CCA Exam Preparation Domains 1, 2, 3, 4, 5,
& 6 Practice Test 2026 Complete Questions
and Detailed Answers|Graded A+
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 - ANSWER✔✔ a.Miscarriage
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 -
ANSWER✔✔ 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 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,
ventilator management - ANSWER✔✔ a. Congestive heart failure,
respiratory failure, ventilator management
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 - ANSWER✔✔ 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 - ANSWER✔✔ b. 58559
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 - ANSWER✔✔ b. 46930
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 - ANSWER✔✔ b. C43.61
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
b. N23, 0TSD0ZZ
c. N39.3, 0TSD0ZZ
d. R32, 0TSD4ZZ - ANSWER✔✔ 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
c. Hypertension
d. Diabetes - ANSWER✔✔ 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
& 6 Practice Test 2026 Complete Questions
and Detailed Answers|Graded A+
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 - ANSWER✔✔ a.Miscarriage
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 -
ANSWER✔✔ 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 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,
ventilator management - ANSWER✔✔ a. Congestive heart failure,
respiratory failure, ventilator management
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 - ANSWER✔✔ 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 - ANSWER✔✔ b. 58559
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 - ANSWER✔✔ b. 46930
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 - ANSWER✔✔ b. C43.61
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
b. N23, 0TSD0ZZ
c. N39.3, 0TSD0ZZ
d. R32, 0TSD4ZZ - ANSWER✔✔ 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
c. Hypertension
d. Diabetes - ANSWER✔✔ 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
