CCA Exam Preparation Domains 1, 2, 3, 4, 5, & 6 Practice Test |
QUESTIONS WITH COMPLETE SOLUTIONS | RATED A+
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 - 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 - 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 - 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 - 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 - 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 - 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 - 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 - 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 - 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 - 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 - 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 - 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 - 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 - 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. BMust Bbe Bprovided Bby Bthe Blaboratory Bfindings Breport
d. BRequires Bthat Bthe BPublic BHealth BAgency Bbe Bcontacted B- B Ba. BDoes Bnot Brequire
Bdocumentation Bof Bthe Btype Bof Btest Bperformed; Bthe Bphysician's Bdiagnostic Bstatement
Bthat Bthe Bcondition Bis Bconfirmed Bis Bsufficient
16. BA B7-year-old Bpatient Bwas Badmitted Bto Bthe Bemergency Bdepartment Bfor Btreatment Bof
Bshortness Bof Bbreath. BThe Bpatient Bis Bgiven Bepinephrine Band Bnebulizer Btreatments. BThe
Bshortness Bof Bbreath Band Bwheezing Bare Bunabated Bfollowing Btreatment. BWhat Bdiagnosis
Bshould Bbe Bsuspected?
a. BAcute Bbronchitis
b. BAcute Bbronchitis Bwith Bchronic Bobstructive Bpulmonary Bdisease
c. BAsthma Bwith Bstatus Basthmaticus
d. BChronic Bobstructive Basthma B- B Bc. BAsthma Bwith Bstatus Basthmaticus
17. BA Bpatient Bis Badmitted Bwith Bacute Bexacerbation Bof BCOPD, Bchronic Brenal Bfailure, Band
Bhypertension.
a. BJ44.1, BJ44.9, BI12.9, BN18.9
b. BJ44.1, BN18.9, BI10
c. BJ44.9, BN18.9, BI10
d. BJ44.1, BI12.9, BN18.9 B- B Bd. BJ44.1, BI12.9, BN18.9
18. BWhat Bdoes Bthe Bfourth Bcharacter Bof Ban BICD-10-CM Bdiagnosis Bcode Bcapture?
a. BAnatomic Bsite
b. BSeverity
c. BEtiology
d. BSupplemental Binformation B- B Bc. BEtiology
19. BIdentify Bthe Bdiagnosis Bcode(s) Bfor Bcarcinoma Bin Bsitu Bof Bvocal Bcord.
a. BD02.0
b. BC32.0
c. BD49.1
d. BD14.1 B- B Ba. BD02.0
