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
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
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
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
