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CCDS PRACTICE EXAM
CCDS PRACTICE EXAM |2025-2026 LATEST UPDATED|80 REAL EXAM
AND COMPLETE QUESTIONS AND ANSWERS | 100% RATED
CORRECT | 100% VERFIED | ALREADY GRADED A+
A patient is admitted from the ED with a diagnosis of weakness and anemia. After further
treatment with PRBCs, GI consult and endoscopy, the physician includes the following
diagnoses in the d/c summary: anemia, suspected bleeding gastric ulcer, and GERD. What is the
post appropriate Pdx?
A. Bleeding Gastric Ulcer
B. Anemia
C. GERD
D. Weakness - (answer)A. Bleeding gastric ulcer
Rationale: Although anemia is treated with PRBC, the anemia is d/t the ulcer. GERD is ancillary
to the ulcer and not the cause of symptoms. Weakness if a symptom likely d/t the blood loss.
*Official Guidelines for Coding and Reporting, Section I.A.15, and Coding clinic, Third Quarter
2017, p. 27
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CCDS PRACTICE EXAM
A patient is admitted with new-onset seizures. Head CT reveals a mass in the occipital region.
The physician documents possible brain tumor, and the patient is transferred to another hospital
for further workup. What is the most appropriate diagnosis?
A. Seizure
B. Neoplasm of occipital region
C. Head mass
D. Head tumor - (answer)B. Neoplasm of occipital region
Rationale: Per the Official Guidelines for Coding and Reporting Section II.H Uncertain
Diagnoses, the seizure is a symptom of the possible brain tumor. Head mass and head tumor are
not as specific as neoplasm of occipital region.
A hospital's base rate, or blended rate, is:
1. Calculated annually
2. Dependent on indirect costs for graduate medical education and new technology
3. Adjusted based on number of low-income patients
4. Adjusted based on capital profits
A. 1 & 2
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CCDS PRACTICE EXAM
B. 2 & 3
C. 1, 2, & 3
D. 1, 2, 3, and 4 - (answer)C. 1, 2, & 3
Rationale: According to CMS, base rates are calculated annually and include adjustments for
operating expenses and capital expenses, including graduate medical education and care for the
indigent.
The final MS-DRG assigned to a patient's medical record should:
A. Reflect the amount of time the physician spent with the patient
B. Depend on the patient's length of stay
C. Be assigned by the physician
D. Reflect the patient's severity of illness (SOI) and the resources used in the patient's care -
(answer)D. Reflect the patient's severity of illness (SOI) and the resources used in the patient's
care.
Rationale: Per CMS, based on documentation of conditions being monitored and treated during
the inpatient admission, coding professionals translate the documentation into ICD-19-CM/PCS
codes that group to the final MS-DRG regardless of the patient's length of stay or the amount of
time a provider spend providing care. The final MS-DRG is assigned after discharge.
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CCDS PRACTICE EXAM
A patient is admitted from the ED with a diagnosis of acute respiratory failure and aspiration
pneumonia due to an overdose of pain medication. What is the most appropriate Pdx?
A. Acute respiratory failure
B. Aspiration pneumonia
C. Poisoning related to medication
D. Reflect adverse effect of medication - (answer)C. Poisoning related to medication
Rationale: When coding a poisoning or reaction to the improper use of a medication (ex.
overdose, wrong substance given or taken in error, wrong rout of administration), first assign the
appropriate code from categories T36-T50.
A patient is admitted with pneumonia, stage 1 chronic renal failure, chronic anemia, and COPD.
While hospitalized, the patient received IV abx, inhalers, O2, IVFs at 50ml/hr., and iron tablets.
Which conditions should be coded?
