CPC Exam Prep CCS & CCS-P RHIA / RHIT CRCR Revenue Cycle HIM Students

ICD-10 Coding Practice Cases —
Complete Clinical Charts, Zero Pre-Filled Codes

Practice ICD-10-CM/PCS, E/M coding, and CPT assignment on complete clinical narratives. Built for CPC, CCS, RHIA, and revenue cycle certification prep.

No credit card required for sample • Instant download • HIPAA-free

9
Encounter Types
60+
Specialties
36+
Demographics per Record
ICD-10
CM / PCS / CPT / HCPCS
19,900+
Records Available

What makes these records different

Most coding practice material gives you summaries or pre-coded snippets. Real certification exams don't. PatientDatasets records are built to match the full complexity of charts you'll actually encounter.

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Complete SOAP Notes

Every record contains a full Subjective, Objective, Assessment, and Plan — chief complaint through discharge or follow-up. No truncated summaries or skeleton notes.

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No Pre-Filled Codes

Codes are never embedded in the record. You derive principal diagnosis, secondary diagnoses, and procedures directly from the clinical narrative — just like on a real chart or certification exam.

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9 Encounter Types

Surgical, Medical/Inpatient, Psychiatric, Pediatric, Oncology, Observation, ED, Skilled Nursing, and Outpatient Office. Every certification domain covered.

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E/M Complexity Documentation

Outpatient records include documented medical decision making at all levels — straightforward through high complexity — supporting 2021 AMA E/M guideline assignment practice.

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Full Operative Reports

Surgical cases include step-by-step procedural narrative, closure technique, implant hardware and lot numbers, estimated blood loss, anesthesia type, and specimens to pathology.

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Discharge Summaries

Inpatient records include admission diagnoses, hospital course narrative, procedures performed, complete medication reconciliation, condition at discharge, and follow-up instructions.

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Mental Status Examinations

Psychiatric records include complete MSEs, DSM-5 diagnostic formulations, risk assessments, and safety plans — covering the F-chapter diagnoses tested on every behavioral health coding exam.

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Pathology & Radiology Reports

Surgical and oncology cases include pathology specimen findings and imaging reports (CT, MRI, X-ray) that inform sequencing decisions and support CDI and HIM scope practice.

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Pediatric & Neonatal Records

Pediatric encounters include age-appropriate vitals, developmental milestones, immunization documentation, growth chart percentiles, and perinatal/neonatal diagnoses for Z-code and P-code practice.

Covers every certification

Whether you're sitting for your first CPC or recertifying your RHIA, the encounter mix and documentation depth align with what each credentialing body tests.

AAPC

CPC

Certified Professional Coder

  • Outpatient and office-based coding
  • E/M level assignment (2021 guidelines)
  • CPT surgical, medicine, radiology ranges
  • ICD-10-CM principal and secondary diagnosis selection
  • Modifier application from operative reports
AHIMA

CCS

Certified Coding Specialist

  • Inpatient facility coding and DRG assignment
  • ICD-10-PCS root operation selection
  • Principal diagnosis sequencing under UHDDS
  • Complication and comorbidity (MCC/CC) identification
  • Discharge summary and operative report abstraction
AHIMA

RHIA / RHIT

Health Information Management

  • Full HIM documentation lifecycle
  • Clinical documentation integrity (CDI) practice
  • Data governance and record completeness
  • Release of information and patient record management
  • Population health data abstraction
HFMA

CRCR

Certified Revenue Cycle Representative

  • Revenue cycle workflow training data
  • Charge capture and coding accuracy practice
  • Payer-specific claim preparation
  • Denial root cause analysis scenarios
  • Medical necessity documentation review
AAPC

COC / CIC

Outpatient & Inpatient Facility

  • Facility outpatient (COC) coding scenarios
  • Inpatient-only procedure identification (CIC)
  • APC grouping logic from outpatient records
  • Observation vs. inpatient determination documentation
  • Revenue code and HCPCS Level II assignment
AAPC

CPC-H / Specialty

Hospital Outpatient & Specialty Coding

  • 60+ specialty encounter types for specialty certification prep
  • Surgical specialty cases (ortho, cardio, neuro, GI)
  • Oncology treatment and chemotherapy administration records
  • ED evaluation and management documentation
  • Anesthesia time-unit and qualifying circumstance coding

9 encounter types — what each contains

Every encounter type includes the documentation components you need to practice end-to-end coding — no assumptions, no missing elements.

