AHIMA CCA Exam 2 Questions
and Answers 2025
1.
Data security policies and procedures should be reviewed at least:
a. Semi-annually
b. Annually
c. Every two years
d. Quarterly
Correct Answer: B
All data security policies and procedures should be reviewed and
evaluated at least every year to make sure they are up-to-date and still
relevant to the organization (Johns2011, 995).
2.
Identify the correct ICD-9-CM diagnosis code(s) for a patient
with near-syncopeevent and nausea.
a. 780.2
b. 780.2, 787.02
c. 780.2, 787.01
d. 780.4, 787.02
Correct Answer: B
Near-syncope and nausea are both signs and symptoms and therefore
not integral tothe other. Both conditions should be coded (Hazelwood
and Venable 2012, 71).
3.
The codes in the musculoskeletal section of CPT may be used by:
a. Orthopedic surgeons only
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,b. Orthopedic surgeons and emergency department physicians
c. Any physician
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,d. Orthopedic surgeons and neurosurgeons
Correct Answer: C
Any physician may use the codes in any section of CPT (AHIMA 2012a,
587).
4.
In an EHR, what is the risk of copying and pasting?
a. Reduction in the time required to document
b. The system not recording who entered the data
c. Quicker overall system response time
d. System thinking that the original documenter recorded the note
Correct Answer: B
The system not recording who entered the data (Johns 2011, 433).
5.
Mr. Smith is seen in his primary care physician's office for his
annual physical examination. He has a digital rectal examination
and is given three small cards totake home and return with fecal
samples to screen for colorectal cancer. Assign the appropriate
CPT code to report this occult blood sampling.
a. 82270
b. 82271
c. 82272
d. 82274
Correct Answer: A
CPT code 82270 describes a test for occult blood using feces source
for the purpose ofneoplasm screening with the use of three cards or
single triple card for consecutive collection (AMA 2012b, 417).
6.
Identify the punctuation mark that is used to supplement words
or explanatory information that may or may not be present in the
statement of a diagnosis or procedure in ICD-9-CM coding. The
punctuation does not affect the code numberassigned to the
case. The punctuation is considered a nonessential modifier, and
all three volumes of ICD-9-CM use them.
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, a. Parentheses ( )
b. Square brackets [ ]
c. Slanted brackets [ ]
d. Braces { }
Correct Answer: A
Parentheses enclose supplementary words or explanatory information
that may or may not be present in the statement of a diagnosis or
procedure. They do not affect the codenumber assigned in the case.
Terms in parentheses are considered nonessential modifiers, and all
three volumes of ICD-9-CM use them. Bronchiectasis (fusiform)
(postinfectious) (recurrent) is an example of a diagnosis statement with
nonessential modifiers noted with parentheses (Schraffenberger 2012,
26-28).
7.
Documentation regarding a patient's marital status; dietary,
sleep, and exercisepatterns; and use of coffee, tobacco, alcohol,
and other drugs may be found in the:
a. Physical examination record
b. History record
c. Operative report
d. Radiological report
Correct Answer: B
A complete medical history documents the patient's current
complaints and symptomsand lists his or her past medical, personal,
and family history (Johns 2011, 63).
8.
If an orthopedic surgeon attempted to reduce a fracture but was
unsuccessful inobtaining acceptable alignment, what type of
code should be assigned for the procedure?
a. A "with manipulation" code
b. A "without manipulation" code
c. An unlisted procedure code
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