CCA Exam, 96 Questions With 100% Correct
Answers 2024.
Code 87900, infectious agent drug susceptibility phenotype prediction using regularly updated
genotypic bioinformatics, is used in the management of patients with what disease?
a. Cancer patients on toxic chemotherapy agents
b. HIV patients on antiretroviral therapy
c. Tuberculosis patients on rifampin therapy
d. Organ transplant patients on immunosuppressive therapy
Correct Answer: B.
CPT code 87900 for infectious agent drug susceptibility phenotype prediction using regularly updated
genotypic bioinformatics is used in the management of HIV patients on antiretroviral therapy (AMA
2012b, 442).
Identify the CPT procedure code(s) and correct modifier for a thyroid stimulating hormone (TSH) when
medical necessity is not met and the patient signs a required waiver of liability signifying the patient
will be responsible for payment if the test is not covered by Medicare. Another name for waiver of
liability is Advance Beneficiary Notice (ABN).
a. 84443-GA
b. 80418-GA
c. 84443-GY
d. 80418-GY
Correct Answer: A.
Index Thyroid simulating hormone, 80418, 80438-80440, 84443. Code 84443 is the correct code for a
TSH while the rest of the codes are panels including several tests. Modifier -GA is listed in the front cover
of the CPT Professional Edition and signifies the patient was given a notice of non-coverage also known
as waiver of liability or ABN (AMA 2012b, 427; CMS 2010d; CMS 2010e).
GA- Waiver of Liability Statement Issued as Required by Payer Policy, Individual Case- Use this modifier to
report when you issue a mandatory ABN for a service as required and it is on file. You do not need to
submit a copy of the ABN, but you must have it available on request.
GX- Notice of Liability Issued, Voluntary Under Payer Policy- Use this modifier to report when you issue a
voluntary ABN for a service Medicare never covers because it is statutorily excluded or is not a Medicare
benefit. You may use this modifier in combination with modifier GY.
GY- Item or Service Statutorily Excluded, Does Not Meet the Definition of Any Medicare Benefit- Use this
modifier to report that Medicare statutorily excludes the item or service or the item or service does not
meet the definition of any Medicare benefit. You may use this modifier in combination with modifier GX.
GZ- Item or Service Expected to Be Denied as Not Reasonable and Necessary- Use this modifier to report
when you expect Medicare to deny payment of the item or service due to a lack of medical necessity and
no ABN was issued.
,An infusion that lasts less than 15 minutes would be reported with a(n):
a. Intravenous infusion code
b. Intravenous piggyback code
c. Intravenous or intra-arterial push code
d. Intravenous hydration code
Correct Answer: C.
An infusion that lasts less than 15 minutes should be reported with an IV push code per the CPT coding
guidelines of the CPT Professional Edition based on the instructional notes preceding the hydration notes
(AMA 2012b, 518; AHIMA 2012a, 630).
Identify the appropriate CPT code(s) for 23 minutes of therapeutic exercise.
a. 97110
b. 97110, 97110
c. 97110, 97110, 97110
d. 97110-50
Correct Answer: B.
Index Physical Medicine/Therapy/Occupational Therapy, procedures, therapeutic exercises, resulting in
code 97110. Review of the code indicates that it is reported in 15-minute increments. Thus, a 23-minutes
session would be reported with code 97110 twice because a unit of time must be at least 8 minutes at a
minimum, which the second unit meets the 8-minute minimum (AHIMA 2012a, 633).
Which of the following statements about Category III CPT codes is false?
a. They are temporary codes.
b. They are updated more frequently than the rest of the CPT codes.
c. They are intended to allow for the coding of new technologies, services, and procedures.
d. They are tracking codes that can be used for performance measurement.
Correct Answer: D.
Category II CPT codes are used for performance measurement (AMA 2012b, 535).
How frequently are Category III CPT codes updated?
a. Annually
b. Semiannually
c. Every two years
d. Every four months
Correct Answer: B.
An instructional note has been added to the introductory language under Category III codes in the CPT
Professional Edition. "New codes in this section are released semi-annually via the AMA/CPT internet
site, to expedite dissemination for reporting. The full set of temporary codes for emerging technology,
services, and procedures are published annually in the CPT codebook." (AMA 2012b, 553).