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Surgical

  • Pre-operative assessment and H&P
  • Operative report with step-by-step narrative
  • Implant and prosthetic hardware detail
  • Anesthesia type and ASA classification
  • Specimens and pathology requests
  • Post-operative orders and pain management
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Medical / Inpatient

  • History and physical (H&P) with complete ROS
  • Assessment with problem list
  • Treatment plan with diagnostic workup
  • Discharge summary with medication reconciliation
  • E/M complexity documentation for all MDM levels
  • Lab, radiology, and consultant report integration
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Psychiatric / Behavioral

  • Mental status examination (MSE)
  • Presenting symptoms and psychiatric history
  • DSM-5 diagnostic formulation
  • Risk assessment (SI/HI/access to means)
  • Safety planning and disposition
  • Medication management with side-effect review
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Pediatric

  • Age-appropriate vital signs and growth percentiles
  • Developmental milestone documentation
  • Immunization administration records
  • Well-child and sick-visit differentiation
  • Perinatal and neonatal encounter types
  • Parent/guardian history reporting notation
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Oncology / Cancer

  • Pathology report with staging information
  • Chemotherapy administration records
  • Radiation therapy fractionation documentation
  • Tumor board and multidisciplinary plan
  • Remission and recurrence status coding
  • Performance status (ECOG/Karnofsky) documentation
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Emergency Department

  • Triage note with acuity level
  • Emergency E/M with MDM documentation
  • Point-of-care testing and imaging results
  • Observation vs. inpatient decision documentation
  • Trauma activation and critical care records
  • Discharge or transfer disposition documentation
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Observation

  • Admission order specifying observation status
  • Monitoring and reassessment notes
  • Clinical decision-making for admit vs. discharge
  • Two-midnight rule documentation elements
  • Outpatient vs. inpatient sequencing scenarios
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Skilled Nursing / SNF

  • Admission MDS documentation elements
  • Therapy evaluation and goals of care
  • Restorative nursing program documentation
  • Skilled care justification for payer review
  • Functional status and discharge planning notes
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Outpatient Office

  • Office visit SOAP notes across all MDM levels
  • Preventive care and wellness visit documentation
  • Chronic disease management follow-up
  • New patient vs. established patient differentiation
  • Procedure note integration (in-office procedures)
  • Prior authorization documentation support

This is what a real record looks like

No pre-filled codes. No answer keys. Complete clinical narrative — derive the ICD-10-CM, PCS, and CPT codes yourself.

SAMPLE_RECORD_7342 — Medical / Inpatient Encounter — Cardiology
PATIENT DEMOGRAPHICS Name: Dorothea C. Marchetti DOB: 1951-08-17 Age: 74F MRN: PD-7342-SYN Encounter Type: Inpatient Admission LOS: 3 days Attending: Dr. R. Okonkwo, MD (Cardiology) Admit Date: 2024-11-03 CHIEF COMPLAINT Progressive dyspnea on exertion over 5 days, orthopnea, and bilateral ankle edema. HISTORY OF PRESENT ILLNESS Ms. Marchetti is a 74-year-old woman with a known history of systolic heart failure (EF 35% last measured on TTE 6 months prior), hypertension, and Type 2 diabetes mellitus with diabetic chronic kidney disease Stage 3a, presenting with a 5-day history of worsening dyspnea on exertion. She reports she can no longer climb a single flight of stairs without stopping (NYHA Class III, previously Class II). She also reports 2-pillow orthopnea, onset 3 days prior. She notes bilateral ankle swelling that has progressed to involve her calves. She denies chest pain, palpitations, or syncope. She was seen in outpatient cardiology 4 weeks ago; her lisinopril was increased at that visit. She reports adherence but notes dietary indiscretion at a family gathering 6 days ago. REVIEW OF SYSTEMS Cardiovascular: Dyspnea, orthopnea, bilateral leg edema. No chest pain, no palpitations. Respiratory: Dyspnea. No cough, no hemoptysis. Renal/GU: Decreased urine output over 48 hours. No dysuria. GI: Mild nausea. No vomiting, no abdominal pain. Neurological: No confusion, no focal deficits. PHYSICAL EXAMINATION Vitals: BP 158/94 | HR 96 | RR 22 | SpO2 91% on RA | Temp 98.4°F | Wt 184 lbs (up 9 lbs from baseline) General: Elderly woman, mildly distressed, sitting upright. Speaks in short sentences. Cardiovascular: Regular rate and rhythm. S3 gallop present. JVD to jaw at 45 degrees. Respiratory: Bibasilar crackles to mid-lung fields bilaterally. No wheezing. Extremities: 2+ pitting edema bilateral lower extremities to mid-calf. ASSESSMENT 1. Acute-on-chronic systolic congestive heart failure exacerbation (EF 35%) 2. Hypertension — uncontrolled at time of admission, contributing etiology 3. Type 2 diabetes mellitus with diabetic chronic kidney disease, Stage 3a 4. Hypervolemia with acute kidney injury, creatinine 1.9 (baseline 1.4) PLAN Admit to telemetry. IV furosemide 80mg BID. Strict I/O monitoring. Daily weights. Cardiology consult placed. Echo ordered. Hold lisinopril given AKI. <!-- No ICD-10 codes are pre-filled. Derive all codes from the narrative above. Assess: principal diagnosis per UHDDS, secondary diagnoses, present-on-admission indicators, MCC/CC status, DRG assignment, E/M level. -->
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Free sample spans surgical, inpatient, outpatient, and psychiatric encounter types.

