CCS PRACTICE EXAM QUESTIONS AND
ANSWERS 2026 VERIFIED.
The patient was admitted for chemotherapy due to a primary carcinoma of the right
transplanted kidney. What codes should be reported?
a. Z51.11, T86.19, C80.2, C64.1
b. C64.1, Z15.11, T86.19, C80.2
c. Z51.11, T86.19, C80.2
d. T86.19, C80.2, C64.1, Z15.11 - ANS a. Z51.11, T86.19, C80.2, C64.1
A patient has liver metastasis due to adenocarcinoma of the colon which was resected five years
ago. The patient has been receiving chemotherapy to treat the liver cancer. The patient is being
admitted as this time for management of severe anemia due to malignancy. What is the
principal diagnosis on this admission?
a. liver metastasis
b. adenocarcinoma of the colon
c. anemia
d. admission for chemotherapy - ANS a. liver metastasis
When multiple burns are present, the first sequenced diagnosis is the:
a. burn that is treated surgically
b. highest degree burn
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,c. burn that is largest in size
d. any of the above - ANS b. highest degree burn
ICD presumes a _______________ between hypertension and heart failure and hypertension
and kidney failure - ANS causal relationship
Which of the following would be assigned to code I11.0, hypertensive heart disease with heart
failure?
a. left heart failure with benign hypertension
b. hypertensive cardiomegaly
c. congestive heart failure due to hypertension
d. all of the above would be assigned to code I11.1 - ANS c. congestive heart failure due to
hypertension
When reporting an encounter for a patient who is HIV positive but has never had any
symptoms, the following code should be assigned:
a. R75: inconclusive laboratory evidence of HIV
b. B20: HIV disease
c. Z21: Asymptomatic HIV infection status
d. Z20.6: Contact with and (suspected) exposure to HIV - ANS c. Z21: Asymptomatic HIV
infection status
When a patient seeks medical attention for an injury that occurred several days prior to the
medical encounter, which is the appropriate seventh character?
a. A, initial encounter
b. D, subsequent encounter
c. S, sequela
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, D. No seventh character is used when there is delayed treatment - ANS A. A, initial encounter
Seventh character A indicates ______________ - ANS active treatment
Seventh character D indicates ______________ - ANS routine care
Seventh character S indicates ____________ - ANS complication
This female patient with terminal carcinoma of the central portion of the left rbeast, metastatic
to the liver and brain, was seen for dehydration. Patient was rehydrated with IV fluid with no
treatment directed toward the cancer. What codes should be reported?
a. C50.112, C79.31, C78.7, E86.0
B. C50.112, E86.0, C79.31, C78.7
c. E86.0, C50.112, C78.7, C79.31
d. E86.0, C50.112, C22.8, C79.31 - ANS c. E86.0, C50.112, C78.7, C79.31
When the admission/encounter is for management of dehydration due to the malignancy, and
only the dehydration is being treated (intravenous rehydration), the ___________ is sequenced
first, followed by the code for the ___________ - ANS dehydration, malignancy
This 70 year old male is being seen for severe non-proliferative diabetic retinopathy with
macular edema. He has type 2 DM and takes insulin on a daily basis. He also has diabetic
cataract in his left eye. What diagnosis codes should be assigned?
a. E11.3212, E11.36, Z79.4
b. E11.3412, E11.36, Z79.4
c. E11.3212, E11.9, Z79.4
d. E11.3412, E11.36 - ANS b. E11.3412, E11.36, Z79.4
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ANSWERS 2026 VERIFIED.
The patient was admitted for chemotherapy due to a primary carcinoma of the right
transplanted kidney. What codes should be reported?
a. Z51.11, T86.19, C80.2, C64.1
b. C64.1, Z15.11, T86.19, C80.2
c. Z51.11, T86.19, C80.2
d. T86.19, C80.2, C64.1, Z15.11 - ANS a. Z51.11, T86.19, C80.2, C64.1
A patient has liver metastasis due to adenocarcinoma of the colon which was resected five years
ago. The patient has been receiving chemotherapy to treat the liver cancer. The patient is being
admitted as this time for management of severe anemia due to malignancy. What is the
principal diagnosis on this admission?
a. liver metastasis
b. adenocarcinoma of the colon
c. anemia
d. admission for chemotherapy - ANS a. liver metastasis
When multiple burns are present, the first sequenced diagnosis is the:
a. burn that is treated surgically
b. highest degree burn
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,c. burn that is largest in size
d. any of the above - ANS b. highest degree burn
ICD presumes a _______________ between hypertension and heart failure and hypertension
and kidney failure - ANS causal relationship
Which of the following would be assigned to code I11.0, hypertensive heart disease with heart
failure?
a. left heart failure with benign hypertension
b. hypertensive cardiomegaly
c. congestive heart failure due to hypertension
d. all of the above would be assigned to code I11.1 - ANS c. congestive heart failure due to
hypertension
When reporting an encounter for a patient who is HIV positive but has never had any
symptoms, the following code should be assigned:
a. R75: inconclusive laboratory evidence of HIV
b. B20: HIV disease
c. Z21: Asymptomatic HIV infection status
d. Z20.6: Contact with and (suspected) exposure to HIV - ANS c. Z21: Asymptomatic HIV
infection status
When a patient seeks medical attention for an injury that occurred several days prior to the
medical encounter, which is the appropriate seventh character?
a. A, initial encounter
b. D, subsequent encounter
c. S, sequela
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, D. No seventh character is used when there is delayed treatment - ANS A. A, initial encounter
Seventh character A indicates ______________ - ANS active treatment
Seventh character D indicates ______________ - ANS routine care
Seventh character S indicates ____________ - ANS complication
This female patient with terminal carcinoma of the central portion of the left rbeast, metastatic
to the liver and brain, was seen for dehydration. Patient was rehydrated with IV fluid with no
treatment directed toward the cancer. What codes should be reported?
a. C50.112, C79.31, C78.7, E86.0
B. C50.112, E86.0, C79.31, C78.7
c. E86.0, C50.112, C78.7, C79.31
d. E86.0, C50.112, C22.8, C79.31 - ANS c. E86.0, C50.112, C78.7, C79.31
When the admission/encounter is for management of dehydration due to the malignancy, and
only the dehydration is being treated (intravenous rehydration), the ___________ is sequenced
first, followed by the code for the ___________ - ANS dehydration, malignancy
This 70 year old male is being seen for severe non-proliferative diabetic retinopathy with
macular edema. He has type 2 DM and takes insulin on a daily basis. He also has diabetic
cataract in his left eye. What diagnosis codes should be assigned?
a. E11.3212, E11.36, Z79.4
b. E11.3412, E11.36, Z79.4
c. E11.3212, E11.9, Z79.4
d. E11.3412, E11.36 - ANS b. E11.3412, E11.36, Z79.4
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