AHIMA CCA CERTIFICATION EXAM
LATEST QUESTIONS AND DETAILED
CORRECT ANSWERS WITH
RATIONALES | A+ GRADE STUDYGUIDE
A 65-year-old woman was admitted to the hospital. She was
diagnosed with septicemia secondary to Staphylococcus aureus
and abdominal pain secondary to diverticulitis of the colon. What
is the correct code assignment?
a. 038.8, 562.11, 789.00
b. 038.11, 562.11
c. 038.8, 562.11, 041.11
d. 038.9, 562.11 Correct Answer Correct Answer: B
Septicemia generally refers to a systemic disease
associated with the presence of pathological
microorganisms or toxins in the blood, which can include
bacteria, viruses, fungi, or other organisms. Code 038.11 is
assigned for septicemia with Staphylococcus aureus.
Because abdominal pain is a symptom of diverticulosis, only
the diverticulitis of the colon (562.11) is coded
(Schraffenberger 2012, 80).
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 Correct Answer Correct Answer: D
The code selection is determined by measuring the greatest
clinical diameter of the apparent lesion plus that margin
required for complete excision (lesion diameter plus the
most narrow margins required equals the excised diameter)
(AMA 2012b, 64).
The key data element for linking data about an individual who is
seen in a variety of care settings is the:
a. Facility medical record number
b. Facility identification number
c. Unique patient identifier
d. Patient birth date Correct Answer Correct Answer: C
A unique patient identifier is a unique number assigned by a
healthcare provider to a patient that distinguishes the
patient's medical records from all others (Johns 2011, 1178).
The Uniform Health Care Decisions Act ranks the next-of-kin in
the following order for medical decision-making purposes:
,a. Adult sibling; adult child; spouse; parent
b. Parent; spouse; adult child; adult sibling
c. Spouse; parent; adult sibling; adult child
d. Spouse; adult child; parent; adult sibling Correct Answer
Correct Answer: D
The UHCDA suggests that decision-making priority for an
individual's next-of-kin be as follows: Spouse, adult child,
parent, adult sibling, or if no one is available who is so
related to the individual, authority may be granted to "an
adult who exhibited special care and concern for the
individual" (Brodnik et al. 2009, 113).
A skin lesion is removed from a patient's cheek in the
dermatologist's office. The dermatologist documents "skin lesion"
in the health record. Prior to billing the pathology report returns
with a diagnosis of basal cell carcinoma. Which of the following
actions should the coding professional do for claim submission?
a. Code skin lesion
b. Code benign skin lesion
c. Code basal cell carcinoma
d. Query the dermatologist Correct Answer Correct Answer: C
For outpatient encounters for diagnostic tests that have
been interpreted by a physician, and the final report is
available at the time of coding, code any confirmed or
definitive diagnosis(es) documented in the interpretation. Do
not code related signs and symptoms as additional
, diagnosis. Note: This differs from the coding practice in the
hospital inpatient setting regarding abnormal findings on test
results (Schraffenberger 2012, 340-341).
Exceptions to the consent requirement include:
a. Medical emergencies
b. Provider discretion
c. Implied consent
d. Informed consent Correct Answer Correct 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).
Effective October 16, 2003, under the Administrative
Simplification Compliance section of the Health Insurance
Portability and Accountability Act of 1996 (HIPAA), all healthcare
providers must electronically submit claims to Medicare. Which is
the electronic format for hospital technical fees?
a. 837I
b. 837P
c. UB-04
d. 1500 Correct Answer Correct Answer: A
The electronic format for institutional or facility claims is 837I
for institutional claims whereas 837P is for professional
claims. The UB-04 and the 1500 forms are the paper billing
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