CCDS EXAM 2026 Newest Updated Questions
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Terms in this set (105)
Code Assignment Hierarchy 1. Official guidelines for coding and reporting
2. Alphabetic index
3. Tabular list
4. (AHA coding clinic for ICD-10-Cm/PCS does
not supersede the above, but should be
reviewed within the context of the above 3
documents).
Official rules and codes are 4 Governing Cooperating Parties: AHA, AHIMA,
updated and approved by: CMS, NCHS
Anatomy of PCS code structure (1- 1. Section or general category of the procedure
3) 2. Body system or region within the body that's
the focus of the procedure
3. Root operation or intent of procedure (e.g.,
extraction, excision, release, etc.).
,Anatomy of PCS code (4-6) 4. Body part
5. Approach (e.g., open, percutaneous,
endoscopic, etc.)
6. Device implanted
7. Qualifier (unique meaning for each procedure
that gives an extra piece of information that
completes the code, e.g., diagnostic biopsy).
Anatomy of CM code structure (1- 1-3: Category
3) (4-6) (7) 4-6: Etiology, anatomical site, severity
7: Extension (a code that has an applicable 7th
character is considered invalid without it)
Sequelae/complication coding No time limit as to when this type of code can be
timeframe assigned.
PDX definition 1. Determines the DRG and known as 'what
bought the bed'
2. UHDDS "the condition established after study
to be chiefly responsible for occasioning the
admission"
3. Assigned even if the original plan of care is not
carried out.
Threatened or impending coding 1. If it occurred, code as confirmed
2. Did not occur, check Alphabetic Index for
subentry and main term entry terms for
"impending" or threatened".
- If listed, assign the code
- If not listed, code the existing underlying
condition, but not the condition described as
"impending: or "threatened"
Laterality code assignment If the condition is bilateral, but there is no
bilateral code, then assign separate codes for
both R and L.
, How would you code either/or Code both as confirmed diagnoses.
diagnoses?
When can you code conditions that When it requires care beyond usual treatment.
are otherwise considered integral (e.g., pleural effusion and CHF - treating with just
or inherent to another condition? diuretics, you would not code the pleural
effusion. Treating with thoracentesis, you would
code both, indicating a higher severity of illness
and level of resource consumption for CHF).
Chapter-specific guidelines (HIV) - - Only report confirmed cases of HIV code B20.
when to report? - This is an exception to the possible/probable
rule.
- Does not need a positive blood test, but does
need provider documentation of HIV diagnosis
with symptoms or HIV related illness.
Sequencing HIV as PDX or SDX 1. B20 PDX when patient is admitted to treat HIV
or HIV related condition.
2. B20 SDX when admitted for an unrelated
condition to HIV.
Organisms/infections that are Zika
exception to uncertain terms (need COVID-19
to be confirmed)
and Correct Answers () (Verified
Answers by Expert)
Save
Terms in this set (105)
Code Assignment Hierarchy 1. Official guidelines for coding and reporting
2. Alphabetic index
3. Tabular list
4. (AHA coding clinic for ICD-10-Cm/PCS does
not supersede the above, but should be
reviewed within the context of the above 3
documents).
Official rules and codes are 4 Governing Cooperating Parties: AHA, AHIMA,
updated and approved by: CMS, NCHS
Anatomy of PCS code structure (1- 1. Section or general category of the procedure
3) 2. Body system or region within the body that's
the focus of the procedure
3. Root operation or intent of procedure (e.g.,
extraction, excision, release, etc.).
,Anatomy of PCS code (4-6) 4. Body part
5. Approach (e.g., open, percutaneous,
endoscopic, etc.)
6. Device implanted
7. Qualifier (unique meaning for each procedure
that gives an extra piece of information that
completes the code, e.g., diagnostic biopsy).
Anatomy of CM code structure (1- 1-3: Category
3) (4-6) (7) 4-6: Etiology, anatomical site, severity
7: Extension (a code that has an applicable 7th
character is considered invalid without it)
Sequelae/complication coding No time limit as to when this type of code can be
timeframe assigned.
PDX definition 1. Determines the DRG and known as 'what
bought the bed'
2. UHDDS "the condition established after study
to be chiefly responsible for occasioning the
admission"
3. Assigned even if the original plan of care is not
carried out.
Threatened or impending coding 1. If it occurred, code as confirmed
2. Did not occur, check Alphabetic Index for
subentry and main term entry terms for
"impending" or threatened".
- If listed, assign the code
- If not listed, code the existing underlying
condition, but not the condition described as
"impending: or "threatened"
Laterality code assignment If the condition is bilateral, but there is no
bilateral code, then assign separate codes for
both R and L.
, How would you code either/or Code both as confirmed diagnoses.
diagnoses?
When can you code conditions that When it requires care beyond usual treatment.
are otherwise considered integral (e.g., pleural effusion and CHF - treating with just
or inherent to another condition? diuretics, you would not code the pleural
effusion. Treating with thoracentesis, you would
code both, indicating a higher severity of illness
and level of resource consumption for CHF).
Chapter-specific guidelines (HIV) - - Only report confirmed cases of HIV code B20.
when to report? - This is an exception to the possible/probable
rule.
- Does not need a positive blood test, but does
need provider documentation of HIV diagnosis
with symptoms or HIV related illness.
Sequencing HIV as PDX or SDX 1. B20 PDX when patient is admitted to treat HIV
or HIV related condition.
2. B20 SDX when admitted for an unrelated
condition to HIV.
Organisms/infections that are Zika
exception to uncertain terms (need COVID-19
to be confirmed)
