AHIMA CCA EXAM 2 LATEST 2025 ACTUAL EXAM WITH COMPLETE
QUESTIONS AND 100%CORRECT DETAILED ANSWERS|ALREADY
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An addendum may be included in the medical record to update or
supplement documentation that has been recorded (AHIMA
2008b, 83-88).
37.
Observation E/M codes (99218-99220) are used in physician
billing when:
a. A patient is admitted and discharged on the same date.
b. A patient is admitted for routine nursing care following surgery.
c. A patient does not meet admission criteria.
d. A patient is referred to a designated observation status. -
ANSWER-Correct Answer: D
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See instructional notes preceding code 99217. In order to report
these codes, the admission order must designate observation
status. Whether the patient meets admission criteria or is
admitted following surgery does not affect the observation code
selection. If the patient is admitted and discharged on the same
date, codes 99234-99236 are appropriate (AMA 2012b, 13).
38.
When coding a selective catheterization in CPT, how are codes
assigned?
a. One code for each vessel entered
b. One code for the point of entry vessel
c. One code for the final vessel entered
d. One code for the vessel of entry and one for the final vessel,
with intervening vessels not coded - ANSWER-Correct Answer: C
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The only vessel coded is the final vessel entered. See
instructional note preceding code 36000. Intermediate steps along
the way are not reported (AHIMA 2012a, 604).
When a state law is more stringent than a federal law, hospitals
must comply with both (Odom-Wesley et al. 2009, 68).
54.
What should be done when the HIM department's error or
accuracy rate is deemed unacceptable?
a. A corrective action should be taken.
b. The problem should be treated as an isolated incident.
c. The formula for determining the rate may need to be adjusted.
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d. Re-audit the problem area. - ANSWER-Correct Answer: A
Corrective action should be taken when error or accuracy rates
are deemed to be at an unacceptable rate (Johns 2011, 417).
55.
Identify the correct ICD-9-CM diagnosis code(s) for a patient with
sepsis due to Staphylococcus aureus septicemia.
a. 038.11, 995.91
b. 995.91, 038.11
c. 038.11
d. 038.11, 995.92 - ANSWER-Correct Answer: A
038.11, Septicemia, Staphylococcus aureus, and 995.91, Sepsis.
The "Code first" note following code 995.91 directs the coder to