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Certified Coding Specialist (CCS) Exam Preparation 2026 | AHIMA CCS | 330+ Exam Questions & Verified Answers | ICD-10-CM, ICD-10-PCS, CPT®, HCPCS, DRGs & Medical Coding Certification

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Master the Certified Coding Specialist (CCS) certification examination with this comprehensive collection of over 330 expertly compiled exam questions and verified answers covering the core competencies tested by the American Health Information Management Association (AHIMA). This study guide provides extensive practice in ICD-10-CM diagnosis coding, ICD-10-PCS inpatient procedure coding, CPT® procedural coding, HCPCS Level II coding, MS-DRGs, APCs, reimbursement methodologies, Evaluation and Management (E/M) coding, medical terminology, anatomy and physiology, compliance, health information management, coding guidelines, Medicare regulations, documentation improvement, data quality, healthcare privacy, and reimbursement systems. The questions are presented in an examination-style format with accurate answers and detailed rationales, enabling learners to strengthen coding accuracy, improve analytical thinking, and build confidence for the CCS certification examination. The material includes realistic inpatient and outpatient coding scenarios, surgical coding exercises, reimbursement calculations, modifier usage, documentation analysis, sequencing rules, diagnosis assignment, procedure coding, and coding compliance topics that closely reflect the complexity encountered in professional coding practice. Whether used for self-study, classroom revision, certification preparation, or continuing professional development, this resource serves as an effective review guide for developing advanced coding proficiency. The content aligns with nationally recognized coding standards and industry references commonly used by coding professionals, including: American Health Information Management Association (AHIMA). Certified Coding Specialist (CCS) Exam Candidate Guide. American Medical Association. CPT® Professional Edition. Centers for Medicare & Medicaid Services (CMS). ICD-10-CM Official Guidelines for Coding and Reporting. Centers for Medicare & Medicaid Services (CMS). ICD-10-PCS Official Coding Guidelines. Centers for Medicare & Medicaid Services (CMS). Medicare Claims Processing Manual. National Center for Health Statistics (NCHS). ICD-10-CM Official Guidelines for Coding and Reporting. This study material is highly recommended for Certified Coding Specialist (CCS) candidates, Health Information Management (HIM) students, Medical Coding students, Health Information Technology (HIT) students, Medical Billing and Coding professionals, Clinical Documentation Improvement (CDI) specialists, Revenue Cycle professionals, healthcare reimbursement specialists, coding educators, and healthcare professionals preparing for AHIMA certification examinations or advancing their medical coding careers. Keywords: Certified Coding Specialist, CCS Exam, AHIMA CCS, Medical Coding, ICD-10-CM, ICD-10-PCS, CPT Coding, HCPCS Level II, Medical Billing, Health Information Management, HIM, Health Information Technology, Coding Certification, Coding Practice Questions, CCS Practice Test, CCS Exam Questions, DRGs, APCs, Medicare Coding, Reimbursement, Evaluation and Management Coding, E&M Coding, Coding Guidelines, Clinical Documentation Improvement, CDI, Healthcare Compliance, Revenue Cycle Management, Inpatient Coding, Outpatient Coding, Medical Terminology, Anatomy and Physiology, Healthcare Documentation, Coding Review, Certification Preparation

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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 Preparation 2026
Exam Questions and Correct
Answers | New Update



Diagnostic-related groups (DRGs) and ambulatory patient classifications

(APCs) are similar in that they are both:

a. Determined by HCPCS codes

b. Focused on hospital outpatients

c. Focused on hospital inpatients


d. Prospective payment systems - ANSWER ✔✔d. Prospective

payment systems

,** Both are types of prospective payment systems (Casto and Forrestal

2015, 6).

A patient is treated for esophageal varices with hemorrhage due to

cirrhosis. The diagnostic codes that would be assigned are:




I85.01 Esophageal varices with bleeding

I85.11 Secondary esophageal varices with bleeding


K74.60 Unspecified cirrhosis of liver - ANSWER ✔✔d. K74.60, I85.11




K74.60: Unspecified cirrhosis of liver




I85.11:Secondary esophageal varices with bleeding




**The patient has cirrhosis of the liver with resulting bleeding esophageal

varices. Cirrhosis of liver is sequenced first followed by the code for the

bleeding esophageal varices (HHS 2017, Section I.A.13, 11).

,Assign the code(s) for bronchoscopy with bilateral transbronchial biopsy

for each lobe of each lung.




31628 Bronchoscopy, rigid or flexible, including fluoroscopic guidance,

when performed; with transbronchial lung biopsy(s), single lobe

31629 Bronchoscopy, rigid or flexible, including fluoroscopic guidance,

when performed; with transbronchial needle aspiration biopsy(s),

trachea, main stem and/or lobar bronchus(i)

31632 Bronchoscopy, rigid or flexible, including fluoroscopic guidance,

when performed; with transbronchial lung biopsy(s), each additional lobe


−50 Bilateral procedure - ANSWER ✔✔


Assign the code(s) for endoscopic sinusotomy with bilateral anterior

ethmoidectomy.

31231 Nasal endoscopy, diagnostic, unilateral or bilateral (separate

procedure)

31254 Nasal/sinus endoscopy, surgical; with ethmoidectomy, partial

(anterior)

−50 Bilateral procedurea.

a. 31254


COPYRIGHT©NINJANERD 2025/2026. YEAR PUBLISHED 2026. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
3

, b. 31254-50

c. 31254, 31254


d. 31231 - ANSWER ✔✔b. 31254-50


31254 Nasal/sinus endoscopy, surgical; with ethmoidectomy, partial

(anterior)

−50 Bilateral procedurea.




** A code for the anterior ethmoidectomy is assigned and to denote the

bilateral procedure, a modifier of -50 is added (CPT Assistant Winter

1993, 23; Jan. 1997, 4; Sept. 1997, 10; Oct. 1997, 5; Dec. 2001, 6; May

2003, 5). The sinusotomy is not coded separately, as it is a diagnostic

procedure.

The most common language used for both data definition language and

data manipulation language is:

a. Unified modeling language

b. JAVA

c. Perl


d. Structured query language - ANSWER ✔✔d. Structured query

language

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Certified coding and billing specialist

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