Clinical Coding Professional - Kingdom of
Saudi Arabia (CCP-KSA) Exam .
The CCP-KSA credential is administered by AAPC and endorsed by the Council of Health
Insurance (CHI), designed for medical coding professionals in Saudi Arabia. The exam
covers Saudi-specific coding and billing standards including ICD-10-AM, ACHI, AR-DRG,
Saudi Billing System (SBS), MOH-MDS, GMDN/GTIN, and ADA classifications.
The exam combines standalone multiple-choice questions with case studies requiring
code assignment. The training course and exam are bundled together, costing 11,390
SAR, including two exam attempts and a one-year AAPC membership.
SECTION 1: FOUNDATIONS & REGULATORY FRAMEWORK
Question 1
The root word "hepat" refers to which organ?
A) Heart
B) Kidney
C) Liver
D) Lung
Answer: C
"Hepat-" is the root word for the liver. Understanding root words is essential for accurate
medical record interpretation and code assignment. Combined forms include hepat/o
(liver).
Question 2
Which suffix indicates surgical removal of an organ?
A) -ostomy
B) -plasty
C) -ectomy
D) -rrhaphy
Answer: C
"-ectomy" denotes excision or surgical removal of a body part (e.g., appendectomy,
,cholecystectomy). "-ostomy" creates an opening, "-plasty" means surgical repair, and "-
rrhaphy" means suture.
Question 3
In anatomical terminology, the term "proximal" refers to a location that is:
A) Toward the midline
B) Farther from the trunk
C) Nearer to the trunk or point of attachment
D) On the anterior surface
Answer: C
Proximal means closer to the point of attachment or trunk of the body. Distal indicates a
position farther away from the trunk.
Question 4
What is the primary role of the Ministry of Health (MOH) in Saudi healthcare?
A) Regulating private health insurance benefits
B) Setting national health policy and providing healthcare services
C) Accrediting healthcare institutions
D) Governing medical device safety
Answer: B
MOH sets national health policy and provides healthcare services. CHI regulates health
insurance benefits, CBAHI accredits institutions, and SFDA governs pharmaceuticals and
medical devices.
Question 5
The Council of Health Insurance (CHI) is primarily responsible for:
A) Pharmaceutical pricing
B) Medical device safety
C) Health insurance benefits and coverage standards
D) Hospital accreditation
Answer: C
CHI oversees health insurance policies, beneficiary rights, and unified policy standards in
Saudi Arabia. The Saudi Food and Drug Authority (SFDA) handles medical devices and
pharmaceuticals.
Question 6
In the context of the Saudi Billing System (SBS), which code set should be used to report
specific medical devices or implants?
A) ACHI
,B) GMDN/GTIN
C) ADA
D) AR-DRG
Answer: B
The SFDA mandates GMDN (Global Medical Device Nomenclature) and GTIN (Global
Trade Item Number) codes for identifying specific medical devices and implants for billing
and inventory tracking within the SBS framework.
Question 7
Which classification is utilized in Saudi Arabia specifically for coding dental procedures?
A) ACHI
B) CPT
C) SBS
D) ADA
Answer: D
The Australian Dental Association (ADA) coding classifications are the adopted standard
for reporting dental procedures within the Saudi healthcare market.
Question 8
The Saudi Food and Drug Authority (SFDA) classifies a medication as "Class III," which
means it is:
A) Over-the-counter
B) Prescription-only
C) Controlled substance
D) Herbal supplement
Answer: B
Class III denotes prescription-only medicines under Saudi SFDA regulation.
Question 9
What is the primary purpose of the AR-DRG system in the Saudi healthcare
reimbursement model?
A) To track patient satisfaction scores
B) To classify hospital episodes into clinically meaningful and cost-homogeneous groups
C) To code outpatient pharmacy claims
D) To document physician performance metrics
Answer: B
AR-DRGs (Australian Refined Diagnosis Related Groups) group episodes of care with
, similar clinical characteristics and similar costs, forming the basis for casemix-based
funding and reimbursement.
Question 10
Which Saudi regulatory body establishes Minimum Data Specifications (MOH-MDS)?
A) CHI
B) MOH
C) SFDA
D) CBAHI
Answer: B
MOH-MDS (Ministry of Health Minimum Data Specifications) is established by the Ministry
of Health for data collection and reporting requirements.
SECTION 2: ICD-10-AM DIAGNOSIS CODING
Question 11
A patient is admitted for chemotherapy for acute myeloid leukemia. The coder assigns
Z51.1 (Encounter for antineoplastic chemotherapy) as the principal diagnosis. Is this
correct?
A) Yes, because the chemotherapy is the reason for the admission
B) Yes, because Z codes are always prioritized over disease codes
C) No, the principal diagnosis should be the malignancy being treated (C92.0)
D) No, the principal diagnosis should be the adverse effect of the chemotherapy
Answer: C
ICD-10-AM standards require coding the malignancy as the principal diagnosis when the
patient is admitted specifically to receive chemotherapy for that condition.
Question 12
A patient is admitted with shortness of breath. The physician documents "possible
pneumonia" and treats the patient accordingly. The discharge summary states
"Pneumonia." What is the principal diagnosis?
A) Shortness of breath (R06.0)
B) Possible pneumonia (query)
C) Pneumonia (J18.9)
D) Encounter for observation for suspected disease (Z03.8)
Saudi Arabia (CCP-KSA) Exam .
