CCS Exam Study Guide –
Practice Questions with Verified
Answers. GRADED A+. Latest
2026/2027 Update
A 23 year old female is admitted for vaginal bleeding following a miscarriage two
weeks prior to this admission. She afebrile at this time and is treated with an
aspiration dilation and curettage. Products of conception are found. Which of the
following should be the principle diagnosis?
a. O03.1, Delayed or excessive hemorrhage following incomplete
spontaneous abortion
b. O08.1, Delayed or excessive hemorrhage following ectopic and molar
pregnancy c. R57.9, Shock, unspecified
d. T81.10XA, Postprocedural shock unspecified, initial encounter - answer✔✔ - a.
O03.1, Delayed or excessive hemorrhage following incomplete spontaneous
abortion
A psychiatrist documents that a patient has wide mood swings from excessive
happiness to loss of energy and crying. What condition is suspected?
a. Bipolar disorder
b. Major depression
c. Anxiety
,d. Psychosis - answer✔✔ - A. Bipolar disorder
A patient with a cephalic presentation anticipating a vaginal delivery failed to
progress. After measurement of the fetal head and a trial of oxytocin, the patient
underwent a cesarean section. What condition should the coder suspect and
query the physician about?
a. Twin pregnancy
b. Early delivery
c. Eclampsia
d. Cephalopelvic disproportion - answer✔✔ - d. Cephalopelvic disproportion A
45 year old woman underwent a carotid bypass and experienced a significant drop
in blood pressure during the surgery. The documentation suggested the patient
may have had a myocardial infarction. In accordance with coding guidelines, what
should the coder do?
a. Code complication of surgery NOS.
b. Query the physician to determine if the patient had hypotension.
c. Query the physician to determine if there was a complication of surgery.
d. Code preoperative shock. - answer✔✔ - c. Query the physician to determine if
there was a complication of surgery.
If a patient's discharge summary does not contain a diagnosis that is documented
by the anesthesiologist in a preoperative evaluation and that would impact MS-
DRG assignment, the coder
should:
a. Code only from the discharge diagnosis
b. Code the diagnosis reflected on the anesthesia preoperative evaluation
c. Code the most severe symptom
,d. Query the attending physician regarding the clinical significance of that
diagnosis - correct answer
<<<<<💕💕💕✔✔d. Query the attending physician regarding the clinical
significance of that diagnosis
A patient has documentation of esophageal varices. What condition may be
related that may affect the
coding?
a. Arthritis
b. Liver disease
c. Chronic obstructive pulmonary disease
d. Erythema - answer✔✔ - b. Liver disease
A patient admitted with acute abdominal pain, is fount to have appendicitis, and
has an appendectomy. The patient has a length of stay for 2 days. What type of
patient encounter is this? a. Impatient
b. Outpatient
c. Long term care
d. Rehabilitation - answer✔✔ - a. Inpatient
A patient was treated in the emergency department for a swollen knee and an
aspiration of the joint was performed. The patient was then discharged home. It is
important to make sure that which of the following are documented and captured
for billing purposes?
a. X-ray and other types of radiology examination
b. Procedures performed including the aspiration of the joint
, c. Examination and management in the emergency department
d. All services provided including diagnostic and treatment procedures, as well as
physician services - answer✔✔ - d. All services provided including diagnostic
and treatment procedures, as well as physician services.
A patient has documentation on the discharge summary of urosepsis. The coding
staff queries the attending physician about the condition and is provided further
information that the patient has septicemia. This is in alignment with the
laboratory test and medication given but the diagnosis of septicemia was not
documented by the physician. How should the physician be requested to
document the septicemia?
a. A brand new history and physical should be dictated to replace the one in the
record.
b. An addendum to the chart should be written.
c. The new information should be squeezed in between lines within the progress
notes of the last day.
d. The query sheet will be sufficient to document this information. - answer✔✔ -
b. An addendum to the chart should be written.
