CERTIFIED CODING SPECIALIST
(CCS) EXAM LATEST VERSION 2026
ACTUAL EXAM| COMPLETE 100
REAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY
GRADED A+
Diagnostic-
relatedAgroupsA(DRGs)AandAambulatoryApatientAclassificationsA(APCs)AareAsimilarAinAthatAthe
yAareAboth:
a.ADeterminedAbyAHCPCSAcodes
b.AFocusedAonAhospitalAoutpatients
c.AFocusedAonAhospitalAinpatients
d.AProspectiveApaymentAsystemsA-AAnswer✓Ad.AProspectiveApaymentAsystems
**ABothAareAtypesAofAprospectiveApaymentAsystemsA(CastoAandAForrestalA2015,A6).
AApatientAisAtreatedAforAesophagealAvaricesAwithAhemorrhageAdueAtoAcirrhosis.ATheAdiagnos
ticAcodesAthatAwouldAbeAassignedAare:
I85.01AEsophagealAvaricesAwithAbleeding
I85.11ASecondaryAesophagealAvaricesAwithAbleeding
K74.60AUnspecifiedAcirrhosisAofAliverA-AAnswer✓Ad.AK74.60,AI85.11
K74.60:AUnspecifiedAcirrhosisAofAliver
I85.11:SecondaryAesophagealAvaricesAwithAbleeding
**TheApatientAhasAcirrhosisAofAtheAliverAwithAresultingAbleedingAesophagealAvarices.ACirrhos
isAofAliverAisAsequencedAfirstAfollowedAbyAtheAcodeAforAtheAbleedingAesophagealAvaricesA(H
HSA2017,ASectionAI.A.13,A11).
,AssignAtheAcode(s)AforAbronchoscopyAwithAbilateralAtransbronchialAbiopsyAforAeachAlobeAofA
eachAlung.
31628ABronchoscopy,ArigidAorAflexible,AincludingAfluoroscopicAguidance,AwhenAperformed;Awi
thAtransbronchialAlungAbiopsy(s),AsingleAlobe
31629ABronchoscopy,ArigidAorAflexible,AincludingAfluoroscopicAguidance,AwhenAperformed;Awi
thAtransbronchialAneedleAaspirationAbiopsy(s),Atrachea,AmainAstemAand/orAlobarAbronchus(i)
31632ABronchoscopy,ArigidAorAflexible,AincludingAfluoroscopicAguidance,AwhenAperformed;Awi
thAtransbronchialAlungAbiopsy(s),AeachAadditionalAlobe
−50ABilateralAprocedureA-AAnswer✓A
AssignAtheAcode(s)AforAendoscopicAsinusotomyAwithAbilateralAanteriorAethmoidectomy.
31231ANasalAendoscopy,Adiagnostic,AunilateralAorAbilateralA(separateAprocedure)
31254ANasal/sinusAendoscopy,Asurgical;AwithAethmoidectomy,ApartialA(anterior)
−50ABilateralAprocedurea.A
a.A31254
b.A31254-50
c.A31254,A31254
d.A31231A-AAnswer✓Ab.A31254-50
31254ANasal/sinusAendoscopy,Asurgical;AwithAethmoidectomy,ApartialA(anterior)
−50ABilateralAprocedurea.A
**AAAcodeAforAtheAanteriorAethmoidectomyAisAassignedAandAtoAdenoteAtheAbilateralAprocedu
re,AaAmodifierAofA-
50AisAaddedA(CPTAAssistantAWinterA1993,A23;AJan.A1997,A4;ASept.A1997,A10;AOct.A1997,A
5;ADec.A2001,A6;AMayA2003,A5).ATheAsinusotomyAisAnotAcodedAseparately,AasAitAisAaAdiag
nosticAprocedure.
TheAmostAcommonAlanguageAusedAforAbothAdataAdefinitionAlanguageAandAdataAmanipulatio
nAlanguageAis:
a.AUnifiedAmodelingAlanguage
b.AJAVA
c.APerl
,d.AStructuredAqueryAlanguageA-AAnswer✓Ad.AStructuredAqueryAlanguage
**AStructuredAqueryAlanguageA(SQL)AisAusedAcommonlyAforAdataAlanguageAandAdataAdefiniti
onsA(SharpA2016,A184).
