CCA PREP EXAM DOMAINS 1 TO 6
COMPLETE 200 QUESTIONS WITH
VERIFIED ANSWERS
Domain 1: Clinical Classification Systems (30-34%)
1. What is the correct CPT code assignment for the destruction of internal
hemorrhoids using infrared coagulation?
A. 46255
B. 46930
C. 46260
D. 46945
Correct ,,,,answer,,,,: B
Rationale: CPT code 46930 specifically describes the destruction of internal
hemorrhoids by thermal energy, which includes infrared coagulation. The other
codes describe different procedures, such as hemorrhoidectomy (46255, 46260) or
other destruction methods.
2. Identify the diagnosis code for melanoma of the skin of the right shoulder.
A. D03.61, C43.61
B. C43.61
C. C43.60
D. D03.61
Correct ,,,,answer,,,,: B
Rationale: Code C43.61 represents Malignant melanoma of the skin of the right
upper limb, including the shoulder. The "C" chapter for neoplasms is always
,sequenced first for active malignancies. Chapter "D" codes are for in situ or benign
neoplasms.
3. A patient is admitted for stress incontinence. A urethral suspension to
reposition the urethra via an open approach is performed. What is the correct
ICD-10-CM/PCS coding?
A. N39.3, 0TJB8ZZ
B. N23, 0TSD0ZZ
C. N39.3, 0TSD0ZZ
D. R32, 0TSD4ZZ
Correct ,,,,answer,,,,: C
Rationale: N39.3 is the code for stress incontinence. The PCS code for the urethral
suspension via open approach is 0TSD0ZZ, which specifies the body part
(Urethra), approach (Open), and device (No Device).
4. What is the principal diagnosis when a patient is admitted two weeks after a
miscarriage for retained products of conception, with the previously
documented sepsis now resolved?
A. Miscarriage
B. Complications of spontaneous abortion with sepsis
C. Sepsis
D. Spontaneous abortion with sepsis
Correct ,,,,answer,,,,: A
Rationale: The sepsis is resolved, and the reason for admission is the retained
products of conception following a miscarriage. Therefore, the principal diagnosis
is the miscarriage (O03.4 for incomplete spontaneous abortion without
complication).
5. A patient has an excision of a malignant skin lesion. The CPT code is
determined by the body area and what measurement?
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. The excised diameter, including the most narrow margins required.
Correct ,,,,answer,,,,: D
Rationale: CPT coding guidelines for skin lesion excision state that the code is
based on the excised diameter, which is the lesion's greatest diameter plus the
narrowest margin required for adequate excision. This measurement is documented
in the operative report.
6. A patient is admitted for shortness of breath from congestive heart failure
(CHF) and later develops respiratory failure requiring intubation and
ventilation. How should this be coded?
A. CHF, respiratory failure, intubation.
B. Respiratory failure, intubation, ventilation.
C. Respiratory failure, CHF, intubation.
D. Shortness of breath, CHF, respiratory failure.
Correct ,,,,answer,,,,: A
Rationale: According to UHDDS guidelines for inpatient coding, the condition
that was chiefly responsible for the admission (the CHF) is coded as the principal
diagnosis. The respiratory failure is a later complication and is sequenced as a
secondary diagnosis. The procedure (intubation/ventilation) is coded as well.
7. Which organization is responsible for updating the ICD-10-PCS procedure
classification?
A. WHO
B. AHIMA
C. CMS
D. NCHS
Correct ,,,,answer,,,,: C
Rationale: The Centers for Medicare & Medicaid Services (CMS) is the U.S.
governmental agency responsible for maintaining and updating the procedure
classification system, ICD-10-PCS.
, 8. Which character in an ICD-10-PCS code specifies the type of procedure
performed (e.g., Excision, Resection, Bypass)?
A. Section
B. Body System
C. Operation
D. Body Part
Correct ,,,,answer,,,,: C
Rationale: In the 7-character alphanumeric ICD-10-PCS code, the third character
specifies the "Root Operation," which defines the objective of the procedure (e.g.,
Excision, Resection, Drainage).
9. A 45-year-old patient presents with a chief complaint of "chest pain." After
evaluation, no acute cardiac condition is found, and the cause is diagnosed as
"costochondritis." What is the correct ICD-10-CM coding?
A. R07.9, M94.0
B. M94.0
C. R07.9
D. M94.0, R07.9
Correct ,,,,answer,,,,: B
Rationale: Because the evaluation led to a definitive diagnosis (costochondritis,
code M94.0), the specific diagnosis is coded as the principal diagnosis. The
sign/symptom (chest pain, R07.9) is not coded when a related, definitive diagnosis
is established.
10. A physician documents "probable acute cholecystitis" in the medical
record. For an inpatient, how is this coded?
