2026/2027 CCDS EXAM / CCDS ACTUAL EXAM COMPLETE
ACCURATE TEST REAL QUESTIONS WITH WELL
ELABORATED ANSWERS WITH RATIONALES (100%
CORRECT VERIFIED SOLUTIONS) LATEST UPDATED
VERSION |GUARANTEED PASS A+
A patient is admitted with pain in the lower extremity. The physician
documents cellulitis due to septic joint. X-ray indicates possible
osteomyelitis. What is the principal diagnosis?
A. Pain
B. Cellulitis
C. Osteomyelitis
D. Septic joint
Answer- D. Septic joint
Which guideline provides the direction for the correct assignment of the
principal diagnosis?
A. Probable/possible conditions should always be assigned over a
symptom diagnosis
B. Always code the most severe condition as principal
C. The coder can link the symptom to the most appropriate condition
D. A sign and symptom code should only be used if no definitive
diagnosis is determined
,Answer- D. A sign and symptom code should only be used if no
definitive diagnosis is determined.
A patient is admitted with hypertensive heart failure and chronic kidney
disease (CKD). Appropriate code assignment would:
A. Identify individual codes for each condition
B. Identify the most appropriate combination code
C. Require a query for a link between the conditions
D. Utilize a combination code with the individual codes listed as
secondary
Answer- D. Utilize a combination code with the individual codes listed
as secondary
1. Coding guidelines stating that if two conditions meet the criteria for
principal diagnosis, either condition can be sequenced first
2. Coding guidelines indicating chapter-specific guidelines
3. Understanding of the UDHHS definition of a principal diagnosis
A patient is admitted with exacerbation of COPD, acute respiratory
failure, and acute renal failure. Appropriate sequencing of the conditions
would be based upon:
,1. Coding guidelines stating that if two conditions meet the criteria for
principal diagnosis, either condition can be sequenced first
2. Coding guidelines indicating chapter-specific guidelines
3. Understanding of the UDHHS definition of a principal diagnosis
A. 1 and 2
B. 2 and 3
C. 1 and 3
D. 1,2, and 3
Answer- D. 1,2, and 3
D. 2,4, and 5
Which of the following are included in chapter-specific guidelines for
the coding of HIV?
1. ICD-10 code B20 should be sequenced as principal diagnosis in all
cases
2. ICD-10 code B20 should only be assigned in confirmed cases of HIV
3. HIV status must be confirmed by a blood test
4. ICD-10 code B20, if sequenced as a secondary diagnosis, qualifies as
an MCC
5. Coding is specific to the reason for admission
, A. 1,2, and 3
B. 1,3, and 5
C. 2,3, and 4
D. 2,4, and 5
Answer- 2. ICD-10 code B20 should only be assigned in confirmed
cases of HIV
4. ICD-10 code B20, if sequenced as a secondary diagnosis, qualifies as
an MCC
5. Coding is specific to the reason for admission
Appropriate sequencing for a patient with urinary tract infection (UTI),
pneumonia, and sepsis, all present on admission, recognizes that:
A. The systemic infection is always sequenced as principal diagnosis
B. The systemic infection is always sequenced as secondary diagnosis
C. The ICD-10 code for SIRS should be sequenced as principal
diagnosis
D. Documented organ failure is necessary before one can code sepsis
Answer- A. The systemic infection is always sequenced as principal
diagnosis
ACCURATE TEST REAL QUESTIONS WITH WELL
ELABORATED ANSWERS WITH RATIONALES (100%
CORRECT VERIFIED SOLUTIONS) LATEST UPDATED
VERSION |GUARANTEED PASS A+
A patient is admitted with pain in the lower extremity. The physician
documents cellulitis due to septic joint. X-ray indicates possible
osteomyelitis. What is the principal diagnosis?
A. Pain
B. Cellulitis
C. Osteomyelitis
D. Septic joint
Answer- D. Septic joint
Which guideline provides the direction for the correct assignment of the
principal diagnosis?
A. Probable/possible conditions should always be assigned over a
symptom diagnosis
B. Always code the most severe condition as principal
C. The coder can link the symptom to the most appropriate condition
D. A sign and symptom code should only be used if no definitive
diagnosis is determined
,Answer- D. A sign and symptom code should only be used if no
definitive diagnosis is determined.
A patient is admitted with hypertensive heart failure and chronic kidney
disease (CKD). Appropriate code assignment would:
A. Identify individual codes for each condition
B. Identify the most appropriate combination code
C. Require a query for a link between the conditions
D. Utilize a combination code with the individual codes listed as
secondary
Answer- D. Utilize a combination code with the individual codes listed
as secondary
1. Coding guidelines stating that if two conditions meet the criteria for
principal diagnosis, either condition can be sequenced first
2. Coding guidelines indicating chapter-specific guidelines
3. Understanding of the UDHHS definition of a principal diagnosis
A patient is admitted with exacerbation of COPD, acute respiratory
failure, and acute renal failure. Appropriate sequencing of the conditions
would be based upon:
,1. Coding guidelines stating that if two conditions meet the criteria for
principal diagnosis, either condition can be sequenced first
2. Coding guidelines indicating chapter-specific guidelines
3. Understanding of the UDHHS definition of a principal diagnosis
A. 1 and 2
B. 2 and 3
C. 1 and 3
D. 1,2, and 3
Answer- D. 1,2, and 3
D. 2,4, and 5
Which of the following are included in chapter-specific guidelines for
the coding of HIV?
1. ICD-10 code B20 should be sequenced as principal diagnosis in all
cases
2. ICD-10 code B20 should only be assigned in confirmed cases of HIV
3. HIV status must be confirmed by a blood test
4. ICD-10 code B20, if sequenced as a secondary diagnosis, qualifies as
an MCC
5. Coding is specific to the reason for admission
, A. 1,2, and 3
B. 1,3, and 5
C. 2,3, and 4
D. 2,4, and 5
Answer- 2. ICD-10 code B20 should only be assigned in confirmed
cases of HIV
4. ICD-10 code B20, if sequenced as a secondary diagnosis, qualifies as
an MCC
5. Coding is specific to the reason for admission
Appropriate sequencing for a patient with urinary tract infection (UTI),
pneumonia, and sepsis, all present on admission, recognizes that:
A. The systemic infection is always sequenced as principal diagnosis
B. The systemic infection is always sequenced as secondary diagnosis
C. The ICD-10 code for SIRS should be sequenced as principal
diagnosis
D. Documented organ failure is necessary before one can code sepsis
Answer- A. The systemic infection is always sequenced as principal
diagnosis
