CCA EXAM PREP AHIMA 339
QUESTIONS 78 PAGES 2026 HEALTH
INFORMATION SCRIPT SOLVED
QUESTIONS VERIFIED ANSWERS A+
◉ Coding accuracy is anticipated to improve due to which ICD-10-CM
enhancement?
Answer: Expanding codes to capture more detail in several sections such
as injury, diabetes, and postoperative complications
◉ Which character in an ICD-10-CM diagnosis code provides
information regarding encounter of care?
Answer: Seventh character provides information about encounter of
care, such as intial encounter, subsequent encounter, or sequelae
◉ What does the fourth character of an ICD-10-CM diagnosis code
capture?
Answer: Fourth character capture etiology, fifth capture anatomic site,
and sixth capture severity
◉ ICD-10-CM codes must be a minimum of how many characters
Answer: At least three characters with a decimal point used after the 3rd
character
◉ To which of the following do notes appearing under a 3-character
code apply?
,Answer: When a note appears under a 3-character code, it applies to all
codes within that category
◉ Which volume of ICD-10-CM contains the Tabular and Alphabetic
Index of procedures?
Answer: None since the development of ICD-10-PCS
◉ Identify the correct diagnosis code for lipoma of the face:
Answer: Lipoma, face = D17.0
◉ Identify the correct diagnosis code(s) for adenoma of left adrenal
cortex with Conn's syndrome:
Answer: Adenoma, adrenal (cortex) = D35.02
Syndrome, Conn = E26.01
◉ Which of the following is a standard terminology used to code
medical procedures and services?
Answer: CPT is a comprehensive descriptive listing of terms an codes
for reporting diagnostic and therapeutic procedures and medical
services.
◉ Identify the appropriate ICD-10-CM diagnosis code for right cerebral
contusion with 15 minute loss of consciousness, initial encounter for
care:
,Answer: Contusion, cerebral - see Contusion, brain. Add 6th character
"1" for loss of consciousness of 30 minutes for less, 7th character for
initial encounter = S06.311A
◉ If a patient has en 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?
Answer: Diameter of the lesion as well as the most narrow margins
required to adequately excise the lesion described in the operative report
◉ According to CPT, a repair of a laceration that includes retention
sutures would be considered what type of closure?
Answer: Complex closures include the repair of wounds requiring more
that layered closure, namely, scar revision, debridement, extensive
undermining, stents, or retention sutures.
◉ Patient is admitted with spotting, had been treated two weeks
previously for miscarriage with sepsis. Sepsis resolved, she is afebrile at
this time, treated with an aspiration D&C, and POC are found. Which of
the following should be the PD?
Answer: Miscarriage: Retained POC following an abortion (Subsequent
admissions for retained POC following any type of abortion are assigned
the appropriate code from category O03 [spont. abn.] or O07.4 [failed
attempted term. of pg. w/o comp.] and Z33.2 [encounter for elect. term
of pg]. This advice is appropriate even when the patient was discharged
prev. with discharge diagnosis of complete ab.
, ◉ An 80-year-old female is admitted with fever, lethargy, hypotension,
tachycardia, oliguria, elevated WBC, and more than 100K organisms of
E. coli per cc of urine. Attending physician documents "urosepsis". How
should coder proceed to code?
Answer: Since urosepsis is nonspecific and not codable in ICD-10-CM,
it cannot be considered synonymous with sepsis, and therefore the
physician should be queried.
◉ 65yo patient with history of lung cancer is admitted to healthcare
facility with ataxia, syncope, and a fractured arm as a result from falling.
Pt undergoes closed reduction of fracture in the ED and undergoes
complete workup for metastatic carcinoma of the brain. Pt is found to
have metastatic carcinoma of the lung to brain and undergoes radiation
therapy to brain. Which of the following would be the PD in this case?
Answer: If a tx is directed at the malignancy, designate the malignancy
as the PD with the only exception to this guideline being if the pt
admission or encounter is solely for the administration of chemo,
immunotherapy, or radiation, then assign the appropriate Z51.- code as
the first-listed or PD an the diagnosis or problem for which the service is
being performed as a secondary diagnosis.
◉ Pt was admitted for abdominal pain with diarrhea and was diagnosed
with infectious gastroenteritis. Pt also has angina and COPD. Which of
the following would be the correct coding and sequencing for this case?
