CCA Exam Prep | 178 Questions and Answers
Which of the following Centers for Medicare and Medicaid Services (CMS) is
organizations is responsible responsible for updating ICD- 10-PCS
for updating the procedure
classification of ICD-10-
PCS?
Coding accuracy is anticipated Expanding codes to capture more detail in several sections
to improve due to which ICD- such as injury, diabetes, and postoperative complications
10-CM enhancement?
Which character in an ICD- Seventh character provides information about encounter of
10-CM diagnosis code care, such as intial encounter, subsequent encounter, or
provides information sequelae
regarding encounter of
care?
What does the fourth Fourth character capture etiology, fifth capture anatomic
character of an ICD- 10-CM site, and sixth capture severity
diagnosis code capture?
ICD-10-CM codes must be a At least three characters with a decimal point used after the 3rd
minimum of how many character
characters
To which of the following When a note appears under a 3-character code, it applies to
do notes appearing under a all codes within that category
3-character code apply?
Which volume of ICD-10-CM None since the development of ICD-10-PCS
contains the Tabular and
Alphabetic Index of
procedures?
Identify the correct diagnosis Lipoma, face = D17.0
code for lipoma of the face:
Identify the correct diagnosis Adenoma, adrenal (cortex) =
code(s) for adenoma of left D35.02 Syndrome, Conn =
adrenal cortex with Conn's E26.01
syndrome:
,Which of the following is CPT is a comprehensive descriptive listing of terms an codes
a standard terminology for reporting diagnostic and therapeutic procedures and
used to code medical medical services.
procedures and services?
Identify the appropriate ICD- Contusion, cerebral - see Contusion, brain. Add 6th
10-CM diagnosis code for right character "1" for loss of consciousness of 30 minutes for less,
cerebral contusion with 15 7th character for initial encounter = S06.311A
minute loss of consciousness,
initial encounter for care:
If a patient has en excision of Diameter of the lesion as well as the most narrow margins
a malignant lesion of the required to adequately excise the lesion described in the
skin, the CPT code is operative report
determined by the body
area from which the
excision occurs and which
of the following?
According to CPT, a repair of Complex closures include the repair of wounds requiring
a laceration that includes more that layered closure, namely, scar revision,
retention sutures would be debridement, extensive undermining, stents, or retention
considered what type of closure? sutures.
Patient is admitted with Miscarriage: Retained POC following an abortion
spotting, had been treated (Subsequent admissions for retained POC following any type
two weeks previously for of abortion are assigned the appropriate code from category
miscarriage with sepsis. O03 [spont. abn.] or O07.4 [failed attempted term. of pg. w/o
Sepsis resolved, she is comp.] and Z33.2 [encounter for elect. term of pg]. This
afebrile at this time, treated advice is appropriate even when the patient was discharged
with an aspiration D&C, and prev. with discharge diagnosis of complete ab.
POC are found. Which of the
following should be the PD?
An 80-year-old female is Since urosepsis is nonspecific and not codable in ICD-10-
admitted with fever, CM, it cannot be considered synonymous with sepsis, and
lethargy, hypotension, therefore the physician should be queried.
tachycardia, oliguria,
elevated WBC, and more
than 100K organisms of E.
coli per cc of urine. Attending
physician documents
"urosepsis". How should
coder proceed to code?
65yo patient with history of If a tx is directed at the malignancy, designate the
lung cancer is admitted to malignancy as the PD with the only exception to this
healthcare facility with guideline being if the pt admission or encounter is solely
ataxia, syncope, and a for the administration of chemo, immunotherapy, or
fractured arm as a result radiation, then assign the appropriate Z51.- code as the first-
, from falling. Pt undergoes listed or PD an the diagnosis or problem for which the service
closed reduction of fracture in is being performed as a secondary diagnosis.
the ED and undergoes
complete workup for
metastatic carcinoma of the
brain. Pt is found to have
metastatic carcinoma of the
lung to brain and undergoes
radiation therapy to brain.
Which of the following would
be the PD in this case?
Pt was admitted for Infectious gastroenteritis; COPD; angina
abdominal pain with diarrhea
and was diagnosed with
infectious gastroenteritis. Pt
also has angina and COPD.
Which of the following
would be the correct coding
and sequencing for this
case?
