CCDS FINAL PAPER 2026 FULL Q&A STUDY
GUIDE GRADED A+
◉A. Active bleeding does not need to be visualized in an endoscopy;
the physician impression can be documented and coded. Answer:
When concurrently formulating a query to clarify whether a patient
has a gastrointestinal hemorrhage, it is important to assist the
physician in understanding which of the following coding rules?
A. Active bleeding does not need to be visualized in an endoscopy;
the physician impression can be documented and coded
B. Bleeding must be visualized in order to code an active bleed
C. A positive hemoccult is sufficient documentation to code GI
hemorrhage
D. The EGD report will be used to code the location of the GI
hemorrhage
◉C. The procedure had to be performed via an incision and will lead
to a different surgical MS-DRG. Answer: A patient is admitted with
cholelithiasis and is scheduled for a laparoscopic cholecystectomy.
When reviewing the operation report, the documentation specialist
notes the words "dilation of the sphincter of Oddi." This is important
because it indicates:
,A. Stones may have been left behind
B. A non-reimbursable procedure was performed
C. The procedure had to be performed via an incision and will lead
to a different surgical MS-DRG
D. A complication that will code as an MCC
◉B. Should be identified by the type of debridement and the depth
of tissue removed. Answer: It is important to clarify the type of
debridement that is performed during a patient's hospital stay
because debridement:
A. Is not reimbursable if performed by wound care nurses
B. Should be identified by the type of debridement and the depth of
tissue removed
C. Is a hospital-acquired condition that does not provide
reimbursement
D. Is not reimbursable if performed at the bedside
◉B. Poor or delaying wound healing. Answer: Which of the following
would be an important indicator of severe malnutrition?
A. Albumin of 2.9
B. Poor or delaying wound healing
C. Patient is 90% of ideal body weight
, D. Patient is NPO after midnight for surgery scheduled the next day
◉A. Documentation indicates creatinine 2.4 on admission
decreasing to 1.7 after 2 liters of fluid administered. Please clarify
the condition you are monitoring and treating related to creatinine.
Based upon presentation of altered mental status, are you also
treating a CVA?. Answer: A patient is admitted with weakness,
dehydration, and AMS. The patient also has a history of CKD stage 2
with a baseline creatinine of 1.6, CHF, HTN, and CABG. Blood urea
nitrogen (BUN) is 32, creatinine is 2.4, and urine analysis is positive
for white blood cells. Head CT is negative for acute changes. The
patient is started on IV fluids and antibiotics. Labs after 2 liters of
fluid are BUN 28 and creatinine 1.7. The physician documents the
following impression list:
-Dehydration with pre-renal azotemia
-UTI
-CKD
-AMS
Which of the following is an appropriate concurrent query?
A. Documentation indicates creatinine 2.4 on admission decreasing
to 1.7 after 2 liters of fluid administered. Please clarify the condition
GUIDE GRADED A+
◉A. Active bleeding does not need to be visualized in an endoscopy;
the physician impression can be documented and coded. Answer:
When concurrently formulating a query to clarify whether a patient
has a gastrointestinal hemorrhage, it is important to assist the
physician in understanding which of the following coding rules?
A. Active bleeding does not need to be visualized in an endoscopy;
the physician impression can be documented and coded
B. Bleeding must be visualized in order to code an active bleed
C. A positive hemoccult is sufficient documentation to code GI
hemorrhage
D. The EGD report will be used to code the location of the GI
hemorrhage
◉C. The procedure had to be performed via an incision and will lead
to a different surgical MS-DRG. Answer: A patient is admitted with
cholelithiasis and is scheduled for a laparoscopic cholecystectomy.
When reviewing the operation report, the documentation specialist
notes the words "dilation of the sphincter of Oddi." This is important
because it indicates:
,A. Stones may have been left behind
B. A non-reimbursable procedure was performed
C. The procedure had to be performed via an incision and will lead
to a different surgical MS-DRG
D. A complication that will code as an MCC
◉B. Should be identified by the type of debridement and the depth
of tissue removed. Answer: It is important to clarify the type of
debridement that is performed during a patient's hospital stay
because debridement:
A. Is not reimbursable if performed by wound care nurses
B. Should be identified by the type of debridement and the depth of
tissue removed
C. Is a hospital-acquired condition that does not provide
reimbursement
D. Is not reimbursable if performed at the bedside
◉B. Poor or delaying wound healing. Answer: Which of the following
would be an important indicator of severe malnutrition?
A. Albumin of 2.9
B. Poor or delaying wound healing
C. Patient is 90% of ideal body weight
, D. Patient is NPO after midnight for surgery scheduled the next day
◉A. Documentation indicates creatinine 2.4 on admission
decreasing to 1.7 after 2 liters of fluid administered. Please clarify
the condition you are monitoring and treating related to creatinine.
Based upon presentation of altered mental status, are you also
treating a CVA?. Answer: A patient is admitted with weakness,
dehydration, and AMS. The patient also has a history of CKD stage 2
with a baseline creatinine of 1.6, CHF, HTN, and CABG. Blood urea
nitrogen (BUN) is 32, creatinine is 2.4, and urine analysis is positive
for white blood cells. Head CT is negative for acute changes. The
patient is started on IV fluids and antibiotics. Labs after 2 liters of
fluid are BUN 28 and creatinine 1.7. The physician documents the
following impression list:
-Dehydration with pre-renal azotemia
-UTI
-CKD
-AMS
Which of the following is an appropriate concurrent query?
A. Documentation indicates creatinine 2.4 on admission decreasing
to 1.7 after 2 liters of fluid administered. Please clarify the condition
