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CCA Exam Preparation Domains 1–6 (2026/2027) – Practice Test with Verified Questions and Answers

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This document contains a verified practice test covering Domains 1 through 6 for the CCA Exam (2026/2027). The material focuses on ICD-10-CM and CPT coding principles, diagnosis sequencing, principal diagnosis selection, procedural coding guidelines, and inpatient hospital coding scenarios. It is designed to support certification preparation and strengthen understanding of medical coding rules and compliance standards.

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3/2/26, 12:11
PM
CCA EXAM PREPARATION DOMAINS 1, 2, 3, 4, 5, & 6 PRACTICE TEST
WITH VERIFIED QUESTIONS AND ANSWERS 2026/2027
1. A

patient is admitted with spotting. She had

been a.

Miscarriage 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


2. If a patient has an excision of a malignant lesion ofd. Diameter of the lesion as

well as the most narrow margins required to the skin, the CPT code is determined

by the body area adequately excise the lesion described in

the operative report

from which the excision occurs and

which of the following?



a. Length of the lesion as described

https://quizlet.com/272722237/cca-exam-preparation-domains-1-2-3-4-5-6-practice- 1/55
test-flash-cards/

,3/2/26, 12:11
PM
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


3. A patient is admitted to the hospital with shortness of a. Congestive heart

failure, respiratory failure, ventilator management 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,


https://quizlet.com/272722237/cca-exam-preparation-domains-1-2-3-4-5-6-practice- 2/55
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,3/2/26, 12:11
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congestive heart failure,

intubation, ventilator

management

d. Shortness of breath,

congestive heart failure,

respiratory failure, ventilator

management


4. Which of the following is a standard

terminology a.

CPT used to code medical procedures

and services?



a. CPT


b. HCPCS


c. ICD-10-PCS


d. SNOMED CT


5. What is the correct CPT code

assignment for b.

58559 hysteroscopy with lysis of

intrauterine adhesions?



a. 58555, 58559

b. 58559


c. 58559, 58740

d. 58555, 58559, 58740




https://quizlet.com/272722237/cca-exam-preparation-domains-1-2-3-4-5-6-practice- 3/55
test-flash-cards/

, 3/2/26, 12:11
PM

6. What is the correct CPT code

assignment for b.

46930 destruction of internal hemorrhoids

with use of infrared

coagulation?




a. 46255


b. 46930


c. 46260


d. 46945



7.00Identify the diagnosis code(s) for

melanoma of skin b.

C43.61 of right shoulder.



a. D03.61, C43.61

b. C43.61


c. C43.60


d. D03.61




https://quizlet.com/272722237/cca-exam-preparation-domains-1-2-3-4-5-6-practice- 4/55
test-flash-cards/

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