Certified Coding Specialist Practice Exam #2
EXAM QUESTIONS AND VERIFIED CORRECT
ANSWERS LATEST 2026-2027 NEW VERSION
A patient has squamous cell carcinoma of the knee. What code should be assigned
for this diagnosis? - answer>>>C44.721, squamous cell carcinoma of the skin of
unspecified lower limb, including hip
A patient is seen for evaluation of a right orbital roof fracture. How should this be
coded? - answer>>>S02.19XA, other fracture of base of skull, initial encounter for
closed fracture
A patient was seen for first- and second-degree burns of the upper thigh. How
should this be coded? - answer>>>T24.219A, burn of second degree of unspecified
thigh, initial encounter
Suicide attempt with overdose of Percocet. How should this be coded? -
answer>>>T40.2X2A, poisoning by other opioids, intentional self-harm, initial
encounter
Itching due to drug reaction to an antihistamine. What codes should be assigned? -
answer>>>L29.9, Pruitius, unspecified; T45.0X5A, adverse effect of antiallergic and
antimetric drugs, initial encounter
Acute peptic ulcer with perforation and hemorrhage and resulting blood loss
anemia. What codes should be assigned? - answer>>>K27.2, acute peptic ulcer, site
unspecified, with both hemorrhage and perforation; D50.0, iron deficiency anemia
secondary to blood loss (chronic)
According to the UHDDS, the definition of a secondary diagnosis is a condition that
__________________________________________________________________. -
, -
answer>>>Receives clinical evaluation, therapeutic treatment, further evaluation,
extends the length of stay, and increases nursing monitoring and care
A patient is admitted to a healthcare facility with ataxia and syncope. The patient
has a history of lung cancer. The patient also has a fractured arm as a result of
falling. The patient undergoes a closed reduction of the fracture in the emergency
department and a complete workup for metastatic carcinoma of the brain. The
patient is found to have metastatic carcinoma of the brain and undergoes radiation
therapy to the brain. The principal diagnosis should be
___________________________________________. - answer>>>Metastatic
carcinoma of the brain
A 78-year-old patient is admitted with shortness of breath and a chest x-ray reveals
infiltrates in the lung with pleural effusion. The patient also had an history of
hypertension with left ventricular hypertrophy. The patient is given Lasix and the
shortness of breath is relieved. From the information given, what is the probable
principal diagnosis? - answer>>>Congestive heart failure
A patient is admitted with abdominal pain. The discharge documentation states
"pancreatitis vs. noncalculus cholecystitis" as the final diagnoses. Both diagnoses are
equally treated. Based on coding guidelines, what is the correct sequencing for these
diagnoses? - answer>>>Sequence either the pancreatitis vs. noncalculus cholecystitis
first
The best answer to describe how the UHDDS defines a comorbidity is a diagnosis
that ________________________________________________. - answer>>>Pre-
exists before admission
, Form CMS-1450, also known as the UB-04, supported among other things, this
important change for HIM use of ____________________. - answer>>>ICD-10-CM
and ICD-10-PCS
A condition that is established after study to be chiefly responsible for the admission
is the ________________________________________. - answer>>>Principal
diagnosis
A patient is admitted as an inpatient and discharged with chest pain. After
evaluation it is suspected the patient may have gastroesophgeal reflux disease
(GERD). The final diagnosis was "Rule out GERD". The correct code assignment
would be ________________________. - answer>>>K21.9, gastro-esophageal reflux
disease without esophagitis
Which of the following is not part of a coding compliance plan? - answer>>>Coding
audits performed by payers
A patient was admitted with Type 1 diabetes with proliferative diabetic retinopathy
to have surgery for traction retinal detachment for macular edema. What additional
information should be included in a query to correctly code this diagnosis? -
answer>>>All of this information is needed to correctly code
Physician documentation indicates that a patient has duodenitis. What additional
information is needed to correctly code this diagnosis? - answer>>>If there is active
bleeding
An encounter was for management of the complication of dehydration associated
with a neoplasm, and the treatment was only for the complication. The complication
of a neoplasm is always coded first, followed by the appropriate code(s) for the
neoplasm. The exception to this is for ______________________. -