Simple, one-time pricing

No subscriptions. Download once, use forever. Share freely within your study group, class, or coding department — one purchase covers unlimited internal use.

Starter

$149 one-time

250 records • CSV format

  • 250 synthetic patient records
  • All 9 encounter types represented
  • 60+ medical specialties
  • Complete SOAP notes, no pre-filled codes
  • CSV format for spreadsheet review
  • HIPAA-free — share with study groups
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Architect

$349 one-time

1,000 records • All 7 formats

  • 1,000 synthetic patient records
  • All 9 encounter types, 60+ specialties
  • All 7 formats: CSV, JSON, SQLite, Parquet, FHIR R4, HL7 v2, C-CDA
  • Suitable for EHR/HIM software demos
  • Revenue cycle training system integration
  • CDI workflow and abstraction tool testing
  • HIPAA-free — institution-wide use
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🎓 Academic discount: 30% off Starter, Professional & Architect for verified .edu domains — use code ACADEMIC30 at checkout.

Frequently asked questions

Everything coding professionals and HIM students ask before their first download.

Do the records have ICD-10 codes pre-filled?
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No — codes are never pre-filled. Every record presents a complete clinical narrative: chief complaint, HPI, review of systems, physical exam findings, assessment, and plan. You derive the principal diagnosis, secondary diagnoses, and procedure codes directly from the documentation, exactly as you would on a real chart. This is intentional: passive answer-checking builds no coding skill. Active derivation does.
Are these appropriate for CCS or CPC exam prep?
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Yes. The dataset includes 9 encounter types across 60+ specialties — outpatient office visits, inpatient admissions, surgical cases with operative reports, psychiatric evaluations, pediatric encounters, oncology cases, observation stays, skilled nursing, and ED visits. CPC candidates get outpatient E/M and CPT practice. CCS candidates get inpatient DRG sequencing and ICD-10-PCS operative report practice. RHIA and RHIT candidates get the full HIM documentation scope.
Can I get surgical and operative report cases?
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Yes. Surgical encounter records include a full pre-operative note, operative report with step-by-step procedural narrative, implant and hardware detail, closure technique, anesthesia type, specimens sent to pathology, estimated blood loss, and post-operative plan. These cases support ICD-10-PCS root operation assignment, CPT surgical range coding, and anesthesia time-unit calculation practice.
Do the records support E/M level assignment?
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Yes. Every outpatient and office-based record contains documentation that supports E/M level assignment using the 2021 AMA guidelines: problem-focused history, complete review of systems, physical exam, and medical decision making with explicit data reviewed, number and complexity of problems, and risk of complications. Records span all MDM levels from straightforward to high complexity.
Can I share these with my class or coding study group?
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Yes — freely. Every record is 100% synthetic with zero real patient data. HIPAA does not apply, no BAA is required, and there is no de-identification process to maintain. Share with study groups, post to course LMS platforms, distribute to students, or use in instructor-led bootcamps without any compliance concern. One purchase, unlimited internal use.
Are psychiatric and behavioral health records included?
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Yes. Psychiatric encounter records include a complete mental status examination (MSE), presenting symptoms, psychiatric history, current medications and side effects, DSM-5 diagnostic formulation, risk assessment (suicidal ideation, homicidal ideation, access to means), safety planning documentation, and treatment plan. These support ICD-10-CM F-chapter diagnosis coding and behavioral health E/M practice.
Are RHIA and RHIT exam topics covered?
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Yes. The dataset spans the full HIM documentation scope: inpatient admission notes, discharge summaries with medication reconciliation, operative reports, pathology reports, radiology reports, nursing notes, and problem lists. This breadth supports the data governance, classification, and clinical documentation integrity domains tested on RHIA and RHIT exams.
What formats are the records delivered in?
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Records are delivered as structured plain-text clinical narratives formatted to match real EHR documentation. The Starter tier delivers CSV. Professional adds JSON. Architect delivers all 7 formats: CSV, JSON, SQLite, Parquet, FHIR R4, HL7 v2, and C-CDA — useful for revenue cycle training systems, HIM software demos, and clinical documentation improvement (CDI) workflow testing.

Start coding on complete records today

Download 5 full records free — no credit card, no sign-up. Surgical, inpatient, psychiatric, and outpatient encounter types included. Delivered in under a minute.

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100% synthetic — HIPAA-free No codes pre-filled Instant download Share freely