CCA FINAL EXAM 2026 UPDATED QUESTIONS AND
SOLUTIONS RATED A+
✔✔32. Identify the correct diagnosis code(s) for adenoma of left adrenal cortex with
Conn's syndrome.
a. D35.02, E26.01
b. D35.02
c. E26.01
d. E26.01, D35.7 - ✔✔a. D35.02, E26.01
✔✔33. The patient was admitted to the outpatient department and had a bronchoscopy
with bronchial brushings performed.
a. 31622, 31640
b. 31622, 31623
c. 31623
d. 31625 - ✔✔c. 31623
✔✔34. A patient is admitted with abdominal pain. The physician documents the
discharge diagnosis as pancreatitis versus noncalculus cholecystitis. Both diagnoses
are equally treated. The correct coding and sequencing for this case would be:
a. Sequence either the pancreatitis or noncalculus cholecystitis as principal diagnosis
b. Pancreatitis; noncalculus cholecystitis; abdominal pain
c. Noncalculus cholecystitis; pancreatitis; abdominal pain
d. Abdominal pain; pancreatitis; noncalculus cholecystitis - ✔✔a. Sequence either the
pancreatitis or noncalculus cholecystitis as principal diagnosis
✔✔35. Identify the CPT code for a 42-year-old diagnosed with ESRD who requires
home dialysis for the month of April.
a. 90965
b. 90964
c. 90966
d. 90970 - ✔✔c. 90966
✔✔36. An encoder that takes a coder through a series of questions and choices is
called a(n):
a. Automated codebook
b. Automated code assignment
c. Logic-based encoder
d. Decision support database - ✔✔c. Logic-based encoder
,✔✔37. Patient admitted with left senile cortical cataract, diabetes mellitus, and
extracapsular cataract extraction with simultaneous insertion of synthetic intraocular
lens, via percutaneous approach.
a. H25.012, E11.36, 08DK3ZZ, 08RK3JZ
b. E11.9, H25.012
c. E11.9, H25.092
d. H25.012, E11.9, 08RK3JZ - ✔✔d. H25.012, E11.9, 08RK3JZ
✔✔38. The physician performs an exploratory laparotomy with bilateral salpingo-
oophorectomy. What is the correct CPT code assignment for this procedure?
a. 49000, 58940, 58700
b. 58940, 58720-50
c. 49000, 58720
d. 58720 - ✔✔d. 58720
✔✔39. The patient was admitted with major depression current episode severe,
recurrent. What is the correct ICD-10-CM diagnosis code assignment for this condition?
a. F33.2
b. F33.40
c. F32.9
d. F31.81 - ✔✔a. F33.2
✔✔40. An exception to the Excludes 1 definition is the circumstance when the two
conditions __________.
a. Are unrelated to each other.
b. Are related to each other.
c. Will not be assigned as the principal diagnosis.
d. Are injuries with external cause codes. - ✔✔a. Are unrelated to each other.
✔✔41. A patient is seen in the emergency department for chest pain. After evaluation of
the patient it is suspected that the patient may have gastroesophageal reflux disease
(GERD). The final diagnosis was "chest pain versus GERD." The correct ICD-10-CM
code is:
a. Z03.89 Encounter for observation for other suspected diseases and conditions ruled
out
b. R10.11 Right upper quadrant abdominal pain
c. K21.9 Gastro-esophageal reflux disease
d. R07.9 Chest pain, unspecified - ✔✔d. R07.9 Chest pain, unspecified
,✔✔42. Patient was admitted through the emergency department following a fall from a
ladder while painting an interior bathroom in his farmhouse. He had contusions of the
scalp and face and a displaced open fracture of the anterior wall of the right
acetabulum. The fracture site was excisionally debrided and the fracture was reduced
by open procedure with an internal fixation device inserted. Which is the correct code
assignment?
a. S32.411A, W11XXA, Y92.012, 0QS404Z, 0QB40ZZ
b. S32.411B, S00.03XA, S00.83XA, W11.XXXA, Y92.012, Y93.E9, Y99.8, 0QS404Z,
0QB40ZZ
c. S32.414A, W11.XXA, Y93.E9, Y99.8, 0QS304Z, 0QB50ZZ
d. S32.411B, W11.XXA, Y92.012, Y93.E9, 0QS404Z, 0QB50ZZ - ✔✔b. S32.411B,
S00.03XA, S00.83XA, W11.XXXA, Y92.012, Y93.E9, Y99.8, 0QS404Z, 0QB40ZZ
✔✔43. According to the UHDDS, which of the following is the definition of "other
diagnoses"?
a. Is recorded in the patient record
b. Is documented by the attending physician
c. Receives clinical evaluation or therapeutic treatment or diagnostic procedures or
extends the length of stay or increases nursing care and monitoring
d. Is documented by at least two physicians and the nursing staff - ✔✔c. Receives
clinical evaluation or therapeutic treatment or diagnostic procedures or extends the
length of stay or increases nursing care and monitoring
✔✔44. To which of the following do notes appearing under a three-character code
apply?
a. Only to category codes that are exactly three-characters long
b. To all codes within that category
c. Only to one specific code
d. To all codes within that chapter - ✔✔b. To all codes within that category
✔✔45. Patient had carcinoma of the anterior bladder wall fulgurated three years ago.
