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CCA Exam Study Questions Solved 100% Correc
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CCA Exam Study Questions Solved 100% Correc
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CCA Exam Study Questions Solved 100%Correct
Which of the following purpose and use goals does NOT apply to ICD-10-PCS? - ✔✔Improved
collection of data about nursing care
Which of the following is NOT a way that ICD-10-CM improves coding accuracy? -
✔✔Increases cross-referencing
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"? - ✔✔Partial
nephrectomy: a portion of the body part is cut out or off, without replacement
When coding benign neoplasm of the breast, the section noted "D24 Benign neoplasm of
breast" directs coder to: - ✔✔Use category D24 for fibroadenoma of breast
Patient was discharged with the following dx: "Cerebral artery occlusion, hemiparesis, and
hypertension. The aphasia resolved before the pt was discharged." Which of the following code
assignment would be appropriate for this case? - ✔✔I66.9, G81.90, R47.01, I10
Pt is admitted to hospital with shortness of breath and CHF. Pt subsequently develops
respiratory failure and undergoes intubation with ventilator management. Which of the
following would be the correct sequencing and coding of this case? - ✔✔CHF, respiratory
failure, ventilator management (Acute respiratory failure may be assigned as a PD depending
on the circumstances of the InPT admission; because the respiratory failure occurred after
admission, it is listed as a secondary dx and the CHF is listed first.)
Physician correctly prescribes Coumadin and the pt takes the Coumadin as prescribed, but
develops hematuria as a result. Which of the following is the correct coding? -
✔✔Hematuria; adverse reaction to Coumadin
,Pt is admitted to chest pain with cardiac dysrhythmia to Hospital A, then found to have acute
STEMI with atrial fibrillation. After AF was controlled and pt stabilized, pt is transferred to
Hospital B for a CABG X3. Coumadin therapy and monitoring for the AF continued at Hospital B.
What is the proper coding and sequencing for both hospitals? - ✔✔Hospital A: I21.19, I48.91;
Hospital B: I21.19, I48.91, 021209W (Encounters occurring while the MI is equal to, or less than,
4 wks. old, including transfers to another acute setting or postacute setting, and pt req
continued care for MI, codes from category I21 may continue to be reported
Pt is admitted to hospital with abdominal pain and PD is cholecystitis. Pt also has history of
hypertension and DM. In DRG-PPS, which would determine the MDC assignment for this pt? -
✔✔Cholecystitis, since PD determines the MDC assignment
Pt was admitted to hospital with symptoms of a stroke and secondary diagnoses of COPD and
hypertension. Pt was subsequently discharged from hospital with PD of cerbral vascular
accident and secondary diagnoses of catheter-associated urinary tract infection, COPD, and
hypertension. Which should NOT be tagged as POA? - ✔✔Catheter-associated urinary tract
infection
What is a condition that arise during hospitalization? - ✔✔Complication
65 yo female was admitted to hospital and diagnosed with sepsis secondary to Staphylococcus
aureus and abdominal pain secondary to diverticulitis of the colon. What is the correct code
assignment? - ✔✔A41.01 - Sepsis, due to Staph. aureus
K57.92 - Diverticulitis
Patient had carcinoma of anterior bladder wall fulgurated 3 years ago and returns yearly for
cystoscopy to recheck for bladder tumor. Patient is currently admitted for a routine check. A
small recurring malignancy is found and fulgurated during the cystoscopy procedure. What is
the correct code assignment - ✔✔C67.3 - Neoplasm, bladder, wall, anterior, malignancy
0T5B8ZZ - Fulguration (see Destruction), Bladder, via Natural or Artificial Opening Endoscopic,
No device or qualifier
, Pt with dx of ventral hernia is admitted to undergo laparotomy with ventral hernia repair and
undergoes an incision in the abdominal wall, then develops bradycardia. Surgeon does not
indicate that it is a complication of surgery. The operative site is closed without the repair of
the hernia. What is the correct code assignment? - ✔✔K43.9 - Hernia, ventral
R00.1 - Bradycardia
Z53.09 - Procedure, not done, because of, contraindication
OWJF0ZZ - Inspection, abdominal wall, open, no device or qualifier (assigned to the extent of
the procedure, not the full laparotomy)
Codes used to assign a dx to a pt seeking health services but not necessarily sick: - ✔✔Z
codes
Pt admitted through ED following fall from a ladder with painting an interior bathroom in his
farmhouse and had contusions of the scalp and face, and displaced open fracture of anterior
wall of rt acetabulum. Fracture site was excisionally debrided and fracture was reduced by open
procedure with internal fixation device inserted. What is correct code assignment? -
✔✔S32.411B - Fracture, traumatic, acetabulum, wall, anterior, displaced,right, initial
encounter, open fracture
S00.03XA - Contusion, scalp, X place mark, initial encounter
S00.83XA - Contusion, face NEC, X place mark, initial encounter
W11.XXXA - Ext. cause, fall/falling, from/off/out of, ladder, X place marks, initial encounter
Y92.012 - Ext. cause, Place of occurrence, farm, house (see PoC, res, house), bathroom
Y93.E9 - Ext. cause, activity, maintenance, household (int.) NEC
Y99.8 - Ext. cause, status, specified NEC
0QS404Z - Reduction (see Reposition), acetabulum, right, open, internal fixation device, no
qualifier
0QB40ZZ - Debridement, Excisional (see Excision), Acetabulum, rt, open, no device or qualifier
Assign CPT code: Reposition of pacemaker electrode - ✔✔33215 - Pacemaker, heart,
repositioning, electrode
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