CCS-P Exam Guide 2026: 121 Questions, Codebooks, and Domains
Video
A patient presents to a physician office with a chief complaint of right knee pain. The documentation states the patient has primary osteoarthritis of the right knee. Which ICD-10-CM code is most appropriate?
Icd 10 Cm Coding
Question · Easy
HIPAA tier list
Short
A current AHIMA CCS-P guide covering the official 121-question format, 2026 codebooks, five-domain outline, fees, recommended experience, retakes, and recertification.
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First-Listed Diagnosis (Outpatient)
Diagnosis Coding
Flashcard
When coding an established patient office visit where the physician documents a level of medical decision making (MDM) that is moderate, which E/M code is correct?
Evaluation And Management
Diagnosis code set maintained by CMS and NCHS that coders use to report reasons for visits in U.S. health care.
Dx coding
Guess the Term
Chapter 1: Introduction & Exam Overview
1.1 CCS-P Exam Structure, Logistics, & Scored Domains
Study guide
Cheat sheet
A physician performs a diagnostic colonoscopy and discovers a polyp during the procedure. The polyp is removed by snare technique. Which CPT code should be reported?
Cpt Procedural Coding
Question · Medium
Read the clue and guess the term in 6 tries.
Game
Uncertain Diagnosis: Outpatient vs. Inpatient
Which modifier indicates that a procedure was performed on the left side of the body?
Modifiers
Index abbreviation directing a coder to an other specified code when no specific code exists for a condition.
A patient is seen for follow-up of type 2 diabetes mellitus with diabetic chronic kidney disease, stage 3 (not specified as 3a or 3b). Which code(s) and sequence are correct?
Excludes1 Note
What is the purpose of HCPCS Level II codes in physician-based coding?
Hcpcs Coding
Alphabetic Index abbreviation chosen when the record itself lacks the detail needed for a more precise code.
1.2 Study Strategy & Codebook Preparation
A physician performs an excision of a 2.5 cm benign lesion from the trunk with a 0.5 cm margin. What is the correct measurement to determine the CPT code?
Swap tiles to line up three of the same term.
Term Match
Excludes2 Note
Which coding guideline applies when a patient presents with symptoms but no definitive diagnosis has been established in the physician office?
Coding Guidelines
Systemic infection that is coded A41.9 when the causal organism is not further specified.
A Medicare patient's screening mammogram reveals a suspicious mass, and the radiologist performs a diagnostic mammogram on the same day. How should the services be reported?
Radiology Coding
Question · Hard
Combination Code
What does modifier 25 indicate when appended to an E/M service code?
Opening word of the title of ICD-10-CM chapter S00-T88, whose codes mostly need a seventh character for initial, subsequent or sequela encounters.
Chapter 2: Diagnosis Coding — ICD-10-CM Fundamentals & Guidelines
2.1 ICD-10-CM Official Guidelines & Conventions
A patient is diagnosed with acute pharyngitis due to group A Streptococcus. Which ICD-10-CM code correctly identifies this condition?
Flip two cards at a time to find matching terms.
Term Pairs
Laterality: Unspecified Side and Staged Bilateral Treatment
A surgeon performs a laparoscopic cholecystectomy. The coder should report which CPT code?
Code set maintained by the AMA that physicians and other qualified clinicians use to report services on claims.
Physician services
In physician-based coding, when is it appropriate to use a time-based E/M code selection?
Documentation by Clinicians Other Than the Patient's Provider
What is the correct way to report a bilateral procedure when the CPT descriptor does not specify bilateral?
Medicare's alphanumeric set for supplies and equipment that are not included in CPT.
2.2 Outpatient Diagnosis Coding & Sequencing Rules
During a commercially insured patient's annual preventive medicine visit, the physician also evaluates a new complaint of chest pain with a separate history, exam, and plan. How should the encounter be coded?
Find five hidden terms in a grid of letters.
Term Search
Etiology/Manifestation Convention
Which HCPCS Level II code reports the administration of an influenza vaccine to a Medicare patient in a physician office?
Medicare edit program that flags paired services usually not payable together on the same date.
A patient has a history of breast cancer and presents for surveillance. The physician documents 'history of breast cancer, right breast.' Which ICD-10-CM code reports the breast cancer history?
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