AHIMA CCA: Practice Questions and
Answers Updated 2026
1.
IdentifyAtheACPTAcodeAforAaA42-year-
oldAdiagnosedAwithAESRDAwhoArequiresAhomeAdialysisAforAtheAmonthAofAApril.
a.A90965
b.A90964
c.A90966
d.A90970A-AAnswer ✓ACorrectAAnswer ✓:ACA
Dialysis,Aend-stageArenalAdisease.ACodeA90966AisAforAend-
stageArenalAdiseaseA(ESRD)ArelatedAservicesAforAhomeAdialysisAperAfullAmonthAforApatientsA
20AyearsAofAageAandAolderA(SmithA2012,A227).
2.
ExceptionsAtoAtheAconsentArequirementAinclude:
a.AMedicalAemergencies
b.AProviderAdiscretion
c.AImpliedAconsent
d.AInformedAconsentA-AAnswer ✓ACorrectAAnswer ✓:AAA
TheAlawApermitsAaApresumptionAofAconsentAduringAemergencyAsituations,AregardlessAofAwhe
therAtheApatientAisAanAadultAorAminorA(BrodnikAetAal.A2009,A99).
,3.
AnA80-year-
oldAfemaleAisAadmittedAwithAfever,Alethargy,Ahypotension,Atachycardia,Aoliguria,AandAelevat
edAWBC.ATheApatientAhasAmoreAthanA100,000AorganismsAofAEscherichiaAcoliAperAccAofAurin
e.ATheAattendingAphysicianAdocumentsA"urosepsis."AHowAshouldAtheAcoderAproceedAtoAcodeA
thisAcase?
a.ACodeAsepsisAasAtheAprincipalAdiagnosisAwithAurinaryAtractAinfectionAdueAtoAE.AcoliAasAse
condaryAdiagnosis.
b.ACodeAurinaryAtractAinfectionAwithAsepsisAasAtheAprincipalAdiagnosis.
c.AQueryAtheAphysicianAtoAaskAifAtheApatientAhasAsepticemiaAbecauseAofAtheAsymptomatolog
y.
d.AQueryAtheAphysicianAtoAaskAifAtheApatientAhadAsepticAshockAsoAthatAthisAmayAbeAusedA
asAtheAprincipalAdiagnosis.A-AAnswer ✓ACorrectAAnswer ✓:AC
ATheAtermA"urosepsis"AisAaAnonspecificAterm.AIfAthatAisAtheAonlyAtermAdocumented,AonlyAc
odeA599.0AshouldAbeAassignedAbasedAonAtheAdefaultAforAtheAtermAinAtheAICD-9-
CMAindex,AinAadditionAtoAtheAcodeAforAtheAcausalAorganism,AifAknown.ASepticemiaAresultsA
fromAtheAentryAofApathogensAintoAtheAbloodstream.ASymptomsAincludeAspikingAfever,Achills,
AandAskinAeruptionsAinAtheAformAofApetechiaeAorApurpura.ABloodAculturesAareAusuallyAposit
ive;Ahowever,AaAnegativeAcultureAdoesAnotAexcludeAtheAdiagnosisAofAsepticemia.ASeveralAoth
erAclinicalAindicationsAandAsymptomologyAcouldAindicateAtheAdiagnosisAofAsepticemia.AOnlyAt
heAphysicianAcanAdiagnoseAtheAconditionAbasedAonAclinicalAindications.AQueryAtheAphysician
AwhenAtheAdiagnosisAisAnotAclearAtoAtheAcoderA(SchraffenbergerA2012,A79-81,A251).
4.
WhatAisAtheAcorrectACPTAcodeAassignmentAforAdestructionAofAinternalAhemorrhoidsAwithAuse
AofAinfraredAcoagulation?
a.A46255
b.A46930
c.A46260
,d.A46945A-AAnswer ✓ACorrectAAnswer ✓:ABA
IndexAmainAterm:ADestruction,Ahemorrhoid,Athermal.AThermalAincludesAinfraredAcoagulationA
(KuehnA2012,A27,A163).
5.
IdentifyAtheAtwo-
digitAmodifierAthatAmayAbeAreportedAtoAindicateAaAphysicianAperformedAtheApostoperativeA
managementAofAaApatient,AbutAanotherAphysicianAperformedAtheAsurgicalAprocedure.
a.A-22
b.A-54
c.A-32
d.A-55A-AAnswer ✓ACorrectAAnswer ✓:AD
AModifiersAareAappendedAtoAtheAcodeAtoAprovideAmoreAinformationAorAtoAalertAtheApayerAt
hatAaApaymentAchangeAisArequired.AModifierA-
55AisAusedAtoAidentifyAtheAphysicianAprovidedAonlyApostoperativeAcareAservicesAforAaApartic
ularAprocedureA(KuehnA2012,A292,A295).
