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CCA Exam |75 Questions Solved 100% Correct| Verified Soltions/Answers
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CCA Exam |75 Questions Solved 100%Correct| Verified Soltions/Answers
Index Ultrasound, pregnant uterus, resulting in code range 76801-76817. Review of the
available codes indicates that code 76805 is the appropriate code (AHIMA 2012a, 625).
Identify the CPT procedure code(s) for a SPECT bone scan.
a. 78710
b. 78803
c. 78607
d. 78320 - ✔✔Correct Answer: D
Index Bone, nuclear medicine, SPECT, resulting in code 78320. The acronym SPECT stand for
single photon emission computed tomography and is a more sophisticated form of CT scanning.
Unlike basic x-ray CT scanning, SPECT involves injected radionuclides and is considered a form
of nuclear medicine. It is being supplanted to some extent now by PET (positron emission
tomography) scanning, which is capable of better resolution and sensitivity (AHIMA 2012a,
625).
Select the appropriate CPT code(s) to report a therapeutic subcutaneous injection of rabies
immune globulin performed under direct physician supervision.
a. 96372
,b. 90471
c. 90375, 96372
d. 90375, 90473 - ✔✔Correct Answer: C
In order to appropriately report administration of vaccines, both the product administered and
the method of administration must be reported. An instructional note listed before CPT code
90476 states: "(For immune globulins, see codes 90281-90399, 96365-96368, 96372-96375 for
administration of immune globulins)" (AMA 2012b, 459-460).
Identify the CPT procedure code(s) for extracorporeal sound wave lithotripsy of large kidney
stone.
a. 50590
b. 52353
c. 43265
d. 28890 - ✔✔Correct Answer: A
Index Lithotripsy, kidney, resulting in code 50590 or 52353. Review of the available codes
indicates that code 50590 is correct because there is no mention of cystourethroscopy (AHIMA
2012a, 609).
A 75-year-old male patient was admitted for an acute exacerbation of chronic systolic
congestive heart failure and severe mitral regurgitation and aortic stenosis. What would be the
correct code assignment for this case?
,a. 428.23, 396.2
b. 428.23, 428.0, 396.2
c. 428.0, 394.1, 424.1
d. 391.8, 396.2 - ✔✔Correct Answer: B
Code 428.23, 428.0 and 396.2 2 would be the correct codes with 428.23 serving as the principal
diagnosis. Code 428.23 is described as systolic heart failure in acute and chronic conditions. The
code for mitral valve insufficiency and aortic valve stenosis is a combination code of 396.2.
Code 428.0 is not an inherent component of diastolic or systolic heart failure and must be
coded separately (AHIMA 2012a, 651).
Identify the CPT procedure code(s) and correct modifiers for a basic metabolic panel with
ionized calcium and an additional test for carbon dioxide on the same day. Keep in mind that a
carbon dioxide test is part of the basic metabolic panel.
a. 80047
b. 80047, 82374
c. 80047, 82374-91
d. 80048, 82374-91 - ✔✔Correct Answer: C
Index Organ or disease-oriented panel, metabolic, basic to reference codes 80047 and 80048.
Code 80047 includes ionized calcium for the correct panel code. Index Carbon Dioxide, blood or
urine to arrive at code 82374. Add modifier -91 to the carbon dioxide code to signify the test
was performed twice on the same day and is separately reportable. Modifier -91 represents a
, repeat clinical diagnostic laboratory test, and should be used for a repeat test even when the
first test is part of a panel represented by a panel code (AMA 2012b, 402).
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).
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
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