AHIMA Certified Coding Associate (CCA) EXAM 2023 Complete
m m m m m m m
Solution.
1.
Am65-year-
oldmwhitemmalemwasmadmittedmtomthemhospitalmonm1/15mcomplainingmofmabdominalmpain.mThemattendingmph
ysicianmrequestedmanmuppermGImseriesmandmlaboratorymevaluationmofmCBCmandmUA.mThemx-
raymrevealedmpossiblemcholelithiasis,mandmthemUAmshowedmanm increasedmwhitembloodmcellmcount.mThempati
entmwasmtakenmtomsurgerymformanmexploratorymlaparoscopy,mandmamrupturedmappendixmwasmdiscovered.mTh
emchiefmcomplaintmwas:
a. Rupturedmappendix
b. Exploratorymlaparoscopy
c. Abdominalmpain
d. Cholelithiasis
c.mAbdominalmpain
Themnaturemandmdurationmofmthemsymptomsmthatmcausedmthempatientmtomseekmmedicalmattentionmasmstat
edminmthempatient'smownmwordsm(Odom-Wesleymetmal.m2009,m331).
2.
84.mAnmindividualmstolemandmusedmanothermperson'sminsuranceminformationmtomobtainmmedicalmcare.m
Thismactionmwouldmbemconsidered:
a. Violationmofmbioethics
b. Fraudmandmabuse
c. Medicalmidentitymtheft
d. Abuse
c.mMedicalmidentitymtheft
CorrectmAnswer:m84.mc.mMedicalmidentitymtheftmoccursmwhenmsomeonemusesmamperson'smnamemandmsomet
imesmothermpartsmofmtheirmidentitymwithoutmthemvictim'smknowledgemormconsentmtomobtainmmedicalmservicesm
ormgoodsm(Johnsm2011,m773).
3.
IdentifymthemICD-9-CMmdiagnosticmcode(s)mformacutemosteomyelitismofm anklemduemtomStaphylococcus.
a.m730.06
b.m730.07
c.m730.07,m041.1
d.m730.07,m041.10
d.m730.07,m041.10
CorrectmAnswer:mDmIndexmOsteomyelitis,macutemormsubacute.mRefermtomthemtableminmthemIndexmformthemfifth
mdigitm5,m anklemandmfoot.mInfection,m staphylococcalm NECm(Schraffenbergerm2012,m305-306).
4.
Amsystemmthatmprovidesmalertsmandmremindersmtomcliniciansmisma(n):
a. Clinicalmdecisionmsupportmsystem
b. Electronicmdataminterchange
,AHIMA Certified Coding Associate (CCA) EXAM 2023 Complete
m m m m m m m
Solution.
c. Pointmofmcaremchartingmsystem
d. Knowledgemdatabase
CorrectmAnswer:mAmClinicalmdecisionmsupportmincludesmprovidingmdocumentationmofmclinicalmfindingsmandm
procedures,mactivemremindersmaboutmmedicationmadministration,msuggestionsmformprescribingmlessmexpen
sivembutm equallymeffectivemdrugs,m protocolsmformcertainmhealthmmaintenancemprocedures,m alertsmthatmamdu
plicatemlabmtestmismbeingmordered,mandmcountlessmothermdecision-
makingmaidsmformallmstakeholdersminmthemcaremprocessm(Johnsm2011,m138).
5.
Whatmdoesmanmauditmtrailmcheckmfor?
a. Unauthorizedmaccessmtomamsystem
b. Lossmofm data
c. Presencemofm amvirus
d. Successfulmcompletionmofmambacku
pmCorrectmAnswer:mA
Auditmtrailsmcanmprovidemtrackingminformationmsuchmasmwhomaccessedmwhichmrecordsmandmformwhatmpurpos
em(Johnsm2011,m403).
6.
Thismismamconditionmwithmanmimprecisemdiagnosismwithmvariousmcharacteristics.mThemconditionmmaymbemdi
agnosedmwhenmampatientmpresentsmwithmsinusmarrest,msinoatrialmexitmblock,mormpersistentmsinusmbradycard
ia.mThismsyndromemismoftenmthemresultmofmdrugmtherapy,msuchmasmdigitalis,mcalciummchannelmblockers,mbet
a-
mblockers,msympatholyticmagents,mormantiarrhythmics.mAnothermpresentationmincludesmrecurrentmsupraven
tricularmtachycardiasmassociatedmwithmbradyarrhythmias.mProlongedmambulatorymmonitoringmmaymbemindi
catedmtomestablishmamdiagnosismofmthismcondition.mTreatmentmincludesminsertionmofmampermanentmcardiacm
pacemaker.
