1|Page
AHIMA CCS Exam Questions And 100% Correct
Answers Latest and Complete Updated Version 2025
Top Rated A+
What is the term used for applying the HIPAA privacy rule over state rule(s) which
are less strict? ANSWER- Preemption
According to the UHDDS, section 3, the definition of other diagnoses is all
conditions that: ANSWER- Coexist at the time of admission, that develop
subsequently, or that affect the treatment received or the length of stay
Which patient specific UHDDS items also have the potential to an impact on MS-
DRG assignment? ANSWER- Sex and discharge disposition
Inpatient setting - "Rule Out" Dx ANSWER- In this setting, "rule out" Dx are
coded as if they exist
Open biopsy for a frozen section immediately before definitive surgery -
ANSWER
: Code both: Open Biopsy & Definitive Surgery
Exploratory surgery not coded when definitive surgery is performed
The "code if applicable, any causal condition first" note in the ICD-10-CM Tabular
list indicates that this code may be assigned when the causal condition is unknown
,or not applicable. When the causal condition is known, the code for that condition
may be reported as which type of diagnosis? ANSWER- Principal
Functions of the Outpatient Code Editor (OCE) ANSWER- Editing the data on
the claim for accuracy
Specifying the action the FI should take when specific edits occur Assign APCs to
the claim (for hospital outpatient services)
, Determining payment-related conditions that require direct reference to HCPCS
codes and modifiers
Units of service ANSWER- Number of body parts
NOT a function of the Outpatient Code Editor (OCE) ANSWER- Determining
payment-related conditions that require direct reference to ICD-10-CM codes
Medicare reimburses inpatient stays based on ANSWER- MS-DRGs
Esophageal varices ANSWER- Often associated with Cirrhosis of the liver
Neurogenic claudication ANSWER- Leg pain, tingling & cramping when present
with lumbar stenosis
A discrepancy in the record while the patient is still on the floor - who is
responsible for obtaining clarity on the information? ANSWER- Clinical
document specialist
Morbid obesity ANSWER- Coder cannot assign without physician
documentation of the condition
AHIMA CCS Exam Questions And 100% Correct
Answers Latest and Complete Updated Version 2025
Top Rated A+
What is the term used for applying the HIPAA privacy rule over state rule(s) which
are less strict? ANSWER- Preemption
According to the UHDDS, section 3, the definition of other diagnoses is all
conditions that: ANSWER- Coexist at the time of admission, that develop
subsequently, or that affect the treatment received or the length of stay
Which patient specific UHDDS items also have the potential to an impact on MS-
DRG assignment? ANSWER- Sex and discharge disposition
Inpatient setting - "Rule Out" Dx ANSWER- In this setting, "rule out" Dx are
coded as if they exist
Open biopsy for a frozen section immediately before definitive surgery -
ANSWER
: Code both: Open Biopsy & Definitive Surgery
Exploratory surgery not coded when definitive surgery is performed
The "code if applicable, any causal condition first" note in the ICD-10-CM Tabular
list indicates that this code may be assigned when the causal condition is unknown
,or not applicable. When the causal condition is known, the code for that condition
may be reported as which type of diagnosis? ANSWER- Principal
Functions of the Outpatient Code Editor (OCE) ANSWER- Editing the data on
the claim for accuracy
Specifying the action the FI should take when specific edits occur Assign APCs to
the claim (for hospital outpatient services)
, Determining payment-related conditions that require direct reference to HCPCS
codes and modifiers
Units of service ANSWER- Number of body parts
NOT a function of the Outpatient Code Editor (OCE) ANSWER- Determining
payment-related conditions that require direct reference to ICD-10-CM codes
Medicare reimburses inpatient stays based on ANSWER- MS-DRGs
Esophageal varices ANSWER- Often associated with Cirrhosis of the liver
Neurogenic claudication ANSWER- Leg pain, tingling & cramping when present
with lumbar stenosis
A discrepancy in the record while the patient is still on the floor - who is
responsible for obtaining clarity on the information? ANSWER- Clinical
document specialist
Morbid obesity ANSWER- Coder cannot assign without physician
documentation of the condition
