ACDIS Certified Clinical Documentation Specialist : CCDS

  • Exam Code: CCDS
  • Exam Name: Certified Clinical Documentation Specialist
  • Updated: Sep 28, 2026     Q & A: 152 Questions and Answers

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ACDIS Certified Clinical Documentation Specialist Sample Questions:

Question #1

A patient with colon cancer is admitted solely for transfusion and management of anemia caused directly by the malignancy. No chemotherapy-related adverse effect is involved. Which condition is sequenced first?

  • A. Colon malignancy
  • B. Encounter for transfusion
  • C. Anemia in neoplastic disease
  • D. Weakness
Reveal Solution  Discussion  0

Correct Answer: A  🗳️

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Question #2

A patient's baseline serum creatinine is 0.9 mg/dL. Forty-eight hours after admission, the creatinine is 1.5 mg
/dL. Urine output has also decreased. Which condition is most appropriate for the CDI specialist to consider as a clarification opportunity?

  • A. End-stage renal disease
  • B. Acute kidney injury
  • C. Chronic kidney disease
  • D. Nephrotic syndrome
Reveal Solution  Discussion  0

Correct Answer: B  🗳️

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Question #3

Which of the following is a characteristic of a reportable secondary diagnosis?

  • A. Decreased length of stay
  • B. Required hospital stay
  • C. Documented by the attending physician
  • D. Increased nursing care
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Correct Answer: D  🗳️

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Question #4

A patient undergoes outpatient surgery at 9:00 AM. At 1:00 PM, while still in outpatient status, the patient develops an acute complication. The physician writes an inpatient admission order at 4:00 PM. The complication remains present at that time. How is the condition generally treated for POA purposes?

  • A. POA = Y because it was present when inpatient admission occurred
  • B. POA = N because it occurred in the hospital
  • C. POA = U because it began during outpatient care
  • D. POA cannot apply to complications
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Correct Answer: A  🗳️

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Question #5

The progress note on hospital day 2 of a patient's admission states that the patient got up from the bed to go to the bathroom just after housekeeping had mopped the floor. The patient slipped and fell onto the floor, sustaining a broken wrist. The diagnosis of a fractured wrist will:

  • A. Not be recognized as a CC because it was a hospital-acquired condition
  • B. Be coded and assigned a POA of "U"
  • C. Not be coded because it is a hospital-acquired condition
  • D. Be considered a CC for calculation of the final MS-DRG
Reveal Solution  Discussion  0

Correct Answer: A  🗳️

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