Exam (elaborations)
CCA EXAM PREPARATION DOMAINS 1, 2, 3, 4, 5, & 6 PRACTICE TEST
- Course
- Institution
CCA EXAM PREPARATION DOMAINS 1, 2, 3, 4, 5, & 6 PRACTICE TEST
[Show more]
Content preview
CCA EXAMPREPARATION
DOMAINS 1, 2, 3, 4,
5, & 6 PRACTICE TEST
1. A patient is admitted with spotting. She had been treated two weeks previously for a
miscarriage with sepsis. The sepsis had resolved, and she is afebrile at this time. She is
treated with an aspiration dilation and curettage and products of conception are found.
Which of the following should be the principal diagnosis?
a. Miscarriage
b. Complications of spontaneous abortion with sepsis
c. Sepsis
d. Spontaneous abortion with sepsis - Answers- a. Miscarriage
2. If a patient has an excision of a malignant lesion of the skin, the CPT code is
determined by the body area from which the excision occurs and which of the following?
a. Length of the lesion as described in the pathology report
b. Dimension of the specimen submitted as described in the pathology report
c. Width times the length of the lesion as described in the operative report
d. Diameter of the lesion as well as the most narrow margins required to adequately
excise the lesion described in the operative report - Answers- d. Diameter of the lesion
as well as the most narrow margins required to adequately excise the lesion described
in the operative report
3. A patient is admitted to the hospital with shortness of breath and congestive heart
failure. The patient subsequently develops respiratory failure. The patient undergoes
intubation with ventilator management. Which of the following would be the correct
sequencing and coding of this case?
,a. Congestive heart failure, respiratory failure, ventilator management
b. Respiratory failure, intubation, ventilator management
c. Respiratory failure, congestive heart failure, intubation, ventilator management
d. Shortness of breath, congestive heart failure, respiratory failure, ventilator
management - Answers- a. Congestive heart failure, respiratory failure, ventilator
management
4. Which of the following is a standard terminology used to code medical procedures
and services?
a. CPT
b. HCPCS
c. ICD-10-PCS
d. SNOMED CT - Answers- a. CPT
5. What is the correct CPT code assignment for hysteroscopy with lysis of intrauterine
adhesions?
a. 58555, 58559
b. 58559
c. 58559, 58740
d. 58555, 58559, 58740 - Answers- b. 58559
6. 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 - Answers- b. 46930
7.00Identify the diagnosis code(s) for melanoma of skin of right shoulder.
a. D03.61, C43.61
b. C43.61
c. C43.60
d. D03.61 - Answers- b. C43.61
8. A female patient is admitted for stress incontinence. A urethral suspension to
reposition the urethra via open approach is performed. Assign the correct ICD-10-CM
diagnosis and/or procedure codes.
a. N39.3, 0TJB8ZZ
b. N23, 0TSD0ZZ
c. N39.3, 0TSD0ZZ
d. R32, 0TSD4ZZ - Answers- c. N39.3, 0TSD0ZZ
,9. A patient is admitted to the hospital with abdominal pain. The principal diagnosis is
cholecystitis. The patient also has a history of hypertension and diabetes. In the DRG
prospective payment system, which of the following would determine the MDC
assignment for this patient?
a. Abdominal pain
b. Cholecystitis
c. Hypertension
d. Diabetes - Answers- b. Cholecystitis
10. Reference codes 49491 through 49525 for inguinal hernia repair. Patient is 47 years
old. What is the correct code for an initial inguinal herniorrhaphy for incarcerated
hernia?
a. 49496
b. 49501
c. 49507
d. 49521 - Answers- c. 49507
11. A patient was admitted for abdominal pain with diarrhea and was diagnosed with
infectious gastroenteritis. The patient also has angina and chronic obstructive
pulmonary disease. Which of the following would be the correct coding and sequencing
for this case?
a. Abdominal pain; infectious gastroenteritis; chronic obstructive pulmonary disease;
angina
b. Infectious gastroenteritis; chronic obstructive pulmonary disease; angina
c. Gastroenteritis; abdominal pain; angina
d. Gastroenteritis; abdominal pain; diarrhea; chronic obstructive pulmonary disease;
angina - Answers- b. Infectious gastroenteritis; chronic obstructive pulmonary disease;
angina
12. A 65-year-old female was admitted to the hospital. She was diagnosed with sepsis
secondary to Staphylococcus aureus and abdominal pain secondary to diverticulitis of
the colon. What is the correct code assignment?
a. A41.89, K57.92, R10.9
b. A41.01, K57.92
c. A41.89, K57.92, A49.01
d. A41.9, K57.92 - Answers- b. A41.01, K57.92
13. Coding accuracy is anticipated to improve due to which ICD-10-CM enhancement?
a. Less combination codes
b. Increased cross referencing
, c. Removal of laterality
d. Expanded codes that capture more detail - Answers- d. Expanded codes that
capture more detail
14. Patient with flank pain was admitted and found to have a calculus of the kidney. A
ureteroscopy with placement of bilateral ureteral stents was performed to expand the
lumen so the stone could pass naturally. Assign the correct ICD-10-CM/PCS diagnosis
and procedure codes.
a. N20.0, N23, 0T788DZ
b. N23, N20.0, 0TC68ZZ, 0TC78ZZ
c. N20.0, 0T768DZ, 0T778DZ
d. N20.0, 0T788DZ - Answers- d. N20.0, 0T788DZ
15. Code only a confirmed diagnosis of Zika virus (A92.5, Zika virus disease) as
documented by the provider. In this context, "confirmation" __________.
a. Does not require documentation of the type of test performed; the physician's
diagnostic statement that the condition is confirmed is sufficient
b. Requires the documentation of the type of test in addition to the physician's
diagnostic statement
c. Must be provided by the laboratory findings report
d. Requires that the Public Health Agency be contacted - Answers- a. Does not require
documentation of the type of test performed; the physician's diagnostic statement that
the condition is confirmed is sufficient
16. A 7-year-old patient was admitted to the emergency department for treatment of
shortness of breath. The patient is given epinephrine and nebulizer treatments. The
shortness of breath and wheezing are unabated following treatment. What diagnosis
should be suspected?
a. Acute bronchitis
b. Acute bronchitis with chronic obstructive pulmonary disease
c. Asthma with status asthmaticus
d. Chronic obstructive asthma - Answers- c. Asthma with status asthmaticus
17. A patient is admitted with acute exacerbation of COPD, chronic renal failure, and
hypertension.
a. J44.1, J44.9, I12.9, N18.9
b. J44.1, N18.9, I10
c. J44.9, N18.9, I10
d. J44.1, I12.9, N18.9 - Answers- d. J44.1, I12.9, N18.9
18. What does the fourth character of an ICD-10-CM diagnosis code capture?
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Greaterheights. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $13.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
72042 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now