a. Atrialmfibrillationm(427.31)
b. Atrialmflutterm(427.32)
c. Paroxysmalmsupraventricularmtachycardiam(427.0)
d. Sickmsinusmsyndromem(SSS)m(427.81)
d.mSickmsinusmsyndromem(SSS)m(427.81)
CorrectmAnswer:mDmSSSmismthemimprecisemdiagnosismwithmvariousmcharacteristicsmtreatedmwithmtheminserti
onmofmampermanentmcardiacmpacemaker.mThemothermthreemconditionsmaremtreatedmwithmcardioversionmandm
differentmpharmacologicalmtherapym(Schraffenbergerm2012,m194-195).
7.
IdentifymthemICD-9-CMmdiagnosticmcodemformprimarymlocalizedmosteoarthrosismofm themhip.
a.m715.95
b.m715.15
c.m721.90
d.m715.16
b.m715.15
,AHIMA Certified Coding Associate (CCA) EXAM 2023 Complete
m m m m m m m
Solution.
CorrectmAnswer:mBmIndexmOsteoarthrosis,mlocalized,mprimary.mFormcategorym715,mrefermtomthemtablemfo
rmthemfifthmdigitmofm5mformpelvicmregionmandmthighm(Schraffenbergerm2012,m303-304).
8.
Amhealthmrecordmwithmdeficienciesmthatmismnotmcompletemwithinmthemtimeframemspecifiedminmthemmedicalm
staffmrulesmandmregulationsmismcalledma(n):
a. Suspendedmrecord
b. Delinquentmrecord
c. Pendingmrecord
d. Illegalmrecordm
CorrectmAnswer:m
B
Anmincompletemrecordmnotmrectifiedmwithinmamspecificmnumbermofmdaysmasmindicatedminmthemmedicalmstaff
mrulesmandmregulationsmismconsideredmtombemdelinquentm(Johnsm2011,m 412).
9.
AmhospitalmHIMmdepartmentmwantsmtompurchasemanmelectronicmsystemmthatmrecordsmthemlocationmofmh
ealthmrecordsmremovedmfrommthemfilingmsystemmandmdocumentsmthemdatemofmtheirmreturnmtomthemHIMm
department.mWhichmofmthemfollowingmelectronicmsystemsmwouldmfulfillmthismpurpose?
a. Chartmdeficiencymsystem
b. Chartmtrackingmsystem
c. Chartmabstractingmsystem
d. Chartmencoderm
CorrectmAnswer:m
B
Withmanmautomatedmtrackingmsystem,mitmismeasymtomtrackmhowmmanymrecordsmaremchargedmoutmofmthemsyst
em,mtheirmlocation,mandmwhethermtheymhavembeenmreturnedmonmthemduemdatesmindicatedm(Johnsm2011,m402
).
10.
IdentifymthemappropriatemICD-9-CMmdiagnosismcodemformLoumGehrig'smdisease.
a.m335.20
b.m334.8
c.m335.29
d.m335.2
CorrectmAnswer:mA
IndexmDisease,mLoumGehrig'smormLoumGehrig'smdisease.mAmyotrophicmlateralmsclerosismismanothermnam
emformLoumGehrig'smdisease.mManymdiseasesmcarrymthemnamemofmampersonmormanmeponym.mThemmainmte
rmsmformeponymsmaremlocatedminmthemAlphabeticmIndexmundermthemeponymmormthemdisease,msyndrome,
mormdisorderm(Schraffenbergerm2012,m 13).
11.
InmthemlaboratorymsectionmofmCPT,mifmamgroupmofmtestsmoverlapsmtwomormmorempanels,mreportmthempan
elmthatmincorporatesmthemgreatestmnumbermofmtestsmtomfulfillmthemcodemdefinition.mWhatmwouldmamcoder
mdomwithmthemremainingmtestm codesmthatm aremnotmpartm ofm ampanel?
a. Reportmthemremainingmtestsmusingmindividualmtestmcodes,maccordingmtomCPT.
, AHIMA Certified Coding Associate (CCA) EXAM 2023 Complete
m m m m m m m
Solution.
b. Domnotmreportmthemremainingmindividualmtestmcodes.
c. Reportmonlymthosemtestmcodesmthatmarempartmofmampanel.
d. Domnotmreportmamtestmcodemmoremthanmoncemregardlessmwhethermthemtestmwasmperformedmt
wice.mCorrectmAnswer:mA
Reportingmadditionalmtestmcodesmthatmoverlapmcodesminmampanelmallowsmthemcodermtomassignmallmappropria
temcodesmformservicesmprovided.mItmisminappropriatemtomassignmadditionalmpanelmcodesmwhenmallmcodesminm
thempanelmaremnotmperformed.mReportingmindividualmlabmcodesmismappropriatemwhenmallmcodesminmampanel
mhavemnotmbeenmprovidedm(AMAm2012b,m 402).
