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AHIMA CCS Exam Questions

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Certified Coding Specialist (CCS) Exam

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  Updated 05, 13,2026
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AHIMA CCS Practice Test Questions ( Updated) – Real Exam Questions & Dumps PDF

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AHIMA CCS Sample Questions – Free Practice Test & Real Exam Prep

Question #1

 A new patient is seen in a family practice clinic. During the visit, he reports asymptomatic coronary artery disease that was previously diagnosed in another state. What information from his external records would help in selecting the most specific code for this condition? 

  • A: The age at which he was diagnosed 
  • B: History of tobacco use 
  • C: Presence of hyperlipidemia 
  • D: Prior coronary artery bypass grafting
 Answer: D
Explanation: The relevant ICD-10 code can be found by looking up Disease, Coronary, which directs to Disease, Heart, Ischemic, Atherosclerotic and to the default code 125.10. In the Tabular List, this code refers to atherosclerosis of the native coronary arteries. A more specific code could be obtained by inquiring about any previous coronary artery bypass grafting. Hyperlipidemia and history of tobacco use should also be coded if present, but they do not affect code selection for coronary artery disease, and neither does the patient's age at diagnosis.
Question #2

Which one of these is NOT likely to result from the misuse of EHR templates? 

  • A: Inclusion of a different provider's signature 
  • B: Overdocumentation 
  • C: Failure to accurately record the patient's condition 
  • D: Documentation that does not accurately reflect the services provided
Answer: A
Explanation: The use of templates to facilitate efficient documentation is unlikely to cause a note to be signed by a provider other than the one involved in that episode of care. Template use may result in overdocumentation, that is, extensive documentation that does not accurately reflect the scope or specifics of an encounter. If the template is not appropriately modified, it may not reflect the condition or services relevant to that particular patient on a specific date of service.
Question #3

 A 55-year-old man is admitted from the ED for acute ischemic stroke. He did not receive tissue plasminogen activator. Select the condition that would increase the MS-DRG if present on admission. 

  • A: Chronic pain syndrome
  •  B: Bacterial meningitis 
  • C: Mixed hyperlipidemia 
  • D: Benign prostatic hyperplasia
Answer: B
Explanation: Acute ischemic stroke is found in the ICD-10-CM by searching the Alphabetic Index for Stroke (Ischemic), which leads us to code 163.9 in the Tabular List. Without CC or MCC, the corresponding MS-DRG would be 066 (with a relative weight of 0.6875). With MCC, the MS-DRG would be 064 (with a relative weight of 2.0030). Among the selections given, bacterial meningitis (code G00.9) is the only MCC.
Question #4

 What is the correct coding for a patient with early-onset Alzheimer's disease and agitation?

  • A: F02.811, G30.0, because in the ICD-10 Alphabetic Index dementia is the primary code 
  • B: G30.0 only, because in the ICD-10 Alphabetic Index dementia is an alternative code 
  • C: G30.0 only, because in the ICD-10 Alphabetic Index dementia is a synonym 
  • D: G30.0, F02.811, because in the ICD-10 Alphabetic Index dementia is the manifestation
Answer: D
Explanation: In the ICD-10 Alphabetic Index, Alzheimers (the underlying condition) is listed first, followed by dementia (the manifestation) in brackets. According to ICD-10 guidelines, the code in brackets is always sequenced second because it is a manifestation (IA13).
Question #5

Which program uses a score based on patient safety/adverse events and hospital- acquired infections, to reduce payments for hospital claims? 

  • A: AHRQ Quality Indicator Program 
  • B: Medicare's HAC Reduction Program 
  • C: Medicare's Hospital Readmissions Reduction Program 
  • D: MACRA
Answer: B
Explanation: Medicare's HAC Reduction Program uses a hospital's total HAC score to determine payment reductions for hospital claims. This score is calculated based on patient safety events, adverse events, and hospital-acquired infections. The AHRQ Quality Indicator Program helps decision- makers in healthcare identify and track potential quality concerns identified in their data. Medicare's Hospital Readmissions Reduction Program is geared toward reducing avoidable hospital readmissions. MACRA is the acronym for the Medicare Access and CHIP Reauthorization Act of 2015.
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