4/7/26, 10:45 PM AHIMA CCA: Practice
AHIMA CCA: Practice QUESTIONS AND CORRECT DETAILED
ANSWERS\ VERIFIED 100% ANSWERS (VERIFIED
ANSWERS) ALREADY GRADED A+ | GUARANTEED
SUCCESS!! NEWEST EXAM | JUST RELEASED!! LATEST
UPDATE
1.
Identify the CPT code for a 42-year-old diagnosed with ESRD who requires
home dialysis for the month of April.
a. 90965
b. 90964
c. 90966
d. 90970
Correct Answer: C
Dialysis, end-stage renal disease. Code 90966 is for end-stage renal disease
(ESRD) related services for home dialysis per full month for patients 20 years
of age and
older (Smith 2012, 227).
1/194
,4/7/26, 10:45 PM AHIMA CCA: Practice
2.
Exceptions to the consent requirement include:
a. Medical emergencies
b. Provider discretion
c. Implied consent
d. Informed
consent 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).
2/194
,4/7/26, 10:45 PM AHIMA CCA: Practice
3.
An 80-year-old female is admitted with fever, lethargy, hypotension, tachycardia, oliguria,
and elevated WBC. The patient has more than 100,000 organisms of
Escherichia coli per cc of urine. The attending physician documents "urosepsis." How
should the coder proceed to code this case?
a. Code sepsis as the principal diagnosis with urinary tract infection due to E. coli as
secondary diagnosis.
b. Code urinary tract infection with sepsis as the principal diagnosis.
c. Query the physician to ask if the patient has septicemia because of the
symptomatology.
d. Query the physician to ask if the patient had septic shock so that this may be used as
the principal diagnosis.
Correct Answer: C
The term "urosepsis" is a nonspecific term. If that is the only term documented, only code
599.0 should be assigned based on the default for the term in the ICD-9-CM index, in
addition to the code for the causal organism, if known. Septicemia results from the entry
of pathogens into the bloodstream. Symptoms include spiking fever, chills, and skin
eruptions in the form of petechiae or purpura. Blood cultures are
usually positive; however, a negative culture does not exclude the diagnosis of
septicemia. Several other clinical indications and symptomology could indicate the
diagnosis of septicemia. Only the physician can diagnose the condition based on
clinical indications. Query the physician when the diagnosis is not clear to the coder
(Schraffenberger 2012, 79-81, 251).
3/194
, 4/7/26, 10:45 PM AHIMA CCA: Practice
4.
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
Correct Answer: B
Index main term: Destruction, hemorrhoid, thermal. Thermal includes infrared
coagulation (Kuehn 2012, 27, 163).
4/194
AHIMA CCA: Practice QUESTIONS AND CORRECT DETAILED
ANSWERS\ VERIFIED 100% ANSWERS (VERIFIED
ANSWERS) ALREADY GRADED A+ | GUARANTEED
SUCCESS!! NEWEST EXAM | JUST RELEASED!! LATEST
UPDATE
1.
Identify the CPT code for a 42-year-old diagnosed with ESRD who requires
home dialysis for the month of April.
a. 90965
b. 90964
c. 90966
d. 90970
Correct Answer: C
Dialysis, end-stage renal disease. Code 90966 is for end-stage renal disease
(ESRD) related services for home dialysis per full month for patients 20 years
of age and
older (Smith 2012, 227).
1/194
,4/7/26, 10:45 PM AHIMA CCA: Practice
2.
Exceptions to the consent requirement include:
a. Medical emergencies
b. Provider discretion
c. Implied consent
d. Informed
consent 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).
2/194
,4/7/26, 10:45 PM AHIMA CCA: Practice
3.
An 80-year-old female is admitted with fever, lethargy, hypotension, tachycardia, oliguria,
and elevated WBC. The patient has more than 100,000 organisms of
Escherichia coli per cc of urine. The attending physician documents "urosepsis." How
should the coder proceed to code this case?
a. Code sepsis as the principal diagnosis with urinary tract infection due to E. coli as
secondary diagnosis.
b. Code urinary tract infection with sepsis as the principal diagnosis.
c. Query the physician to ask if the patient has septicemia because of the
symptomatology.
d. Query the physician to ask if the patient had septic shock so that this may be used as
the principal diagnosis.
Correct Answer: C
The term "urosepsis" is a nonspecific term. If that is the only term documented, only code
599.0 should be assigned based on the default for the term in the ICD-9-CM index, in
addition to the code for the causal organism, if known. Septicemia results from the entry
of pathogens into the bloodstream. Symptoms include spiking fever, chills, and skin
eruptions in the form of petechiae or purpura. Blood cultures are
usually positive; however, a negative culture does not exclude the diagnosis of
septicemia. Several other clinical indications and symptomology could indicate the
diagnosis of septicemia. Only the physician can diagnose the condition based on
clinical indications. Query the physician when the diagnosis is not clear to the coder
(Schraffenberger 2012, 79-81, 251).
3/194
, 4/7/26, 10:45 PM AHIMA CCA: Practice
4.
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
Correct Answer: B
Index main term: Destruction, hemorrhoid, thermal. Thermal includes infrared
coagulation (Kuehn 2012, 27, 163).
4/194
