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Updated: Sep 28, 2026
No. of Questions: 152 Questions & Answers with Testing Engine
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ACDIS Certified Clinical Documentation Specialist Sample Questions:
Documentation indicates an excisional debridement was performed without further specification. The CDI specialist should query to clarify which of the following?
- A. who performed the debridement
- B. depth of debridement
- C. size of debridement
- D. instrument used in the debridement
Correct Answer: B 🗳️
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A patient with abdominal pain and melena is found to have a duodenal ulcer with hemorrhage. The CDI specialist would look for clinical indicators to support which of the following conditions?
- A. Blood loss anemia
- B. Hemolytic anemia
- C. Acute posthemorrhagic anemia
- D. Acute iron deficiency anemia
Correct Answer: C 🗳️
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The attending physician documents morbid obesity. A registered dietitian documents a body mass index of
43.6 kg/m² in the nutritional assessment. Which of the following is the MOST accurate statement?
- A. The BMI cannot be coded because it was not documented by the physician
- B. The dietitian's BMI documentation can also establish the diagnosis of morbid obesity
- C. The BMI may be obtained from the dietitian's documentation because the associated diagnosis is documented by the provider
- D. Neither obesity nor BMI can be reported unless both appear in the discharge summary
Correct Answer: C 🗳️
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A patient is admitted with a stage 3 sacral pressure ulcer. During hospitalization, the wound deteriorates and is documented as stage 4 at the same site. Which reporting approach is appropriate?
- A. Report codes representing the stage on admission and the highest stage reached during the stay
- B. Report only stage 3 because that was the POA stage
- C. Report only stage 4 because it is the highest stage
- D. Use an unstageable pressure-ulcer code
Correct Answer: A 🗳️
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A patient with type 2 diabetes mellitus is admitted with stage 4 chronic kidney disease. The physician documents both conditions but does not explicitly state that the CKD is caused by diabetes. No documentation indicates that the conditions are unrelated. Which of the following is the MOST appropriate coding approach?
- A. Code diabetes and CKD independently because no causal relationship is documented
- B. Code only stage 4 CKD because diabetes is not relevant to the admission
- C. Apply the ICD-10-CM presumed relationship between diabetes and CKD and additionally code the CKD stage
- D. Query the physician before associating diabetes with CKD
Correct Answer: C 🗳️
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