CCA CORE EXAM 2026 TEST QUESTIONS AND SOLUTIONS
RATED A+
✔✔Pt was admitted to hospital with symptoms of a stroke and secondary diagnoses of
COPD and hypertension. Pt was subsequently discharged from hospital with PD of
cerbral vascular accident and secondary diagnoses of catheter-associated urinary tract
infection, COPD, and hypertension. Which should NOT be tagged as POA? -
✔✔Catheter-associated urinary tract infection
✔✔What is a condition that arise during hospitalization? - ✔✔Complication
✔✔65 yo female was admitted to hospital and diagnosed with sepsis secondary to
Staphylococcus aureus and abdominal pain secondary to diverticulitis of the colon.
What is the correct code assignment? - ✔✔A41.01 - Sepsis, due to Staph. aureus
K57.92 - Diverticulitis
✔✔Patient had carcinoma of anterior bladder wall fulgurated 3 years ago and returns
yearly for cystoscopy to recheck for bladder tumor. Patient is currently admitted for a
routine check. A small recurring malignancy is found and fulgurated during the
cystoscopy procedure. What is the correct code assignment - ✔✔C67.3 - Neoplasm,
bladder, wall, anterior, malignancy 0T5B8ZZ - Fulguration (see Destruction), Bladder,
via Natural or Artificial Opening Endoscopic, No device or qualifier
✔✔Pt with dx of ventral hernia is admitted to undergo laparotomy with ventral hernia
repair and undergoes an incision in the abdominal wall, then develops bradycardia.
Surgeon does not indicate that it is a complication of surgery. The operative site is
closed without the repair of the hernia. What is the correct code assignment? -
✔✔K43.9 - Hernia, ventral
R00.1 - Bradycardia
Z53.09 - Procedure, not done, because of, contraindication
OWJF0ZZ - Inspection, abdominal wall, open, no device or qualifier (assigned to the
extent of the procedure, not the full laparotomy)
✔✔Codes used to assign a dx to a pt seeking health services but not necessarily sick: -
✔✔Z codes
✔✔Pt admitted through ED following fall from a ladder with painting an interior bathroom
in his farmhouse and had contusions of the scalp and face, and displaced open fracture
of anterior wall of rt acetabulum. Fracture site was excisionally debrided and fracture
was reduced by open procedure with internal fixation device inserted. What is correct
code assignment? - ✔✔S32.411B - Fracture, traumatic, acetabulum, wall, anterior,
displaced,right, initial encounter, open fracture
S00.03XA - Contusion, scalp, X place mark, initial encounter
S00.83XA - Contusion, face NEC, X place mark, initial encounter
,W11.XXXA - Ext. cause, fall/falling, from/off/out of, ladder, X place marks, initial
encounter
Y92.012 - Ext. cause, Place of occurrence, farm, house (see PoC, res, house),
bathroom
Y93.E9 - Ext. cause, activity, maintenance, household (int.) NEC
Y99.8 - Ext. cause, status, specified NEC
0QS404Z - Reduction (see Reposition), acetabulum, right, open, internal fixation device,
no qualifier
0QB40ZZ - Debridement, Excisional (see Excision), Acetabulum, rt, open, no device or
qualifier
✔✔Assign CPT code: Reposition of pacemaker electrode - ✔✔33215 - Pacemaker,
heart, repositioning, electrode
✔✔Assign CPT code: 58 yo male was seen in OutPt Surgical Center for extensive
destruction of penile lesion by laser: - ✔✔54065 - Lesion, penis, destruction, extensive
✔✔Pt returns during 90-day post-op period from ventral hernia repair now complaining
of eye pain. What modifier would physician setting use with the E/M code? - ✔✔-24
Unrelated service by same physician during a postoperative period
✔✔Pt admitted to an acute-care hospital for alcohol abuse and uncomplicated alcohol
withdrawal syndrome due to chronic alcoholism; blood alcohol level on adm was
10mg/100ml: - ✔✔F10.230 - Dependence, alcohol, with withdrawal, uncomplicated
Y90.0 - (F10, use add'l code Y90.0), blood alcohol level of less than 20mg/100ml
✔✔45 yo female is admitted to blood loss anemia due to dysfunctional uterine bleeding:
- ✔✔D50.0 - Anemia, due to, blood loss
N93.8 - Dysfunction, bleeding, uterine
✔✔Condition that has an imprecise dx with various characteristics: sinus arrest,
