CCA Exam Prep Test Complete Questions and
Answers
The nose, mouth, sinuses, pharynx, & larynx make up the? Answers - The upper
respiratory tract
Mary Giovanni is in the hospital recovering from colon resection surgery. Based on her
symptoms, her doctors are concerned about the possibility that she has developed a
pulmonary embolism. Which of the following procedures will provide the definitive
diagnosis?
a) Chest X-ray
b) Pulmonary angiography
c) Lung scan
d) None of the above Answers - Pulmonary angiography
A 32 year old patient has a colonoscopy with removal of 3 polyps by snare. Moderate
sedation was used & provided by the physician. The intraservice time was 30 minutes.
Answers - 45385 - colonoscopy with removal of tumor or polyps or other lesions by
snare technique
99156-initial 15 minutes of intraservice time, patient 5 years or older.
99157-each additional 15 minutes of intraservice time (list separately in addition to code
for primary service)
The diagnosis is as follows: "Carcinoma of axillary lymph nodes & Lungs, metastatic
from breast" what is the primary cancer site?
a) Lungs
b) Axillary lymph nodes
c) Breast
d) Both Axillary lymph nodes & Lungs Answers - Breast
Patient has a year history of mitral valve regurgitation (mitral insufficiency) and now
presents for a mitral valve replacement with bypass (Code for physician using CPT
procedure codes only).
**(Valvuloplasty is a plastic repair of a valve) Answers - 33430 Replacement,
mitralvalve, with cardiopulmonary bypass
You are conducting an educational session on benchmarking. You tell your audience
that the key to benchmarking is to use the comparison to? Answers - Improve your
departments processes
,Your facility would like to improve physician documentation in order to allow improved
coding. As a coding supervisor, you have found it very effective to provide the
physicians with? Answers - Feedback on specific instances when improved
documentation would improve coding.
A patient is diagnosed with early onset Alzheimer's disease with dementia, how would
this be coded? Answers - G30.0-Alzheimer's disease with early onset
F02.80-Dementia in other diseases classified elsewhere. Without behavioral
disturbance.
An established patient was seen by a physician in her office for DTaP-IPV/Hib
(DTap=Diphtheria, Tetanus, & Acellular Pertussis) (IPV=Inactivated Polio Vaccine)
(Hib=Haemophilus influenzae type B vaccine) Answers - 90471-Immunization
administration (includes percutaneous intradermal, subcutaneous, or intramuscular
injections) 1 vaccine (single or combination vaccine/toxoid)
90698-Diphtheria, tetanus toxoids, acellular pertussis vaccine, Haemophilus influenza
type b, & inactivated poliovirus vaccine (DTaP-IPV/Hib) for intramuscular use.
What CPT code is used for a high-energy ESW of the lateral humeral epicondyle (tennis
elbow) using general anesthesia? Answers - 0102T-Extracorporeal shock wave, high
energy, performed by a physician , requiring anesthesia other than local, involving
lateral humeral epicondyle.
Which of the following procedures can be identified as "destruction" of lesions:
a) paring of hyperkeratotic lesion
b) laser removal of condylomata (wart)
c) shaving of skin lesion
d) removal of skin tags Answers - laser removal of condylomata
The practice of using a code that results in a higher payment to the provider than the
code that more accurately reflects the service provided is known as? Answers -
Upcoding
A ________is a collection of information or data that is organized in such a way that it's
contents can be queried and relationships created Answers - Database
A single lung transplant without cardiopulmonary bypass. (Code for physician using
CPT procedure only) Answers - 32851 Lung transplant, single, without cardiopulmonary
bypass
A female with 6 months of stress incontinence. Laparoscopic urethral suspension was
completed. choose the appropriate ICD-10-CM and CPT codes? Answers - N39.3-
Stress incontinence (female) (male)
51990-Laparoscopy, surgical; urethral suspension for stress incontinence.
, The use of radioactive sources placed into a tumor-bearing area to generate high
intensity radiation is termed? Answers - Brachytherapy
External Beam Radiation Answers - The most common type of radiation therapy used
for cancer treatment. A machine is used to aim high-energy rays (or beams) from
outside the body into the tumor. (The machine most commonly used is called a linear
accelerator or "linac.")