Answer: Infectious gastroenteritis; COPD; angina
◉ Pt admitted with hx of prostate cancer and with mental confusion. Pt
completed radiation therapy for prostatic carcinoma 3 years ago and is
status post a radical resection of the prostate. CT scan of brain during
QUESTIONS 78 PAGES 2026 HEALTH
INFORMATION SCRIPT SOLVED
QUESTIONS VERIFIED ANSWERS A+
◉ Coding accuracy is anticipated to improve due to which ICD-10-CM
enhancement?
Answer: Expanding codes to capture more detail in several sections such
as injury, diabetes, and postoperative complications
◉ Which character in an ICD-10-CM diagnosis code provides
information regarding encounter of care?
Answer: Seventh character provides information about encounter of
care, such as intial encounter, subsequent encounter, or sequelae
◉ What does the fourth character of an ICD-10-CM diagnosis code
capture?
Answer: Fourth character capture etiology, fifth capture anatomic site,
and sixth capture severity
◉ ICD-10-CM codes must be a minimum of how many characters
Answer: At least three characters with a decimal point used after the 3rd
character
◉ To which of the following do notes appearing under a 3-character
code apply?
,Answer: When a note appears under a 3-character code, it applies to all
codes within that category
◉ Which volume of ICD-10-CM contains the Tabular and Alphabetic
Index of procedures?
Answer: None since the development of ICD-10-PCS
◉ Identify the correct diagnosis code for lipoma of the face:
Answer: Lipoma, face = D17.0
◉ Identify the correct diagnosis code(s) for adenoma of left adrenal
cortex with Conn's syndrome:
Answer: Adenoma, adrenal (cortex) = D35.02
Syndrome, Conn = E26.01
◉ Which of the following is a standard terminology used to code
medical procedures and services?
Answer: CPT is a comprehensive descriptive listing of terms an codes
for reporting diagnostic and therapeutic procedures and medical
services.
◉ Identify the appropriate ICD-10-CM diagnosis code for right cerebral
contusion with 15 minute loss of consciousness, initial encounter for
care:
,Answer: Contusion, cerebral - see Contusion, brain. Add 6th character
"1" for loss of consciousness of 30 minutes for less, 7th character for
initial encounter = S06.311A
◉ If a patient has en 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?
Answer: Diameter of the lesion as well as the most narrow margins
required to adequately excise the lesion described in the operative report
◉ According to CPT, a repair of a laceration that includes retention
sutures would be considered what type of closure?
Answer: Complex closures include the repair of wounds requiring more
that layered closure, namely, scar revision, debridement, extensive
undermining, stents, or retention sutures.
◉ Patient is admitted with spotting, had been treated two weeks
previously for miscarriage with sepsis. Sepsis resolved, she is afebrile at
this time, treated with an aspiration D&C, and POC are found. Which of
the following should be the PD?
Answer: Miscarriage: Retained POC following an abortion (Subsequent
admissions for retained POC following any type of abortion are assigned
the appropriate code from category O03 [spont. abn.] or O07.4 [failed
attempted term. of pg. w/o comp.] and Z33.2 [encounter for elect. term
of pg]. This advice is appropriate even when the patient was discharged
prev. with discharge diagnosis of complete ab.
, ◉ An 80-year-old female is admitted with fever, lethargy, hypotension,
tachycardia, oliguria, elevated WBC, and more than 100K organisms of
E. coli per cc of urine. Attending physician documents "urosepsis". How
should coder proceed to code?
Answer: Since urosepsis is nonspecific and not codable in ICD-10-CM,
it cannot be considered synonymous with sepsis, and therefore the
physician should be queried.
◉ 65yo patient with history of lung cancer is admitted to healthcare
facility with ataxia, syncope, and a fractured arm as a result from falling.
Pt undergoes closed reduction of fracture in the ED and undergoes
complete workup for metastatic carcinoma of the brain. Pt is found to
have metastatic carcinoma of the lung to brain and undergoes radiation
therapy to brain. Which of the following would be the PD in this case?
Answer: If a tx is directed at the malignancy, designate the malignancy
as the PD with the only exception to this guideline being if the pt
admission or encounter is solely for the administration of chemo,
immunotherapy, or radiation, then assign the appropriate Z51.- code as
the first-listed or PD an the diagnosis or problem for which the service is
being performed as a secondary diagnosis.
◉ Pt was admitted for abdominal pain with diarrhea and was diagnosed
with infectious gastroenteritis. Pt also has angina and COPD. Which of
the following would be the correct coding and sequencing for this case?
Answer: Infectious gastroenteritis; COPD; angina
◉ Pt admitted with hx of prostate cancer and with mental confusion. Pt
completed radiation therapy for prostatic carcinoma 3 years ago and is
status post a radical resection of the prostate. CT scan of brain during