, A 45-year-old man underwent colon resection for carcinoma of the transverse colon. The physician
progress note on postoperative day two states anemia. Hemoglobin and hematocrit levels dropped
significantly after surgery, and a blood transfusion was ordered. How is the anemia coded?
a. 285.1
b. 998.11
c. 998.11, 285.1
d. Unable to code; the physician must be queried.
Correct Answer: D.
The anemia may be acute blood loss or a complication due to surgery, but it is not stated by the
physician. Due to incomplete physician documentation, query the physician (AHA 2004, 4; AHA 2000, 6;
AHA 1992, 15-16; AHIMA 2012a, 645).
An 8-year-old male hemophiliac is admitted with acute blood loss anemia due to uncontrolled
bleeding. He is given clotting factor and six units of whole blood. Which of the following diagnosis and
procedure ICD-9-CM codes would be correct?
a. 286.0, 99.06, 99.03
b. 285.1, 286.0, 99.06, 99.03
c. 286.0, 285.1, 99.06, 99.03
d. 285.1, 99.06, 99.03
Correct Answer: B.
The anemia code 285.1 would be coded as the principal diagnosis. In accordance with the UHDDS
definition for principal diagnosis, the anemia (not the hemophilia), is the reason for admission and
sequenced as the principal diagnosis (CMS 2010c, Section II, 96; AHIMA 2012a, 646).
The patient was admitted with increasing shortness of breath, weakness, and nonproductive cough.
Treatment included oxygen therapy. Final diagnoses listed as acute respiratory insufficiency and acute
exacerbation of chronic obstructive pulmonary disease (COPD). Which of the following is the correct
ICD-9-CM diagnostic code assignment?
a. 491.21
b. 491.21, 518.82
c. 518.81, 491.21
d. 518.82, 491.21
Correct Answer: A.
Acute respiratory insufficiency is an integral part of COPD and is therefore not coded separately. The
patient had acute respiratory insufficiency and not acute respiratory failure (AHIMA 2012a, 682).
What term is used for retrospective cash payments paid by the patient for services rendered by a
provider?
a. Fee-for-service
b. Deductible
Answers 2024.
Code 87900, infectious agent drug susceptibility phenotype prediction using regularly updated
genotypic bioinformatics, is used in the management of patients with what disease?
a. Cancer patients on toxic chemotherapy agents
b. HIV patients on antiretroviral therapy
c. Tuberculosis patients on rifampin therapy
d. Organ transplant patients on immunosuppressive therapy
Correct Answer: B.
CPT code 87900 for infectious agent drug susceptibility phenotype prediction using regularly updated
genotypic bioinformatics is used in the management of HIV patients on antiretroviral therapy (AMA
2012b, 442).
Identify the CPT procedure code(s) and correct modifier for a thyroid stimulating hormone (TSH) when
medical necessity is not met and the patient signs a required waiver of liability signifying the patient
will be responsible for payment if the test is not covered by Medicare. Another name for waiver of
liability is Advance Beneficiary Notice (ABN).
a. 84443-GA
b. 80418-GA
c. 84443-GY
d. 80418-GY
Correct Answer: A.
Index Thyroid simulating hormone, 80418, 80438-80440, 84443. Code 84443 is the correct code for a
TSH while the rest of the codes are panels including several tests. Modifier -GA is listed in the front cover
of the CPT Professional Edition and signifies the patient was given a notice of non-coverage also known
as waiver of liability or ABN (AMA 2012b, 427; CMS 2010d; CMS 2010e).
GA- Waiver of Liability Statement Issued as Required by Payer Policy, Individual Case- Use this modifier to
report when you issue a mandatory ABN for a service as required and it is on file. You do not need to
submit a copy of the ABN, but you must have it available on request.
GX- Notice of Liability Issued, Voluntary Under Payer Policy- Use this modifier to report when you issue a
voluntary ABN for a service Medicare never covers because it is statutorily excluded or is not a Medicare
benefit. You may use this modifier in combination with modifier GY.
GY- Item or Service Statutorily Excluded, Does Not Meet the Definition of Any Medicare Benefit- Use this
modifier to report that Medicare statutorily excludes the item or service or the item or service does not
meet the definition of any Medicare benefit. You may use this modifier in combination with modifier GX.
