CCA UPDATED 2026 EXAM SCRIPT QUESTIONS AND
SOLUTIONS RATED A+
✔✔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. 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
✔✔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. 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. 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. 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 physician'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
c. Must be provided by the laboratory findings report
d. Requires that the Public Health Agency be contacted - ✔✔a. Does not require
documentation of the type of test performed; the physician's diagnostic statement that
the condition is confirmed is sufficient
✔✔16. A 7-year-old patient was admitted to the emergency department for treatment of
shortness of breath. The patient is given epinephrine and nebulizer treatments. The
shortness of breath and wheezing are unabated following treatment. What diagnosis
should be suspected?
a. Acute bronchitis
b. Acute bronchitis with chronic obstructive pulmonary disease
c. Asthma with status asthmaticus
d. Chronic obstructive asthma - ✔✔c. Asthma with status asthmaticus
✔✔17. A patient is admitted with acute exacerbation of COPD, chronic renal failure, and
hypertension.
a. J44.1, J44.9, I12.9, N18.9
b. J44.1, N18.9, I10
c. J44.9, N18.9, I10
d. J44.1, I12.9, N18.9 - ✔✔d. J44.1, I12.9, N18.9
✔✔18. What does the fourth character of an ICD-10-CM diagnosis code capture?
a. Anatomic site
b. Severity
c. Etiology
d. Supplemental information - ✔✔c. Etiology
,✔✔19. Identify the diagnosis code(s) for carcinoma in situ of vocal cord.
a. D02.0
b. C32.0
c. D49.1
d. D14.1 - ✔✔a. D02.0
✔✔20. To help clarify terms that currently have overlapping meaning, ICD-10-PCS has
defined root operations. What is an example of the root operation of Excision?
a. Partial nephrectomy
b. Total nephrectomy
c. Total lobectomy
d. Total mastectomy - ✔✔a. Partial nephrectomy
✔✔21. The assignment of a diagnosis code is based on __________.
a. The coder's assessment of the health record.
b. The provider's statement that the patient has a particular condition.
c. Clinical criteria used by the provider to establish the diagnosis.
d. Its inclusion in the discharge summary - ✔✔b. The provider's statement that the
patient has a particular condition.
✔✔22. Which of the following is a condition that arises during hospitalization?
a. Case mix
b. Complication
c. Comorbidity
d. Principal diagnosis - ✔✔b. Complication
✔✔23. A patient is admitted to an acute-care hospital for alcohol abuse and
uncomplicated alcohol withdrawal syndrome due to chronic alcoholism. His blood
alcohol level on admission was 10mg/100mL.
a. F10.230, F10.10, Y90.0
b. F10.230
c. F10.10, Y90.0
d. F10.230, Y90.0 - ✔✔d. F10.230, Y90.0
✔✔24. Assign the correct CPT code for the following procedure: Reposition of the
pacemaker electrode.
a. 33226
b. 33243
c. 33217
, d. 33215 - ✔✔d. 33215
✔✔25. A 35-year-old male was admitted with heartburn that has not improved with
over-the-counter medications. An esophagoscopy and closed esophageal biopsy at the
upper esophagus was performed. The physician documented esophageal reflux with
esophagitis as the final diagnosis based on pathological examination. Identify the
correct diagnosis and procedure codes.
a. K23, 0DJ07ZZ
b. K20.9, 0DB58ZX
c. K21.0, 0DB18ZX
d. K21.9, 0DB18ZX - ✔✔c. K21.0, 0DB18ZX
✔✔26. Which volume of ICD-10-CM contains the Tabular and Alphabetic Index of
procedures?
a. Volume 1
b. Volume 2
c. Volume 3
d. None of the above - ✔✔d. None of the above
✔✔27. Patient has been diagnosed with acute depression, sleep-related teeth grinding
and psychogenic dysmenorrhea. The appropriate code assignment is:
a. F32.8, F45.8
b. F32.9, F45.8
c. F32.9, F45.8, G47.63
d. F32.9, G47.53 - ✔✔c. F32.9, F45.8, G47.63
✔✔18. A physician correctly prescribes Coumadin. The patient takes the Coumadin as
prescribed but develops hematuria as a result of taking the medication. Which of the
following is the correct way to code this case?
a. Poisoning due to Coumadin
b. Unspecified adverse reaction to Coumadin
c. Hematuria; poisoning due to Coumadin
d. Hematuria; adverse reaction to Coumadin - ✔✔d. Hematuria; adverse reaction to
Coumadin
✔✔29. An 80-year-old female is admitted with fever, lethargy, hypotension, tachycardia,
oliguria, and elevated WBC. The patient has more than 100,000 organisms of
Escherichia coli per cc of urine. The attending physician documents "urosepsis." How
should the coder proceed to code this case?