AnAethmoidectomyAremovesAinfectedAtissueAandAboneAinAtheAethmoidAsinusesAthatAblocksAn
aturalAdrainage.ATheAsurgeonAviewsAyourAethmoidAsinusesAwithAanAendoscope,AaAthinAflexi
bleAtubeAwithAaAveryAsmallAcameraAandAlightAatAtheAendAofAit.A-AAnswer✓A
DocumentationAfromAtheAnursingAorAotherAalliedAhealthAprofessionals'AnotesAcanAbeAusedAto
AestablishAwhichAofAtheAfollowingAdiagnoses:
a.ABodyAmassAindexA(BMI)
b.AMalnutrition
c.AAspirationApneumonia
d.AFatigueA-AAnswer✓Aa.ABodyAmassAindexA(BMI)
**ATheAphysicianAmustAestablishAtheAdiagnosis—obesityAorAmorbidAobesity—
andAtheAadditionalAinformationAcanAbeApulledAfromAancillaryAdocumentationAtoAestablishAth
eAcorrectAcodeAassignmentAforAbodyAmassAindexA(BMI)A(Leon-ChisenA2017,A168).
AA55-year-
oldApatientAhasAhypertensiveAheartAdiseaseAwithAcongestiveAheartAfailure.AWhatAcodeAwould
AbeAassigned?
a.AI15.8,AOtherAsecondaryAhypertension
b.AI11.0,AHypertensiveAheartAdiseaseAwithAheartAfailureAandAI50.9,AHeartAfailure,Aunspecifi
ed
c.AI50.9,AHeartAfailure,AunspecifiedAandAI15.0,ARenovascularAhypertension
d.AN18.6,AEndAstageArenalAdiseaseA-
AAnswer✓Ab.AI11.0,AHypertensiveAheartAdiseaseAwithAheartAfailureAandAI50.9,AHeartAfail
ure,Aunspecified
**AThereAisAaAcauseAandAeffectArelationshipAestablishedAbetweenAtheAhypertensionAandAtheA
congestiveAheartAfailure.AAAseparateAcodeAforAtheAcongestiveAheartAfailureAisAassignedAbase
dAonAtheA"codeAalso"AnoteA(HHSA2017,ASectionAI.C.9.a.,A40).
, AAsurgeonAwouldAlikeAtoAundertakeAaAresearchAstudyAonAhisApatientsAwithAstageAIIAmalign
antAmelanomaAofAtheAback,AwhoAhaveAundergoneAwideAexcisionAofAtheAmelanoma.AWhatAw
orkAprocessesAandAassociatedAsoftwareAcouldAbeAusedAtoAprovideAthisAinformation?
a.AObtainAaAsummaryAofAtheAcasesAfromAtheAcancerAregistry,AimportAthemAintoAaAspreadsh
eet,AandAprovideAtoAtheAsurgeon.
b.AObtainAaAsummaryAofAtheAcasesAfromAtheAchartAcompletionAsoftware,AimportAthemAintoA
aAspreadsheet,AandAprovideAtoAtheAsurgeon.
c.AObtainAaAsummaryAofAtheAcasesAfromAtheAmasterApatientAindex,AimportAthemAintoAaAsp
readsheet,AandAprovideAtoAtheAsurgeon.
d.AObtainAaAsummaryAofAtheAcasesAfromAtheAtranscriptionAtrackingAsoftware,AimportAthemA
intoAaAspreadsheet,AandAprovideAtoAtheAsurgeon.A-
AAnswer✓Aa.AObtainAaAsummaryAofAtheAcasesAfromAtheAcancerAregistry,AimportAthemAint
oAaAspreadsheet,AandAprovideAtoAtheAsurgeon.
**TheAcancerAregistryAcanAbeAusedAtoAundertakeAstudiesAinAadditionAtoAreportingAcasesAtoA
aAcentralAregistryA(SharpAandAMadlock-BrownA2016,A173).
AAfacilityAlocatedAnearAaAnationalAparkAhasAaAsignificantAnumberAofAsnakeAbites,AandApati
entsAreceiveAtreatmentAwithAantivenomAinAurgent-
careAsettings.ASometimesAaApatientAisAadmittedAtoAtheAhospitalAafterAseveralAdays.ACanAthe
Aurgent-
careAsettingAprovideAtheAhospitalAwithAaAlistAofAnamesAofApatientsAtreatedAwithAsnakeAanti
venom?
a.AOnlyAtheAnamesAofApatientsAwhoAareAadmittedAtoAtheAhospitalAcanAbeArequestedAifAthe
AphysicianAneedsAitAforAcontinuityAofAcare,AbutAanAentireAlistAofApatientsAcannotAbeAprovid
ed.
b.AAAlistAofAnamesAcouldAbeAprovided.
c.ANoAinformationAcanAbeAobtainedAunderAanyAcircumstances.
d.AAAlistAofApatientsAmayAbeAavailableAafterAconsultationAwithAtheAnationalAparkAranger.A-
AAnswer✓Aa.AOnlyAtheAnamesAofApatientsAwhoAareAadmittedAtoAtheAhospitalAcanAbeAreq
uestedAifAtheAphysicianAneedsAitAforAcontinuityAofAcare,AbutAanAentireAlistAofApatientsAcann
otAbeAprovided.