A. PNA only
B. PNA and COPD only
C. PNA, COPD, anemia
D. PNA, CKD stage 1, anemia, COPD - (answer)D. PNA, CKD stage 1, anemia, COPD
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CCDS PRACTICE EXAM
CCDS PRACTICE EXAM |2025-2026 LATEST UPDATED|80 REAL EXAM
AND COMPLETE QUESTIONS AND ANSWERS | 100% RATED
CORRECT | 100% VERFIED | ALREADY GRADED A+
A patient is admitted from the ED with a diagnosis of weakness and anemia. After further
treatment with PRBCs, GI consult and endoscopy, the physician includes the following
diagnoses in the d/c summary: anemia, suspected bleeding gastric ulcer, and GERD. What is the
post appropriate Pdx?
A. Bleeding Gastric Ulcer
B. Anemia
C. GERD
D. Weakness - (answer)A. Bleeding gastric ulcer
Rationale: Although anemia is treated with PRBC, the anemia is d/t the ulcer. GERD is ancillary
to the ulcer and not the cause of symptoms. Weakness if a symptom likely d/t the blood loss.
*Official Guidelines for Coding and Reporting, Section I.A.15, and Coding clinic, Third Quarter
2017, p. 27
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extra per 2 of 51
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CCDS PRACTICE EXAM
A patient is admitted with new-onset seizures. Head CT reveals a mass in the occipital region.
The physician documents possible brain tumor, and the patient is transferred to another hospital
for further workup. What is the most appropriate diagnosis?
A. Seizure
B. Neoplasm of occipital region
C. Head mass
D. Head tumor - (answer)B. Neoplasm of occipital region
Rationale: Per the Official Guidelines for Coding and Reporting Section II.H Uncertain
Diagnoses, the seizure is a symptom of the possible brain tumor. Head mass and head tumor are
not as specific as neoplasm of occipital region.
A hospital's base rate, or blended rate, is:
1. Calculated annually
2. Dependent on indirect costs for graduate medical education and new technology
3. Adjusted based on number of low-income patients
4. Adjusted based on capital profits
A. 1 & 2
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CCDS PRACTICE EXAM
B. 2 & 3
C. 1, 2, & 3
D. 1, 2, 3, and 4 - (answer)C. 1, 2, & 3
Rationale: According to CMS, base rates are calculated annually and include adjustments for
operating expenses and capital expenses, including graduate medical education and care for the
indigent.
The final MS-DRG assigned to a patient's medical record should:
A. Reflect the amount of time the physician spent with the patient
B. Depend on the patient's length of stay
C. Be assigned by the physician
D. Reflect the patient's severity of illness (SOI) and the resources used in the patient's care -
(answer)D. Reflect the patient's severity of illness (SOI) and the resources used in the patient's
care.
Rationale: Per CMS, based on documentation of conditions being monitored and treated during
the inpatient admission, coding professionals translate the documentation into ICD-19-CM/PCS
codes that group to the final MS-DRG regardless of the patient's length of stay or the amount of
time a provider spend providing care. The final MS-DRG is assigned after discharge.
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Distribution Questions & Verified
this document Answers
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extra per 4 of 51
year?
, Stuvia.com - The Marketplace to Buy and Sell your Study Material
CCDS PRACTICE EXAM
A patient is admitted from the ED with a diagnosis of acute respiratory failure and aspiration
pneumonia due to an overdose of pain medication. What is the most appropriate Pdx?
A. Acute respiratory failure
B. Aspiration pneumonia
C. Poisoning related to medication
D. Reflect adverse effect of medication - (answer)C. Poisoning related to medication
Rationale: When coding a poisoning or reaction to the improper use of a medication (ex.
overdose, wrong substance given or taken in error, wrong rout of administration), first assign the
appropriate code from categories T36-T50.
A patient is admitted with pneumonia, stage 1 chronic renal failure, chronic anemia, and COPD.
While hospitalized, the patient received IV abx, inhalers, O2, IVFs at 50ml/hr., and iron tablets.
Which conditions should be coded?
A. PNA only
B. PNA and COPD only
C. PNA, COPD, anemia
D. PNA, CKD stage 1, anemia, COPD - (answer)D. PNA, CKD stage 1, anemia, COPD
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