The CCP-KSA credential is administered by AAPC and endorsed by the Council of Health
Insurance (CHI), designed for medical coding professionals in Saudi Arabia. The exam
covers Saudi-specific coding and billing standards including ICD-10-AM, ACHI, AR-DRG,
Saudi Billing System (SBS), MOH-MDS, GMDN/GTIN, and ADA classifications.
The exam combines standalone multiple-choice questions with case studies requiring
code assignment. The training course and exam are bundled together, costing 11,390
SAR, including two exam attempts and a one-year AAPC membership.
SECTION 1: FOUNDATIONS & REGULATORY FRAMEWORK
Question 1
The root word "hepat" refers to which organ?
A) Heart
B) Kidney
C) Liver
D) Lung
Answer: C
"Hepat-" is the root word for the liver. Understanding root words is essential for accurate
medical record interpretation and code assignment. Combined forms include hepat/o
(liver).
Question 2
Which suffix indicates surgical removal of an organ?
A) -ostomy
B) -plasty
C) -ectomy
D) -rrhaphy
Answer: C
"-ectomy" denotes excision or surgical removal of a body part (e.g., appendectomy,
,cholecystectomy). "-ostomy" creates an opening, "-plasty" means surgical repair, and "-
rrhaphy" means suture.
Question 3
In anatomical terminology, the term "proximal" refers to a location that is:
A) Toward the midline
B) Farther from the trunk
C) Nearer to the trunk or point of attachment
D) On the anterior surface
Answer: C
Proximal means closer to the point of attachment or trunk of the body. Distal indicates a
position farther away from the trunk.
Question 4
What is the primary role of the Ministry of Health (MOH) in Saudi healthcare?
A) Regulating private health insurance benefits
B) Setting national health policy and providing healthcare services
C) Accrediting healthcare institutions
D) Governing medical device safety
Answer: B
MOH sets national health policy and provides healthcare services. CHI regulates health
insurance benefits, CBAHI accredits institutions, and SFDA governs pharmaceuticals and
medical devices.
Question 5
The Council of Health Insurance (CHI) is primarily responsible for:
A) Pharmaceutical pricing
B) Medical device safety
C) Health insurance benefits and coverage standards
D) Hospital accreditation
Answer: C
CHI oversees health insurance policies, beneficiary rights, and unified policy standards in
Saudi Arabia. The Saudi Food and Drug Authority (SFDA) handles medical devices and
pharmaceuticals.
Question 6
In the context of the Saudi Billing System (SBS), which code set should be used to report
specific medical devices or implants?
A) ACHI
,B) GMDN/GTIN
C) ADA
D) AR-DRG
Answer: B
The SFDA mandates GMDN (Global Medical Device Nomenclature) and GTIN (Global
Trade Item Number) codes for identifying specific medical devices and implants for billing
and inventory tracking within the SBS framework.
Question 7
Which classification is utilized in Saudi Arabia specifically for coding dental procedures?
A) ACHI
B) CPT
C) SBS
D) ADA
Answer: D
The Australian Dental Association (ADA) coding classifications are the adopted standard
for reporting dental procedures within the Saudi healthcare market.
Question 8
The Saudi Food and Drug Authority (SFDA) classifies a medication as "Class III," which
means it is:
A) Over-the-counter
B) Prescription-only
C) Controlled substance
D) Herbal supplement
Answer: B
Class III denotes prescription-only medicines under Saudi SFDA regulation.
Question 9
What is the primary purpose of the AR-DRG system in the Saudi healthcare
reimbursement model?
A) To track patient satisfaction scores
B) To classify hospital episodes into clinically meaningful and cost-homogeneous groups
C) To code outpatient pharmacy claims
D) To document physician performance metrics
Answer: B
AR-DRGs (Australian Refined Diagnosis Related Groups) group episodes of care with
, similar clinical characteristics and similar costs, forming the basis for casemix-based
funding and reimbursement.
Question 10
Which Saudi regulatory body establishes Minimum Data Specifications (MOH-MDS)?
A) CHI
B) MOH
C) SFDA
D) CBAHI
Answer: B
MOH-MDS (Ministry of Health Minimum Data Specifications) is established by the Ministry
of Health for data collection and reporting requirements.
SECTION 2: ICD-10-AM DIAGNOSIS CODING
Question 11
A patient is admitted for chemotherapy for acute myeloid leukemia. The coder assigns
Z51.1 (Encounter for antineoplastic chemotherapy) as the principal diagnosis. Is this
correct?
A) Yes, because the chemotherapy is the reason for the admission
B) Yes, because Z codes are always prioritized over disease codes
C) No, the principal diagnosis should be the malignancy being treated (C92.0)
D) No, the principal diagnosis should be the adverse effect of the chemotherapy
Answer: C
ICD-10-AM standards require coding the malignancy as the principal diagnosis when the
patient is admitted specifically to receive chemotherapy for that condition.
Question 12
A patient is admitted with shortness of breath. The physician documents "possible
pneumonia" and treats the patient accordingly. The discharge summary states
"Pneumonia." What is the principal diagnosis?
A) Shortness of breath (R06.0)
B) Possible pneumonia (query)
C) Pneumonia (J18.9)
D) Encounter for observation for suspected disease (Z03.8)
