AHIMA’S CERTIFIED CODING SPECIALIST
(CCS) PRACTICE EXAM 2 QUESTIONS
AND CORRECT ANSWERS (VERIFIED
ANSWERS) PLUS RATIONALES 2025
- A patient is diagnosed with acute appendicitis with generalized peritonitis.
What is the correct ICD-10-CM code?
A. K35.80
B. K35.2
C. K35.3
D. K35.89
Answer: C. K35.3
Rationale: K35.3 is used for acute appendicitis with generalized peritonitis.
Always choose the most specific code describing the condition.
- A patient underwent laparoscopic cholecystectomy. What is the ICD-10-PCS
code? 1 / 3
A. 0FT44ZZ
B. 0FB44ZX
C. 0FT40ZZ
D. 0FB40ZZ
Answer: A. 0FT44ZZ
Rationale: 0FT44ZZ = Resection of gallbladder, percutaneous endoscopic
(laparoscopic) approach.
- CPT code for flexible sigmoidoscopy with biopsy?
A. 45330
B. 45331
C. 45378
D. 45380
Answer: B. 45331
Rationale: 45331 refers to flexible sigmoidoscopy with biopsy; 45330 is without
biopsy.
- What is the primary purpose of the MS-DRG system?
- Payment standardization for outpatient care
- Grouping diagnoses for statistical data
- Classifying inpatient cases for reimbursement
- Measuring patient satisfaction 2 / 3
Answer: C. Classifying inpatient cases for reimbursement
Rationale: The MS-DRG system is used by CMS to classify inpatient stays for
payment purposes.
- Which coding convention requires coding all documented conditions that
coexist at the time of admission?
A. UHDDS
- CPT Guidelines
- HCPCS Level II
D. CMS-1500
Answer: A. UHDDS
Rationale: Uniform Hospital Discharge Data Set (UHDDS) guides reporting for
inpatient hospital data.
- A patient has a fractured femur and diabetes. Which is sequenced first?
- Diabetes
- Fracture
- Either condition
- Whichever required more care
Answer: B. Fracture
Rationale: The fracture is the reason for admission and should be sequenced first.
- / 3