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AHIMA CCA Exam 3 Questions and Answers 2025
AHIMA CCA Exam 3 Questions and Answers 2025
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1AHIMA CCA Exam 3 Questions and Answers 2025
1.
The patient, a 47-year-old male with adenoma of the prostate, is
being treated in the outpatient surgery suite. The urologist
inserts an endoscope in the penile urethra and dilates the
structure to allow instrument passage. After endoscope
placement, a radiofrequency stylet is inserted, and the diseased
prostate is excised with radiant energy. Bleeding is controlled
with electrocoagulation.
Following instrument removal, a catheter is inserted and left in
place. Which of the following code sets will be reported for this
service?
a. 600.20, 53852
b. 600.20, 52601
c. 600.00, 53852
d. 222.2, 53850
Correct Answer: A
When thermotherapy is used code 53852 is reported. Code 52601 is
reported for electrosurgical resection; 53850 is reported for
radiofrequency. Adenoma of the prostate is reported with 600.20
(AHIMA 2012a, 697).
2.
The HIPAA Privacy Rule requirement that covered entities must
limit use, access, and disclosure of PHI to the least amount
necessary to accomplish the intended purpose. What concept is
this an example of?
a. Minimum necessary
b. Notice of Privacy Practice
c. Consent
d. Authorization
Correct Answer: A
The Privacy Rule introduced the standard of minimum necessary, a
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"need to know" filter that is applied to limit access to a patient's
protected health information (PHI) and to limit the amount of PHI used,
disclosed, and requested (Brodnik et al. 2009, 176).
3.
An infant is born by cesarean section at 27 weeks' gestation. The
baby weights 945 g. The baby's lungs are immature, and the baby
develops respiratory distress syndrome, requiring a 25-day
hospital stay in the NICU. Discharge diagnosis: Extreme
immaturity, with 27-week gestation, with respiratory distress
syndrome, delivered by cesarean section. Which of the following
diagnosis ICD-9-CM codes would be correct?
a. V30.01, 765.03, 765.24
b. 765.03, 769
c. V30.01, 765.03, 765.24, 769
d. V30.01, 769
Correct Answer: C
The codes for prematurity 765.03 and code 765.24 for weeks of
gestation meet reporting guidelines as additional diagnoses. A birth
code of V30.01 is reported as the principal diagnosis (CMS 2010c,
Section I, C, 15b; AHA 2006, 190). See instructional note under
765.0x to "Use Additional Code" for weeks of gestation. A code is also
needed for the respiratory distress syndrome, 769 (AHIMA 2012a,
676)
4.
Which of the following statements about Category III CPT codes is
false?
a. They are temporary codes.
b. They are updated more frequently than the rest of the CPT
codes.
c. They are intended to allow for the coding of new
technologies, services, and procedures.
d. They are tracking codes that can be used for performance
measurement.
Correct Answer: D
Category II CPT codes are used for performance measurement (AMA
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2012b, 535).
5.
Which statement fails to be true for Medicare coverage?
a. Medicare pays for healthcare services provided to Social
Security beneficiaries 65 years old and older
b. Medicare pays for healthcare services provided to Social
Security beneficiaries for new moms 65 years and younger and
their newborn babies
c. Medicare pays for healthcare services provided to Social
Security beneficiaries
for people under 65 years old with certain disabilities
d. Medicare pays for healthcare services provided to Social
Security beneficiaries for people of all ages with end-stage renal
disease
Correct Answer: B
Medicare does not cover moms and newborn babies unless the mother
has a disability. Moms and newborn babies can be covered under the
Medicaid program if they meet specific income guidelines (Johns 2011,
293, 301).
6.
A health information technician has been asked to design a
problem list for an electronic health record (EHR). Which of the
following data elements should be included on the problem list?
a. Problem number, problem description, date problem entered
b. Problem number, problem name, date of consent for treatment
c. Patient identifying information, problem number, examination
results
d. Problem name, date of onset, physical exam
Correct Answer: A
The problem list describes any significant current and past illnesses
and conditions as well as the procedures the patient has undergone
(Johns 2011, 94).
7.
Identify the CPT procedure code(s) for an automated CBC with
automated differential.
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a. 85027
b. 85025
c. 85041
d. 85007, 85025
Correct Answer: B
Index Blood Cell Count, hemogram, added indices, resulting in code
range 85025- 85027. The codes for reporting CBCs (complete blood
counts) are very specific and should be carefully reviewed. The
appropriate code for a CBC with automated white blood cell differential
is 85025 (AHIMA 2012a, 628).
8.
Who is responsible for ensuring the quality of health record
documentation?
a. Board of directors
b. Administrator
c. Provider
d. Health information management professional
Correct Answer: C
The provider is responsible for ensuring the quality of the
documentation of the healthcare record (Brodnik et al. 2009, 128).
9.
Identify the CPT procedure code(s) and correct modifier for a
thyroid stimulating hormone (TSH) when medical necessity is not
met and the patient signs a required waiver of liability signifying
the patient will be responsible for payment if the test is not
covered by Medicare. Another name for waiver of liability is
Advance Beneficiary Notice (ABN).
a. 84443-GA
b. 80418-GA
c. 84443-GY
d. 80418-GY
Correct Answer: A
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