CCA CERTIFICATION SCRIPT 2026
COMPLETE QUESTIONS AND CORRECT
ANSWERS
◉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. Answer: 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. Answer: 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. Answer: 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. Answer: 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. Answer: 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. Answer: 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. Answer: 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. Answer: 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
COMPLETE QUESTIONS AND CORRECT
ANSWERS
◉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. Answer: 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. Answer: 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. Answer: 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. Answer: 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. Answer: 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. Answer: 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. Answer: 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. Answer: 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
