CCS PRACTICE EXAM 2 QUESTIONS AND ANSWERS (VERIFIED
CCS Practice Exam 2
ANSWERS GRADED A+) LATEST UPDATE 2025/2026
Study online at https://quizlet.com/_4kqhpt
1. A 23 year old female is admitted for vaginal bleeding a. O03.1, Delayed or ex-
following a miscarriage two weeks prior to this admis- cessive hemorrhage fol-
sion. She afebrile at this time and is treated with an lowing incomplete spon-
aspiration dilation and curettage. Products of concep- taneous abortion
tion are found. Which of the following should be the
principle diagnosis?
a. O03.1, Delayed or excessive hemorrhage following
incomplete spontaneous abortion
b. O08.1, Delayed or excessive hemorrhage following
ectopic and molar pregnancy
c. R57.9, Shock, unspecified
d. T81.10XA, Postprocedural shock unspecified, initial
encounter
2. A psychiatrist documents that a patient has wide mood A. Bipolar disorder
swings from excessive happiness to loss of energy and
crying. What condition is suspected?
a. Bipolar disorder
b. Major depression
c. Anxiety
d. Psychosis
3. A patient with a cephalic presentation anticipating a d. Cephalopelvic dispro-
vaginal delivery failed to progress. After measurement portion
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
, CCS Practice Exam 2
Study online at https://quizlet.com/_4kqhpt
4. A 45 year old woman underwent a carotid bypass c. Query the physician to
and experienced a significant drop in blood pressure determine if there was a
during the surgery. The documentation suggested the complication of surgery.
patient may have had a myocardial infarction. In accor-
dance 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.
5. If a patient's discharge summary does not contain a d. Query the attending
diagnosis that is documented by the anesthesiologist physician regarding the
in a preoperative evaluation and that would impact clinical significance of that
MS-DRG assignment, the coder should: diagnosis
a. Code only from the discharge diagnosis
b. Code the diagnosis reflected on the anesthesia pre-
operative evaluation
c. Code the most severe symptom
d. Query the attending physician regarding the clinical
significance of that diagnosis
6. A patient has documentation of esophageal varices. b. Liver disease
What condition may be related that may affect the
coding?
a. Arthritis
b. Liver disease
c. Chronic obstructive pulmonary disease
d. Erythema
, CCS Practice Exam 2
Study online at https://quizlet.com/_4kqhpt
7. A patient admitted with acute abdominal pain, is fount a. Inpatient
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
8. A patient was treated in the emergency department d. All services provided
for a swollen knee and an aspiration of the joint was including diagnostic and
performed. The patient was then discharged home. It treatment procedures, as
is important to make sure that which of the following well as physician services.
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 treat-
ment procedures, as well as physician services
9. A patient has documentation on the discharge sum- b. An addendum to the
mary of urosepsis. The coding staff queries the attend- chart should be written.
ing physician about the condition and is provided fur-
ther information that the patient has septicemia. This
is in alignment with the laboratory test and medication
given but the diagnosis of septicemia was not docu-
mented 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.
CCS Practice Exam 2
ANSWERS GRADED A+) LATEST UPDATE 2025/2026
Study online at https://quizlet.com/_4kqhpt
1. A 23 year old female is admitted for vaginal bleeding a. O03.1, Delayed or ex-
following a miscarriage two weeks prior to this admis- cessive hemorrhage fol-
sion. She afebrile at this time and is treated with an lowing incomplete spon-
aspiration dilation and curettage. Products of concep- taneous abortion
tion are found. Which of the following should be the
principle diagnosis?
a. O03.1, Delayed or excessive hemorrhage following
incomplete spontaneous abortion
b. O08.1, Delayed or excessive hemorrhage following
ectopic and molar pregnancy
c. R57.9, Shock, unspecified
d. T81.10XA, Postprocedural shock unspecified, initial
encounter
2. A psychiatrist documents that a patient has wide mood A. Bipolar disorder
swings from excessive happiness to loss of energy and
crying. What condition is suspected?
a. Bipolar disorder
b. Major depression
c. Anxiety
d. Psychosis
3. A patient with a cephalic presentation anticipating a d. Cephalopelvic dispro-
vaginal delivery failed to progress. After measurement portion
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
, CCS Practice Exam 2
Study online at https://quizlet.com/_4kqhpt
4. A 45 year old woman underwent a carotid bypass c. Query the physician to
and experienced a significant drop in blood pressure determine if there was a
during the surgery. The documentation suggested the complication of surgery.
patient may have had a myocardial infarction. In accor-
dance 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.
5. If a patient's discharge summary does not contain a d. Query the attending
diagnosis that is documented by the anesthesiologist physician regarding the
in a preoperative evaluation and that would impact clinical significance of that
MS-DRG assignment, the coder should: diagnosis
a. Code only from the discharge diagnosis
b. Code the diagnosis reflected on the anesthesia pre-
operative evaluation
c. Code the most severe symptom
d. Query the attending physician regarding the clinical
significance of that diagnosis
6. A patient has documentation of esophageal varices. b. Liver disease
What condition may be related that may affect the
coding?
a. Arthritis
b. Liver disease
c. Chronic obstructive pulmonary disease
d. Erythema
, CCS Practice Exam 2
Study online at https://quizlet.com/_4kqhpt
7. A patient admitted with acute abdominal pain, is fount a. Inpatient
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
8. A patient was treated in the emergency department d. All services provided
for a swollen knee and an aspiration of the joint was including diagnostic and
performed. The patient was then discharged home. It treatment procedures, as
is important to make sure that which of the following well as physician services.
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 treat-
ment procedures, as well as physician services
9. A patient has documentation on the discharge sum- b. An addendum to the
mary of urosepsis. The coding staff queries the attend- chart should be written.
ing physician about the condition and is provided fur-
ther information that the patient has septicemia. This
is in alignment with the laboratory test and medication
given but the diagnosis of septicemia was not docu-
mented 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.
