1|Page
CERTIFIED CODING SPECIALIST (CCS)EXAM
PREP 2 NEWEST 2025 ACTUAL EXAM|
COMPLETE 250 QUESTIONS WITH CORRECT
VERIFIED ANSWERS/ ALREADY GRADED A+
The requirements for documentation and record completion (documents
such as history and physicals, discharge summaries, and consultations)
as well as penalties for non-adherence must be specified in:
a. hospital rules and regulations
b. conditions of non-participation
c. medical staff bylaws
d. nursing staff policies - Correct Answer - c
A patient is discharged with a diagnosis of acute pulmonary edema due
to congestive heart failure. What condition(s) should be coded?
a. Acute pulmonary edema
b. Congestive heart failure
c. Acute pulmonary edema and congestive heart failure
d. Unable to determine based on the information provided - Correct
Answer - b
A patient is admitted with an acute inferior myocardial infarction and
discharged alive. Which condition would increase the MS-DRG weight?
a. Respiratory failure
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b. Atrial fibrillation
c. Hypertension
d. History of myocardial infarction - Correct Answer - a
A female patient is diagnosed with congestive heart failure. Which of the
following will increase the MS-DRG weight if present on admission?
a. Atrial fibrillation
b. Stage III pressure ulcer
c. Blood loss anemia
d. Coronary artery disease - Correct Answer - b
If the principal diagnosis is an initial episode of an anterior wall
myocardial infarction, which procedure will result in the highest DRG?
a. Mechanical ventilator
b. Insertion central venous catheter
c. Right heart cardiac catheterization
d. Transbronchial lung biopsy - Correct Answer - d
A patient presents for cystourethroscopy with removal of two lesions of
separate locations in the bladder. one of these is a 1.5-cm bladder tumor
in the anterior wall and one is measured as 0.75-cm in the lateral wall.
what coding rule applies?
a. Two CPT codes should be used with a modifier -59.
b. Two CPT codes should be used.
c. Code only the CPT code for cystourethroscopy.
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d. Code only the largest tumor. - Correct Answer - d
A 64-year-old female was discharged with the final diagnosis of acute
renal failure and hypertension. what coding rule applies?
a. use combination code of hypertension and renal failure.
b. use separate codes for hypertension and chronic renal failure.
c. uses separate codes for hypertension and acute renal failure.
d. use separate codes for elevated blood pressure and chronic renal
failure. - Correct Answer - c
A patient was admitted to an acute care facility with a temperature of
102 and atrial fibrillation. the chest x-ray reveals pneumonia with
subsequent documentation by the physician of pneumonia in the
progress notes and discharge summary. the patient was treated with oral
anti arrhythmic medications and IV antibiotics. what is the correct code
sequence?
a. J18.9, I48.91
b. I48.91, J18.9
c. it does not matter which is used as the principal diagnosis.
d. not enough information is present. query the physician. - Correct
Answer - a
Syncope; bradycardia ruled out; due to taking Valium as prescribed by a
physician. patient also took an antihistamine as directed on the package
without consulting a healthcare provider. what codes should be
assigned?
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a. R55, T42.4X1A, T45.0X1A
b. T42.4X1A, T45.0X1A, R55
c. T45.0X1A, T42.4X1A
d. T42.4X6A, T45.0X5A, R55 - Correct Answer - b
A female patient is admitted for a second-degree cystocele. a repair is
performed. in order to code this accurately, what document provides the
required additional information?
a. History and Physical
b. Discharge summary
c. Consultation
d. Operative report - Correct Answer - d
This is the first admission for a patient with adenocarcinoma of the right
lower lung who was also found with metastasis to the brain. the patient
underwent a complete right lower lung lobectomy via laparotomy. what
codes should be assigned?
a. C34.31, C79.31, 0BTF0ZZ
b. C79.31, C34.31, 0BTF0ZZ
c. C34.31, C79.31, 0BTF4ZZ
d. C34.11, C79.31, 0BTF4ZZ - Correct Answer - a
50-year-old woman is admitted with a diagnosis of metastatic ovarian
cancer to the pleura. a thoracoscopic pleurodesis is performed. what
codes should be assigned?
