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AHIMA CCA: Practice Questions And Answers A+GRADED
AHIMA CCA: Practice Questions And Answers A+GRADED
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AHIMA CCA: Practice Questions AndAnswers A+GRADED
1.
Identify the CPT code for a 42-year-
p p p p p p
old diagnosed with ESRD who requires home dialysis for the month of April.
p p p p p p p p p p p p
a. 90965
p
b. 90964
p
c. 90966
p
d. 90970 - correct answer...✔✔Correct Answer: C
p p p p p p p
Dialysis, end-stage renal disease. Code 90966 is for end-
p p p p p p p p
stage renal disease (ESRD) related services for home dialysis per full month for patients 2
p p p p p p p p p p p p p p
0 years of age and older (Smith 2012, 227).
p p p p p p p p
2.
Exceptions to the consent requirement include: p p p p p
a. Medical emergencies
p p
b. Provider discretion
p p
c. Implied consent
p p
d. Informed consent - correct answer...✔✔Correct Answer: A
p p p p p p p p
The law permits a presumption of consent during emergency situations, regardless of whet
p p p p p p p p p p p p
her the patient is an adult or minor (Brodnik et al. 2009, 99).
p p p p p p p p p p p p
3.
An 80-year-
p
old female is admitted with fever, lethargy, hypotension, tachycardia, oliguria, and elevate
p p p p p p p p p p p
d WBC. The patient has more than 100,000 organisms of Escherichia coli per cc of urine. T
p p p p p p p p p p p p p p p p
he attending physician documents "urosepsis." How should the coder proceed to code this
p p p p p p p p p p p p p
case?
a. Code sepsis as the principal diagnosis with urinary tract infection due to E. coli as secon
p p p p p p p p p p p p p p p p
dary diagnosis. p
b. Code urinary tract infection with sepsis as the principal diagnosis.
p p p p p p p p p p
AGRADESOLUTIONS
,c. Query the physician to ask if the patient has septicemia because of the symptomatology.
p p p p p p p p p p p p p p
d. Query the physician to ask if the patient had septic shock so that this may be used as the
p p p p p p p p p p p p p p p p p p p p
principal diagnosis. - correct answer...✔✔Correct Answer: C
p p p p p p
pThe term "urosepsis" is a nonspecific term. If that is the only term documented, only code 5
p p p p p p p p p p p p p p p p
99.0 should be assigned based on the default for the term in the ICD-9-
p p p p p p p p p p p p p
CM index, in addition to the code for the causal organism, if known. Septicemia results fro
p p p p p p p p p p p p p p p
m the entry of pathogens into the bloodstream. Symptoms include spiking fever, chills, and
p p p p p p p p p p p p p
pskin eruptions in the form of petechiae or purpura. Blood cultures are usually positive; how
p p p p p p p p p p p p p p
ever, a negative culture does not exclude the diagnosis of septicemia. Several other clinica
p p p p p p p p p p p p p
l indications and symptomology could indicate the diagnosis of septicemia. Only the physic
p p p p p p p p p p p p
ian can diagnose the condition based on clinical indications. Query the physician when the
p p p p p p p p p p p p p p
diagnosis is not clear to the coder (Schraffenberger 2012, 79-81, 251).
p p p p p p p p p p
4.
What is the correct CPT code assignment for destruction of internal hemorrhoids with use
p p p p p p p p p p p p p p
of infrared coagulation?
p p
a. 46255p
b. 46930p
c. 46260p
d. 46945 - correct answer...✔✔Correct Answer: B
p p p p p p p
Index main term: Destruction, hemorrhoid, thermal. Thermal includes infrared coagulation
p p p p p p p p p p
(Kuehn 2012, 27, 163). p p p
5.
Identify the two- p p
digit modifier that may be reported to indicate a physician performed the postoperative ma
p p p p p p p p p p p p p
nagement of a patient, but another physician performed the surgical procedure.
p p p p p p p p p p
a. -22 p
b. -54 p
c. -32 p
d. -55 - correct answer...✔✔Correct Answer: D
p p p p p p
Modifiers are appended to the code to provide more information or to alert the payer that a
p p p p p p p p p p p p p p p p p p
payment change is required. Modifier - p p p p p
AGRADESOLUTIONS
,55 is used to identify the physician provided only postoperative care services for a particula
p p p p p p p p p p p p p p
r procedure (Kuehn 2012, 292, 295).
p p p p p
6.