Which of the following Centers for Medicare and Medicaid Services (CMS) is
organizations is responsible responsible for updating ICD- 10-PCS
for updating the procedure
classification of ICD-10-
PCS?
Coding accuracy is anticipated Expanding codes to capture more detail in several sections
to improve due to which ICD- such as injury, diabetes, and postoperative complications
10-CM enhancement?
Which character in an ICD- Seventh character provides information about encounter of
10-CM diagnosis code care, such as intial encounter, subsequent encounter, or
provides information sequelae
regarding encounter of
care?
What does the fourth Fourth character capture etiology, fifth capture anatomic
character of an ICD- 10-CM site, and sixth capture severity
diagnosis code capture?
ICD-10-CM codes must be a At least three characters with a decimal point used after the 3rd
minimum of how many character
characters
To which of the following When a note appears under a 3-character code, it applies to
do notes appearing under a all codes within that category
3-character code apply?
Which volume of ICD-10-CM None since the development of ICD-10-PCS
contains the Tabular and
Alphabetic Index of
procedures?
Identify the correct diagnosis Lipoma, face = D17.0
code for lipoma of the face:
Identify the correct diagnosis Adenoma, adrenal (cortex) =
code(s) for adenoma of left D35.02 Syndrome, Conn =
adrenal cortex with Conn's E26.01
syndrome:
,Which of the following is CPT is a comprehensive descriptive listing of terms an codes
a standard terminology for reporting diagnostic and therapeutic procedures and
used to code medical medical services.
procedures and services?
Identify the appropriate ICD- Contusion, cerebral - see Contusion, brain. Add 6th
10-CM diagnosis code for right character "1" for loss of consciousness of 30 minutes for less,
cerebral contusion with 15 7th character for initial encounter = S06.311A
minute loss of consciousness,
initial encounter for care:
If a patient has en excision of Diameter of the lesion as well as the most narrow margins
a malignant lesion of the required to adequately excise the lesion described in the
skin, the CPT code is operative report
determined by the body
area from which the
excision occurs and which
of the following?
According to CPT, a repair of Complex closures include the repair of wounds requiring
a laceration that includes more that layered closure, namely, scar revision,
retention sutures would be debridement, extensive undermining, stents, or retention
considered what type of closure? sutures.
Patient is admitted with Miscarriage: Retained POC following an abortion
spotting, had been treated (Subsequent admissions for retained POC following any type
two weeks previously for of abortion are assigned the appropriate code from category
miscarriage with sepsis. O03 [spont. abn.] or O07.4 [failed attempted term. of pg. w/o
Sepsis resolved, she is comp.] and Z33.2 [encounter for elect. term of pg]. This
afebrile at this time, treated advice is appropriate even when the patient was discharged
with an aspiration D&C, and prev. with discharge diagnosis of complete ab.
POC are found. Which of the
following should be the PD?
An 80-year-old female is Since urosepsis is nonspecific and not codable in ICD-10-
admitted with fever, CM, it cannot be considered synonymous with sepsis, and
lethargy, hypotension, therefore the physician should be queried.
tachycardia, oliguria,
elevated WBC, and more
than 100K organisms of E.
coli per cc of urine. Attending
physician documents
"urosepsis". How should
coder proceed to code?
65yo patient with history of If a tx is directed at the malignancy, designate the
lung cancer is admitted to malignancy as the PD with the only exception to this
healthcare facility with guideline being if the pt admission or encounter is solely
ataxia, syncope, and a for the administration of chemo, immunotherapy, or
fractured arm as a result radiation, then assign the appropriate Z51.- code as the first-
, from falling. Pt undergoes listed or PD an the diagnosis or problem for which the service
closed reduction of fracture in is being performed as a secondary diagnosis.
the ED and undergoes
complete workup for
metastatic carcinoma of the
brain. Pt is found to have
metastatic carcinoma of the
lung to brain and undergoes
radiation therapy to brain.
Which of the following would
be the PD in this case?
Pt was admitted for Infectious gastroenteritis; COPD; angina
abdominal pain with diarrhea
and was diagnosed with
infectious gastroenteritis. Pt
also has angina and COPD.
Which of the following
would be the correct coding
and sequencing for this
case?
