CCA EXAM QUESTIONS & ANSWERS 2023/2024
Name the 4 Cooperating Parties for ICD-9-CM - ANSWER-1) AHIMA, 2) AHA-American Hospital Association, 3) CMS-Centers for Medicare and Medicaid, and 4) NCHS-National Center for Health Statistics
What is a POA Indicator? - ANSWER-The POA-Present on Admiss...
Name the 4 Cooperating Parties for ICD-9-CM - ANSWER-1) AHIMA, 2) AHA-American Hospital
Association, 3) CMS-Centers for Medicare and Medicaid, and 4) NCHS-National Center for Health
Statistics
What is a POA Indicator? - ANSWER-The POA-Present on Admission Indicator is used to differentiate
between conditins present at the time of admission and conditions that develop during an inpatient
admission. The POA Indicator applies to diagnosis codes for claims involving inpatient admissions to
acute care hospitals and other facilities. POA - developed by the Cooperating Parties.
What organization is responsible for updating the diagnosis classification (Volumes 1 & 2) for ICD-9-CM?
- ANSWER-Volumes 1 & 2 of the ICD-9-CM are updated by NCHS-National Center for Health Statistics.
What organization is responsible for updating the procedure classification (Volume 3) for ICD-9-CM? -
ANSWER-Volume 3 of the ICD-9-CM is updated by CMS-Centers for Medicaid and Medicare.
Which classification level of ICD-9-CM codes is the most specific? - ANSWER-The "sub-classification" level
is the most specific level of coding in ICD-9-CM (5-digit codes).
What are the levels of ICD-9-CM codes called? - ANSWER-Category>Subcategory (4-digit)>Sub-
classification (5-digit)
How many digits are in the Subcategory Level of ICD-9-CM codes? - ANSWER-There are 4 digits at the
Subcategory Level of ICD-9-CM codes.
Please describe E Codes. - ANSWER-E Codes classify environmental events and circumstances as the
cause of an injury, poisoning, or other adverse effect.
Please describe V Codes. - ANSWER-V Codes are diagnosis codes that indicate a REASON for the
healthcare encounter.
, Please give brief description of Volume I of the ICD-9-CM Volumes. - ANSWER-Volume I of the ICD-9-CM
contains the TABULAR INDEX - a numerical listing of codes that represent diseases and injuries.
Please give a brief description of Volume 2 of the ICD-9-CM Volumes. - ANSWER-Volume 2 of the ICD-9-
CM contains the ALPHABETIC INDEX to Diseases and Injuries (You should alwasy trust this index).
Please give a brief description of Volume 3 of the ICD-9-CM Volumes. - ANSWER-Volume 3 of the ICD-9-
CM contains the TABULAR and ALPHABETIC INDEX to Procedures.
Which item is not a purpose of the ICD-9-CM: a-used in the evaluation of medical care planning for
healthcare delivery systems, b-used in the collection of data about nursing care, c-used to facilitate data
storage and retrieval, or d-used as the basis of epidemiological research - ANSWER-Collection of data
about nursing care is not a purpose of the ICD-9-CM.
Which item is not one of the purposes of ICD-9-CM: a-reporting of diagnoses by physicians, b-
classification of mortality for statistical purposes, c-the identification of supplies, products & services
provided to patients, or d-classification of morbidity for statistical purposes - ANSWER-The identification
of supplies, products & services provided to patients is NOT on of the purposes of ICD-9-CM.
Please define "complication". - ANSWER-A complication is a secondary condition that arises during
hospitalization and is thought to increase the LOS-Length of Stay by at least one day for approximately
75% of patients.
Please define "comorbidity". - ANSWER-Comorbidity is a pre-existing condition that because of its
presence with a specific diagnosis will likely cause an increase in the patient's length of stay in the
hospital.
Please define "principal diagnosis". - ANSWER-Principal diagnosis is the condition establisdhed, after
study, to be chiefly responsible for occasioning the admission to the patient for the hospital. The
principal diagnosis is NOT the admitting diagnosis, but the diagnosis found after workup, or even after
surgery that proves to the be reason for admission.
State the criteria of a "Significant Procedure". - ANSWER-1- Surgical in Nature, 2-Carries a procedural
risk, 3- Carries an anesthetic risk, 4- Requires specialized training
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