AHIMA CCA Exam Comprehensive Prep 2026-2027
Latest Test Bank C Review | CCA- Certified Coding
Associate Past Exam Review – 600+ Questions and
Correct Answers with Rationales (New!)
1.
The patient, a 47-year-old male with adenoma of the prostate, is being treated in
the outpatient surgery suite. The urologist inserts an endoscope in the penile
urethra and dilates the structure to allow instrument passage. After endoscope
placement, a radiofrequency stylet is inserted, and the diseased prostate is excised
with radiant energy. Bleeding is controlled with electrocoagulation. Following
instrument removal, a catheter is inserted and left in place. Which of the following
code sets will be reported for this service?
a. 600.20, 53852
b. 600.20, 52601
c. 600.00, 53852
d. 222.2, 53850
Correct Answer: A
When thermotherapy is used code 53852 is reported. Code 52601 is reported for
electrosurgical resection; 53850 is reported for radiofrequency. Adenoma of the
prostate is reported with 600.20 (AHIMA 2012a, 697).
2.
The HIPAA Privacy Rule requirement that covered entities must limit use, access,
and disclosure of PHI to the least amount necessary to accomplish the intended
purpose. What concept is this an example of?
a. Minimum necessary
1
,b. Notice of Privacy Practice
c. Consent
d. Authorization
Correct Answer: A
The Privacy Rule introduced the standard of minimum necessary, a "need to know"
filter that is applied to limit access to a patient's protected health information (PHI)
and to limit the amount of PHI used, disclosed, and requested (Brodnik et al. 2009,
176).
3.
An infant is born by cesarean section at 27 weeks' gestation. The baby weights 945
g. The baby's lungs are immature, and the baby develops respiratory distress
syndrome, requiring a 25-day hospital stay in the NICU. Discharge diagnosis:
Extreme immaturity, with 27-week gestation, with respiratory distress syndrome,
delivered by cesarean section. Which of the following diagnosis ICD-9-CM codes
would be correct?
a. V30.01, 765.03, 765.24
b. 765.03, 769
c. V30.01, 765.03, 765.24, 769
d. V30.01, 769
Correct Answer: C
The codes for prematurity 765.03 and code 765.24 for weeks of gestation meet
reporting guidelines as additional diagnoses. A birth code of V30.01 is reported as
the principal diagnosis (CMS 2010c, Section I, C, 15b; AHA 2006, 190). See
instructional note under 765.0x to "Use Additional Code" for weeks of gestation. A
code is also needed for the respiratory distress syndrome, 769 (AHIMA 2012a,
676)
2
,4.
Which of the following statements about Category III CPT codes is false?
a. They are temporary codes.
b. They are updated more frequently than the rest of the CPT codes.
c. They are intended to allow for the coding of new technologies, services, and
procedures.
d. They are tracking codes that can be used for performance measurement.
Correct Answer: D
Category II CPT codes are used for performance measurement (AMA 2012b, 535).
5.
Which statement fails to be true for Medicare coverage?
a. Medicare pays for healthcare services provided to Social Security beneficiaries
65 years old and older
b. Medicare pays for healthcare services provided to Social Security beneficiaries
for new moms 65 years and younger and their newborn babies
c. Medicare pays for healthcare services provided to Social Security beneficiaries
for people under 65 years old with certain disabilities
d. Medicare pays for healthcare services provided to Social Security beneficiaries
for people of all ages with end-stage renal disease
Correct Answer: B
Medicare does not cover moms and newborn babies unless the mother has a
disability. Moms and newborn babies can be covered under the Medicaid program
if they meet specific income guidelines (Johns 2011, 293, 301).
6.
A health information technician has been asked to design a problem list for an
3
, electronic health record (EHR). Which of the following data elements should be
included on the problem list?
a. Problem number, problem description, date problem entered
b. Problem number, problem name, date of consent for treatment
c. Patient identifying information, problem number, examination results
d. Problem name, date of onset, physical exam
Correct Answer: A
The problem list describes any significant current and past illnesses and conditions
as well as the procedures the patient has undergone (Johns 2011, 94).
7.
Identify the CPT procedure code(s) for an automated CBC with automated
differential.
a. 85027
b. 85025
c. 85041
d. 85007, 85025
Correct Answer: B
Index Blood Cell Count, hemogram, added indices, resulting in code range 85025-
85027. The codes for reporting CBCs (complete blood counts) are very specific
and should be carefully reviewed. The appropriate code for a CBC with automated
white blood cell differential is 85025 (AHIMA 2012a, 628).
8.
Who is responsible for ensuring the quality of health record documentation?
a. Board of directors
4
Latest Test Bank C Review | CCA- Certified Coding
Associate Past Exam Review – 600+ Questions and
Correct Answers with Rationales (New!)
1.
The patient, a 47-year-old male with adenoma of the prostate, is being treated in
the outpatient surgery suite. The urologist inserts an endoscope in the penile
urethra and dilates the structure to allow instrument passage. After endoscope
placement, a radiofrequency stylet is inserted, and the diseased prostate is excised
with radiant energy. Bleeding is controlled with electrocoagulation. Following
instrument removal, a catheter is inserted and left in place. Which of the following
code sets will be reported for this service?
a. 600.20, 53852
b. 600.20, 52601
c. 600.00, 53852
d. 222.2, 53850
Correct Answer: A
When thermotherapy is used code 53852 is reported. Code 52601 is reported for
electrosurgical resection; 53850 is reported for radiofrequency. Adenoma of the
prostate is reported with 600.20 (AHIMA 2012a, 697).
2.
The HIPAA Privacy Rule requirement that covered entities must limit use, access,
and disclosure of PHI to the least amount necessary to accomplish the intended
purpose. What concept is this an example of?
a. Minimum necessary
1
,b. Notice of Privacy Practice
c. Consent
d. Authorization
Correct Answer: A
The Privacy Rule introduced the standard of minimum necessary, a "need to know"
filter that is applied to limit access to a patient's protected health information (PHI)
and to limit the amount of PHI used, disclosed, and requested (Brodnik et al. 2009,
176).
3.
An infant is born by cesarean section at 27 weeks' gestation. The baby weights 945
g. The baby's lungs are immature, and the baby develops respiratory distress
syndrome, requiring a 25-day hospital stay in the NICU. Discharge diagnosis:
Extreme immaturity, with 27-week gestation, with respiratory distress syndrome,
delivered by cesarean section. Which of the following diagnosis ICD-9-CM codes
would be correct?
a. V30.01, 765.03, 765.24
b. 765.03, 769
c. V30.01, 765.03, 765.24, 769
d. V30.01, 769
Correct Answer: C
The codes for prematurity 765.03 and code 765.24 for weeks of gestation meet
reporting guidelines as additional diagnoses. A birth code of V30.01 is reported as
the principal diagnosis (CMS 2010c, Section I, C, 15b; AHA 2006, 190). See
instructional note under 765.0x to "Use Additional Code" for weeks of gestation. A
code is also needed for the respiratory distress syndrome, 769 (AHIMA 2012a,
676)
2
,4.
Which of the following statements about Category III CPT codes is false?
a. They are temporary codes.
b. They are updated more frequently than the rest of the CPT codes.
c. They are intended to allow for the coding of new technologies, services, and
procedures.
d. They are tracking codes that can be used for performance measurement.
Correct Answer: D
Category II CPT codes are used for performance measurement (AMA 2012b, 535).
5.
Which statement fails to be true for Medicare coverage?
a. Medicare pays for healthcare services provided to Social Security beneficiaries
65 years old and older
b. Medicare pays for healthcare services provided to Social Security beneficiaries
for new moms 65 years and younger and their newborn babies
c. Medicare pays for healthcare services provided to Social Security beneficiaries
for people under 65 years old with certain disabilities
d. Medicare pays for healthcare services provided to Social Security beneficiaries
for people of all ages with end-stage renal disease
Correct Answer: B
Medicare does not cover moms and newborn babies unless the mother has a
disability. Moms and newborn babies can be covered under the Medicaid program
if they meet specific income guidelines (Johns 2011, 293, 301).
6.
A health information technician has been asked to design a problem list for an
3
, electronic health record (EHR). Which of the following data elements should be
included on the problem list?
a. Problem number, problem description, date problem entered
b. Problem number, problem name, date of consent for treatment
c. Patient identifying information, problem number, examination results
d. Problem name, date of onset, physical exam
Correct Answer: A
The problem list describes any significant current and past illnesses and conditions
as well as the procedures the patient has undergone (Johns 2011, 94).
7.
Identify the CPT procedure code(s) for an automated CBC with automated
differential.
a. 85027
b. 85025
c. 85041
d. 85007, 85025
Correct Answer: B
Index Blood Cell Count, hemogram, added indices, resulting in code range 85025-
85027. The codes for reporting CBCs (complete blood counts) are very specific
and should be carefully reviewed. The appropriate code for a CBC with automated
white blood cell differential is 85025 (AHIMA 2012a, 628).
8.
Who is responsible for ensuring the quality of health record documentation?
a. Board of directors
4
