CCS PRACTICE 1 AND 2 ACTUAL EXAM PAPER
2026 QUESTIONS WITH ANSWERS GRADED
A+
◉ A psychiatrist documents that a patient has wide mood swings
from excessive happiness to loss of energy and crying. What
condition is suspected?
a. Bipolar disorder
b. Major depression
c. Anxiety
d. Psychosis.
Answer: A. Bipolar disorder
◉ A patient with a cephalic presentation anticipating a vaginal
delivery failed to progress. After measurement of the fetal head and
a trial of oxytocin, the patient underwent a cesarean section. What
condition should the coder suspect and query the physician about?
a. Twin pregnancy
b. Early delivery
c. Eclampsia
d. Cephalopelvic disproportion.
Answer: d. Cephalopelvic disproportion
,◉ A 45 year old woman underwent a carotid bypass and
experienced a significant drop in blood pressure during the surgery.
The documentation suggested the patient may have had a
myocardial infarction. In accordance with coding guidelines, what
should the coder do?
a. Code complication of surgery NOS.
b. Query the physician to determine if the patient had hypotension.
c. Query the physician to determine if there was a complication of
surgery.
d. Code preoperative shock..
Answer: c. Query the physician to determine if there was a
complication of surgery.
◉ If a patient's discharge summary does not contain a diagnosis that
is documented by the anesthesiologist in a preoperative evaluation
and that would impact MS-DRG assignment, the coder should:
a. Code only from the discharge diagnosis
b. Code the diagnosis reflected on the anesthesia preoperative
evaluation
c. Code the most severe symptom
d. Query the attending physician regarding the clinical significance
of that diagnosis.
Answer: d. Query the attending physician regarding the clinical
significance of that diagnosis
,◉ A patient has documentation of esophageal varices. What
condition may be related that may affect the coding?
a. Arthritis
b. Liver disease
c. Chronic obstructive pulmonary disease
d. Erythema.
Answer: b. Liver disease
◉ A patient admitted with acute abdominal pain, is fount to have
appendicitis, and has an appendectomy. The patient has a length of
stay for 2 days. What type of patient encounter is this?
a. Impatient
b. Outpatient
c. Long term care
d. Rehabilitation.
Answer: a. Inpatient
◉ A patient was treated in the emergency department for a swollen
knee and an aspiration of the joint was performed. The patient was
then discharged home. It is important to make sure that which of the
following are documented and captured for billing purposes?
a. X-ray and other types of radiology examination
, b. Procedures performed including the aspiration of the joint
c. Examination and management in the emergency department
d. All services provided including diagnostic and treatment
procedures, as well as physician services.
Answer: d. All services provided including diagnostic and treatment
procedures, as well as physician services.
◉ A patient has documentation on the discharge summary of
urosepsis. The coding staff queries the attending physician about the
condition and is provided further information that the patient has
septicemia. This is in alignment with the laboratory test and
medication given but the diagnosis of septicemia was not
documented by the physician. How should the physician be
requested to document the septicemia?
a. A brand new history and physical should be dictated to replace the
one in the record.
b. An addendum to the chart should be written.
c. The new information should be squeezed in between lines within
the progress notes of the last day.
d. The query sheet will be sufficient to document this information..
Answer: b. An addendum to the chart should be written.
◉ The committee responsible for medical record completion reports
to which medical staff committee?
a. Chief executive officer of the facility
2026 QUESTIONS WITH ANSWERS GRADED
A+
◉ A psychiatrist documents that a patient has wide mood swings
from excessive happiness to loss of energy and crying. What
condition is suspected?
a. Bipolar disorder
b. Major depression
c. Anxiety
d. Psychosis.
Answer: A. Bipolar disorder
◉ A patient with a cephalic presentation anticipating a vaginal
delivery failed to progress. After measurement of the fetal head and
a trial of oxytocin, the patient underwent a cesarean section. What
condition should the coder suspect and query the physician about?
a. Twin pregnancy
b. Early delivery
c. Eclampsia
d. Cephalopelvic disproportion.
Answer: d. Cephalopelvic disproportion
,◉ A 45 year old woman underwent a carotid bypass and
experienced a significant drop in blood pressure during the surgery.
The documentation suggested the patient may have had a
myocardial infarction. In accordance with coding guidelines, what
should the coder do?
a. Code complication of surgery NOS.
b. Query the physician to determine if the patient had hypotension.
c. Query the physician to determine if there was a complication of
surgery.
d. Code preoperative shock..
Answer: c. Query the physician to determine if there was a
complication of surgery.
◉ If a patient's discharge summary does not contain a diagnosis that
is documented by the anesthesiologist in a preoperative evaluation
and that would impact MS-DRG assignment, the coder should:
a. Code only from the discharge diagnosis
b. Code the diagnosis reflected on the anesthesia preoperative
evaluation
c. Code the most severe symptom
d. Query the attending physician regarding the clinical significance
of that diagnosis.
Answer: d. Query the attending physician regarding the clinical
significance of that diagnosis
,◉ A patient has documentation of esophageal varices. What
condition may be related that may affect the coding?
a. Arthritis
b. Liver disease
c. Chronic obstructive pulmonary disease
d. Erythema.
Answer: b. Liver disease
◉ A patient admitted with acute abdominal pain, is fount to have
appendicitis, and has an appendectomy. The patient has a length of
stay for 2 days. What type of patient encounter is this?
a. Impatient
b. Outpatient
c. Long term care
d. Rehabilitation.
Answer: a. Inpatient
◉ A patient was treated in the emergency department for a swollen
knee and an aspiration of the joint was performed. The patient was
then discharged home. It is important to make sure that which of the
following are documented and captured for billing purposes?
a. X-ray and other types of radiology examination
, b. Procedures performed including the aspiration of the joint
c. Examination and management in the emergency department
d. All services provided including diagnostic and treatment
procedures, as well as physician services.
Answer: d. All services provided including diagnostic and treatment
procedures, as well as physician services.
◉ A patient has documentation on the discharge summary of
urosepsis. The coding staff queries the attending physician about the
condition and is provided further information that the patient has
septicemia. This is in alignment with the laboratory test and
medication given but the diagnosis of septicemia was not
documented by the physician. How should the physician be
requested to document the septicemia?
a. A brand new history and physical should be dictated to replace the
one in the record.
b. An addendum to the chart should be written.
c. The new information should be squeezed in between lines within
the progress notes of the last day.
d. The query sheet will be sufficient to document this information..
Answer: b. An addendum to the chart should be written.
◉ The committee responsible for medical record completion reports
to which medical staff committee?
a. Chief executive officer of the facility