What radiation therapy uses several beams of various intensities aimed at different
angles to precisely target the tumor. Through the use of CT, MRI or other advanced
imaging techniques to precisely map the position of the tumor. The images are used to
design a four-dimensional, customized treatment plan that determines beam intensity
and positioning. The goal is to deliver the highest possible dose to kill the cancer while
minimizing exposure to healthy organs. Answers - Stereotactic body radiation therapy
(SBRT) or Stereotactic ablative radiotherapy
A machine called a synchrotron or cyclotron speeds up protons. The high speed of the
protons creates high energy. This energy makes the protons travel to the desired depth
in the body. The protons then give the targeted radiation dose in the tumor. There is
less radiation dose outside of the tumor which minimizes damage to the surrounding
healthy tissues & organs, which helps reduce side effects. Answers - Proton Beam
Treatment
Which of the following procedures would not be coded to "resection" when using ICD-
10-PCS?
a) Excision of sigmoid colon
b) Excision of gallbladder
c) Resection of the upper right lobe
d) Partial resection of upper left lobe. Answers - Partial resection of upper left lobe
(Partial)
During her hospitalization for her third delivery, Janet had a sterilization procedure
performed. When the record is coded, the code for sterilization, Z30.2, is
A. not used.
B. used and sequenced as the principal diagnosis.
C. used and sequenced as a secondary diagnosis.
D. the only code used. Answers - Used and sequenced as a secondary diagnosis.
A patient suffered dizziness as a result of taking prescribed phenobarbital. The patient
took his medication with beer Answers - R42-Dizziness and Giddiness
T42.3X1A-Poisoning by barbiturates accidental (unintentional). Initial encounter
T51.8X1A-Toxic effect of other alcohols. Accidental (unintentional). Initial encounter
Some ICD-10-CM codes are exempt from POA reporting because they? Answers - Are
always present on admission & represent circumstances regarding the health care
Answers
The nose, mouth, sinuses, pharynx, & larynx make up the? Answers - The upper
respiratory tract
Mary Giovanni is in the hospital recovering from colon resection surgery. Based on her
symptoms, her doctors are concerned about the possibility that she has developed a
pulmonary embolism. Which of the following procedures will provide the definitive
diagnosis?
a) Chest X-ray
b) Pulmonary angiography
c) Lung scan
d) None of the above Answers - Pulmonary angiography
A 32 year old patient has a colonoscopy with removal of 3 polyps by snare. Moderate
sedation was used & provided by the physician. The intraservice time was 30 minutes.
Answers - 45385 - colonoscopy with removal of tumor or polyps or other lesions by
snare technique
99156-initial 15 minutes of intraservice time, patient 5 years or older.
99157-each additional 15 minutes of intraservice time (list separately in addition to code
for primary service)
The diagnosis is as follows: "Carcinoma of axillary lymph nodes & Lungs, metastatic
from breast" what is the primary cancer site?
a) Lungs
b) Axillary lymph nodes
c) Breast
d) Both Axillary lymph nodes & Lungs Answers - Breast
Patient has a year history of mitral valve regurgitation (mitral insufficiency) and now
presents for a mitral valve replacement with bypass (Code for physician using CPT
procedure codes only).
**(Valvuloplasty is a plastic repair of a valve) Answers - 33430 Replacement,
mitralvalve, with cardiopulmonary bypass
You are conducting an educational session on benchmarking. You tell your audience
that the key to benchmarking is to use the comparison to? Answers - Improve your
departments processes
,Your facility would like to improve physician documentation in order to allow improved
coding. As a coding supervisor, you have found it very effective to provide the
physicians with? Answers - Feedback on specific instances when improved
documentation would improve coding.
A patient is diagnosed with early onset Alzheimer's disease with dementia, how would
this be coded? Answers - G30.0-Alzheimer's disease with early onset
F02.80-Dementia in other diseases classified elsewhere. Without behavioral
disturbance.