pg. 4
CERTIFIED CODING SPECIALIST (CCS)EXAM
PREP 2 NEWEST 2025 ACTUAL EXAM|
COMPLETE 250 QUESTIONS WITH CORRECT
VERIFIED ANSWERS/ ALREADY GRADED A+
The requirements for documentation and record completion (documents
such as history and physicals, discharge summaries, and consultations)
as well as penalties for non-adherence must be specified in:
a. hospital rules and regulations
b. conditions of non-participation
c. medical staff bylaws
d. nursing staff policies - Correct Answer - c
A patient is discharged with a diagnosis of acute pulmonary edema due
to congestive heart failure. What condition(s) should be coded?
a. Acute pulmonary edema
b. Congestive heart failure
c. Acute pulmonary edema and congestive heart failure
d. Unable to determine based on the information provided - Correct
Answer - b
A patient is admitted with an acute inferior myocardial infarction and
discharged alive. Which condition would increase the MS-DRG weight?
a. Respiratory failure
pg. 1
,2|Page
b. Atrial fibrillation
c. Hypertension
d. History of myocardial infarction - Correct Answer - a
A female patient is diagnosed with congestive heart failure. Which of the
following will increase the MS-DRG weight if present on admission?
a. Atrial fibrillation
b. Stage III pressure ulcer
c. Blood loss anemia
d. Coronary artery disease - Correct Answer - b
If the principal diagnosis is an initial episode of an anterior wall
myocardial infarction, which procedure will result in the highest DRG?
a. Mechanical ventilator
b. Insertion central venous catheter
c. Right heart cardiac catheterization
d. Transbronchial lung biopsy - Correct Answer - d
A patient presents for cystourethroscopy with removal of two lesions of
separate locations in the bladder. one of these is a 1.5-cm bladder tumor
in the anterior wall and one is measured as 0.75-cm in the lateral wall.
what coding rule applies?
a. Two CPT codes should be used with a modifier -59.
b. Two CPT codes should be used.
c. Code only the CPT code for cystourethroscopy.
pg. 2
,3|Page
d. Code only the largest tumor. - Correct Answer - d
A 64-year-old female was discharged with the final diagnosis of acute
renal failure and hypertension. what coding rule applies?
a. use combination code of hypertension and renal failure.
b. use separate codes for hypertension and chronic renal failure.
c. uses separate codes for hypertension and acute renal failure.
d. use separate codes for elevated blood pressure and chronic renal
failure. - Correct Answer - c
A patient was admitted to an acute care facility with a temperature of
102 and atrial fibrillation. the chest x-ray reveals pneumonia with
subsequent documentation by the physician of pneumonia in the
progress notes and discharge summary. the patient was treated with oral
anti arrhythmic medications and IV antibiotics. what is the correct code
sequence?
a. J18.9, I48.91
b. I48.91, J18.9
c. it does not matter which is used as the principal diagnosis.
d. not enough information is present. query the physician. - Correct
Answer - a
Syncope; bradycardia ruled out; due to taking Valium as prescribed by a
physician. patient also took an antihistamine as directed on the package
without consulting a healthcare provider. what codes should be
assigned?
pg. 3
, 4|Page
a. R55, T42.4X1A, T45.0X1A
b. T42.4X1A, T45.0X1A, R55
c. T45.0X1A, T42.4X1A
d. T42.4X6A, T45.0X5A, R55 - Correct Answer - b
A female patient is admitted for a second-degree cystocele. a repair is
performed. in order to code this accurately, what document provides the
required additional information?
a. History and Physical
b. Discharge summary
c. Consultation
d. Operative report - Correct Answer - d
This is the first admission for a patient with adenocarcinoma of the right
lower lung who was also found with metastasis to the brain. the patient
underwent a complete right lower lung lobectomy via laparotomy. what
codes should be assigned?
a. C34.31, C79.31, 0BTF0ZZ
b. C79.31, C34.31, 0BTF0ZZ
c. C34.31, C79.31, 0BTF4ZZ
d. C34.11, C79.31, 0BTF4ZZ - Correct Answer - a
50-year-old woman is admitted with a diagnosis of metastatic ovarian
cancer to the pleura. a thoracoscopic pleurodesis is performed. what
codes should be assigned?
pg. 4