GZ- Item or Service Expected to Be Denied as Not Reasonable and Necessary- Use this modifier to report
when you expect Medicare to deny payment of the item or service due to a lack of medical necessity and
no ABN was issued.
,An infusion that lasts less than 15 minutes would be reported with a(n):
a. Intravenous infusion code
b. Intravenous piggyback code
c. Intravenous or intra-arterial push code
d. Intravenous hydration code
Correct Answer: C.
An infusion that lasts less than 15 minutes should be reported with an IV push code per the CPT coding
guidelines of the CPT Professional Edition based on the instructional notes preceding the hydration notes
(AMA 2012b, 518; AHIMA 2012a, 630).
Identify the appropriate CPT code(s) for 23 minutes of therapeutic exercise.
a. 97110
b. 97110, 97110
c. 97110, 97110, 97110
d. 97110-50
Correct Answer: B.
Index Physical Medicine/Therapy/Occupational Therapy, procedures, therapeutic exercises, resulting in
code 97110. Review of the code indicates that it is reported in 15-minute increments. Thus, a 23-minutes
session would be reported with code 97110 twice because a unit of time must be at least 8 minutes at a
minimum, which the second unit meets the 8-minute minimum (AHIMA 2012a, 633).
Which of the following statements about Category III CPT codes is false?
a. They are temporary codes.
b. They are updated more frequently than the rest of the CPT codes.
c. They are intended to allow for the coding of new technologies, services, and procedures.
d. They are tracking codes that can be used for performance measurement.
Correct Answer: D.
Category II CPT codes are used for performance measurement (AMA 2012b, 535).
How frequently are Category III CPT codes updated?
a. Annually
b. Semiannually
c. Every two years
d. Every four months
Correct Answer: B.
An instructional note has been added to the introductory language under Category III codes in the CPT
Professional Edition. "New codes in this section are released semi-annually via the AMA/CPT internet
site, to expedite dissemination for reporting. The full set of temporary codes for emerging technology,
services, and procedures are published annually in the CPT codebook." (AMA 2012b, 553).
, A 45-year-old man underwent colon resection for carcinoma of the transverse colon. The physician
progress note on postoperative day two states anemia. Hemoglobin and hematocrit levels dropped
significantly after surgery, and a blood transfusion was ordered. How is the anemia coded?
a. 285.1
b. 998.11
c. 998.11, 285.1
d. Unable to code; the physician must be queried.
Correct Answer: D.
The anemia may be acute blood loss or a complication due to surgery, but it is not stated by the
physician. Due to incomplete physician documentation, query the physician (AHA 2004, 4; AHA 2000, 6;
AHA 1992, 15-16; AHIMA 2012a, 645).
An 8-year-old male hemophiliac is admitted with acute blood loss anemia due to uncontrolled
bleeding. He is given clotting factor and six units of whole blood. Which of the following diagnosis and
procedure ICD-9-CM codes would be correct?
a. 286.0, 99.06, 99.03
b. 285.1, 286.0, 99.06, 99.03
c. 286.0, 285.1, 99.06, 99.03
d. 285.1, 99.06, 99.03
Correct Answer: B.
The anemia code 285.1 would be coded as the principal diagnosis. In accordance with the UHDDS
definition for principal diagnosis, the anemia (not the hemophilia), is the reason for admission and
sequenced as the principal diagnosis (CMS 2010c, Section II, 96; AHIMA 2012a, 646).
The patient was admitted with increasing shortness of breath, weakness, and nonproductive cough.
Treatment included oxygen therapy. Final diagnoses listed as acute respiratory insufficiency and acute
exacerbation of chronic obstructive pulmonary disease (COPD). Which of the following is the correct
ICD-9-CM diagnostic code assignment?
a. 491.21
b. 491.21, 518.82
c. 518.81, 491.21
d. 518.82, 491.21
Correct Answer: A.
Acute respiratory insufficiency is an integral part of COPD and is therefore not coded separately. The
patient had acute respiratory insufficiency and not acute respiratory failure (AHIMA 2012a, 682).
What term is used for retrospective cash payments paid by the patient for services rendered by a
provider?
a. Fee-for-service
b. Deductible