answer>>>Anemia
EXAM QUESTIONS AND VERIFIED CORRECT
ANSWERS LATEST 2026-2027 NEW VERSION
A patient has squamous cell carcinoma of the knee. What code should be assigned
for this diagnosis? - answer>>>C44.721, squamous cell carcinoma of the skin of
unspecified lower limb, including hip
A patient is seen for evaluation of a right orbital roof fracture. How should this be
coded? - answer>>>S02.19XA, other fracture of base of skull, initial encounter for
closed fracture
A patient was seen for first- and second-degree burns of the upper thigh. How
should this be coded? - answer>>>T24.219A, burn of second degree of unspecified
thigh, initial encounter
Suicide attempt with overdose of Percocet. How should this be coded? -
answer>>>T40.2X2A, poisoning by other opioids, intentional self-harm, initial
encounter
Itching due to drug reaction to an antihistamine. What codes should be assigned? -
answer>>>L29.9, Pruitius, unspecified; T45.0X5A, adverse effect of antiallergic and
antimetric drugs, initial encounter
Acute peptic ulcer with perforation and hemorrhage and resulting blood loss
anemia. What codes should be assigned? - answer>>>K27.2, acute peptic ulcer, site
unspecified, with both hemorrhage and perforation; D50.0, iron deficiency anemia
secondary to blood loss (chronic)
According to the UHDDS, the definition of a secondary diagnosis is a condition that
__________________________________________________________________. -
, -
answer>>>Receives clinical evaluation, therapeutic treatment, further evaluation,
extends the length of stay, and increases nursing monitoring and care
A patient is admitted to a healthcare facility with ataxia and syncope. The patient
has a history of lung cancer. The patient also has a fractured arm as a result of
falling. The patient undergoes a closed reduction of the fracture in the emergency
department and a complete workup for metastatic carcinoma of the brain. The
patient is found to have metastatic carcinoma of the brain and undergoes radiation
therapy to the brain. The principal diagnosis should be
___________________________________________. - answer>>>Metastatic
carcinoma of the brain
A 78-year-old patient is admitted with shortness of breath and a chest x-ray reveals
infiltrates in the lung with pleural effusion. The patient also had an history of
hypertension with left ventricular hypertrophy. The patient is given Lasix and the
shortness of breath is relieved. From the information given, what is the probable
principal diagnosis? - answer>>>Congestive heart failure
A patient is admitted with abdominal pain. The discharge documentation states
"pancreatitis vs. noncalculus cholecystitis" as the final diagnoses. Both diagnoses are
equally treated. Based on coding guidelines, what is the correct sequencing for these
diagnoses? - answer>>>Sequence either the pancreatitis vs. noncalculus cholecystitis
first
The best answer to describe how the UHDDS defines a comorbidity is a diagnosis
that ________________________________________________. - answer>>>Pre-
exists before admission
, Form CMS-1450, also known as the UB-04, supported among other things, this
important change for HIM use of ____________________. - answer>>>ICD-10-CM
and ICD-10-PCS
A condition that is established after study to be chiefly responsible for the admission
is the ________________________________________. - answer>>>Principal
diagnosis
A patient is admitted as an inpatient and discharged with chest pain. After
evaluation it is suspected the patient may have gastroesophgeal reflux disease
(GERD). The final diagnosis was "Rule out GERD". The correct code assignment
would be ________________________. - answer>>>K21.9, gastro-esophageal reflux
disease without esophagitis
Which of the following is not part of a coding compliance plan? - answer>>>Coding
audits performed by payers
A patient was admitted with Type 1 diabetes with proliferative diabetic retinopathy
to have surgery for traction retinal detachment for macular edema. What additional
information should be included in a query to correctly code this diagnosis? -
answer>>>All of this information is needed to correctly code
Physician documentation indicates that a patient has duodenitis. What additional
information is needed to correctly code this diagnosis? - answer>>>If there is active
bleeding
An encounter was for management of the complication of dehydration associated
with a neoplasm, and the treatment was only for the complication. The complication
of a neoplasm is always coded first, followed by the appropriate code(s) for the
neoplasm. The exception to this is for ______________________. -
answer>>>Anemia