The patient returns yearly for a 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. Which is the correct code assignment?
a. C67.3, Z85.51, 0T5B8ZZ, 0TJB8ZZ
b. C79.11, 0T5B8ZZ
c. C67.3, 0T5B8ZZ
d. C79.11, C67.3, 0T5B8ZZ - ✔✔c. C67.3, 0T5B8ZZ
✔✔46. If the documentation in a medical record does not indicate the type of diabetes
but does indicate that the patient uses insulin, __________.
, a. Code E10, Type 1 diabetes mellitus, should be assigned.
b. Code E11, Type 2 diabetes mellitus, should be assigned.
c. Query the endocrinologist or attending physician.
d. Check the physician orders or medical order record for additional information. - ✔✔b.
Code E11, Type 2 diabetes mellitus, should be assigned.
✔✔47. Which of the following organizations is responsible for updating the procedure
classification of ICD-10-PCS?
a. Centers for Disease Control (CDC)
b. Centers for Medicare and Medicaid Services (CMS)
c. National Center for Health Statistics (NCHS)
d. World Health Organization (WHO) - ✔✔b. Centers for Medicare and Medicaid
Services (CMS)
✔✔48. Which of the following is not a way that ICD-10-CM improves coding accuracy?
a. Reduces sequencing problems by combining conditions into one code
b. Provides laterality options
c. Captures more details for injuries, diabetes, and postoperative complications
d. Increases cross-referencing - ✔✔d. Increases cross-referencing
✔✔49. A 45-year-old female is admitted for blood loss anemia due to dysfunctional
uterine bleeding.
a. D50.0, N93.8
b. D62, N93.8
c. N93.8, D50.0
d. D50.0, D25.9 - ✔✔a. D50.0, N93.8
✔✔50. Identify the appropriate ICD-10-CM diagnosis code for right cerebral contusion
with 15-minute loss of consciousness, initial encounter for care.
a. T14.8
b. S06.371A
c. S06.311A
d. S06.310A - ✔✔c. S06.311A
✔✔51. Identify the two-digit modifier that may be reported to indicate a physician
performed the postoperative management of a patient, but another physician performed
the surgical procedure.
a. −22
b. −54
SOLUTIONS RATED A+
✔✔32. Identify the correct diagnosis code(s) for adenoma of left adrenal cortex with
Conn's syndrome.
a. D35.02, E26.01
b. D35.02
c. E26.01
d. E26.01, D35.7 - ✔✔a. D35.02, E26.01
✔✔33. The patient was admitted to the outpatient department and had a bronchoscopy
with bronchial brushings performed.
a. 31622, 31640
b. 31622, 31623
c. 31623
d. 31625 - ✔✔c. 31623
✔✔34. A patient is admitted with abdominal pain. The physician documents the
discharge diagnosis as pancreatitis versus noncalculus cholecystitis. Both diagnoses
are equally treated. The correct coding and sequencing for this case would be:
a. Sequence either the pancreatitis or noncalculus cholecystitis as principal diagnosis
b. Pancreatitis; noncalculus cholecystitis; abdominal pain
c. Noncalculus cholecystitis; pancreatitis; abdominal pain
d. Abdominal pain; pancreatitis; noncalculus cholecystitis - ✔✔a. Sequence either the
pancreatitis or noncalculus cholecystitis as principal diagnosis
✔✔35. Identify the CPT code for a 42-year-old diagnosed with ESRD who requires
home dialysis for the month of April.
a. 90965
b. 90964
c. 90966
d. 90970 - ✔✔c. 90966
✔✔36. An encoder that takes a coder through a series of questions and choices is
called a(n):
a. Automated codebook
b. Automated code assignment
c. Logic-based encoder
d. Decision support database - ✔✔c. Logic-based encoder
,✔✔37. Patient admitted with left senile cortical cataract, diabetes mellitus, and
extracapsular cataract extraction with simultaneous insertion of synthetic intraocular
lens, via percutaneous approach.
a. H25.012, E11.36, 08DK3ZZ, 08RK3JZ
b. E11.9, H25.012
c. E11.9, H25.092
d. H25.012, E11.9, 08RK3JZ - ✔✔d. H25.012, E11.9, 08RK3JZ
✔✔38. The physician performs an exploratory laparotomy with bilateral salpingo-
oophorectomy. What is the correct CPT code assignment for this procedure?
a. 49000, 58940, 58700
b. 58940, 58720-50
c. 49000, 58720
d. 58720 - ✔✔d. 58720
✔✔39. The patient was admitted with major depression current episode severe,
recurrent. What is the correct ICD-10-CM diagnosis code assignment for this condition?
a. F33.2
b. F33.40
c. F32.9
d. F31.81 - ✔✔a. F33.2
✔✔40. An exception to the Excludes 1 definition is the circumstance when the two
conditions __________.
a. Are unrelated to each other.
b. Are related to each other.
c. Will not be assigned as the principal diagnosis.
d. Are injuries with external cause codes. - ✔✔a. Are unrelated to each other.
