Page 1 of 191
Clinical Coding Professional Kingdom of Saudi
Arabia (CCP-KSA) Practice Exam Questions &
Rationales VERIFIED SOLUTIONS LATEST
UPDATE THIS YEAR
Clinical Coding Professional Kingdom of Saudi Arabia (CCP-KSA) Practice Exam
The CCP-KSA certification, offered by AAPC, assesses competency in coding within the Saudi
healthcare system, which uses ICD-10-AM, ACHI, ACS, and AR-DRG, as well as the Saudi Billing
System (SBS) and local classifications .
This practice exam covers core knowledge areas including ICD-10-AM diagnosis coding, ACHI
procedural coding, Australian Coding Standards (ACS), AR-DRG casemix, and Saudi-specific
classifications and regulations.
Exam Coverage Summary
• Saudi Healthcare Ecosystem & Regulations – Roles of MOH, SCHS, SHC, CHI, and SFDA;
MOH Minimum Data Specifications (MOH-MDS); CBAHI accreditation standards; CHI
unified policy standards .
• ICD-10-AM Diagnosis Coding – Alphanumeric structure; general coding guidelines;
chapter-specific coding rules; sequencing of principal vs. secondary diagnoses .
• ACHI Procedural Coding – Seven-character code structure; “block” system; Australian
Coding Standards (ACS) for procedure selection; identification of core procedure,
approach, and extent .
• AR-DRG Casemix – DRG assignment factors (principal diagnosis, procedures, age, sex,
discharge status); Complications and Comorbidities (CCs); Patient Clinical Complexity
Level (PCCL); inpatient vs. day-case classification .
• Saudi-Specific Classifications – SBS procedure coding; SFDA pharmaceutical
classifications; GMDN/GTIN for medical devices; ADA dental coding; Saudi codes for
ambulatory transport, lab, and pathology .
• Compliance & Clinical Documentation Improvement (CDI) – Documentation integrity;
physician query best practices; HIMAA and AAPC Code of Ethics; audit readiness .
Practice Questions
Question 1
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According to ICD-10-AM coding standards, when a patient is admitted specifically to receive
chemotherapy for a malignancy, which diagnosis should be assigned as the principal diagnosis?
A) Z51.1 (Encounter for antineoplastic chemotherapy)
B) The malignancy being treated
C) The adverse effect of the chemotherapy
D) The symptoms that prompted the admission
Answer: B
ICD-10-AM standards require sequencing the malignancy as the principal diagnosis when the
patient is admitted specifically to receive chemotherapy for that condition .
Question 2
In the Saudi Billing System (SBS), which code set should be used to report the specific medical
device used in a procedure, such as a synthetic graft for a coronary artery bypass?
,Page 3 of 191
A) ACHI
B) GMDN/GTIN
C) ADA
D) AR-DRG
Answer: B
The SFDA mandates GMDN/GTIN codes for identifying specific medical devices and implants for
billing and inventory tracking within the SBS framework .
Question 3
A coder intentionally assigns codes to a higher-weighted AR-DRG to increase hospital
reimbursement. This act is classified as:
A) Clerical error
B) Fraud
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C) Abuse
D) Medically unnecessary service
Answer: B
Fraud requires intent and knowledge of falsification for payment; upcoding is a deliberate
misrepresentation and therefore constitutes fraud .
Question 4
Which Australian Classification of Health Interventions (ACHI) character differentiates a "Total"
versus "Partial" excision of an organ?
A) Location
B) Approach
C) Method
D) Extent
Answer: D
Clinical Coding Professional Kingdom of Saudi
Arabia (CCP-KSA) Practice Exam Questions &
Rationales VERIFIED SOLUTIONS LATEST
UPDATE THIS YEAR
Clinical Coding Professional Kingdom of Saudi Arabia (CCP-KSA) Practice Exam
The CCP-KSA certification, offered by AAPC, assesses competency in coding within the Saudi
healthcare system, which uses ICD-10-AM, ACHI, ACS, and AR-DRG, as well as the Saudi Billing
System (SBS) and local classifications .
This practice exam covers core knowledge areas including ICD-10-AM diagnosis coding, ACHI
procedural coding, Australian Coding Standards (ACS), AR-DRG casemix, and Saudi-specific
classifications and regulations.
Exam Coverage Summary
• Saudi Healthcare Ecosystem & Regulations – Roles of MOH, SCHS, SHC, CHI, and SFDA;
MOH Minimum Data Specifications (MOH-MDS); CBAHI accreditation standards; CHI
unified policy standards .
• ICD-10-AM Diagnosis Coding – Alphanumeric structure; general coding guidelines;
chapter-specific coding rules; sequencing of principal vs. secondary diagnoses .
• ACHI Procedural Coding – Seven-character code structure; “block” system; Australian
Coding Standards (ACS) for procedure selection; identification of core procedure,
approach, and extent .
• AR-DRG Casemix – DRG assignment factors (principal diagnosis, procedures, age, sex,
discharge status); Complications and Comorbidities (CCs); Patient Clinical Complexity
Level (PCCL); inpatient vs. day-case classification .
• Saudi-Specific Classifications – SBS procedure coding; SFDA pharmaceutical
classifications; GMDN/GTIN for medical devices; ADA dental coding; Saudi codes for
ambulatory transport, lab, and pathology .
• Compliance & Clinical Documentation Improvement (CDI) – Documentation integrity;
physician query best practices; HIMAA and AAPC Code of Ethics; audit readiness .
Practice Questions
Question 1
,Page 2 of 191
According to ICD-10-AM coding standards, when a patient is admitted specifically to receive
chemotherapy for a malignancy, which diagnosis should be assigned as the principal diagnosis?
A) Z51.1 (Encounter for antineoplastic chemotherapy)
B) The malignancy being treated
C) The adverse effect of the chemotherapy
D) The symptoms that prompted the admission
Answer: B
ICD-10-AM standards require sequencing the malignancy as the principal diagnosis when the
patient is admitted specifically to receive chemotherapy for that condition .
Question 2
In the Saudi Billing System (SBS), which code set should be used to report the specific medical
device used in a procedure, such as a synthetic graft for a coronary artery bypass?
,Page 3 of 191
A) ACHI
B) GMDN/GTIN
C) ADA
D) AR-DRG
Answer: B
The SFDA mandates GMDN/GTIN codes for identifying specific medical devices and implants for
billing and inventory tracking within the SBS framework .
Question 3
A coder intentionally assigns codes to a higher-weighted AR-DRG to increase hospital
reimbursement. This act is classified as:
A) Clerical error
B) Fraud
, Page 4 of 191
C) Abuse
D) Medically unnecessary service
Answer: B
Fraud requires intent and knowledge of falsification for payment; upcoding is a deliberate
misrepresentation and therefore constitutes fraud .
Question 4
Which Australian Classification of Health Interventions (ACHI) character differentiates a "Total"
versus "Partial" excision of an organ?
A) Location
B) Approach
C) Method
D) Extent
Answer: D