The committee responsible for medical record completion reports to which
medical staff committee? a. Chief executive officer of the facility
b. Medical Executive Committee
c. Discharge Planning Committee
d. Chief nursing officer - answer✔✔ - b. Medical Executive Committee
Two areas of documentation in the medial record that are significant areas of
focus of accrediting agencies are:
Practice Questions with Verified
Answers. GRADED A+. Latest
2026/2027 Update
A 23 year old female is admitted for vaginal bleeding following a miscarriage two
weeks prior to this admission. She afebrile at this time and is treated with an
aspiration dilation and curettage. Products of conception are found. Which of the
following should be the principle diagnosis?
a. O03.1, Delayed or excessive hemorrhage following incomplete
spontaneous abortion
b. O08.1, Delayed or excessive hemorrhage following ectopic and molar
pregnancy c. R57.9, Shock, unspecified
d. T81.10XA, Postprocedural shock unspecified, initial encounter - answer✔✔ - a.
O03.1, Delayed or excessive hemorrhage following incomplete spontaneous
abortion
A psychiatrist documents that a patient has wide mood swings from excessive
happiness to loss of energy and crying. What condition is suspected?
a. Bipolar disorder
b. Major depression
c. Anxiety
,d. Psychosis - answer✔✔ - A. Bipolar disorder
A patient with a cephalic presentation anticipating a vaginal delivery failed to
progress. After measurement of the fetal head and a trial of oxytocin, the patient
underwent a cesarean section. What condition should the coder suspect and
query the physician about?
a. Twin pregnancy
b. Early delivery
c. Eclampsia
d. Cephalopelvic disproportion - answer✔✔ - d. Cephalopelvic disproportion A
45 year old woman underwent a carotid bypass and experienced a significant drop
in blood pressure during the surgery. The documentation suggested the patient
may have had a myocardial infarction. In accordance with coding guidelines, what
should the coder do?
a. Code complication of surgery NOS.
b. Query the physician to determine if the patient had hypotension.
c. Query the physician to determine if there was a complication of surgery.
d. Code preoperative shock. - answer✔✔ - c. Query the physician to determine if
there was a complication of surgery.
If a patient's discharge summary does not contain a diagnosis that is documented
by the anesthesiologist in a preoperative evaluation and that would impact MS-
DRG assignment, the coder
should:
a. Code only from the discharge diagnosis
b. Code the diagnosis reflected on the anesthesia preoperative evaluation
c. Code the most severe symptom
,d. Query the attending physician regarding the clinical significance of that
diagnosis - correct answer
<<<<<💕💕💕✔✔d. Query the attending physician regarding the clinical
significance of that diagnosis
A patient has documentation of esophageal varices. What condition may be
related that may affect the
coding?
a. Arthritis
b. Liver disease
c. Chronic obstructive pulmonary disease
d. Erythema - answer✔✔ - b. Liver disease
A patient admitted with acute abdominal pain, is fount to have appendicitis, and
has an appendectomy. The patient has a length of stay for 2 days. What type of
patient encounter is this? a. Impatient
b. Outpatient
c. Long term care
d. Rehabilitation - answer✔✔ - a. Inpatient
A patient was treated in the emergency department for a swollen knee and an
aspiration of the joint was performed. The patient was then discharged home. It is
important to make sure that which of the following are documented and captured
for billing purposes?
a. X-ray and other types of radiology examination
b. Procedures performed including the aspiration of the joint
, c. Examination and management in the emergency department
d. All services provided including diagnostic and treatment procedures, as well as
physician services - answer✔✔ - d. All services provided including diagnostic
and treatment procedures, as well as physician services.
A patient has documentation on the discharge summary of urosepsis. The coding
staff queries the attending physician about the condition and is provided further
information that the patient has septicemia. This is in alignment with the
laboratory test and medication given but the diagnosis of septicemia was not
documented by the physician. How should the physician be requested to
document the septicemia?
a. A brand new history and physical should be dictated to replace the one in the
record.
b. An addendum to the chart should be written.
c. The new information should be squeezed in between lines within the progress
notes of the last day.
d. The query sheet will be sufficient to document this information. - answer✔✔ -
b. An addendum to the chart should be written.
The committee responsible for medical record completion reports to which
medical staff committee? a. Chief executive officer of the facility
b. Medical Executive Committee
c. Discharge Planning Committee
d. Chief nursing officer - answer✔✔ - b. Medical Executive Committee
Two areas of documentation in the medial record that are significant areas of
focus of accrediting agencies are:
