AHIMA CCA Exam Comprehensive Prep 2026-2027
Latest Test Bank D Review | CCA- Certified Coding
Associate Past Exam Review – 200+ Questions and
Correct Answers with Rationales (New!)
1.
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
Correct Answer: C
Dialysis, end-stage renal disease. Code 90966 is for end-stage renal disease
(ESRD) related services for home dialysis per full month for patients 20 years of
age and older (Smith 2012, 227).
2.
Exceptions to the consent requirement include:
a. Medical emergencies
b. Provider discretion
c. Implied consent
d. Informed consent
Correct Answer: A
1
,The law permits a presumption of consent during emergency situations, regardless
of whether the patient is an adult or minor (Brodnik et al. 2009, 99).
3.
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?
a. Code sepsis as the principal diagnosis with urinary tract infection due to E. coli
as secondary diagnosis.
b. Code urinary tract infection with sepsis as the principal diagnosis.
c. Query the physician to ask if the patient has septicemia because of the
symptomatology.
d. Query the physician to ask if the patient had septic shock so that this may be
used as the principal diagnosis.
Correct Answer: C
The term "urosepsis" is a nonspecific term. If that is the only term documented,
only code 599.0 should be assigned based on the default for the term in the ICD-9-
CM index, in addition to the code for the causal organism, if known. Septicemia
results from the entry of pathogens into the bloodstream. Symptoms include
spiking fever, chills, and skin eruptions in the form of petechiae or purpura. Blood
cultures are usually positive; however, a negative culture does not exclude the
diagnosis of septicemia. Several other clinical indications and symptomology
could indicate the diagnosis of septicemia. Only the physician can diagnose the
condition based on clinical indications. Query the physician when the diagnosis is
not clear to the coder (Schraffenberger 2012, 79-81, 251).
4.
What is the correct CPT code assignment for destruction of internal hemorrhoids
with use of infrared coagulation?
a. 46255
2
,b. 46930
c. 46260
d. 46945
Correct Answer: B
Index main term: Destruction, hemorrhoid, thermal. Thermal includes infrared
coagulation (Kuehn 2012, 27, 163).
5.
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
c. -32
d. -55
Correct Answer: D
Modifiers are appended to the code to provide more information or to alert the
payer that a payment change is required. Modifier -55 is used to identify the
physician provided only postoperative care services for a particular procedure
(Kuehn 2012, 292, 295).
6.
Which of the following organizations is responsible for updating the procedure
classification of ICD-9-CM?
a. Centers for Disease Control (CDC)
b. Centers for Medicare and Medicaid Services (CMS)
3
, c. National Center for Health Statistics (NCHS)
d. World Health Organization (WHO)
Correct Answer: B
NCHS is responsible for updating the diagnosis classification (Volumes 1 and 2),
and CMS is responsible for updating the procedure classification (Volume 3)
(Johns 2011, 239).
7.
Good encoding software should include ________ to ensure data quality.
a. Edit checks
b. Voice recognition
c. Reimbursement technology
d. Passwords
Correct Answer: A
Good encoding software should include edit checks to ensure data quality (Johns
2011, 270).
8.
Patient was admitted through the emergency department following a fall from a
ladder while painting an interior room in his house. He had contusions of the scalp
and face and an open fracture of the acetabulum. The fracture site was debrided
and the fracture was reduced by open procedure with an external fixation device
applied. Which is the correct code assignment?
a. 808.1, E881.0, E849.0, 79.25, 78.15
b. 808.1, 920, E881.0, E849.0, E000.8, E013.9, 79.25, 78.15, 79.65
c. 808.0, E881.0, E000.8, E013.9, 79.35, 79.65
4
Latest Test Bank D Review | CCA- Certified Coding
Associate Past Exam Review – 200+ Questions and
Correct Answers with Rationales (New!)
1.
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
Correct Answer: C
Dialysis, end-stage renal disease. Code 90966 is for end-stage renal disease
(ESRD) related services for home dialysis per full month for patients 20 years of
age and older (Smith 2012, 227).
2.
Exceptions to the consent requirement include:
a. Medical emergencies
b. Provider discretion
c. Implied consent
d. Informed consent
Correct Answer: A
1
,The law permits a presumption of consent during emergency situations, regardless
of whether the patient is an adult or minor (Brodnik et al. 2009, 99).
3.
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?
a. Code sepsis as the principal diagnosis with urinary tract infection due to E. coli
as secondary diagnosis.
b. Code urinary tract infection with sepsis as the principal diagnosis.
c. Query the physician to ask if the patient has septicemia because of the
symptomatology.
d. Query the physician to ask if the patient had septic shock so that this may be
used as the principal diagnosis.
Correct Answer: C
The term "urosepsis" is a nonspecific term. If that is the only term documented,
only code 599.0 should be assigned based on the default for the term in the ICD-9-
CM index, in addition to the code for the causal organism, if known. Septicemia
results from the entry of pathogens into the bloodstream. Symptoms include
spiking fever, chills, and skin eruptions in the form of petechiae or purpura. Blood
cultures are usually positive; however, a negative culture does not exclude the
diagnosis of septicemia. Several other clinical indications and symptomology
could indicate the diagnosis of septicemia. Only the physician can diagnose the
condition based on clinical indications. Query the physician when the diagnosis is
not clear to the coder (Schraffenberger 2012, 79-81, 251).
4.
What is the correct CPT code assignment for destruction of internal hemorrhoids
with use of infrared coagulation?
a. 46255
2
,b. 46930
c. 46260
d. 46945
Correct Answer: B
Index main term: Destruction, hemorrhoid, thermal. Thermal includes infrared
coagulation (Kuehn 2012, 27, 163).
5.
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
c. -32
d. -55
Correct Answer: D
Modifiers are appended to the code to provide more information or to alert the
payer that a payment change is required. Modifier -55 is used to identify the
physician provided only postoperative care services for a particular procedure
(Kuehn 2012, 292, 295).
6.
Which of the following organizations is responsible for updating the procedure
classification of ICD-9-CM?
a. Centers for Disease Control (CDC)
b. Centers for Medicare and Medicaid Services (CMS)
3
, c. National Center for Health Statistics (NCHS)
d. World Health Organization (WHO)
Correct Answer: B
NCHS is responsible for updating the diagnosis classification (Volumes 1 and 2),
and CMS is responsible for updating the procedure classification (Volume 3)
(Johns 2011, 239).
7.
Good encoding software should include ________ to ensure data quality.
a. Edit checks
b. Voice recognition
c. Reimbursement technology
d. Passwords
Correct Answer: A
Good encoding software should include edit checks to ensure data quality (Johns
2011, 270).
8.
Patient was admitted through the emergency department following a fall from a
ladder while painting an interior room in his house. He had contusions of the scalp
and face and an open fracture of the acetabulum. The fracture site was debrided
and the fracture was reduced by open procedure with an external fixation device
applied. Which is the correct code assignment?
a. 808.1, E881.0, E849.0, 79.25, 78.15
b. 808.1, 920, E881.0, E849.0, E000.8, E013.9, 79.25, 78.15, 79.65
c. 808.0, E881.0, E000.8, E013.9, 79.35, 79.65
4
