AHIMA CCS – Certified Coding Specialist Exam Preparation Guide
                     AHIMA
AHIMA-CCS
ExamName: Certified Coding Specialist (CCS)
Exam Version: 6.0
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Question 1. (Single Select)
A patient presents with a severe allergic reaction after consuming shellfish. The physician documents
anaphylaxis and administers epinephrine. What is the significance of CAC in this coding scenario?
A: It can suggest relevant diagnosis and procedure codes.
B: It can provide alerts for potential drug interactions.
C: It can generate patient education materials.
D: It can track the patient's allergy history.
Answer: A
Explanation:
CAC's significance lies in its ability to suggest relevant diagnosis and procedure codes based on the
physician's documentation of anaphylaxis and the administration of epinephrine. This ensures that the
coding accurately reflects the patient's acute condition.
Question 2. (Single Select)
A patient has a laparoscopic gastric bypass surgery performed. What is the appropriate ICD-10-PCS code?
A: 0DBD4ZZ
B: 0DBD3ZZ
C: 0DBD0ZZ
D: 0DBD1ZZ
Answer: C
Explanation:
The correct code is 0DBD0ZZ, which indicates a laparoscopic gastric bypass. The root operation is
"Bypass," and it is performed via a laparoscopic approach.
Question 3. (Single Select)
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Inpatient myositis: CK 5000 U/L, MRI muscle edema, EMG fibrillations. Rheum: "dermatomyositis
probable." Skin rash photo missing. Ambiguous. Query for?
A: Confirm M33.00 with skin involvement for immunosuppressant
B: Use CK for rhabdo
C: Await biopsy
D: Code M62.81 muscle disorder
Answer: A
Explanation:
Indicators support DM; query Bohan criteria, inpatient steroid dosing, vs. outpatient's ANA titer review.
Question 4. (Single Select)
A facility's quarterly report shows SOI/ROM scores lagging national medians (SOI 1.8 vs. 2.1) due to
undercaptured comorbidities in oncology cases, e.g., neutropenia (ANC 800/¼L) not linked to
chemotherapy, affecting MS-DRG 847-849. How does targeted CDI impact CMI?
A: Decreases CMI due to higher scrutiny on query rates.
B: No significant change, as oncology DRGs are fixed-weight.
C: Increases CMI by elevating base DRG weight through CC addition for neutropenia.
D: Only affects ROM, not SOI or CMI.
Answer: C
Explanation:
Neutropenia as CC (D70.3) in chemo patients elevates SOI/ROM per 3M APR-DRG logic and MS-DRG
847 (chemo w/o acute leukemia w CC), increasing relative weight from 1.2 to 1.8, thus CMI.
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per HFMA 2024 study) and OCM risk adjustment. Fixed-weight myth ignores CC impact.
Question 5. (Single Select)
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Under the Hospital-Acquired Condition Reduction Program, how is penalty status determined?
A: Hospitals in the worst performing quartile based on HAC measures receive payment reductions
B: Penalties are assessed only on procedures with documented infections
C: HAC reductions are voluntary and have no financial impact
D: Hospitals are penalized only if HAC rates exceed national average by 50%
Answer: A
Explanation:
The program cuts payments for the lowest performing hospitals (bottom 25%) on HAC measures. The
penalty is not solely based on fixed thresholds or specific procedures but overall performance. Penalties
are mandatory, not voluntary.
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