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Certified Coding Specialist (CCS) Exam Prep Questions -AHIMA 6th Edition (Latest Update 2025)
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Certified Coding Specialist (CCS) Exam Prep Questions -AHIMA 6th Edition (Latest Update 2025)
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Certified Coding Specialist (CCS) ExamPrep Questions -AHIMA 6th Edition
(Latest Update 2025)
Carcinoma in situ - Correct Answer ✅Tumor cells that are
undergoing malignant changes but are still confined to the
point of origin without invasion of the surrounding normal
tissue
Examples of carcinoma in situ - Correct Answer
✅Intraepithelial infiltrating
The patient was admitted from the emergency department
because of chest pain. Following blood work, it was
determined that the patient had elevated CPKs and MB
enzymes. The EKG shows nonspecific ST changes.
What type of diagnosis might this indicate?
a. Unstable angina
b. Myocardial infarction
c. Congestive heart failure
d. Mitral valve stenosis - Correct Answer ✅b
The CPK elevation with MB enzymes elevated and the EKG ST
changes denote a possible Ml (Leon-Chisen 2013, 386-387).
,Certified Coding Specialist (CCS) Exam
Prep Questions -AHIMA 6th Edition
(Latest Update 2025)
A patient is admitted and diagnosed with fever and urinary
burning. The discharge diagnosis· is Escherichia coli, urinary
tract infection.
Which of the following represents the correct diagnoses and
appropriate sequence of those conditions?
a. Fever, urinary burning, urosepsis
b. Fever, urinary burning, sepsis
c. Escherichia coli, urinary tract infection
d. Urinary tract infection, Escherichia coli - Correct Answer
✅d
Symptoms are not coded when a definitive diagnosis is
present on discharge. The patient discharge diagnosis of
urinary tract infection. The organism (E. coli) is coded with a
seco diagnosis code (B96.20) which is to be added as an
additional code to identify the bacterial agent (HHS 2014,
Section II.A., 98).
,Certified Coding Specialist (CCS) Exam
Prep Questions -AHIMA 6th Edition
(Latest Update 2025)
A patient was admitted with heart failure within one week of
a heart transplant. Due to the timing, the coder thought that
it may represent a postoperative transplant rejection
following heart transplant.
What action(s) should the coding staff take?
a. Query the physician.
b. Assign the codes for the postoperative transplant
rejection.
c. Assign only the code for the transplant rejection.
d. Assign only the code for heart failure. - Correct Answer
✅a
When the documentation is not clear regarding a potential
complication, it is appropriate query the physician (HHS
2014, Section I.B.16, 16; Leon-Chisen 2013, 43-44).
A patient is admitted to a psychiatric unit of an acute-care
facility. The patient experienced the following symptoms
almost every day for the last month: loss of interest or
, Certified Coding Specialist (CCS) Exam
Prep Questions -AHIMA 6th Edition
(Latest Update 2025)
pleasure in most or all activities, which is a change from her
prior level of functioning. She has also gained 15 lbs, has
difficulty falling asleep, feels fatigued, and has difficulty
making decisions.
What potential diagnosis most closely fits the patient's
overall symptoms?
a. Insomnia
b. Major depression
c. Reye's syndrome
d. Bipolar disorder - Correct Answer ✅b
The symptoms provided are indicative of a depressive
disorder (Leon-Chisen 2013, 175).
Inpatient:
Admission for inguinal hernia repair. This 30-year-old patient
has acquired immunodeficiency syndrome (AIDS) but is not
symptomatic at this time due to medication regimen. The
procedure performed was a right indirect inguinal
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