✔✔41. A patient is seen in the emergency department for chest pain. After evaluation of
the patient it is suspected that the patient may have gastroesophageal reflux disease
(GERD). The final diagnosis was "chest pain versus GERD." The correct ICD-10-CM
code is:
a. Z03.89 Encounter for observation for other suspected diseases and conditions ruled
out
b. R10.11 Right upper quadrant abdominal pain
c. K21.9 Gastro-esophageal reflux disease
d. R07.9 Chest pain, unspecified - ✔✔d. R07.9 Chest pain, unspecified
,✔✔42. Patient was admitted through the emergency department following a fall from a
ladder while painting an interior bathroom in his farmhouse. He had contusions of the
scalp and face and a displaced open fracture of the anterior wall of the right
acetabulum. The fracture site was excisionally debrided and the fracture was reduced
by open procedure with an internal fixation device inserted. Which is the correct code
assignment?
a. S32.411A, W11XXA, Y92.012, 0QS404Z, 0QB40ZZ
b. S32.411B, S00.03XA, S00.83XA, W11.XXXA, Y92.012, Y93.E9, Y99.8, 0QS404Z,
0QB40ZZ
c. S32.414A, W11.XXA, Y93.E9, Y99.8, 0QS304Z, 0QB50ZZ
d. S32.411B, W11.XXA, Y92.012, Y93.E9, 0QS404Z, 0QB50ZZ - ✔✔b. S32.411B,
S00.03XA, S00.83XA, W11.XXXA, Y92.012, Y93.E9, Y99.8, 0QS404Z, 0QB40ZZ
✔✔43. According to the UHDDS, which of the following is the definition of "other
diagnoses"?
a. Is recorded in the patient record
b. Is documented by the attending physician
c. Receives clinical evaluation or therapeutic treatment or diagnostic procedures or
extends the length of stay or increases nursing care and monitoring
d. Is documented by at least two physicians and the nursing staff - ✔✔c. Receives
clinical evaluation or therapeutic treatment or diagnostic procedures or extends the
length of stay or increases nursing care and monitoring
✔✔44. To which of the following do notes appearing under a three-character code
apply?
a. Only to category codes that are exactly three-characters long
b. To all codes within that category
c. Only to one specific code
d. To all codes within that chapter - ✔✔b. To all codes within that category
✔✔45. Patient had carcinoma of the anterior bladder wall fulgurated three years ago.
The patient returns yearly for a 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. Which is the correct code assignment?
a. C67.3, Z85.51, 0T5B8ZZ, 0TJB8ZZ
b. C79.11, 0T5B8ZZ
c. C67.3, 0T5B8ZZ
d. C79.11, C67.3, 0T5B8ZZ - ✔✔c. C67.3, 0T5B8ZZ
✔✔46. If the documentation in a medical record does not indicate the type of diabetes
but does indicate that the patient uses insulin, __________.
, a. Code E10, Type 1 diabetes mellitus, should be assigned.
b. Code E11, Type 2 diabetes mellitus, should be assigned.
c. Query the endocrinologist or attending physician.
d. Check the physician orders or medical order record for additional information. - ✔✔b.
Code E11, Type 2 diabetes mellitus, should be assigned.
✔✔47. Which of the following organizations is responsible for updating the procedure
classification of ICD-10-PCS?
a. Centers for Disease Control (CDC)
b. Centers for Medicare and Medicaid Services (CMS)
c. National Center for Health Statistics (NCHS)
d. World Health Organization (WHO) - ✔✔b. Centers for Medicare and Medicaid
Services (CMS)
✔✔48. Which of the following is not a way that ICD-10-CM improves coding accuracy?
a. Reduces sequencing problems by combining conditions into one code
b. Provides laterality options
c. Captures more details for injuries, diabetes, and postoperative complications
d. Increases cross-referencing - ✔✔d. Increases cross-referencing
✔✔49. A 45-year-old female is admitted for blood loss anemia due to dysfunctional
uterine bleeding.
a. D50.0, N93.8
b. D62, N93.8
c. N93.8, D50.0
d. D50.0, D25.9 - ✔✔a. D50.0, N93.8
✔✔50. Identify the appropriate ICD-10-CM diagnosis code for right cerebral contusion
with 15-minute loss of consciousness, initial encounter for care.
a. T14.8
b. S06.371A
c. S06.311A
d. S06.310A - ✔✔c. S06.311A
✔✔51. Identify the two-digit modifier that may be reported to indicate a physician
performed the postoperative management of a patient, but another physician performed
the surgical procedure.
a. −22
b. −54
