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 sepsisc. 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 congestive 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 management
4. 4. Which of the following is a standard terminology used to code medical procedures and services?
a. CPT
, CCA Exam Preparation Domains 1, 2, 3, 4, 5,
& 6 Practice Test
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 suspension to reposition the urethra via open approach is
performed. Assign the correct ICD-10-CM diagnosis and/or procedure codes.
a. N39.3, 0TJB8ZZ
, CCA Exam Preparation Domains 1, 2, 3, 4, 5,
& 6 Practice Test
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 assignmen
for this patient?
a. Abdominal pain
b. Cholecystitis
c. Hypertension
d. Diabetes: b. Cholecystitis
10. 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
d. 49521: c. 49507
11. 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?
a. Abdominal pain; infectious gastroenteritis; chronic obstructive 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: b. Infectious gastroenteritis; chronic obstructive pulmonary disease; angina
, CCA Exam Preparation Domains 1, 2, 3, 4, 5,
& 6 Practice Test
12. 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?
a. A41.89, K57.92, R10.9
b. A41.01, K57.92
c. A41.89, K57.92, A49.01
d. A41.9, K57.92: b. A41.01, K57.92
13. 13. Coding accuracy is anticipated to improve due to which ICD-10-CM enhancement?
a. Less combination codes
b. Increased cross referencing
c. Removal of laterality
d. Expanded codes that capture more detail: d. Expanded codes that capture more detail
14. 14. Patient with flank pain was admitted and found to have a calculus of the kidney. A ureteroscopy with placement of
bilateral ureteral stents was performed to expand the lumen so the stone could pass naturally. Assign the correct ICD-10-CM/PCS
diagnosis and procedure codes.
a. N20.0, N23, 0T788DZ
b. N23, N20.0, 0TC68ZZ, 0TC78ZZ
c. N20.0, 0T768DZ, 0T778DZ
d. N20.0, 0T788DZ: d. N20.0, 0T788DZ
15. 15. Code only a confirmed diagnosis of Zika virus (A92.5, Zika virus disease) as documented by the provider. In this context,
"confirmation" __________.
a. Does not require documentation of the type of test performed; the physi-cian's diagnostic statement that the condition is
confirmed is sufficient
b. Requires the documentation of the type of test in addition to the physician's diagnostic statement
& 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 sepsisc. 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 congestive 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 management
4. 4. Which of the following is a standard terminology used to code medical procedures and services?
a. CPT
, CCA Exam Preparation Domains 1, 2, 3, 4, 5,
& 6 Practice Test
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 suspension to reposition the urethra via open approach is
performed. Assign the correct ICD-10-CM diagnosis and/or procedure codes.
a. N39.3, 0TJB8ZZ
, CCA Exam Preparation Domains 1, 2, 3, 4, 5,
& 6 Practice Test
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 assignmen
for this patient?
a. Abdominal pain
b. Cholecystitis
c. Hypertension
d. Diabetes: b. Cholecystitis
10. 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
d. 49521: c. 49507
11. 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?
a. Abdominal pain; infectious gastroenteritis; chronic obstructive 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: b. Infectious gastroenteritis; chronic obstructive pulmonary disease; angina
, CCA Exam Preparation Domains 1, 2, 3, 4, 5,
& 6 Practice Test
12. 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?
a. A41.89, K57.92, R10.9
b. A41.01, K57.92
c. A41.89, K57.92, A49.01
d. A41.9, K57.92: b. A41.01, K57.92
13. 13. Coding accuracy is anticipated to improve due to which ICD-10-CM enhancement?
a. Less combination codes
b. Increased cross referencing
c. Removal of laterality
d. Expanded codes that capture more detail: d. Expanded codes that capture more detail
14. 14. Patient with flank pain was admitted and found to have a calculus of the kidney. A ureteroscopy with placement of
bilateral ureteral stents was performed to expand the lumen so the stone could pass naturally. Assign the correct ICD-10-CM/PCS
diagnosis and procedure codes.
a. N20.0, N23, 0T788DZ
b. N23, N20.0, 0TC68ZZ, 0TC78ZZ
c. N20.0, 0T768DZ, 0T778DZ
d. N20.0, 0T788DZ: d. N20.0, 0T788DZ
15. 15. Code only a confirmed diagnosis of Zika virus (A92.5, Zika virus disease) as documented by the provider. In this context,
"confirmation" __________.
a. Does not require documentation of the type of test performed; the physi-cian's diagnostic statement that the condition is
confirmed is sufficient
b. Requires the documentation of the type of test in addition to the physician's diagnostic statement
