CCDS EXAM TEST QUESTIONS WITH VERIFIED
ANSWERS | LATEST 2026/2027 UPDATE | GRADED A+
(100% SOLVED)
A. Bleeding gastric ulcer - CORRECT ANSWER -A patient is admitted from the emergency
department (ED) with a diagnosis of weakness and anemia. After admission and further
treatment with packed red blood cells (PRBC), GI consult, and endoscopy, the physician
includes the following diagnoses in the discharge summary: anemia, suspected bleeding
gastric ulcer, and GERD. What would be the most appropriate principle diagnosis?
A. Bleeding gastric ulcer
B. Anemia
C. GERD
D. Weakness
B. Neoplasm of occipital region - CORRECT ANSWER -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
would be the most appropriate principal diagnosis based upon this documentation?
A. Seizure
B. Neoplasm of occipital region
C. Head mass
D. Head tumor
C. 1,2, and 3
,1. Calculated annually
2. Dependent upon indirect costs for graduate medical education and new technology
3. Adjusted based upon number of low-income patients cared for - CORRECT ANSWER -A
hospital's base rate or blended rate is:
1. Calculated annually
2. Dependent upon indirect costs for graduate medical education and new technology
3. Adjusted based upon number of low-income patients cared for
4. Not adjusted based upon capital expenses
A. 1 and 2
B. 2 and 3
C. 1,2, and 3
D. 1,2,3, and 4
C. Poisoning - CORRECT ANSWER -A patient is admitted from the emergency department
with the diagnosis of acute respiratory failure due to overdose of pain medication and an
aspiration pneumonia. What is the principal diagnosis?
A. Acute respiratory failure
B. Aspiration pneumonia
C. Poisoning
D. Adverse effect of medication
D. All of the conditions should be coded - CORRECT ANSWER -A patient is admitted with
pneumonia, stage 1 chronic renal failure, chronic anemia, and COPD, While hospitalized the
patient receives IV antibiotics, inhalers, oxygen, IV fluids at 50mL/hr, and iron tablets.
Keeping the guidelines for coding of secondary diagnoses in mind, which condition should
be coded?
,A. Pneumonia only
B. Pneumonia and COPD only
C. Pneumonia, COPD, and anemia
D. All of the conditions should be coded
D. Fractured ulna - CORRECT ANSWER -Which of the following is an example of a
hospitalacquired condition?
A. Fat embolism
B. IV phlebitis
C. Pneumonia
D. Fractured ulna
C. A diagnosis that is listed as possible in the history and physical - CORRECT ANSWER
Which of the following is an example of documentation that would meet the present on
admission criteria for coding?
A. A diagnosis that is indicated in the history and physical and ruled out in the discharge
summary
B. A diagnosis found in a previous medical record
C. A diagnosis that is listed as possible in the history and physical
D. An acute condition identified on the third day of admission
A. Colon cancer - CORRECT ANSWER -A patient is admitted with abdominal pain and the
history and physical indicated a diagnosis of probable colon cancer. On day two, the
physician documents acute renal failure in the progress notes and the patient receives IV
fluids. The discharge summary lists possible metastatic colon cancer and acute renal failure.
The principal diagnosis would be:
, A. Colon cancer
B. Acute renal failure
C. Abdominal pain
D. Metastatic neoplasm of the colon
D. Reflect the severity of illness (SOI) and resource consumption of the patient's care -
CORRECT ANSWER -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 upon the patient's length of stay
C. Be assigned by the physician
D. Reflect the severity of illness (SOI) and resource consumption of the patient's care
D. 1,2, and 3
1. Include identification of the patient's SOI
2. Identify conditions that are present on admission
3. Support medical necessity - CORRECT ANSWER -Accurate documentation should:
1. Include identification of the patient's SOI
2. Identify conditions that are present on admission
3. Support medical necessity
A. 1 and 2
B. 2 and 3
C. 1 and 3
ANSWERS | LATEST 2026/2027 UPDATE | GRADED A+
(100% SOLVED)
A. Bleeding gastric ulcer - CORRECT ANSWER -A patient is admitted from the emergency
department (ED) with a diagnosis of weakness and anemia. After admission and further
treatment with packed red blood cells (PRBC), GI consult, and endoscopy, the physician
includes the following diagnoses in the discharge summary: anemia, suspected bleeding
gastric ulcer, and GERD. What would be the most appropriate principle diagnosis?
A. Bleeding gastric ulcer
B. Anemia
C. GERD
D. Weakness
B. Neoplasm of occipital region - CORRECT ANSWER -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
would be the most appropriate principal diagnosis based upon this documentation?
A. Seizure
B. Neoplasm of occipital region
C. Head mass
D. Head tumor
C. 1,2, and 3
,1. Calculated annually
2. Dependent upon indirect costs for graduate medical education and new technology
3. Adjusted based upon number of low-income patients cared for - CORRECT ANSWER -A
hospital's base rate or blended rate is:
1. Calculated annually
2. Dependent upon indirect costs for graduate medical education and new technology
3. Adjusted based upon number of low-income patients cared for
4. Not adjusted based upon capital expenses
A. 1 and 2
B. 2 and 3
C. 1,2, and 3
D. 1,2,3, and 4
C. Poisoning - CORRECT ANSWER -A patient is admitted from the emergency department
with the diagnosis of acute respiratory failure due to overdose of pain medication and an
aspiration pneumonia. What is the principal diagnosis?
A. Acute respiratory failure
B. Aspiration pneumonia
C. Poisoning
D. Adverse effect of medication
D. All of the conditions should be coded - CORRECT ANSWER -A patient is admitted with
pneumonia, stage 1 chronic renal failure, chronic anemia, and COPD, While hospitalized the
patient receives IV antibiotics, inhalers, oxygen, IV fluids at 50mL/hr, and iron tablets.
Keeping the guidelines for coding of secondary diagnoses in mind, which condition should
be coded?
,A. Pneumonia only
B. Pneumonia and COPD only
C. Pneumonia, COPD, and anemia
D. All of the conditions should be coded
D. Fractured ulna - CORRECT ANSWER -Which of the following is an example of a
hospitalacquired condition?
A. Fat embolism
B. IV phlebitis
C. Pneumonia
D. Fractured ulna
C. A diagnosis that is listed as possible in the history and physical - CORRECT ANSWER
Which of the following is an example of documentation that would meet the present on
admission criteria for coding?
A. A diagnosis that is indicated in the history and physical and ruled out in the discharge
summary
B. A diagnosis found in a previous medical record
C. A diagnosis that is listed as possible in the history and physical
D. An acute condition identified on the third day of admission
A. Colon cancer - CORRECT ANSWER -A patient is admitted with abdominal pain and the
history and physical indicated a diagnosis of probable colon cancer. On day two, the
physician documents acute renal failure in the progress notes and the patient receives IV
fluids. The discharge summary lists possible metastatic colon cancer and acute renal failure.
The principal diagnosis would be:
, A. Colon cancer
B. Acute renal failure
C. Abdominal pain
D. Metastatic neoplasm of the colon
D. Reflect the severity of illness (SOI) and resource consumption of the patient's care -
CORRECT ANSWER -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 upon the patient's length of stay
C. Be assigned by the physician
D. Reflect the severity of illness (SOI) and resource consumption of the patient's care
D. 1,2, and 3
1. Include identification of the patient's SOI
2. Identify conditions that are present on admission
3. Support medical necessity - CORRECT ANSWER -Accurate documentation should:
1. Include identification of the patient's SOI
2. Identify conditions that are present on admission
3. Support medical necessity
A. 1 and 2
B. 2 and 3
C. 1 and 3