Which of the following organizations is responsible for updating the procedure classificatio
p p p p p p p p p p p
n of ICD-9-CM?
p p
a. Centers for Disease Control (CDC)
p p p p p
b. Centers for Medicare and Medicaid Services (CMS)
p p p p p p p
c. National Center for Health Statistics (NCHS)
p p p p p p
d. World Health Organization (WHO) - correct answer...✔✔Correct Answer: B
p p p p p p p p p
NCHS is responsible for updating the diagnosis classification (Volumes 1 and 2), and CM
p p p p p p p p p p p p p p
S is responsible for updating the procedure classification (Volume 3) (Johns 2011, 239).
p p p p p p p p p p p p
7.
Good encoding software should include ________ to ensure data quality.
p p p p p p p p p
a. Edit checks
p p
b. Voice recognition
p p
c. Reimbursement technology
p p
d. Passwords - correct answer...✔✔Correct Answer: A
p p p p p p p
Good encoding software should include edit checks to ensure data quality (Johns 2011, 27
p p p p p p p p p p p p p
0).
8.
Patient was admitted through the emergency department following a fall from a ladder whil
p p p p p p p p p p p p p
e painting an interior room in his house. He had contusions of the scalp and face and an op
p p p p p p p p p p p p p p p p p p
en fracture of the acetabulum. The fracture site was debrided and the fracture was reduced
p p p p p p p p p p p p p p
by open procedure with an external fixation device applied. Which is the correct code assi
p p p p p p p p p p p p p p p
gnment?
a. 808.1, E881.0, E849.0, 79.25, 78.15
p p p p p
b. 808.1, 920, E881.0, E849.0, E000.8, E013.9, 79.25, 78.15, 79.65
p p p p p p p p p
c. 808.0, E881.0, E000.8, E013.9, 79.35, 79.65
p p p p p p
AGRADESOLUTIONS
, d. 808.1, E881.0, E849.0, E013.9, 79.25, 78.15, 79.65 - correct answer...✔✔
p p p p p p p p p p
Correct Answer: B p p
pThe fracture is the principal diagnosis, with the contusions as a secondary diagnosis. The f
p p p p p p p p p p p p p p
racture is what required the most treatment. Procedures for the reduction, debridement, an
p p p p p p p p p p p p
d external fixation device would all need to be coded (Schraffenberger 2012, 354-355).
p p p p p p p p p p p p
9.
A request for reconsideration of a denied claim for insurance coverage for healthcare servi
p p p p p p p p p p p p p
ces is called a(n):
p p p
a. Breach
p
b. Exclusion
p
c. Appeal
p
d. Inclusion - correct answer...✔✔Correct Answer: C
p p p p p p p
An appeal is a request for consideration of denial of coverage for healthcare services of a cl
p p p p p p p p p p p p p p p p
aim (Casto and Layman 2011, 71).
p p p p p
10.
Patient had a laparoscopic incisional herniorrhaphy for a recurrent reducible hernia. The re
p p p p p p p p p p p p
pair included insertion of mesh. What is the correct code assignment?
p p p p p p p p p p
a. 49565p
b. 49565, 49568
p p
c. 49656p
d. 49560, 49568 - correct answer...✔✔Correct Answer: C
p p p p p p p
Begin with the main term of Hernia repair; incisional. The fact that the hernia is recurrent, d
p p p p p p p p p p p p p p p p p
one via a laparoscope, and is reducible makes the choice 49656. Notice that the use of me
p p p p p p p p p p p p p p p p
sh is included in the code (Kuehn 2012, 27, 164-166).
p p p p p p p p p
11.
The sum of a hospital's total relative DRG weights for a year was 15,192 and the hospital h
p p p p p p p p p p p p p p p p p
ad 10,471 total discharges for the year. Given this information, what would be the hospital'
p p p p p p p p p p p p p p
s case-mix index for that year?
p p p p p
a. 0.689p
b. 1.59 p
AGRADESOLUTIONS
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