6.
WhichAofAtheAfollowingAorganizationsAisAresponsibleAforAupdatingAtheAprocedureAclassificatio
nAofAICD-9-CM?
a.ACentersAforADiseaseAControlA(CDC)
b.ACentersAforAMedicareAandAMedicaidAServicesA(CMS)
c.ANationalACenterAforAHealthAStatisticsA(NCHS)
, d.AWorldAHealthAOrganizationA(WHO)A-AAnswer ✓ACorrectAAnswer ✓:AB
ANCHSAisAresponsibleAforAupdatingAtheAdiagnosisAclassificationA(VolumesA1AandA2),AandAC
MSAisAresponsibleAforAupdatingAtheAprocedureAclassificationA(VolumeA3)A(JohnsA2011,A239).
7.
GoodAencodingAsoftwareAshouldAincludeA________AtoAensureAdataAquality.
a.AEditAchecks
b.AVoiceArecognition
c.AReimbursementAtechnology
d.APasswordsA-AAnswer ✓ACorrectAAnswer ✓:AAA
GoodAencodingAsoftwareAshouldAincludeAeditAchecksAtoAensureAdataAqualityA(JohnsA2011,A2
70).
8.
PatientAwasAadmittedAthroughAtheAemergencyAdepartmentAfollowingAaAfallAfromAaAladderA
whileApaintingAanAinteriorAroomAinAhisAhouse.AHeAhadAcontusionsAofAtheAscalpAandAfaceAa
ndAanAopenAfractureAofAtheAacetabulum.ATheAfractureAsiteAwasAdebridedAandAtheAfractureA
wasAreducedAbyAopenAprocedureAwithAanAexternalAfixationAdeviceAapplied.AWhichAisAtheAco
rrectAcodeAassignment?
a.A808.1,AE881.0,AE849.0,A79.25,A78.15
b.A808.1,A920,AE881.0,AE849.0,AE000.8,AE013.9,A79.25,A78.15,A79.65
c.A808.0,AE881.0,AE000.8,AE013.9,A79.35,A79.65
Answers Updated 2026
1.
IdentifyAtheACPTAcodeAforAaA42-year-
oldAdiagnosedAwithAESRDAwhoArequiresAhomeAdialysisAforAtheAmonthAofAApril.
a.A90965
b.A90964
c.A90966
d.A90970A-AAnswer ✓ACorrectAAnswer ✓:ACA
Dialysis,Aend-stageArenalAdisease.ACodeA90966AisAforAend-
stageArenalAdiseaseA(ESRD)ArelatedAservicesAforAhomeAdialysisAperAfullAmonthAforApatientsA
20AyearsAofAageAandAolderA(SmithA2012,A227).
2.
ExceptionsAtoAtheAconsentArequirementAinclude:
a.AMedicalAemergencies
b.AProviderAdiscretion
c.AImpliedAconsent
d.AInformedAconsentA-AAnswer ✓ACorrectAAnswer ✓:AAA
TheAlawApermitsAaApresumptionAofAconsentAduringAemergencyAsituations,AregardlessAofAwhe
therAtheApatientAisAanAadultAorAminorA(BrodnikAetAal.A2009,A99).
,3.
AnA80-year-
oldAfemaleAisAadmittedAwithAfever,Alethargy,Ahypotension,Atachycardia,Aoliguria,AandAelevat
edAWBC.ATheApatientAhasAmoreAthanA100,000AorganismsAofAEscherichiaAcoliAperAccAofAurin
e.ATheAattendingAphysicianAdocumentsA"urosepsis."AHowAshouldAtheAcoderAproceedAtoAcodeA
thisAcase?
a.ACodeAsepsisAasAtheAprincipalAdiagnosisAwithAurinaryAtractAinfectionAdueAtoAE.AcoliAasAse
condaryAdiagnosis.
b.ACodeAurinaryAtractAinfectionAwithAsepsisAasAtheAprincipalAdiagnosis.
c.AQueryAtheAphysicianAtoAaskAifAtheApatientAhasAsepticemiaAbecauseAofAtheAsymptomatolog
y.
