CCS Practice Questions - Certified Coding Specialist Exam - CCS Practice Questions

Question 1

A patient is admitted with chest pain. After workup, the physician documents that the chest pain is due to a confirmed acute non-ST elevation myocardial infarction (NSTEMI). Per UHDDS, what is the correct principal diagnosis?

Chest pain (R07.9) Acute NSTEMI (I21.4) Coronary artery disease (I25.10) Acute coronary syndrome (I24.9)

Correct Answer:

Acute NSTEMI (I21.4)

Question 2

An inpatient is admitted with severe sepsis due to a urinary tract infection (UTI) with associated acute kidney injury. Which is the correct PDX sequencing?

UTI first, then sepsis, then AKI Sepsis (A41.9) first, followed by R65.20 severe sepsis, UTI, and AKI AKI first, then sepsis, then UTI R65.20 severe sepsis first, then sepsis, UTI, AKI

Correct Answer:

Sepsis (A41.9) first, followed by R65.20 severe sepsis, UTI, and AKI

Question 3

A POA indicator of 'W' for a diagnosis code on an inpatient claim signifies what?

Diagnosis was present on admission Diagnosis was not present on admission Documentation is insufficient to determine if condition was present on admission Provider is unable to clinically determine whether condition was present on admission

Correct Answer:

Provider is unable to clinically determine whether condition was present on admission

Question 4

A patient is admitted for repair of a fractured femur sustained in a fall at home. While inpatient, the patient develops a stage III pressure ulcer of the sacrum. The pressure ulcer's POA indicator should be:

Y - Present on admission N - Not present on admission U - Unknown W - Clinically undetermined

Correct Answer:

N - Not present on admission

Question 5

A patient is admitted with possible pulmonary embolism. Workup is inconclusive, and the discharge diagnosis remains 'possible PE.' For inpatient coding, how is this coded?

Code only the symptoms (e.g., chest pain, dyspnea) Code the possible PE as if it were established Code R69 - illness, unspecified Query the physician but do not code anything until clarified

Correct Answer:

Code the possible PE as if it were established

Exam overview

About this Exam

Prepare with the CCS Practice Questions - Certified Coding Specialist Exam practice quiz. This question bank includes 100 questions covering patient, admitted, root, operation, and body. Use it to review important concepts, identify knowledge gaps, and build confidence for the related exam, course, or assessment.

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CCS Practice Questions - Certified Coding Specialist Exam

This practice set contains 100 questions from the matching question bank and focuses on patient, admitted, root, operation, and body. Work through each question carefully, review the provided solutions, and revisit topics that need more study before your next attempt.

This is an independent study resource intended for practice and review; it is not an official examination or an endorsement by any organization named in the title.

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CCS Practice Questions - Certified Coding Specialist Exam

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