SOLUTIONS RATED A+
✔✔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. 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
✔✔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. 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. 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. 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 physician'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
c. Must be provided by the laboratory findings report
d. Requires that the Public Health Agency be contacted - ✔✔a. Does not require
documentation of the type of test performed; the physician's diagnostic statement that
the condition is confirmed is sufficient
✔✔16. A 7-year-old patient was admitted to the emergency department for treatment of
shortness of breath. The patient is given epinephrine and nebulizer treatments. The
shortness of breath and wheezing are unabated following treatment. What diagnosis
should be suspected?
a. Acute bronchitis
b. Acute bronchitis with chronic obstructive pulmonary disease
c. Asthma with status asthmaticus
d. Chronic obstructive asthma - ✔✔c. Asthma with status asthmaticus
✔✔17. A patient is admitted with acute exacerbation of COPD, chronic renal failure, and
hypertension.
a. J44.1, J44.9, I12.9, N18.9
b. J44.1, N18.9, I10
c. J44.9, N18.9, I10
d. J44.1, I12.9, N18.9 - ✔✔d. J44.1, I12.9, N18.9
✔✔18. What does the fourth character of an ICD-10-CM diagnosis code capture?
a. Anatomic site
b. Severity
c. Etiology
d. Supplemental information - ✔✔c. Etiology
,✔✔19. Identify the diagnosis code(s) for carcinoma in situ of vocal cord.
a. D02.0
b. C32.0
c. D49.1
d. D14.1 - ✔✔a. D02.0
✔✔20. To help clarify terms that currently have overlapping meaning, ICD-10-PCS has
defined root operations. What is an example of the root operation of Excision?
a. Partial nephrectomy
b. Total nephrectomy
c. Total lobectomy
d. Total mastectomy - ✔✔a. Partial nephrectomy
✔✔21. The assignment of a diagnosis code is based on __________.
a. The coder's assessment of the health record.
b. The provider's statement that the patient has a particular condition.
c. Clinical criteria used by the provider to establish the diagnosis.
d. Its inclusion in the discharge summary - ✔✔b. The provider's statement that the
patient has a particular condition.
✔✔22. Which of the following is a condition that arises during hospitalization?
a. Case mix
b. Complication
c. Comorbidity
d. Principal diagnosis - ✔✔b. Complication
✔✔23. A patient is admitted to an acute-care hospital for alcohol abuse and
uncomplicated alcohol withdrawal syndrome due to chronic alcoholism. His blood
alcohol level on admission was 10mg/100mL.
a. F10.230, F10.10, Y90.0
b. F10.230
c. F10.10, Y90.0
d. F10.230, Y90.0 - ✔✔d. F10.230, Y90.0
✔✔24. Assign the correct CPT code for the following procedure: Reposition of the
pacemaker electrode.
a. 33226
b. 33243
c. 33217
, d. 33215 - ✔✔d. 33215
✔✔25. A 35-year-old male was admitted with heartburn that has not improved with
over-the-counter medications. An esophagoscopy and closed esophageal biopsy at the
upper esophagus was performed. The physician documented esophageal reflux with
esophagitis as the final diagnosis based on pathological examination. Identify the
correct diagnosis and procedure codes.
a. K23, 0DJ07ZZ
b. K20.9, 0DB58ZX
c. K21.0, 0DB18ZX
d. K21.9, 0DB18ZX - ✔✔c. K21.0, 0DB18ZX
✔✔26. Which volume of ICD-10-CM contains the Tabular and Alphabetic Index of
procedures?
a. Volume 1
b. Volume 2
c. Volume 3
d. None of the above - ✔✔d. None of the above
✔✔27. Patient has been diagnosed with acute depression, sleep-related teeth grinding
and psychogenic dysmenorrhea. The appropriate code assignment is:
a. F32.8, F45.8
b. F32.9, F45.8
c. F32.9, F45.8, G47.63
d. F32.9, G47.53 - ✔✔c. F32.9, F45.8, G47.63
✔✔18. A physician correctly prescribes Coumadin. The patient takes the Coumadin as
prescribed but develops hematuria as a result of taking the medication. Which of the
following is the correct way to code this case?
a. Poisoning due to Coumadin
b. Unspecified adverse reaction to Coumadin
c. Hematuria; poisoning due to Coumadin
d. Hematuria; adverse reaction to Coumadin - ✔✔d. Hematuria; adverse reaction to
Coumadin
✔✔29. An 80-year-old female is admitted with fever, lethargy, hypotension, tachycardia,
oliguria, and elevated WBC. The patient has more than 100,000 organisms of
Escherichia coli per cc of urine. The attending physician documents "urosepsis." How
should the coder proceed to code this case?
