CCS
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Q: A 23 year old female is admitted for vaginal bleeding 
following a miscarriage two weeks prior to this admission. She 
afebrile at this time and is treated with an aspiration dilation and 
curettage. Products of conception 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 ...
CCS STUDY GUIDE CORE EXAM QUESTIONS WITH 
ANSWERS 2025/2026 GRADED A+ 
65yo pt adm w/pain and loosening of left total hip prosthesis along with the loosening of 
the acetabular component which has become painful. Pt ad for open 
removal/replacement of acetabular component of left hip prosthesis, so what is the 
correct coding for admission? - T84.031A (mechanical loosening of int lt hip prosth jt, 
initial enc 
0SPB0JZ (removal synthetic sub fro lt hip jt, open approach 
0SRE0JZ (replacement lt ...
CCS RELIABLE EXAM EVALUATION QUESTIONS WITH 
ANSWERS 2025/2026 GRADED A+ 
pseudomonas - A patient is admitted with pneumonia. Cultures are requested to 
determine the infecting organism. Which of the following, if present, would alert the 
coder to ask the physician whether or not this should be coded as Gram-negative 
pneumonia? 
pseudomonas 
clostridium 
staphylococcus 
listeria 
contact the HIM Director to refer to the Medical Director. - If a query is submitted to the 
provider, and the code...
CCS EXAM QUESTIONS WITH ANSWERS 2025/2026 
GRADED A+ 
Secondary Dx - All conditions that coexist at the time of admission, that develop 
subsequently, or that affect the treatment received and/or length of stay. 
Include comorbidities and complications 
Comorbidity - Any condition that coexists during the relevant episode of car and 
EFFECTS THE TREATMENT PROVIDED TO THE PATIENT 
(what patient comes in the door with) 
pre-exisiting condition that will affect treatment or increase the patients le...
CCS Final Exam(main)