ちなみに、GoShiken CCDS-Oの一部をクラウドストレージからダウンロードできます：https://drive.google.com/open?id=1aIDFU2ZhWtNvWeIslGD1ROcRS1z0Xqm7
全てのIT専門人員はACDISのCCDS-Oの認定試験をよく知っていて、その難しい試験に受かることを望んでいます。ACDISのCCDS-Oの認定試験の認可を取ったら、あなたは望むキャリアを得ることができるようになります。GoShikenのACDISのCCDS-O試験トレーニング資料を利用したら、望むことを取得できます。
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多くのIT業界の友達によるとACDIS認証試験を準備することが多くの時間とエネルギーをかからなければなりません。もし訓練班とオンライン研修などのルートを通じないと試験に合格するのが比較的に難しい、一回に合格率非常に低いです。GoShikenはもっとも頼られるトレーニングツールで、ACDISのCCDS-O認定試験の実践テストソフトウェアを提供したり、ACDISのCCDS-O認定試験の練習問題と解答もあって、最高で最新なACDISのCCDS-O認定試験「Certified Clinical Documentation Specialist-Outpatient」問題集も一年間に更新いたします。
質問 # 26
What diagnoses are included in code category N18, chronic kidney disease?
正解：B
解説：
ICD-10-CM category N18 (Chronic kidney disease) is used to report CKD by stage, including stage-based descriptors and end stage renal disease (ESRD). Within N18, codes identify CKD stage 1 through stage 5, ESRD (stage 5D), and CKD unspecified. Outpatient CDI review focuses on ensuring providers document the stage (often supported by eGFR trends) because stage drives correct code selection and accurately reflects disease severity for risk, quality, and medical necessity. Options that include dialysis are not part of N18 itself; dialysis status and encounter codes are reported elsewhere (e.g., dialysis dependence/status codes), not as N18 category diagnoses. AKI (acute kidney injury) and ATN (acute tubular necrosis) are acute renal conditions and are coded outside N18. Likewise, polycystic kidney disease and "uremia" are separate diagnoses with their own code categories. Therefore, the set that correctly matches what N18 represents is CKD stage-based diagnoses such as CKD stage 3, more advanced/severe CKD stages, and ESRD.
質問 # 27
When should the assignment of a not elsewhere classified (NEC)/other specified code be reported?
正解：D
解説：
In outpatient CDI and ICD-10-CM coding guidance emphasized in ACDIS education, "NEC" (Not Elsewhere Classified) aligns with the "other specified" options in the code set and is used when the provider's documentation is clinically specific, but the classification system does not offer a unique code for that exact specificity. In other words, the record contains enough detail to describe a distinct type, cause, manifestation, or clinical variation of a condition, yet there is no more precise code available, so the "other specified" category appropriately captures that documented specificity. This is the opposite of "unspecified" (often associated with "NOS"), which is selected when the documentation is not detailed enough to choose a more specific code option. From a chart review perspective, NEC/other specified supports accurate reporting because it reflects that the clinician did document additional detail, and the coder is not defaulting to unspecified due to missing documentation-rather, the code set itself limits further granularity.
質問 # 28
A patient is seen at the clinic for a fever, and the provider documents possible Zika virus. A CDI specialist reviews the record and notes that a positive serology test indicates the Zika virus. Which of the following should the CDI specialist do NEXT?
正解：A
解説：
In the outpatient setting, diagnoses documented as uncertain (e.g., "possible," "probable," "suspected," "rule out") are generally not coded as confirmed conditions; instead, coding is based on confirmed diagnoses or, when not confirmed, the presenting signs/symptoms. Here, the provider documented only "possible Zika," which is not a confirmed diagnosis for outpatient reporting. Even though the CDI specialist sees a positive serology result, lab data alone does not replace provider diagnostic confirmation in the assessment/plan. The appropriate next step is to query the provider to confirm whether Zika is the established diagnosis based on the positive test (and whether it is clinically addressed during the encounter). If confirmed, Zika can be coded appropriately and sequenced based on the reason for the visit; if not confirmed or still under evaluation, the symptom (fever) remains first-listed. Option B is incorrect because coders do not "code the result" of a serology test as a diagnosis; they code the condition the test supports once clinically confirmed.
質問 # 29
Symbicort is used to treat which of the following conditions?
正解：A
解説：
Symbicort is an inhaled combination medication containing an inhaled corticosteroid (ICS) and a long-acting beta-agonist (LABA). In outpatient chart review, this medication class is most strongly associated with chronic airway inflammatory diseases requiring controller therapy-especially persistent asthma (and also maintenance therapy for COPD, though COPD is not an option here). For CDI purposes, medication-to-diagnosis linkage can act as a clinical indicator supporting clarification when the visit note lists respiratory symptoms but does not clearly document the chronic condition being treated or its acuity/status. Symbicort is not used to treat musculoskeletal degenerative disease (osteoarthritis), peripheral nerve pain from diabetes (diabetic neuropathy), or cardiac pump failure (congestive heart failure). When Symbicort appears on the active med list, outpatient CDI commonly checks that the provider's documentation appropriately reflects asthma classification (intermittent vs persistent), current control, exacerbation status if applicable, and that the condition is being monitored/assessed/treated during the encounter to support reportability and accurate coding.
質問 # 30
A patient is evaluated in the clinic. Documentation states: "HIV positive, gravida 1 at 24 weeks." Which of the following conditions will be coded and in which sequence based on the documentation?
正解：D
解説：
In outpatient coding, selection and sequencing must follow ICD-10-CM Official Guidelines, including obstetric chapter rules. When HIV is documented in a pregnant patient, the pregnancy complication code is sequenced first because the pregnancy status frames the encounter and drives the obstetric complication coding structure. The phrase "HIV positive" (without documentation of HIV-related illness or "HIV disease") is treated as asymptomatic HIV infection status, which aligns with the status concept rather than active HIV disease. Therefore, the correct approach is to code pregnancy complicated by asymptomatic HIV first (obstetric complication category), followed by the HIV status code to fully describe the condition affecting the pregnancy. Options that place "pregnancy" second do not follow obstetric sequencing conventions, and options that assume "HIV disease" overstep the documentation because "HIV positive" alone does not confirm symptomatic HIV disease. Outpatient CDI best practice would be to query if the provider intends HIV disease versus asymptomatic status, but based strictly on the given statement, pregnancy with asymptomatic HIV is most appropriate.
質問 # 31
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常にACDIS CCDS-O試験に参加する予定があるお客様は「こちらの問題集には、全部で何問位、掲載されておりますか？」といった質問を提出しました。心配なくて我々GoShikenのACDIS CCDS-O試験問題集は実際試験のすべての問題種類をカバーします。70％の問題は解説がありますし、試験の内容を理解しやすいと助けます。
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P.S. GoShikenがGoogle Driveで共有している無料かつ新しいCCDS-Oダンプ：https://drive.google.com/open?id=1aIDFU2ZhWtNvWeIslGD1ROcRS1z0Xqm7