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CCA EXAM PREPARATION DOMAINS 1, 2, 3, 4, 5, & 6 PRACTICE TEST
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CCA EXAM PREPARATION DOMAINS 1, 2, 3, 4, 5, & 6 PRACTICE TEST
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CCA EXAM PREPARATION DOMAINS 1, 2, 3, 4, 5, & 6PRACTICE TEST
1. A patient is admitted with spotting. She had been treated two weeks previously for a
miscarriage with sepsis. The sepsis had resolved, and she is afebrile at this time. She is
treated with an aspiration dilation and curettage and products of conception are found.
Which of the following should be the principal diagnosis?
a. Miscarriage
b. Complications of spontaneous abortion with sepsis
c. Sepsis
d. Spontaneous abortion with sepsis - Answers -a. Miscarriage
2. If a patient has an excision of a malignant lesion of the skin, the CPT code is
determined by the body area from which the excision occurs and which of the following?
a. Length of the lesion as described in the pathology report
b. Dimension of the specimen submitted as described in the pathology report
c. Width times the length of the lesion as described in the operative report
d. Diameter of the lesion as well as the most narrow margins required to adequately
excise the lesion described in the operative report - Answers -d. Diameter of the lesion
as well as the most narrow margins required to adequately excise the lesion described
in the operative report
10. Reference codes 49491 through 49525 for inguinal hernia repair. Patient is 47 years
old. What is the correct code for an initial inguinal herniorrhaphy for incarcerated
hernia?
a. 49496
b. 49501
c. 49507
d. 49521 - Answers -c. 49507
11. A patient was admitted for abdominal pain with diarrhea and was diagnosed with
infectious gastroenteritis. The patient also has angina and chronic obstructive
pulmonary disease. Which of the following would be the correct coding and sequencing
for this case?
a. Abdominal pain; infectious gastroenteritis; chronic obstructive pulmonary disease;
angina
b. Infectious gastroenteritis; chronic obstructive pulmonary disease; angina
c. Gastroenteritis; abdominal pain; angina
,d. Gastroenteritis; abdominal pain; diarrhea; chronic obstructive pulmonary disease;
angina - Answers -b. Infectious gastroenteritis; chronic obstructive pulmonary disease;
angina
12. A 65-year-old female was admitted to the hospital. She was diagnosed with sepsis
secondary to Staphylococcus aureus and abdominal pain secondary to diverticulitis of
the colon. What is the correct code assignment?
a. A41.89, K57.92, R10.9
b. A41.01, K57.92
c. A41.89, K57.92, A49.01
d. A41.9, K57.92 - Answers -b. A41.01, K57.92
13. Coding accuracy is anticipated to improve due to which ICD-10-CM enhancement?
a. Less combination codes
b. Increased cross referencing
c. Removal of laterality
d. Expanded codes that capture more detail - Answers -d. Expanded codes that capture
more detail
14. Patient with flank pain was admitted and found to have a calculus of the kidney. A
ureteroscopy with placement of bilateral ureteral stents was performed to expand the
lumen so the stone could pass naturally. Assign the correct ICD-10-CM/PCS diagnosis
and procedure codes.
a. N20.0, N23, 0T788DZ
b. N23, N20.0, 0TC68ZZ, 0TC78ZZ
c. N20.0, 0T768DZ, 0T778DZ
d. N20.0, 0T788DZ - Answers -d. N20.0, 0T788DZ
15. Code only a confirmed diagnosis of Zika virus (A92.5, Zika virus disease) as
documented by the provider. In this context, "confirmation" __________.
a. Does not require documentation of the type of test performed; the physician's
diagnostic statement that the condition is confirmed is sufficient
b. Requires the documentation of the type of test in addition to the physician's
diagnostic statement
c. Must be provided by the laboratory findings report
d. Requires that the Public Health Agency be contacted - Answers -a. Does not require
documentation of the type of test performed; the physician's diagnostic statement that
the condition is confirmed is sufficient
16. A 7-year-old patient was admitted to the emergency department for treatment of
shortness of breath. The patient is given epinephrine and nebulizer treatments. The
,shortness of breath and wheezing are unabated following treatment. What diagnosis
should be suspected?
a. Acute bronchitis
b. Acute bronchitis with chronic obstructive pulmonary disease
c. Asthma with status asthmaticus
d. Chronic obstructive asthma - Answers -c. Asthma with status asthmaticus
17. A patient is admitted with acute exacerbation of COPD, chronic renal failure, and
hypertension.
a. J44.1, J44.9, I12.9, N18.9
b. J44.1, N18.9, I10
c. J44.9, N18.9, I10
d. J44.1, I12.9, N18.9 - Answers -d. J44.1, I12.9, N18.9
18. What does the fourth character of an ICD-10-CM diagnosis code capture?
a. Anatomic site
b. Severity
c. Etiology
d. Supplemental information - Answers -c. Etiology
19. Identify the diagnosis code(s) for carcinoma in situ of vocal cord.
a. D02.0
b. C32.0
c. D49.1
d. D14.1 - Answers -a. D02.0
20. To help clarify terms that currently have overlapping meaning, ICD-10-PCS has
defined root operations. What is an example of the root operation of Excision?
a. Partial nephrectomy
b. Total nephrectomy
c. Total lobectomy
d. Total mastectomy - Answers -a. Partial nephrectomy
21. The assignment of a diagnosis code is based on __________.
a. The coder's assessment of the health record.
b. The provider's statement that the patient has a particular condition.
c. Clinical criteria used by the provider to establish the diagnosis.
d. Its inclusion in the discharge summary - Answers -b. The provider's statement that
the patient has a particular condition.
, 22. Which of the following is a condition that arises during hospitalization?
a. Case mix
b. Complication
c. Comorbidity
d. Principal diagnosis - Answers -b. Complication
3. A patient is admitted to the hospital with shortness of breath and congestive heart
failure. The patient subsequently develops respiratory failure. The patient undergoes
intubation with ventilator management. Which of the following would be the correct
sequencing and coding of this case?
a. Congestive heart failure, respiratory failure, ventilator management
b. Respiratory failure, intubation, ventilator management
c. Respiratory failure, congestive heart failure, intubation, ventilator management
d. Shortness of breath, congestive heart failure, respiratory failure, ventilator
management - Answers -a. Congestive heart failure, respiratory failure, ventilator
management
4. Which of the following is a standard terminology used to code medical procedures
and services?
a. CPT
b. HCPCS
c. ICD-10-PCS
d. SNOMED CT - Answers -a. CPT
5. What is the correct CPT code assignment for hysteroscopy with lysis of intrauterine
adhesions?
a. 58555, 58559
b. 58559
c. 58559, 58740
d. 58555, 58559, 58740 - Answers -b. 58559
6. What is the correct CPT code assignment for destruction of internal hemorrhoids with
use of infrared coagulation?
a. 46255
b. 46930
c. 46260
d. 46945 - Answers -b. 46930
7.00Identify the diagnosis code(s) for melanoma of skin of right shoulder.
a. D03.61, C43.61
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