CCA EXAM PREP FROM AHIMA REVIEW
PACK 2026 DETAILED ANSWER
COMPILATION
◉ 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.
PACK 2026 DETAILED ANSWER
COMPILATION
◉ 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.