An established patient was seen by a physician in her office for DTaP-IPV/Hib
(DTap=Diphtheria, Tetanus, & Acellular Pertussis) (IPV=Inactivated Polio Vaccine)
(Hib=Haemophilus influenzae type B vaccine) Answers - 90471-Immunization
administration (includes percutaneous intradermal, subcutaneous, or intramuscular
injections) 1 vaccine (single or combination vaccine/toxoid)
90698-Diphtheria, tetanus toxoids, acellular pertussis vaccine, Haemophilus influenza
type b, & inactivated poliovirus vaccine (DTaP-IPV/Hib) for intramuscular use.
What CPT code is used for a high-energy ESW of the lateral humeral epicondyle (tennis
elbow) using general anesthesia? Answers - 0102T-Extracorporeal shock wave, high
energy, performed by a physician , requiring anesthesia other than local, involving
lateral humeral epicondyle.
Which of the following procedures can be identified as "destruction" of lesions:
a) paring of hyperkeratotic lesion
b) laser removal of condylomata (wart)
c) shaving of skin lesion
d) removal of skin tags Answers - laser removal of condylomata
The practice of using a code that results in a higher payment to the provider than the
code that more accurately reflects the service provided is known as? Answers -
Upcoding
A ________is a collection of information or data that is organized in such a way that it's
contents can be queried and relationships created Answers - Database
A single lung transplant without cardiopulmonary bypass. (Code for physician using
CPT procedure only) Answers - 32851 Lung transplant, single, without cardiopulmonary
bypass
A female with 6 months of stress incontinence. Laparoscopic urethral suspension was
completed. choose the appropriate ICD-10-CM and CPT codes? Answers - N39.3-
Stress incontinence (female) (male)
51990-Laparoscopy, surgical; urethral suspension for stress incontinence.
, The use of radioactive sources placed into a tumor-bearing area to generate high
intensity radiation is termed? Answers - Brachytherapy
External Beam Radiation Answers - The most common type of radiation therapy used
for cancer treatment. A machine is used to aim high-energy rays (or beams) from
outside the body into the tumor. (The machine most commonly used is called a linear
accelerator or "linac.")
What radiation therapy uses several beams of various intensities aimed at different
angles to precisely target the tumor. Through the use of CT, MRI or other advanced
imaging techniques to precisely map the position of the tumor. The images are used to
design a four-dimensional, customized treatment plan that determines beam intensity
and positioning. The goal is to deliver the highest possible dose to kill the cancer while
minimizing exposure to healthy organs. Answers - Stereotactic body radiation therapy
(SBRT) or Stereotactic ablative radiotherapy
A machine called a synchrotron or cyclotron speeds up protons. The high speed of the
protons creates high energy. This energy makes the protons travel to the desired depth
in the body. The protons then give the targeted radiation dose in the tumor. There is
less radiation dose outside of the tumor which minimizes damage to the surrounding
healthy tissues & organs, which helps reduce side effects. Answers - Proton Beam
Treatment
Which of the following procedures would not be coded to "resection" when using ICD-
10-PCS?
a) Excision of sigmoid colon
b) Excision of gallbladder
c) Resection of the upper right lobe
d) Partial resection of upper left lobe. Answers - Partial resection of upper left lobe
(Partial)
During her hospitalization for her third delivery, Janet had a sterilization procedure
performed. When the record is coded, the code for sterilization, Z30.2, is
A. not used.
B. used and sequenced as the principal diagnosis.
C. used and sequenced as a secondary diagnosis.
D. the only code used. Answers - Used and sequenced as a secondary diagnosis.
A patient suffered dizziness as a result of taking prescribed phenobarbital. The patient
took his medication with beer Answers - R42-Dizziness and Giddiness
T42.3X1A-Poisoning by barbiturates accidental (unintentional). Initial encounter
T51.8X1A-Toxic effect of other alcohols. Accidental (unintentional). Initial encounter
Some ICD-10-CM codes are exempt from POA reporting because they? Answers - Are
always present on admission & represent circumstances regarding the health care