(CCS) EXAM LATEST VERSION 2026
ACTUAL EXAM| COMPLETE 100
REAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY
GRADED A+
Diagnostic-
relatedAgroupsA(DRGs)AandAambulatoryApatientAclassificationsA(APCs)AareAsimilarAinAthatAthe
yAareAboth:
a.ADeterminedAbyAHCPCSAcodes
b.AFocusedAonAhospitalAoutpatients
c.AFocusedAonAhospitalAinpatients
d.AProspectiveApaymentAsystemsA-AAnswer✓Ad.AProspectiveApaymentAsystems
**ABothAareAtypesAofAprospectiveApaymentAsystemsA(CastoAandAForrestalA2015,A6).
AApatientAisAtreatedAforAesophagealAvaricesAwithAhemorrhageAdueAtoAcirrhosis.ATheAdiagnos
ticAcodesAthatAwouldAbeAassignedAare:
I85.01AEsophagealAvaricesAwithAbleeding
I85.11ASecondaryAesophagealAvaricesAwithAbleeding
K74.60AUnspecifiedAcirrhosisAofAliverA-AAnswer✓Ad.AK74.60,AI85.11
K74.60:AUnspecifiedAcirrhosisAofAliver
I85.11:SecondaryAesophagealAvaricesAwithAbleeding
**TheApatientAhasAcirrhosisAofAtheAliverAwithAresultingAbleedingAesophagealAvarices.ACirrhos
isAofAliverAisAsequencedAfirstAfollowedAbyAtheAcodeAforAtheAbleedingAesophagealAvaricesA(H
HSA2017,ASectionAI.A.13,A11).
,AssignAtheAcode(s)AforAbronchoscopyAwithAbilateralAtransbronchialAbiopsyAforAeachAlobeAofA
eachAlung.
31628ABronchoscopy,ArigidAorAflexible,AincludingAfluoroscopicAguidance,AwhenAperformed;Awi
thAtransbronchialAlungAbiopsy(s),AsingleAlobe
31629ABronchoscopy,ArigidAorAflexible,AincludingAfluoroscopicAguidance,AwhenAperformed;Awi
thAtransbronchialAneedleAaspirationAbiopsy(s),Atrachea,AmainAstemAand/orAlobarAbronchus(i)
31632ABronchoscopy,ArigidAorAflexible,AincludingAfluoroscopicAguidance,AwhenAperformed;Awi
thAtransbronchialAlungAbiopsy(s),AeachAadditionalAlobe
−50ABilateralAprocedureA-AAnswer✓A
AssignAtheAcode(s)AforAendoscopicAsinusotomyAwithAbilateralAanteriorAethmoidectomy.
31231ANasalAendoscopy,Adiagnostic,AunilateralAorAbilateralA(separateAprocedure)
31254ANasal/sinusAendoscopy,Asurgical;AwithAethmoidectomy,ApartialA(anterior)
−50ABilateralAprocedurea.A
a.A31254
b.A31254-50
c.A31254,A31254
d.A31231A-AAnswer✓Ab.A31254-50
31254ANasal/sinusAendoscopy,Asurgical;AwithAethmoidectomy,ApartialA(anterior)
−50ABilateralAprocedurea.A
**AAAcodeAforAtheAanteriorAethmoidectomyAisAassignedAandAtoAdenoteAtheAbilateralAprocedu
re,AaAmodifierAofA-
50AisAaddedA(CPTAAssistantAWinterA1993,A23;AJan.A1997,A4;ASept.A1997,A10;AOct.A1997,A
5;ADec.A2001,A6;AMayA2003,A5).ATheAsinusotomyAisAnotAcodedAseparately,AasAitAisAaAdiag
nosticAprocedure.
TheAmostAcommonAlanguageAusedAforAbothAdataAdefinitionAlanguageAandAdataAmanipulatio
nAlanguageAis:
a.AUnifiedAmodelingAlanguage
b.AJAVA
c.APerl
,d.AStructuredAqueryAlanguageA-AAnswer✓Ad.AStructuredAqueryAlanguage
**AStructuredAqueryAlanguageA(SQL)AisAusedAcommonlyAforAdataAlanguageAandAdataAdefiniti
onsA(SharpA2016,A184).
