CCS EXAM PRACTICE QUESTIONS
DOMAIN 1: CLINICAL
DOCUMENTATION QUESTIONS AND
ANSWERS
b. myocardial infarction - Correct Answers -1. The patient was admitted from the
emergency department because of chest pain. Following blood work, it was determined
that the patient had elevated CPKs and MB enzymes. The EKG shows nonspecific ST
changes. What type of diagnosis might this indicate?
a. Unstable angina
b. Myocardial infarction
c. Congestive heart failure
d. Mitral valve stenosis
d. urinary tract infection, escherichia coli - Correct Answers -1. A patient is admitted and
diagnosed with fever and urinary burning. The discharge diagnosis is Escherichia coli,
urinary tract infection. Which of the following represents the correct diagnoses and
appropriate sequence of those conditions?
a. Fever, urinary burning, urosepsis
b. Fever, urinary burning, sepsis
c. Escherichia coli, urinary tract infection
d. Urinary tract infection, Escherichia coli
a. query the physician - Correct Answers -1. A patient was admitted with heart failure
within one week of a heart transplant. Due to the timing, the coder thought that it may
represent a postoperative transplant rejection following heart transplant. What action(s)
should the coding staff take?
a. Query the physician
b. Assign the codes for the postoperative transplant rejection
c. Assign only the code for the transplant rejection
d. Assign only the code for heart failure
b. major depression - Correct Answers -1. A patient is admitted to a psychiatric unit of
an acute-care facility. The patient experienced the following symptoms almost every day
for the last month: loss of interest or pleasure in most or all activities, which is a change
from her prior level of functioning. She has also gained 15 lbs., has difficulty falling
DOMAIN 1: CLINICAL
DOCUMENTATION QUESTIONS AND
ANSWERS
b. myocardial infarction - Correct Answers -1. The patient was admitted from the
emergency department because of chest pain. Following blood work, it was determined
that the patient had elevated CPKs and MB enzymes. The EKG shows nonspecific ST
changes. What type of diagnosis might this indicate?
a. Unstable angina
b. Myocardial infarction
c. Congestive heart failure
d. Mitral valve stenosis
d. urinary tract infection, escherichia coli - Correct Answers -1. A patient is admitted and
diagnosed with fever and urinary burning. The discharge diagnosis is Escherichia coli,
urinary tract infection. Which of the following represents the correct diagnoses and
appropriate sequence of those conditions?
a. Fever, urinary burning, urosepsis
b. Fever, urinary burning, sepsis
c. Escherichia coli, urinary tract infection
d. Urinary tract infection, Escherichia coli
a. query the physician - Correct Answers -1. A patient was admitted with heart failure
within one week of a heart transplant. Due to the timing, the coder thought that it may
represent a postoperative transplant rejection following heart transplant. What action(s)
should the coding staff take?
a. Query the physician
b. Assign the codes for the postoperative transplant rejection
c. Assign only the code for the transplant rejection
d. Assign only the code for heart failure
b. major depression - Correct Answers -1. A patient is admitted to a psychiatric unit of
an acute-care facility. The patient experienced the following symptoms almost every day
for the last month: loss of interest or pleasure in most or all activities, which is a change
from her prior level of functioning. She has also gained 15 lbs., has difficulty falling