A. As if the diagnosis were established.
B. Only if it is confirmed by the pathologist.
C. As an undiagnosed symptom.
D. It is not coded.
Correct ,,,,answer,,,,: A
COMPLETE 200 QUESTIONS WITH
VERIFIED ANSWERS
Domain 1: Clinical Classification Systems (30-34%)
1. What is the correct CPT code assignment for the destruction of internal
hemorrhoids using infrared coagulation?
A. 46255
B. 46930
C. 46260
D. 46945
Correct ,,,,answer,,,,: B
Rationale: CPT code 46930 specifically describes the destruction of internal
hemorrhoids by thermal energy, which includes infrared coagulation. The other
codes describe different procedures, such as hemorrhoidectomy (46255, 46260) or
other destruction methods.
2. Identify the diagnosis code for melanoma of the skin of the right shoulder.
A. D03.61, C43.61
B. C43.61
C. C43.60
D. D03.61
Correct ,,,,answer,,,,: B
Rationale: Code C43.61 represents Malignant melanoma of the skin of the right
upper limb, including the shoulder. The "C" chapter for neoplasms is always
,sequenced first for active malignancies. Chapter "D" codes are for in situ or benign
neoplasms.
3. A patient is admitted for stress incontinence. A urethral suspension to
reposition the urethra via an open approach is performed. What is the correct
ICD-10-CM/PCS coding?
A. N39.3, 0TJB8ZZ
B. N23, 0TSD0ZZ
C. N39.3, 0TSD0ZZ
D. R32, 0TSD4ZZ
Correct ,,,,answer,,,,: C
Rationale: N39.3 is the code for stress incontinence. The PCS code for the urethral
suspension via open approach is 0TSD0ZZ, which specifies the body part
(Urethra), approach (Open), and device (No Device).
4. What is the principal diagnosis when a patient is admitted two weeks after a
miscarriage for retained products of conception, with the previously
documented sepsis now resolved?
A. Miscarriage
B. Complications of spontaneous abortion with sepsis
C. Sepsis
D. Spontaneous abortion with sepsis
Correct ,,,,answer,,,,: A
Rationale: The sepsis is resolved, and the reason for admission is the retained
products of conception following a miscarriage. Therefore, the principal diagnosis
is the miscarriage (O03.4 for incomplete spontaneous abortion without
complication).
5. A patient has an excision of a malignant skin lesion. The CPT code is
determined by the body area and what measurement?
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. The excised diameter, including the most narrow margins required.
Correct ,,,,answer,,,,: D
Rationale: CPT coding guidelines for skin lesion excision state that the code is
based on the excised diameter, which is the lesion's greatest diameter plus the
narrowest margin required for adequate excision. This measurement is documented
in the operative report.
6. A patient is admitted for shortness of breath from congestive heart failure
(CHF) and later develops respiratory failure requiring intubation and
ventilation. How should this be coded?
A. CHF, respiratory failure, intubation.
B. Respiratory failure, intubation, ventilation.
C. Respiratory failure, CHF, intubation.
D. Shortness of breath, CHF, respiratory failure.
Correct ,,,,answer,,,,: A
Rationale: According to UHDDS guidelines for inpatient coding, the condition
that was chiefly responsible for the admission (the CHF) is coded as the principal
diagnosis. The respiratory failure is a later complication and is sequenced as a
secondary diagnosis. The procedure (intubation/ventilation) is coded as well.
7. Which organization is responsible for updating the ICD-10-PCS procedure
classification?
A. WHO
B. AHIMA
C. CMS
D. NCHS
Correct ,,,,answer,,,,: C
Rationale: The Centers for Medicare & Medicaid Services (CMS) is the U.S.
governmental agency responsible for maintaining and updating the procedure
classification system, ICD-10-PCS.
, 8. Which character in an ICD-10-PCS code specifies the type of procedure
performed (e.g., Excision, Resection, Bypass)?
A. Section
B. Body System
C. Operation
D. Body Part
Correct ,,,,answer,,,,: C
Rationale: In the 7-character alphanumeric ICD-10-PCS code, the third character
specifies the "Root Operation," which defines the objective of the procedure (e.g.,
Excision, Resection, Drainage).
9. A 45-year-old patient presents with a chief complaint of "chest pain." After
evaluation, no acute cardiac condition is found, and the cause is diagnosed as
"costochondritis." What is the correct ICD-10-CM coding?
A. R07.9, M94.0
B. M94.0
C. R07.9
D. M94.0, R07.9
Correct ,,,,answer,,,,: B
Rationale: Because the evaluation led to a definitive diagnosis (costochondritis,
code M94.0), the specific diagnosis is coded as the principal diagnosis. The
sign/symptom (chest pain, R07.9) is not coded when a related, definitive diagnosis
is established.
10. A physician documents "probable acute cholecystitis" in the medical
record. For an inpatient, how is this coded?
A. As if the diagnosis were established.
B. Only if it is confirmed by the pathologist.
C. As an undiagnosed symptom.
D. It is not coded.
Correct ,,,,answer,,,,: A