12.
Anmelectrolytempanelm(80051)minmthemlaboratorymsectionmofmCPTmconsistsmofmtestsmformcarbonmdioxidem(823
74),mchloridem(82435),mpotassiumm(84132),mandmsodiumm(84295).mIfmeachmofmthemcomponentmcodesmaremre
portedmandmbilledmindividuallymonmamclaimmform,mthismwouldmbemamformmof:
a. Optimizing
b. Unbundling
c. Sequencing
d. ClassifyingmCor
rectmAnswer:mB
Unbundlingmoccursmwhenmampanelmcodemexistsmandmthemindividualmtestsmaremreportedmrathermthanmthem
panelmcodem(AMAm2012b,m402).
13.
Coronarymarteriographymservesmasmamdiagnosticmtoolminmdetectingmobstructionmwithinmthemcoronarymarteries.m
Identifymthemtechniquemusingmtwomcathetersminsertedmpercutaneouslymthroughmthemfemoralm artery.
a. Combinedmrightmandmleftm(88.54)
b. Stonesm(88.55)
c. Judkinsm(88.56)
d. Othermandmunspecifiedm(88.5
7)mCorrectmAnswer:mC
ThemJudkinsmtechniquemprovidesmx-
raymimagingmofmthemcoronarymarteriesmbymintroducingmonemcathetermintomthemfemoralmarterymwithmmaneuv
eringmupmintomthemleftmcoronarymarterymorifice,mfollowedmbymamsecondmcathetermguidedmupmintomthemrightmc
oronarymartery,mandmsubsequentminjectionmofmamcontrastmmaterialm(Schraffenbergerm2012,m206).
Ensuringmthemcontinuitymofmfuturemcarembymprovidingminformationmtomthempatient'smattendingmphysician,mr
eferringmphysician,mandmanymconsultingmphysiciansmismamfunctionmofmthe:
a. Dischargemsummary
b. Autopsymreport
c. Incidentmreport
d. Consentmtomtreatment
m m m m m m m
Solution.
1.
Am65-year-
oldmwhitemmalemwasmadmittedmtomthemhospitalmonm1/15mcomplainingmofmabdominalmpain.mThemattendingmph
ysicianmrequestedmanmuppermGImseriesmandmlaboratorymevaluationmofmCBCmandmUA.mThemx-
raymrevealedmpossiblemcholelithiasis,mandmthemUAmshowedmanm increasedmwhitembloodmcellmcount.mThempati
entmwasmtakenmtomsurgerymformanmexploratorymlaparoscopy,mandmamrupturedmappendixmwasmdiscovered.mTh
emchiefmcomplaintmwas:
a. Rupturedmappendix
b. Exploratorymlaparoscopy
c. Abdominalmpain
d. Cholelithiasis
c.mAbdominalmpain
Themnaturemandmdurationmofmthemsymptomsmthatmcausedmthempatientmtomseekmmedicalmattentionmasmstat
edminmthempatient'smownmwordsm(Odom-Wesleymetmal.m2009,m331).
2.
84.mAnmindividualmstolemandmusedmanothermperson'sminsuranceminformationmtomobtainmmedicalmcare.m
Thismactionmwouldmbemconsidered:
a. Violationmofmbioethics
b. Fraudmandmabuse
c. Medicalmidentitymtheft
d. Abuse
c.mMedicalmidentitymtheft
CorrectmAnswer:m84.mc.mMedicalmidentitymtheftmoccursmwhenmsomeonemusesmamperson'smnamemandmsomet
imesmothermpartsmofmtheirmidentitymwithoutmthemvictim'smknowledgemormconsentmtomobtainmmedicalmservicesm
ormgoodsm(Johnsm2011,m773).
3.
IdentifymthemICD-9-CMmdiagnosticmcode(s)mformacutemosteomyelitismofm anklemduemtomStaphylococcus.
a.m730.06
b.m730.07
c.m730.07,m041.1
d.m730.07,m041.10
d.m730.07,m041.10
CorrectmAnswer:mDmIndexmOsteomyelitis,macutemormsubacute.mRefermtomthemtableminmthemIndexmformthemfifth
mdigitm5,m anklemandmfoot.mInfection,m staphylococcalm NECm(Schraffenbergerm2012,m305-306).
