CCA Exam Preparation Domains 1, 2, 3, 4, 5, & 6 Practice Test
1. 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: a. Miscarriage
2. 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: d. Diameter of
the lesion as well as the most narrow margins required to adequately excise the
lesion described in the operative report
,3. 3. A patient is admitted to the hospital with shortness of breath and con-
gestive 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 manage-
ment
d. Shortness of breath, congestive heart failure, respiratory failure, ventilator
management: a. Congestive heart failure, respiratory failure, ventilator manage-
ment
4. 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: a. CPT
5. 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: b. 58559
6. 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: b. 46930
7. 7.00Identify 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: b. C43.61
8. 8. A female patient is admitted for stress incontinence. A urethral suspen-
sion 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: c. N39.3, 0TSD0ZZ
9. 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: b. Cholecystitis
1. 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: a. Miscarriage
2. 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: d. Diameter of
the lesion as well as the most narrow margins required to adequately excise the
lesion described in the operative report
,3. 3. A patient is admitted to the hospital with shortness of breath and con-
gestive 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 manage-
ment
d. Shortness of breath, congestive heart failure, respiratory failure, ventilator
management: a. Congestive heart failure, respiratory failure, ventilator manage-
ment
4. 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: a. CPT
5. 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: b. 58559
6. 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: b. 46930
7. 7.00Identify 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: b. C43.61
8. 8. A female patient is admitted for stress incontinence. A urethral suspen-
sion 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: c. N39.3, 0TSD0ZZ
9. 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: b. Cholecystitis
