CCA Exam Preparation Domains 1, 2, 3,
4, 5, & 6 Practice Test With Questions
And Answers Rated 100 % Correct And
Already Passed!!!.
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 IS: 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 IS: 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 IS: 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 IS: 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 IS: 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 IS: b. 46930
7. Identify 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 IS: 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 IS: 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 IS: 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 IS: 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 IS: 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 IS: 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 IS: 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.
4, 5, & 6 Practice Test With Questions
And Answers Rated 100 % Correct And
Already Passed!!!.
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 IS: 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 IS: 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 IS: 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 IS: 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 IS: 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 IS: b. 46930
7. Identify 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 IS: 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 IS: 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 IS: 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 IS: 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 IS: 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 IS: 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 IS: 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.