d.AQueryAtheAphysicianAtoAaskAifAtheApatientAhadAsepticAshockAsoAthatAthisAmayAbeAusedA
asAtheAprincipalAdiagnosis.A-AAnswer ✓ACorrectAAnswer ✓:AC
ATheAtermA"urosepsis"AisAaAnonspecificAterm.AIfAthatAisAtheAonlyAtermAdocumented,AonlyAc
odeA599.0AshouldAbeAassignedAbasedAonAtheAdefaultAforAtheAtermAinAtheAICD-9-
CMAindex,AinAadditionAtoAtheAcodeAforAtheAcausalAorganism,AifAknown.ASepticemiaAresultsA
fromAtheAentryAofApathogensAintoAtheAbloodstream.ASymptomsAincludeAspikingAfever,Achills,
AandAskinAeruptionsAinAtheAformAofApetechiaeAorApurpura.ABloodAculturesAareAusuallyAposit
ive;Ahowever,AaAnegativeAcultureAdoesAnotAexcludeAtheAdiagnosisAofAsepticemia.ASeveralAoth
erAclinicalAindicationsAandAsymptomologyAcouldAindicateAtheAdiagnosisAofAsepticemia.AOnlyAt
heAphysicianAcanAdiagnoseAtheAconditionAbasedAonAclinicalAindications.AQueryAtheAphysician
AwhenAtheAdiagnosisAisAnotAclearAtoAtheAcoderA(SchraffenbergerA2012,A79-81,A251).
4.
WhatAisAtheAcorrectACPTAcodeAassignmentAforAdestructionAofAinternalAhemorrhoidsAwithAuse
AofAinfraredAcoagulation?
a.A46255
b.A46930
c.A46260
,d.A46945A-AAnswer ✓ACorrectAAnswer ✓:ABA
IndexAmainAterm:ADestruction,Ahemorrhoid,Athermal.AThermalAincludesAinfraredAcoagulationA
(KuehnA2012,A27,A163).
5.
IdentifyAtheAtwo-
digitAmodifierAthatAmayAbeAreportedAtoAindicateAaAphysicianAperformedAtheApostoperativeA
managementAofAaApatient,AbutAanotherAphysicianAperformedAtheAsurgicalAprocedure.
a.A-22
b.A-54
c.A-32
d.A-55A-AAnswer ✓ACorrectAAnswer ✓:AD
AModifiersAareAappendedAtoAtheAcodeAtoAprovideAmoreAinformationAorAtoAalertAtheApayerAt
hatAaApaymentAchangeAisArequired.AModifierA-
55AisAusedAtoAidentifyAtheAphysicianAprovidedAonlyApostoperativeAcareAservicesAforAaApartic
ularAprocedureA(KuehnA2012,A292,A295).
6.
WhichAofAtheAfollowingAorganizationsAisAresponsibleAforAupdatingAtheAprocedureAclassificatio
nAofAICD-9-CM?
a.ACentersAforADiseaseAControlA(CDC)
b.ACentersAforAMedicareAandAMedicaidAServicesA(CMS)
c.ANationalACenterAforAHealthAStatisticsA(NCHS)
, d.AWorldAHealthAOrganizationA(WHO)A-AAnswer ✓ACorrectAAnswer ✓:AB
ANCHSAisAresponsibleAforAupdatingAtheAdiagnosisAclassificationA(VolumesA1AandA2),AandAC
MSAisAresponsibleAforAupdatingAtheAprocedureAclassificationA(VolumeA3)A(JohnsA2011,A239).
7.
GoodAencodingAsoftwareAshouldAincludeA________AtoAensureAdataAquality.
a.AEditAchecks
b.AVoiceArecognition
c.AReimbursementAtechnology
d.APasswordsA-AAnswer ✓ACorrectAAnswer ✓:AAA
GoodAencodingAsoftwareAshouldAincludeAeditAchecksAtoAensureAdataAqualityA(JohnsA2011,A2
70).
8.
PatientAwasAadmittedAthroughAtheAemergencyAdepartmentAfollowingAaAfallAfromAaAladderA
whileApaintingAanAinteriorAroomAinAhisAhouse.AHeAhadAcontusionsAofAtheAscalpAandAfaceAa
ndAanAopenAfractureAofAtheAacetabulum.ATheAfractureAsiteAwasAdebridedAandAtheAfractureA
wasAreducedAbyAopenAprocedureAwithAanAexternalAfixationAdeviceAapplied.AWhichAisAtheAco
rrectAcodeAassignment?
a.A808.1,AE881.0,AE849.0,A79.25,A78.15
b.A808.1,A920,AE881.0,AE849.0,AE000.8,AE013.9,A79.25,A78.15,A79.65
c.A808.0,AE881.0,AE000.8,AE013.9,A79.35,A79.65