sinoatrial exit block, or persistent sinus bradycardia. Often the result of drug therapy
such as digitalis, calcium channel blockers, beta-blockers, sympatholytic agents, or
antiarrhythmics. Prolong ambulatory monitoring may be indicated to establish a dx of
the condition, and tx includes insertion of a permanent cardiac pacemaker: - ✔✔Sick
sinus syndrome (SSS) (I49.5)
✔✔ICD-10-PCS for coronary bypass of two sites, one using the left internal mammary
artery to left proximal anterior descending artery, and one using the right internal
mammary artery to the distal left anterior descending artery, both done via thoracotomy:
- ✔✔02100Z8, 02100Z9
, ✔✔Coronary arteriography serves as a diagnostic tool in detecting obstruction within
the coronary arteries, so ID the technique using two catheters inserted percutaneously
through the femoral artery: - ✔✔Judkins
✔✔ID ICD-10-CM definition "the expulsion of some, but not all, of the POC from the
uterus": - ✔✔Incomplete abortion
✔✔ICD-10-CM code(s) for threatened abortion with hemorrhage at 15 wks; home
undelivered: - ✔✔O20.0 - Abortion, threatened (hemorrhage is included in this code per
Include notes)
Z3A = Weeks of gestation (additional code for all pg/childbirth)
✔✔ICD-10-CM and ICD-10-PCS code(s) for 40 wk gestation, term pregnancy with poor
cervical dilatation; lower uterine segment cesarean delivery, open approach, with single
liveborn female: - ✔✔O62.0 - Delivery, complicated, by, dilation, cervix incomplete,
poor, or slow
Z37.0 - Outcome of delivery, single, liveborn
Z3A.40 - Weeks of gestation
10D00Z1 - Cesarean section (see Extraction, POC), open, no device, low cervical
✔✔ID infected ingrown toenail with paronychia of first toe of right foot - ✔✔L60.0 -
Ingrowing, nail (excludes paronychia)
L03.031 - Paronychia, see Cellulitis, digit, toe, see Cellulitis, toe, see tabular for right toe
✔✔ICD-10-CM for 6 mo-old child scheduled for clinic visit for routine well-child exam,
and physician documents "well child, born premature": - ✔✔Z00.129 - Examination,
child (over 28 days old)
P07.30 - Premature, infant
✔✔ICD-10-PCS code(s) for cystoscopy with diagnostic biopsy of bladder: -
✔✔0TBB8ZX - Excision, bladder, via natural or artificial opening/endoscopic, no device,
diagnostic qualifier
✔✔Payment system introduced on 1992 and replace Medicare's customary, prevailing,
and reasonable CPR payment system: - ✔✔Resource-based relative value scale
system (RBRVS) is the Fed's pymt system for physicians; classifies health services
based on cost of furnishing physicians' services in different settings, the skill and
training level req to perform services, and the time and risk involved
✔✔Best reference tool to determine how CPT codes should be assigned: - ✔✔AMA's
CPT Assistant newsletter
RATED A+
✔✔Pt was admitted to hospital with symptoms of a stroke and secondary diagnoses of
COPD and hypertension. Pt was subsequently discharged from hospital with PD of
cerbral vascular accident and secondary diagnoses of catheter-associated urinary tract
infection, COPD, and hypertension. Which should NOT be tagged as POA? -
✔✔Catheter-associated urinary tract infection
✔✔What is a condition that arise during hospitalization? - ✔✔Complication
✔✔65 yo female was admitted to hospital and diagnosed with sepsis secondary to
Staphylococcus aureus and abdominal pain secondary to diverticulitis of the colon.
What is the correct code assignment? - ✔✔A41.01 - Sepsis, due to Staph. aureus
K57.92 - Diverticulitis
✔✔Patient had carcinoma of anterior bladder wall fulgurated 3 years ago and returns
yearly for cystoscopy to recheck for bladder tumor. Patient is currently admitted for a
routine check. A small recurring malignancy is found and fulgurated during the
cystoscopy procedure. What is the correct code assignment - ✔✔C67.3 - Neoplasm,
bladder, wall, anterior, malignancy 0T5B8ZZ - Fulguration (see Destruction), Bladder,
via Natural or Artificial Opening Endoscopic, No device or qualifier
✔✔Pt with dx of ventral hernia is admitted to undergo laparotomy with ventral hernia
repair and undergoes an incision in the abdominal wall, then develops bradycardia.
