CCS PRACTICE 1 AND 2 FINAL PAPER 2026
COMPLETE QUESTIONS AND ANSWERS
◉ Two areas of documentation in the medial record that are
significant areas of focus of accrediting agencies are:
a. Incident reports notion in the medical record and attorney's notes
b. Past medical reports and social worker notes
c. Timeliness and legibility of medical documents
d. Patient documentation and pastoral counseling.
Answer: c. Timeliness and legibility of medical documents
◉ In teaching facilities where electronic signatures are used for
residents and attending physicians:
a. Attending signature is all that is needed
b. Resident signature is all that is needed
c. Resident should co-sign after that attending signs the document
d. Attending should co-sign after the resident signs the document.
Answer: d. Attending should co-sign after the resident signs the
document
◉ An 84 year old woman was admitted and discharged with
hemiplegia and aphasia. A CT scan of the brain was performed that
,revealed an acute cerebral infarction and possible small brain mass.
After further testing, the patient was discharged with a final
diagnosis of acute cerebral infarction. The condition(s) that should
be coded are:
a. Acute cerebral infarction
b. Hemiplegia and aphasia
c. Acute cerebral infarction, hemiplegia and aphasia
d. Possible brain mass, hemiplegia and aphasia.
Answer: c. Acute cerebral infarction, hemiplegia and aphasia
◉ An inpatient is discharged with a diagnosis of "either irritable
bowel or pancreatitis". Which condition would be the principal
diagnosis?
a. Code both and sequence according to the circumstances of the
admission
b. Pancreatitis
c. Irritable bowel syndrome
d. Observation fro suspected gastrointestinal condition.
Answer: a. Code both and sequence according to the circumstances
of the admission
◉ A 55 year old male was transferred to a nursing home for
continuing care because of ventilator dependence following
complications of cardiac bypass surgery. He was readmitted three
,weeks later due to ventilator associated pneumonia(VAP) due to
Pseudomonas aeruginosa. How should this be coded?
a. T88.9XXA, J18.9, B96.5
b. J16.8
c. J95.851, B96.5
d. J15.1, J95.851.
Answer: c. J95.851, B96.5
◉ A patient take Coumadin as prescribed, and correctly
administered. However, the patient develops hematuria secondary
to the Coumadin use. The correct coding assignment for this case
would be :
a. Poisoning due to Coumadin
b. Unspecified adverse reaction to Coumadin
c. Hematuria, poisoning due to Coumadin
d. Hematuria, adverse reaction to Coumadin.
Answer: d. Hematuria, adverse reaction to Coumadin
◉ A patient is admitted with lethargy, congestive heart failure, and
pleural effusion. The patient underwent treatment with diuretics for
the CHF, which has cleared. The pleural effusion required a
thoracentesis to determine the cause. At the time of discharge, the
effusion was decreased but not resolved. The correct coding
assignment for this case would be:
, a. Congestive heart failure
b. Pleural effusion
c. Congestive heart failure and pleural effusion
d. Lethargy, congestive heart failure and pleural effusion.
Answer: c. Congestive heart failure and pleural effusion
◉ A patient with human immunodeficiency virus (HIV) with
methicillin susceptible pneumonia due to Staphylococcus aureus
was discharged from the acute-care setting. How should this be
coded?
a. B20, J17
b. B20, J15.20
c. B20, J15.211
d. B20, J15.212.
Answer: c. B20, J15.211
◉ A patient has a diabetic ulcer of the right foot. How should this
patient's record be coded?
a. E11.40, L97.419
b. E11.40, L97.409
c. E11.69, L97.419
d. E11.621, L97.419.
Answer: d. E11.621, L97.419
COMPLETE QUESTIONS AND ANSWERS
◉ Two areas of documentation in the medial record that are
significant areas of focus of accrediting agencies are:
a. Incident reports notion in the medical record and attorney's notes
b. Past medical reports and social worker notes
c. Timeliness and legibility of medical documents
d. Patient documentation and pastoral counseling.
Answer: c. Timeliness and legibility of medical documents
◉ In teaching facilities where electronic signatures are used for
residents and attending physicians:
a. Attending signature is all that is needed
b. Resident signature is all that is needed
c. Resident should co-sign after that attending signs the document
d. Attending should co-sign after the resident signs the document.
Answer: d. Attending should co-sign after the resident signs the
document
◉ An 84 year old woman was admitted and discharged with
hemiplegia and aphasia. A CT scan of the brain was performed that
,revealed an acute cerebral infarction and possible small brain mass.
After further testing, the patient was discharged with a final
diagnosis of acute cerebral infarction. The condition(s) that should
be coded are:
a. Acute cerebral infarction
b. Hemiplegia and aphasia
c. Acute cerebral infarction, hemiplegia and aphasia
d. Possible brain mass, hemiplegia and aphasia.
Answer: c. Acute cerebral infarction, hemiplegia and aphasia
◉ An inpatient is discharged with a diagnosis of "either irritable
bowel or pancreatitis". Which condition would be the principal
diagnosis?
a. Code both and sequence according to the circumstances of the
admission
b. Pancreatitis
c. Irritable bowel syndrome
d. Observation fro suspected gastrointestinal condition.
Answer: a. Code both and sequence according to the circumstances
of the admission
◉ A 55 year old male was transferred to a nursing home for
continuing care because of ventilator dependence following
complications of cardiac bypass surgery. He was readmitted three
,weeks later due to ventilator associated pneumonia(VAP) due to
Pseudomonas aeruginosa. How should this be coded?
a. T88.9XXA, J18.9, B96.5
b. J16.8
c. J95.851, B96.5
d. J15.1, J95.851.
Answer: c. J95.851, B96.5
◉ A patient take Coumadin as prescribed, and correctly
administered. However, the patient develops hematuria secondary
to the Coumadin use. The correct coding assignment for this case
would be :
a. Poisoning due to Coumadin
b. Unspecified adverse reaction to Coumadin
c. Hematuria, poisoning due to Coumadin
d. Hematuria, adverse reaction to Coumadin.
Answer: d. Hematuria, adverse reaction to Coumadin
◉ A patient is admitted with lethargy, congestive heart failure, and
pleural effusion. The patient underwent treatment with diuretics for
the CHF, which has cleared. The pleural effusion required a
thoracentesis to determine the cause. At the time of discharge, the
effusion was decreased but not resolved. The correct coding
assignment for this case would be:
, a. Congestive heart failure
b. Pleural effusion
c. Congestive heart failure and pleural effusion
d. Lethargy, congestive heart failure and pleural effusion.
Answer: c. Congestive heart failure and pleural effusion
◉ A patient with human immunodeficiency virus (HIV) with
methicillin susceptible pneumonia due to Staphylococcus aureus
was discharged from the acute-care setting. How should this be
coded?
a. B20, J17
b. B20, J15.20
c. B20, J15.211
d. B20, J15.212.
Answer: c. B20, J15.211
◉ A patient has a diabetic ulcer of the right foot. How should this
patient's record be coded?
a. E11.40, L97.419
b. E11.40, L97.409
c. E11.69, L97.419
d. E11.621, L97.419.
Answer: d. E11.621, L97.419
