CCA Exam Preparation Domains 1, 2, 3, 4, 5, & 6
Practice Test Questions and Correct Answers | Latest
Update
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
Assignment Expert
b. Complications of spontaneous abortion with sepsis
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c. Sepsis
d. Spontaneous abortion with sepsis Ans: a. Miscarriage
2. If a patient has an excision of a malignant lesion of the skin, the CPT
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code is determined by the body area from which the excision occurs and
which of the following?
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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 Ans: d.
Diameter of the lesion as well as the most narrow margins required to
adequately excise the lesion described in the operative report
3. A patient is admitted to the hospital with shortness of breath and
congestive heart failure. The patient subsequently develops respiratory
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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
management
d. Shortness of breath, congestive heart failure, respiratory failure,
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ventilator management Ans: a. Congestive heart failure, respiratory
failure, ventilator management
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4. Which of the following is a standard terminology used to code medical
procedures and services?
a. CPT
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b. HCPCS
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c. ICD-10-PCS
d. SNOMED CT Ans: a. CPT
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 Ans: b. 58559
6. What is the correct CPT code assignment for destruction of internal
hemorrhoids with use of infrared coagulation?
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a. 46255
b. 46930
c. 46260
d. 46945 Ans: b. 46930
7.00Identify the diagnosis code(s) for melanoma of skin of right
shoulder.
a. D03.61, C43.61
Assignment Expert
b. C43.61
c. C43.60
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d. D03.61 Ans: b. C43.61
8. A female patient is admitted for stress incontinence. A urethral
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suspension to reposition the urethra via open approach is performed.
Assign the correct ICD-10-CM diagnosis and/or procedure codes.
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a. N39.3, 0TJB8ZZ
b. N23, 0TSD0ZZ
c. N39.3, 0TSD0ZZ
d. R32, 0TSD4ZZ Ans: c. N39.3, 0TSD0ZZ
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
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c. Hypertension
d. Diabetes Ans: b. Cholecystitis
10. Reference codes 49491 through 49525 for inguinal hernia repair.
Patient is 47 years old. What is the correct code for an initial inguinal
herniorrhaphy for incarcerated hernia?
a. 49496
b. 49501
c. 49507
Assignment Expert
d. 49521 Ans: c. 49507
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11. A patient was admitted for abdominal pain with diarrhea and was
diagnosed with infectious gastroenteritis. The patient also has angina
and chronic obstructive pulmonary disease. Which of the following would
be the correct coding and sequencing for this case?
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a. Abdominal pain; infectious gastroenteritis; chronic obstructive
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pulmonary disease; angina
b. Infectious gastroenteritis; chronic obstructive pulmonary disease;
angina
c. Gastroenteritis; abdominal pain; angina
d. Gastroenteritis; abdominal pain; diarrhea; chronic obstructive
pulmonary disease; angina Ans: b. Infectious gastroenteritis; chronic
obstructive pulmonary disease; angina
12. A 65-year-old female was admitted to the hospital. She was diagnosed
with sepsis secondary to Staphylococcus aureus and abdominal pain
secondary to diverticulitis of the colon. What is the correct code
assignment?