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Exam (elaborations)

MCCG_145_Week_7_Mock_Final_CCA_Exam__1_complete with answers 100%.

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A 32-year-old patient has a colonoscopy with removal of three polyps by snare. Moderate sedation was used and provided by the physician. The intraservice time was 30 minutes. ● ● 45385, 99152, 99153 ● ● 45385, 99151 ● ● 45385, 45385-51, 45385-51 ● ● 45385, 45385-51, 45...

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  • August 11, 2023
  • 66
  • 2023/2024
  • Exam (elaborations)
  • Questions & answers
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CCA Mock Exam (timed)
Your Score: 100%
100 Correct out of 100
Question 1 of 100

A 32-year-old patient has a colonoscopy with removal of three polyps by snare.
Moderate sedation was used and provided by the physician. The intraservice time
was 30 minutes.





● 45385, 99152, 99153

● 45385, 99151

● 45385, 45385-51, 45385-51

● 45385, 45385-51, 45385-51, 99156




CORRECT
A code of 45385 should be used for the colonoscopy procedure with the removal of
polpys. No additional codes needed for the colonscopy since it included the colonoscopy
and removal of polyps. The moderate sedation also needs to be coded. A code of 99152
should be used to code the moderate sedation services provided by the surgeon for the
intial 15 minutes of intraservice time. An additional code of 99153 should be coded for
the additional 15 minutes of intraservice time for the moderate sedation since the
patient was sedated for a total of 30 minutes. No additional codes needed.


CCA Mock Exam (timed)
Your Score: 100%
100 Correct out of 100
Question 2 of 100

The diagnosis is as follows: "Carcinoma of axillary lymph nodes and lungs, metastatic
from breast." Given this which are the primary cancer site(s)?





● breast

● lungs

, ●
● axillary lymph nodes

● both axillary lymph nodes and lungs




Patient has a year history of mitral valve regurgitation and now presents for a mitral
valve replacement with bypass. (Code for physician using CPT procedure codes only.)




3342 Valvuloplasty, mitral valve, with cardiopulmonary
5 bypass


3343 Replacement, mitral valve, with cardiopulmonary
0 bypass

3346 Valvectomy, tricuspid valve, with cardiopulmonary
0 bypass

3523 Repair blood vessel with vein graft; neck
1


● 33430

● 33425

● 33460

● 35231




You are conducting an educational session on benchmarking. You tell your audience that
the key to benchmarking is to use the comparison to


Your facility would like to improve physician documentation in order to allow
improved coding. As coding supervisor, you have found it very effective to provide
the physicians with

, ●
● a copy of the facility coding guidelines, along with written information
on improved documentation.

● the UHDDS and information on where each data element is collected and/or
verified in your facility.

● feedback on specific instances when improved documentation would improve
coding.

● regular in-service presentations on documentation, including its importance
and tips for improvement.




CORRECT

Giving feedback about specific ways that documentation could be improved can
help support physicians in improving documentation related to coding needs.




A patient is diagnosed with early onset Alzheimer's disease with dementia.





● G30.0, F02.80

● G30.8, F02.81, Z91.83

● G30.0, Z91.73

● F02.81, G30.0, Z91.73




An established patient was seen by physician in her office for DTaP-IPV/Hib.




90471 Immunization administration (includes percutaneous,

, intradermal, subcutaneous, or intramuscular
injections); one vaccine (single or combination
vaccine/toxoid)

90700 Diphtheria, tetanus toxoids, and acellular pertussis
vaccine (DTaP) when administered to individuals
younger than 7 years, for intramuscular use

90698 Diphtheria, tetanus toxoids and acellular pertussis
vaccine (DTaP), Hemophilus influenza B vaccine,
and poliovirus vaccine, inactivated, for
intramuscular use



90748 Hepatitis B and Hemophilus influenza B vaccine
(Hep B- Hib), for intramuscular use

99211 Office or other outpatient visit for the evaluation
and management of an established patient, which
may not require the presence of a physician.
Usually, the presenting problem(s) are minimal.
Typically, 5 minutes are spent performing or
supervising these services





● 90471

● 90471, 90698

● 90700, 90748, 99211

● 90700, 90471




CPT code for a high-energy ESW of the lateral humeral epicondyle using general
anesthesia.





● 28890

● 0019T

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