AHIMA CCA: Practice Questions with 100% correct answers
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AHIMA CCA: Practice Qu
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AHIMA CCA: Practice Qu
1.
Identify the CPT code for a 42-year-old diagnosed with ESRD who requires home dialysis for the month of April.
a. 90965
b. 90964
c. 90966
d. 90970 correct answersCorrect Answer: C
Dialysis, end-stage renal disease. Code 90966 is for end-stage renal disease (ESRD) related service...
Identify the CPT code for a 42-year-old diagnosed with ESRD who requires home dialysis for the month
of April.
a. 90965
b. 90964
c. 90966
d. 90970 correct answersCorrect Answer: C
Dialysis, end-stage renal disease. Code 90966 is for end-stage renal disease (ESRD) related services for
home dialysis per full month for patients 20 years of age and older (Smith 2012, 227).
2.
Exceptions to the consent requirement include:
a. Medical emergencies
b. Provider discretion
c. Implied consent
d. Informed consent correct answersCorrect Answer: A
,The law permits a presumption of consent during emergency situations, regardless of whether the
patient is an adult or minor (Brodnik et al. 2009, 99).
3.
An 80-year-old female is admitted with fever, lethargy, hypotension, tachycardia, oliguria, and elevated
WBC. The patient has more than 100,000 organisms of Escherichia coli per cc of urine. The attending
physician documents "urosepsis." How should the coder proceed to code this case?
a. Code sepsis as the principal diagnosis with urinary tract infection due to E. coli as secondary diagnosis.
b. Code urinary tract infection with sepsis as the principal diagnosis.
c. Query the physician to ask if the patient has septicemia because of the symptomatology.
d. Query the physician to ask if the patient had septic shock so that this may be used as the principal
diagnosis. correct answersCorrect Answer: C
The term "urosepsis" is a nonspecific term. If that is the only term documented, only code 599.0 should
be assigned based on the default for the term in the ICD-9-CM index, in addition to the code for the
causal organism, if known. Septicemia results from the entry of pathogens into the bloodstream.
Symptoms include spiking fever, chills, and skin eruptions in the form of petechiae or purpura. Blood
cultures are usually positive; however, a negative culture does not exclude the diagnosis of septicemia.
Several other clinical indications and symptomology could indicate the diagnosis of septicemia. Only the
physician can diagnose the condition based on clinical indications. Query the physician when the
diagnosis is not clear to the coder (Schraffenberger 2012, 79-81, 251).
4.
What is the correct CPT code assignment for destruction of internal hemorrhoids with use of infrared
coagulation?
a. 46255
b. 46930
,c. 46260
d. 46945 correct answersCorrect Answer: B
Index main term: Destruction, hemorrhoid, thermal. Thermal includes infrared coagulation (Kuehn 2012,
27, 163).
5.
Identify the two-digit modifier that may be reported to indicate a physician performed the postoperative
management of a patient, but another physician performed the surgical procedure.
a. -22
b. -54
c. -32
d. -55 correct answersCorrect Answer: D
Modifiers are appended to the code to provide more information or to alert the payer that a payment
change is required. Modifier -55 is used to identify the physician provided only postoperative care
services for a particular procedure (Kuehn 2012, 292, 295).
6.
Which of the following organizations is responsible for updating the procedure classification of ICD-9-
CM?
a. Centers for Disease Control (CDC)
, b. Centers for Medicare and Medicaid Services (CMS)
c. National Center for Health Statistics (NCHS)
d. World Health Organization (WHO) correct answersCorrect Answer: B
NCHS is responsible for updating the diagnosis classification (Volumes 1 and 2), and CMS is responsible
for updating the procedure classification (Volume 3) (Johns 2011, 239).
7.
Good encoding software should include ________ to ensure data quality.
a. Edit checks
b. Voice recognition
c. Reimbursement technology
d. Passwords correct answersCorrect Answer: A
Good encoding software should include edit checks to ensure data quality (Johns 2011, 270).
8.
Patient was admitted through the emergency department following a fall from a ladder while painting an
interior room in his house. He had contusions of the scalp and face and an open fracture of the
acetabulum. The fracture site was debrided and the fracture was reduced by open procedure with an
external fixation device applied. Which is the correct code assignment?
a. 808.1, E881.0, E849.0, 79.25, 78.15
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