpatient and outpatient coding scenarios involving cardiology, oncology, gastroenterology, obstetrics, pulmonology, orthopedics, emergency medicine, psychiatry, neonatology, infectious diseases, surgery, and ambulatory procedures. Key topics include myocardial infarction coding, sepsis and catheter-associated infections, aspiration pneumonia, metastatic cancers, gastrointestinal bleeding, laparoscopic procedures, endometriosis coding, obstetric complications, trauma coding, pressure ulcers, cardiac catheterization, bronchoscopy, medical necessity, screening encounters, principal diagnosis selection, UHDDS guidelines, POA indicators, DRG optimization, APC reimbursement, medical record authentication, documentation compliance, and coding ethics. This resource is highly valuable for CCS certification candidates, AHIMA exam candidates, medical coders, health information management (HIM) students, inpatient coders, outpatient coders, clinical documentation improvement (CDI) specialists, reimbursement analysts, healthcare compliance professionals, and individuals pursuing careers in medical billing and coding. The content closely aligns with AHIMA CCS competency standards, ICD-10-CM Official Guidelines for Coding and Reporting, CPT Professional Edition coding principles, Medicare reimbursement methodologies, UHDDS standards, and healthcare documentation regulations required for hospital and physician-based coding practice. The document also reinforces foundational concepts in health information management including data quality, medical record completion requirements, coding compliance, privacy regulations, coding audits, physician query processes, and healthcare reimbursement systems. References throughout the material align with recognized coding education resources such as ICD-10-CM and ICD-10-PCS Coding Handbook by Nelly Leon-Chisen, Basic ICD-10-CM/PCS Coding by Lou Ann Schraffenberger, AHIMA CCS preparation materials, CPT Assistant guidance, and official CMS coding and reimbursement standards. Keywords Certified Coding Specialist, CCS exam, CCS certification, AHIMA CCS, AHIMA exam prep, medical coding, ICD-10-CM, ICD-10-PCS, CPT coding, HCPCS, DRG assignment, APC reimbursement, medical billing and coding, inpatient coding, outpatient coding, diagnosis coding, procedure coding, coding compliance, clinical documentation improvement, CDI specialist, health information management, HIM, healthcare reimbursement, principal diagnosis selection, UHDDS guidelines, POA indicators, coding guidelines, coding practice questions, coding certification prep, medical terminology, reimbursement systems, healthcare compliance, physician query process, coding audit, Medicare coding, outpatient code editor, OCE, cardiology coding, oncology coding, gastroenterology coding, obstetric coding, trauma coding, emergency department coding, surgery coding, bronchoscopy coding, cardiac catheterization coding, pressure ulcer coding, sepsis coding, aspiration pneumonia, healthcare documentation, HIPAA privacy, coding ethics, AHIMA certification study guide

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Institution
Certified Coding And Billing Specialist
Course
Certified coding and billing specialist

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Certified Coding Specialist
(CCS) Exam Prep Questions -
AHIMA 6th Edition. 2026
UPDATED

Carcinoma in situ - ANSWER ✔✔Tumor cells that are undergoing

malignant changes but are still confined to the point of origin without

invasion of the surrounding normal tissue


Examples of carcinoma in situ - ANSWER ✔✔Intraepithelial

infiltrating

The patient was admitted from the emergency department because of

chest pain. Following blood work, it was determined that the patient had

elevated CPKs and MB enzymes. The EKG shows nonspecific ST

changes.

,What type of diagnosis might this indicate?

a. Unstable angina

b. Myocardial infarction

c. Congestive heart failure


d. Mitral valve stenosis - ANSWER ✔✔b


The CPK elevation with MB enzymes elevated and the EKG ST changes

denote a possible Ml (Leon-Chisen 2013, 386-387).

A patient is admitted and diagnosed with fever and urinary burning. The

discharge diagnosis· is Escherichia coli, urinary tract infection.




Which of the following represents the correct diagnoses and appropriate

sequence of those conditions?

a. Fever, urinary burning, urosepsis

b. Fever, urinary burning, sepsis

c. Escherichia coli, urinary tract infection


d. Urinary tract infection, Escherichia coli - ANSWER ✔✔d


Symptoms are not coded when a definitive diagnosis is present on

discharge. The patient discharge diagnosis of urinary tract infection. The

,organism (E. coli) is coded with a seco diagnosis code (B96.20) which is

to be added as an additional code to identify the bacterial agent (HHS

2014, Section II.A., 98).

A patient was admitted with heart failure within one week of a heart

transplant. Due to the timing, the coder thought that it may represent a

postoperative transplant rejection following heart transplant.




What action(s) should the coding staff take?

a. Query the physician.

b. Assign the codes for the postoperative transplant rejection.

c. Assign only the code for the transplant rejection.


d. Assign only the code for heart failure. - ANSWER ✔✔a




When the documentation is not clear regarding a potential complication,

it is appropriate query the physician (HHS 2014, Section I.B.16, 16;

Leon-Chisen 2013, 43-44).

A patient is admitted to a psychiatric unit of an acute-care facility. The

patient experienced the following symptoms almost every day for the last


3
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STATEMENT. ALL RIGHTS RESERVED

, month: loss of interest or pleasure in most or all activities, which is a

change from her prior level of functioning. She has also gained 15 lbs,

has difficulty falling asleep, feels fatigued, and has difficulty making

decisions.




What potential diagnosis most closely fits the patient's overall

symptoms?

a. Insomnia

b. Major depression

c. Reye's syndrome


d. Bipolar disorder - ANSWER ✔✔b




The symptoms provided are indicative of a depressive disorder (Leon-

Chisen 2013, 175).

Inpatient:

Admission for inguinal hernia repair. This 30-year-old patient has

acquired immunodeficiency syndrome (AIDS) but is not symptomatic at

this time due to medication regimen. The procedure performed was a

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Institution
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Course
Certified coding and billing specialist

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