AnAethmoidectomyAremovesAinfectedAtissueAandAboneAinAtheAethmoidAsinusesAthatAblocksAn
aturalAdrainage.ATheAsurgeonAviewsAyourAethmoidAsinusesAwithAanAendoscope,AaAthinAflexi
bleAtubeAwithAaAveryAsmallAcameraAandAlightAatAtheAendAofAit.A-AAnswer✓A
DocumentationAfromAtheAnursingAorAotherAalliedAhealthAprofessionals'AnotesAcanAbeAusedAto
AestablishAwhichAofAtheAfollowingAdiagnoses:
a.ABodyAmassAindexA(BMI)
b.AMalnutrition
c.AAspirationApneumonia
d.AFatigueA-AAnswer✓Aa.ABodyAmassAindexA(BMI)
**ATheAphysicianAmustAestablishAtheAdiagnosis—obesityAorAmorbidAobesity—
andAtheAadditionalAinformationAcanAbeApulledAfromAancillaryAdocumentationAtoAestablishAth
eAcorrectAcodeAassignmentAforAbodyAmassAindexA(BMI)A(Leon-ChisenA2017,A168).
AA55-year-
oldApatientAhasAhypertensiveAheartAdiseaseAwithAcongestiveAheartAfailure.AWhatAcodeAwould
AbeAassigned?
a.AI15.8,AOtherAsecondaryAhypertension
b.AI11.0,AHypertensiveAheartAdiseaseAwithAheartAfailureAandAI50.9,AHeartAfailure,Aunspecifi
ed
c.AI50.9,AHeartAfailure,AunspecifiedAandAI15.0,ARenovascularAhypertension
d.AN18.6,AEndAstageArenalAdiseaseA-
AAnswer✓Ab.AI11.0,AHypertensiveAheartAdiseaseAwithAheartAfailureAandAI50.9,AHeartAfail
ure,Aunspecified
**AThereAisAaAcauseAandAeffectArelationshipAestablishedAbetweenAtheAhypertensionAandAtheA
congestiveAheartAfailure.AAAseparateAcodeAforAtheAcongestiveAheartAfailureAisAassignedAbase
dAonAtheA"codeAalso"AnoteA(HHSA2017,ASectionAI.C.9.a.,A40).
, AAsurgeonAwouldAlikeAtoAundertakeAaAresearchAstudyAonAhisApatientsAwithAstageAIIAmalign
antAmelanomaAofAtheAback,AwhoAhaveAundergoneAwideAexcisionAofAtheAmelanoma.AWhatAw
orkAprocessesAandAassociatedAsoftwareAcouldAbeAusedAtoAprovideAthisAinformation?
a.AObtainAaAsummaryAofAtheAcasesAfromAtheAcancerAregistry,AimportAthemAintoAaAspreadsh
eet,AandAprovideAtoAtheAsurgeon.
b.AObtainAaAsummaryAofAtheAcasesAfromAtheAchartAcompletionAsoftware,AimportAthemAintoA
aAspreadsheet,AandAprovideAtoAtheAsurgeon.
c.AObtainAaAsummaryAofAtheAcasesAfromAtheAmasterApatientAindex,AimportAthemAintoAaAsp
readsheet,AandAprovideAtoAtheAsurgeon.
d.AObtainAaAsummaryAofAtheAcasesAfromAtheAtranscriptionAtrackingAsoftware,AimportAthemA
intoAaAspreadsheet,AandAprovideAtoAtheAsurgeon.A-
AAnswer✓Aa.AObtainAaAsummaryAofAtheAcasesAfromAtheAcancerAregistry,AimportAthemAint
oAaAspreadsheet,AandAprovideAtoAtheAsurgeon.
**TheAcancerAregistryAcanAbeAusedAtoAundertakeAstudiesAinAadditionAtoAreportingAcasesAtoA
aAcentralAregistryA(SharpAandAMadlock-BrownA2016,A173).
AAfacilityAlocatedAnearAaAnationalAparkAhasAaAsignificantAnumberAofAsnakeAbites,AandApati
entsAreceiveAtreatmentAwithAantivenomAinAurgent-
careAsettings.ASometimesAaApatientAisAadmittedAtoAtheAhospitalAafterAseveralAdays.ACanAthe
Aurgent-
careAsettingAprovideAtheAhospitalAwithAaAlistAofAnamesAofApatientsAtreatedAwithAsnakeAanti
venom?
a.AOnlyAtheAnamesAofApatientsAwhoAareAadmittedAtoAtheAhospitalAcanAbeArequestedAifAthe
AphysicianAneedsAitAforAcontinuityAofAcare,AbutAanAentireAlistAofApatientsAcannotAbeAprovid
ed.
b.AAAlistAofAnamesAcouldAbeAprovided.
c.ANoAinformationAcanAbeAobtainedAunderAanyAcircumstances.
d.AAAlistAofApatientsAmayAbeAavailableAafterAconsultationAwithAtheAnationalAparkAranger.A-
AAnswer✓Aa.AOnlyAtheAnamesAofApatientsAwhoAareAadmittedAtoAtheAhospitalAcanAbeAreq
uestedAifAtheAphysicianAneedsAitAforAcontinuityAofAcare,AbutAanAentireAlistAofApatientsAcann
otAbeAprovided.
