CCA EXAM PREP WITH QUESTIONS AND WELL VERIFIED
ANSWERS 2025 ACTUAL !!!!
You are conducting an educational session on benchmarking. You tell your audience that the key to
benchmarking is to use the comparison to? - -------CORRECT ANSWER------------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? - -------CORRECT
ANSWER------------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? - -
------CORRECT ANSWER------------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) - -------CORRECT ANSWER------------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? - -------CORRECT ANSWER------------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 - -------CORRECT ANSWER------------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? - -------CORRECT ANSWER------------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 - -------CORRECT ANSWER------------Database
A single lung transplant without cardiopulmonary bypass. (Code for physician using CPT procedure only)
- -------CORRECT ANSWER------------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? - -------CORRECT ANSWER------------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? - -------CORRECT ANSWER------------Brachytherapy
External Beam Radiation - -------CORRECT ANSWER------------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. - -------CORRECT ANSWER------------
Stereotactic body radiation therapy (SBRT) or Stereotactic ablative radiotherapy
The nose, mouth, sinuses, pharynx, & larynx make up the? -------CORRECT ANSWER------------- 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 - -------CORRECT ANSWER------------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. - -------CORRECT ANSWER-----------
-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 - -------CORRECT ANSWER------------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) - -------CORRECT ANSWER------------33430 Replacement,
mitralvalve, with cardiopulmonary bypass
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. - -------
CORRECT ANSWER------------Proton Beam Treatment
ANSWERS 2025 ACTUAL !!!!
You are conducting an educational session on benchmarking. You tell your audience that the key to
benchmarking is to use the comparison to? - -------CORRECT ANSWER------------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? - -------CORRECT
ANSWER------------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? - -
------CORRECT ANSWER------------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) - -------CORRECT ANSWER------------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? - -------CORRECT ANSWER------------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 - -------CORRECT ANSWER------------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? - -------CORRECT ANSWER------------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 - -------CORRECT ANSWER------------Database
A single lung transplant without cardiopulmonary bypass. (Code for physician using CPT procedure only)
- -------CORRECT ANSWER------------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? - -------CORRECT ANSWER------------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? - -------CORRECT ANSWER------------Brachytherapy
External Beam Radiation - -------CORRECT ANSWER------------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. - -------CORRECT ANSWER------------
Stereotactic body radiation therapy (SBRT) or Stereotactic ablative radiotherapy
The nose, mouth, sinuses, pharynx, & larynx make up the? -------CORRECT ANSWER------------- 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 - -------CORRECT ANSWER------------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. - -------CORRECT ANSWER-----------
-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 - -------CORRECT ANSWER------------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) - -------CORRECT ANSWER------------33430 Replacement,
mitralvalve, with cardiopulmonary bypass
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. - -------
CORRECT ANSWER------------Proton Beam Treatment