4.
Amsystemmthatmprovidesmalertsmandmremindersmtomcliniciansmisma(n):
a. Clinicalmdecisionmsupportmsystem
b. Electronicmdataminterchange
,AHIMA Certified Coding Associate (CCA) EXAM 2023 Complete
m m m m m m m
Solution.
c. Pointmofmcaremchartingmsystem
d. Knowledgemdatabase
CorrectmAnswer:mAmClinicalmdecisionmsupportmincludesmprovidingmdocumentationmofmclinicalmfindingsmandm
procedures,mactivemremindersmaboutmmedicationmadministration,msuggestionsmformprescribingmlessmexpen
sivembutm equallymeffectivemdrugs,m protocolsmformcertainmhealthmmaintenancemprocedures,m alertsmthatmamdu
plicatemlabmtestmismbeingmordered,mandmcountlessmothermdecision-
makingmaidsmformallmstakeholdersminmthemcaremprocessm(Johnsm2011,m138).
5.
Whatmdoesmanmauditmtrailmcheckmfor?
a. Unauthorizedmaccessmtomamsystem
b. Lossmofm data
c. Presencemofm amvirus
d. Successfulmcompletionmofmambacku
pmCorrectmAnswer:mA
Auditmtrailsmcanmprovidemtrackingminformationmsuchmasmwhomaccessedmwhichmrecordsmandmformwhatmpurpos
em(Johnsm2011,m403).
6.
Thismismamconditionmwithmanmimprecisemdiagnosismwithmvariousmcharacteristics.mThemconditionmmaymbemdi
agnosedmwhenmampatientmpresentsmwithmsinusmarrest,msinoatrialmexitmblock,mormpersistentmsinusmbradycard
ia.mThismsyndromemismoftenmthemresultmofmdrugmtherapy,msuchmasmdigitalis,mcalciummchannelmblockers,mbet
a-
mblockers,msympatholyticmagents,mormantiarrhythmics.mAnothermpresentationmincludesmrecurrentmsupraven
tricularmtachycardiasmassociatedmwithmbradyarrhythmias.mProlongedmambulatorymmonitoringmmaymbemindi
catedmtomestablishmamdiagnosismofmthismcondition.mTreatmentmincludesminsertionmofmampermanentmcardiacm
pacemaker.
a. Atrialmfibrillationm(427.31)
b. Atrialmflutterm(427.32)
c. Paroxysmalmsupraventricularmtachycardiam(427.0)
d. Sickmsinusmsyndromem(SSS)m(427.81)
d.mSickmsinusmsyndromem(SSS)m(427.81)
CorrectmAnswer:mDmSSSmismthemimprecisemdiagnosismwithmvariousmcharacteristicsmtreatedmwithmtheminserti
onmofmampermanentmcardiacmpacemaker.mThemothermthreemconditionsmaremtreatedmwithmcardioversionmandm
differentmpharmacologicalmtherapym(Schraffenbergerm2012,m194-195).
7.
IdentifymthemICD-9-CMmdiagnosticmcodemformprimarymlocalizedmosteoarthrosismofm themhip.
a.m715.95
b.m715.15
c.m721.90
d.m715.16
b.m715.15
,AHIMA Certified Coding Associate (CCA) EXAM 2023 Complete
m m m m m m m
Solution.
CorrectmAnswer:mBmIndexmOsteoarthrosis,mlocalized,mprimary.mFormcategorym715,mrefermtomthemtablemfo
rmthemfifthmdigitmofm5mformpelvicmregionmandmthighm(Schraffenbergerm2012,m303-304).
8.
Amhealthmrecordmwithmdeficienciesmthatmismnotmcompletemwithinmthemtimeframemspecifiedminmthemmedicalm
staffmrulesmandmregulationsmismcalledma(n):
a. Suspendedmrecord
b. Delinquentmrecord
c. Pendingmrecord
d. Illegalmrecordm
CorrectmAnswer:m
B
Anmincompletemrecordmnotmrectifiedmwithinmamspecificmnumbermofmdaysmasmindicatedminmthemmedicalmstaff
mrulesmandmregulationsmismconsideredmtombemdelinquentm(Johnsm2011,m 412).
9.