Surgeon does not indicate that it is a complication of surgery. The operative site is
closed without the repair of the hernia. What is the correct code assignment? -
✔✔K43.9 - Hernia, ventral
R00.1 - Bradycardia
Z53.09 - Procedure, not done, because of, contraindication
OWJF0ZZ - Inspection, abdominal wall, open, no device or qualifier (assigned to the
extent of the procedure, not the full laparotomy)
✔✔Codes used to assign a dx to a pt seeking health services but not necessarily sick: -
✔✔Z codes
✔✔Pt admitted through ED following fall from a ladder with painting an interior bathroom
in his farmhouse and had contusions of the scalp and face, and displaced open fracture
of anterior wall of rt acetabulum. Fracture site was excisionally debrided and fracture
was reduced by open procedure with internal fixation device inserted. What is correct
code assignment? - ✔✔S32.411B - Fracture, traumatic, acetabulum, wall, anterior,
displaced,right, initial encounter, open fracture
S00.03XA - Contusion, scalp, X place mark, initial encounter
S00.83XA - Contusion, face NEC, X place mark, initial encounter
,W11.XXXA - Ext. cause, fall/falling, from/off/out of, ladder, X place marks, initial
encounter
Y92.012 - Ext. cause, Place of occurrence, farm, house (see PoC, res, house),
bathroom
Y93.E9 - Ext. cause, activity, maintenance, household (int.) NEC
Y99.8 - Ext. cause, status, specified NEC
0QS404Z - Reduction (see Reposition), acetabulum, right, open, internal fixation device,
no qualifier
0QB40ZZ - Debridement, Excisional (see Excision), Acetabulum, rt, open, no device or
qualifier
✔✔Assign CPT code: Reposition of pacemaker electrode - ✔✔33215 - Pacemaker,
heart, repositioning, electrode
✔✔Assign CPT code: 58 yo male was seen in OutPt Surgical Center for extensive
destruction of penile lesion by laser: - ✔✔54065 - Lesion, penis, destruction, extensive
✔✔Pt returns during 90-day post-op period from ventral hernia repair now complaining
of eye pain. What modifier would physician setting use with the E/M code? - ✔✔-24
Unrelated service by same physician during a postoperative period
✔✔Pt admitted to an acute-care hospital for alcohol abuse and uncomplicated alcohol
withdrawal syndrome due to chronic alcoholism; blood alcohol level on adm was
10mg/100ml: - ✔✔F10.230 - Dependence, alcohol, with withdrawal, uncomplicated
Y90.0 - (F10, use add'l code Y90.0), blood alcohol level of less than 20mg/100ml
✔✔45 yo female is admitted to blood loss anemia due to dysfunctional uterine bleeding:
- ✔✔D50.0 - Anemia, due to, blood loss
N93.8 - Dysfunction, bleeding, uterine
✔✔Condition that has an imprecise dx with various characteristics: sinus arrest,
sinoatrial exit block, or persistent sinus bradycardia. Often the result of drug therapy
such as digitalis, calcium channel blockers, beta-blockers, sympatholytic agents, or
antiarrhythmics. Prolong ambulatory monitoring may be indicated to establish a dx of
the condition, and tx includes insertion of a permanent cardiac pacemaker: - ✔✔Sick
sinus syndrome (SSS) (I49.5)
✔✔ICD-10-PCS for coronary bypass of two sites, one using the left internal mammary
artery to left proximal anterior descending artery, and one using the right internal
mammary artery to the distal left anterior descending artery, both done via thoracotomy:
- ✔✔02100Z8, 02100Z9
, ✔✔Coronary arteriography serves as a diagnostic tool in detecting obstruction within
the coronary arteries, so ID the technique using two catheters inserted percutaneously
through the femoral artery: - ✔✔Judkins
✔✔ID ICD-10-CM definition "the expulsion of some, but not all, of the POC from the
uterus": - ✔✔Incomplete abortion
✔✔ICD-10-CM code(s) for threatened abortion with hemorrhage at 15 wks; home
undelivered: - ✔✔O20.0 - Abortion, threatened (hemorrhage is included in this code per
Include notes)
Z3A = Weeks of gestation (additional code for all pg/childbirth)
✔✔ICD-10-CM and ICD-10-PCS code(s) for 40 wk gestation, term pregnancy with poor
cervical dilatation; lower uterine segment cesarean delivery, open approach, with single
liveborn female: - ✔✔O62.0 - Delivery, complicated, by, dilation, cervix incomplete,
poor, or slow
Z37.0 - Outcome of delivery, single, liveborn
Z3A.40 - Weeks of gestation
10D00Z1 - Cesarean section (see Extraction, POC), open, no device, low cervical
✔✔ID infected ingrown toenail with paronychia of first toe of right foot - ✔✔L60.0 -
Ingrowing, nail (excludes paronychia)
L03.031 - Paronychia, see Cellulitis, digit, toe, see Cellulitis, toe, see tabular for right toe
✔✔ICD-10-CM for 6 mo-old child scheduled for clinic visit for routine well-child exam,
and physician documents "well child, born premature": - ✔✔Z00.129 - Examination,
child (over 28 days old)
P07.30 - Premature, infant
✔✔ICD-10-PCS code(s) for cystoscopy with diagnostic biopsy of bladder: -
✔✔0TBB8ZX - Excision, bladder, via natural or artificial opening/endoscopic, no device,
diagnostic qualifier
✔✔Payment system introduced on 1992 and replace Medicare's customary, prevailing,
and reasonable CPR payment system: - ✔✔Resource-based relative value scale
system (RBRVS) is the Fed's pymt system for physicians; classifies health services
based on cost of furnishing physicians' services in different settings, the skill and
training level req to perform services, and the time and risk involved
✔✔Best reference tool to determine how CPT codes should be assigned: - ✔✔AMA's
CPT Assistant newsletter
