CCS EXAMINATION PAPER 2025/2026 QUESTIONS WITH
SOLUTIONS GRADED A+
✔✔Data Sets - ✔✔particular data elements that are to be routinely collected
✔✔EMDS - ✔✔data elements to help practitioners improve the quality of care during
emergency encounters
✔✔Data Validity - ✔✔numbers, characters, or symbols stored, processed and displayed
are exact and conform to known standards (correctness of data)
Ex. ICD-9CM code 250 (this code is not valid as it needs additional digits)
✔✔Data Reliability - ✔✔data that is the same no matter who collected it or how many
times it is collected
Ex. reliable data is consistent when entered into 2 or more databases
✔✔Data Completeness - ✔✔All required data points are present
Ex. birthdate 1/31, this is not complete because the yesr is missing
✔✔Current Data - ✔✔data is recorded at or near the time of observation
✔✔Data Timeliness - ✔✔the period of time between recording or producing the data
element and making the information available to users is short.
✔✔Data usefulness/meaningful - ✔✔data must be relevant and understandable
Ex. the abbrev LOC appeared in a progress note, does it mean "laxitive of choice" or
"loss of consciousness"
✔✔Principle Dx - ✔✔The condition established after study to be chiefly responsible for
admission of the patient to the hospital
Explains the reason the patient was admitted to the hospital
✔✔Secondary Dx - ✔✔All conditions that coexist at the time of admission, that develop
subsequently, or that affect the treatment received and/or length of stay.
Include comorbidities and complications
✔✔Comorbidity - ✔✔Any condition that coexists during the relevant episode of car and
EFFECTS THE TREATMENT PROVIDED TO THE PATIENT
(what patient comes in the door with)
pre-exisiting condition that will affect treatment or increase the patients length of stay
✔✔Complication - ✔✔Any condition that arises during the relevant episode of care and
EFFECTS THE TREATMENT PROVIDED TO THE PATIENT
Ex. post-op complications, injuries that arise during the stay
, Arises AFTER the patient s admission to the hospital
✔✔Principle Procedure - ✔✔A procedure that was performed for definitive treatment
rather than one performed for diagnostic or exploratory purposes, or was necessary to
take care of a complication.
✔✔If you have 2 procedures that appear to be principle then the one most related to
the...... - ✔✔principle diagnosis should be selected as the principle procedure
✔✔What 2 items are not a required data element of the UHDDS guidelines? -
✔✔Admitting Dx
Patient Name
✔✔Admitting Dx - ✔✔What the physician suspects is wrong with the patient
"tentative or provisional dx"
✔✔Juvenile Onset Diabetes - ✔✔Type 1 Diabetes
Develops due to absence of insulin production (insulinopenia)
Not determined by age
Requires an injection of insulin to maintain normal glucose levels
✔✔Commonly Used Insulins - ✔✔Humulin
Semi-Lente
Iletin
NPH Insulin
Novolog
Ultralente
Humalog
Novolin
Lenti
Lantus
✔✔Adult On set Diabetes - ✔✔Type 2 Diabetes
Formerly known as NIDDM (non insulin dependent diabetes mellitus)
Insulin Requiring Diabetes
Patient is not dependent on insulin to live
Prone to develop dehydration
✔✔Insulinopenia - ✔✔abscence of insulin production
✔✔Impaired Glucose Tolerence - ✔✔Dx given to people who have blood sugar levels
higher than normal but not enough to be given the dx of diabetes
✔✔Brittle Diabetic - ✔✔Blood sugars quickly swing from high to low and from low to
high (unstable)
SOLUTIONS GRADED A+
✔✔Data Sets - ✔✔particular data elements that are to be routinely collected
✔✔EMDS - ✔✔data elements to help practitioners improve the quality of care during
emergency encounters
✔✔Data Validity - ✔✔numbers, characters, or symbols stored, processed and displayed
are exact and conform to known standards (correctness of data)
Ex. ICD-9CM code 250 (this code is not valid as it needs additional digits)
✔✔Data Reliability - ✔✔data that is the same no matter who collected it or how many
times it is collected
Ex. reliable data is consistent when entered into 2 or more databases
✔✔Data Completeness - ✔✔All required data points are present
Ex. birthdate 1/31, this is not complete because the yesr is missing
✔✔Current Data - ✔✔data is recorded at or near the time of observation
✔✔Data Timeliness - ✔✔the period of time between recording or producing the data
element and making the information available to users is short.
✔✔Data usefulness/meaningful - ✔✔data must be relevant and understandable
Ex. the abbrev LOC appeared in a progress note, does it mean "laxitive of choice" or
"loss of consciousness"
✔✔Principle Dx - ✔✔The condition established after study to be chiefly responsible for
admission of the patient to the hospital
Explains the reason the patient was admitted to the hospital
✔✔Secondary Dx - ✔✔All conditions that coexist at the time of admission, that develop
subsequently, or that affect the treatment received and/or length of stay.
Include comorbidities and complications
✔✔Comorbidity - ✔✔Any condition that coexists during the relevant episode of car and
EFFECTS THE TREATMENT PROVIDED TO THE PATIENT
(what patient comes in the door with)
pre-exisiting condition that will affect treatment or increase the patients length of stay
✔✔Complication - ✔✔Any condition that arises during the relevant episode of care and
EFFECTS THE TREATMENT PROVIDED TO THE PATIENT
Ex. post-op complications, injuries that arise during the stay
, Arises AFTER the patient s admission to the hospital
✔✔Principle Procedure - ✔✔A procedure that was performed for definitive treatment
rather than one performed for diagnostic or exploratory purposes, or was necessary to
take care of a complication.
✔✔If you have 2 procedures that appear to be principle then the one most related to
the...... - ✔✔principle diagnosis should be selected as the principle procedure
✔✔What 2 items are not a required data element of the UHDDS guidelines? -
✔✔Admitting Dx
Patient Name
✔✔Admitting Dx - ✔✔What the physician suspects is wrong with the patient
"tentative or provisional dx"
✔✔Juvenile Onset Diabetes - ✔✔Type 1 Diabetes
Develops due to absence of insulin production (insulinopenia)
Not determined by age
Requires an injection of insulin to maintain normal glucose levels
✔✔Commonly Used Insulins - ✔✔Humulin
Semi-Lente
Iletin
NPH Insulin
Novolog
Ultralente
Humalog
Novolin
Lenti
Lantus
✔✔Adult On set Diabetes - ✔✔Type 2 Diabetes
Formerly known as NIDDM (non insulin dependent diabetes mellitus)
Insulin Requiring Diabetes
Patient is not dependent on insulin to live
Prone to develop dehydration
✔✔Insulinopenia - ✔✔abscence of insulin production
✔✔Impaired Glucose Tolerence - ✔✔Dx given to people who have blood sugar levels
higher than normal but not enough to be given the dx of diabetes
✔✔Brittle Diabetic - ✔✔Blood sugars quickly swing from high to low and from low to
high (unstable)