AmhospitalmHIMmdepartmentmwantsmtompurchasemanmelectronicmsystemmthatmrecordsmthemlocationmofmh
ealthmrecordsmremovedmfrommthemfilingmsystemmandmdocumentsmthemdatemofmtheirmreturnmtomthemHIMm
department.mWhichmofmthemfollowingmelectronicmsystemsmwouldmfulfillmthismpurpose?
a. Chartmdeficiencymsystem
b. Chartmtrackingmsystem
c. Chartmabstractingmsystem
d. Chartmencoderm
CorrectmAnswer:m
B
Withmanmautomatedmtrackingmsystem,mitmismeasymtomtrackmhowmmanymrecordsmaremchargedmoutmofmthemsyst
em,mtheirmlocation,mandmwhethermtheymhavembeenmreturnedmonmthemduemdatesmindicatedm(Johnsm2011,m402
).
10.
IdentifymthemappropriatemICD-9-CMmdiagnosismcodemformLoumGehrig'smdisease.
a.m335.20
b.m334.8
c.m335.29
d.m335.2
CorrectmAnswer:mA
IndexmDisease,mLoumGehrig'smormLoumGehrig'smdisease.mAmyotrophicmlateralmsclerosismismanothermnam
emformLoumGehrig'smdisease.mManymdiseasesmcarrymthemnamemofmampersonmormanmeponym.mThemmainmte
rmsmformeponymsmaremlocatedminmthemAlphabeticmIndexmundermthemeponymmormthemdisease,msyndrome,
mormdisorderm(Schraffenbergerm2012,m 13).
11.
InmthemlaboratorymsectionmofmCPT,mifmamgroupmofmtestsmoverlapsmtwomormmorempanels,mreportmthempan
elmthatmincorporatesmthemgreatestmnumbermofmtestsmtomfulfillmthemcodemdefinition.mWhatmwouldmamcoder
mdomwithmthemremainingmtestm codesmthatm aremnotmpartm ofm ampanel?
a. Reportmthemremainingmtestsmusingmindividualmtestmcodes,maccordingmtomCPT.
, AHIMA Certified Coding Associate (CCA) EXAM 2023 Complete
m m m m m m m
Solution.
b. Domnotmreportmthemremainingmindividualmtestmcodes.
c. Reportmonlymthosemtestmcodesmthatmarempartmofmampanel.
d. Domnotmreportmamtestmcodemmoremthanmoncemregardlessmwhethermthemtestmwasmperformedmt
wice.mCorrectmAnswer:mA
Reportingmadditionalmtestmcodesmthatmoverlapmcodesminmampanelmallowsmthemcodermtomassignmallmappropria
temcodesmformservicesmprovided.mItmisminappropriatemtomassignmadditionalmpanelmcodesmwhenmallmcodesminm
thempanelmaremnotmperformed.mReportingmindividualmlabmcodesmismappropriatemwhenmallmcodesminmampanel
mhavemnotmbeenmprovidedm(AMAm2012b,m 402).
12.
Anmelectrolytempanelm(80051)minmthemlaboratorymsectionmofmCPTmconsistsmofmtestsmformcarbonmdioxidem(823
74),mchloridem(82435),mpotassiumm(84132),mandmsodiumm(84295).mIfmeachmofmthemcomponentmcodesmaremre
portedmandmbilledmindividuallymonmamclaimmform,mthismwouldmbemamformmof:
a. Optimizing
b. Unbundling
c. Sequencing
d. ClassifyingmCor
rectmAnswer:mB
Unbundlingmoccursmwhenmampanelmcodemexistsmandmthemindividualmtestsmaremreportedmrathermthanmthem
panelmcodem(AMAm2012b,m402).
13.
Coronarymarteriographymservesmasmamdiagnosticmtoolminmdetectingmobstructionmwithinmthemcoronarymarteries.m
Identifymthemtechniquemusingmtwomcathetersminsertedmpercutaneouslymthroughmthemfemoralm artery.
a. Combinedmrightmandmleftm(88.54)
b. Stonesm(88.55)
c. Judkinsm(88.56)
d. Othermandmunspecifiedm(88.5
7)mCorrectmAnswer:mC
ThemJudkinsmtechniquemprovidesmx-
raymimagingmofmthemcoronarymarteriesmbymintroducingmonemcathetermintomthemfemoralmarterymwithmmaneuv
eringmupmintomthemleftmcoronarymarterymorifice,mfollowedmbymamsecondmcathetermguidedmupmintomthemrightmc
oronarymartery,mandmsubsequentminjectionmofmamcontrastmmaterialm(Schraffenbergerm2012,m206).
Ensuringmthemcontinuitymofmfuturemcarembymprovidingminformationmtomthempatient'smattendingmphysician,mr
eferringmphysician,mandmanymconsultingmphysiciansmismamfunctionmofmthe:
a. Dischargemsummary
b. Autopsymreport
c. Incidentmreport
d. Consentmtomtreatment
