CCA Exam Preparation Domains 1, 2, 3, 4, 5, & 6 Practice Test

CCA Exam Preparation Domains 1, 2, 3, 4, 5, & 6 Practice Test 1. A patient is admitted with spotting. She had been treated two weeks previously for a miscarriage with sepsis. The sepsis had resolved, and she is afebrile at this time. She is treated with an aspiration dilation and curettage and products of conception are found. Which of the following should be the principal diagnosis? a. Miscarriage b. Complications of spontaneous abortion with sepsis c. Sepsis d. Spontaneous abortion with sepsis Ans- a. Miscarriage 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 Ans- 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 Ans- 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 Ans- 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 Ans- 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 Ans- 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 Ans- 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 Ans- 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 Ans- 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 c. 49507 d. 49521 Ans- c. 49507 11. A patient was admitted for abdominal pain with diarrhea and was diagnosed with infectious gastroenteritis. The patient also has angina and chronic obstructive pulmonary disease. Which of the following would be the correct coding and sequencing for this case? a. Abdominal pain; infectious gastroenteritis; chronic obstructive pulmonary disease; angina b. Infectious gastroenteritis; chronic obstructive pulmonary disease; angina c. Gastroenteritis; abdominal pain; angina d. Gastroenteritis; abdominal pain; diarrhea; chronic obstructive pulmonary disease; angina Ans- b. Infectious gastroenteritis; chronic obstructive pulmonary disease; angina 12. A 65-year-old female was admitted to the hospital. She was diagnosed with sepsis secondary to Staphylococcus aureus and abdominal pain secondary to diverticulitis of the colon. What is the correct code assignment? a. A41.89, K57.92, R10.9 b. A41.01, K57.92 c. A41.89, K57.92, A49.01 d. A41.9, K57.92 Ans- b. A41.01, K57.92 13. Coding accuracy is anticipated to improve due to which ICD-10-CM enhancement? a. Less combination codes b. Increased cross referencing c. Removal of laterality d. Expanded codes that capture more detail Ans- d. Expanded codes that capture more detail 14. Patient with flank pain was admitted and found to have a calculus of the kidney. A ureteroscopy with placement of bilateral ureteral stents was performed to expand the lumen so the stone could pass naturally. Assign the correct ICD-10-CM/PCS diagnosis and procedure codes. a. N20.0, N23, 0T788DZ b. N23, N20.0, 0TC68ZZ, 0TC78ZZ c. N20.0, 0T768DZ, 0T778DZ d. N20.0, 0T788DZ Ans- d. N20.0, 0T788DZ 15. Code only a confirmed diagnosis of Zika virus (A92.5, Zika virus disease) as documented by the provider. In this context, "confirmation" __________. a. Does not require documentation of the type of test performed; the physician's diagnostic statement that the condition is confirmed is sufficient b. Requires the documentation of the type of test in addition to the physician's diagnostic statement c. Must be provided by the laboratory findings report d. Requires that the Public Health Agency be contacted Ans- a. Does not require documentation of the type of test performed; the physician's diagnostic statement that the condition is confirmed is sufficient 16. A 7-year-old patient was admitted to the emergency department for treatment of shortness of breath. The patient is given epinephrine and nebulizer treatments. The shortness of breath and wheezing are unabated following treatment. What diagnosis should be suspected? a. Acute bronchitis b. Acute bronchitis with chronic obstructive pulmonary disease c. Asthma with status asthmaticus d. Chronic obstructive asthma Ans- c. Asthma with status asthmaticus 17. A patient is admitted with acute exacerbation of COPD, chronic renal failure, and hypertension. a. J44.1, J44.9, I12.9, N18.9 b. J44.1, N18.9, I10 c. J44.9, N18.9, I10 d. J44.1, I12.9, N18.9 Ans- d. J44.1, I12.9, N18.9 18. What does the fourth character of an ICD-10-CM diagnosis code capture? a. Anatomic site b. Severity c. Etiology d. Supplemental information Ans- c. Etiology 19. Identify the diagnosis code(s) for carcinoma in situ of vocal cord. a. D02.0 b. C32.0 c. D49.1 d. D14.1 Ans- a. D02.0 20. To help clarify terms that currently have overlapping meaning, ICD-10-PCS has defined root operations. What is an example of the root operation of Excision? a. Partial nephrectomy b. Total nephrectomy c. Total lobectomy d. Total mastectomy Ans- a. Partial nephrectomy 21. The assignment of a diagnosis code is based on __________. a. The coder's assessment of the health record. b. The provider's statement that the patient has a particular condition. c. Clinical criteria used by the provider to establish the diagnosis. d. Its inclusion in the discharge summary Ans- b. The provider's statement that the patient has a particular condition. 22. Which of the following is a condition that arises during hospitalization? a. Case mix b. Complication c. Comorbidity d. Principal diagnosis Ans- b. Complication 23. A patient is admitted to an acute-care hospital for alcohol abuse and uncomplicated alcohol withdrawal syndrome due to chronic alcoholism. His blood alcohol level on admission was 10mg/100mL. a. F10.230, F10.10, Y90.0 b. F10.230 c. F10.10, Y90.0 d. F10.230, Y90.0 Ans- d. F10.230, Y90.