CCA- Certified Coding Associate Past Exam
Review – 200 Questions and Correct answers/
AHIMA CCA Certification Exam Prep 2026-
2027 Test Bank A (New!)
Domains 1,2, 3, 4, 5, & 6
1. A patient is admitted with spotting. She had been treated two weeks previously
for a miscarriage with sepsis. The sepsis had resolved, and she is afebrile at this
time. She is treated with an aspiration dilation and curettage and products of
conception are found. Which of the following should be the principal diagnosis?
a. Miscarriage
b. Complications of spontaneous abortion with sepsis
c. Sepsis
d. Spontaneous abortion with sepsis - ANSWER-a. Miscarriage
2. If a patient has an excision of a malignant lesion of the skin, the CPT code is
determined by the body area from which the excision occurs and which of the
following?
a. Length of the lesion as described in the pathology report
b. Dimension of the specimen submitted as described in the pathology report
c. Width times the length of the lesion as described in the operative report
d. Diameter of the lesion as well as the most narrow margins required to
adequately excise the lesion described in the operative report - ANSWER-d.
Diameter of the lesion as well as the most narrow margins required to adequately
excise the lesion described in the operative report
1
,3. A patient is admitted to the hospital with shortness of breath and congestive
heart failure. The patient subsequently develops respiratory failure. The patient
undergoes intubation with ventilator management. Which of the following would
be the correct sequencing and coding of this case?
a. Congestive heart failure, respiratory failure, ventilator management
b. Respiratory failure, intubation, ventilator management
c. Respiratory failure, congestive heart failure, intubation, ventilator management
d. Shortness of breath, congestive heart failure, respiratory failure, ventilator
management - ANSWER-a. Congestive heart failure, respiratory failure, ventilator
management
4. Which of the following is a standard terminology used to code medical
procedures and services?
a. CPT
b. HCPCS
c. ICD-10-PCS
d. SNOMED CT - ANSWER-a. CPT
5. What is the correct CPT code assignment for hysteroscopy with lysis of
intrauterine adhesions?
a. 58555, 58559
b. 58559
c. 58559, 58740
d. 58555, 58559, 58740 - ANSWER-b. 58559
2
,6. What is the correct CPT code assignment for destruction of internal hemorrhoids
with use of infrared coagulation?
a. 46255
b. 46930
c. 46260
d. 46945 - ANSWER-b. 46930
7.00Identify the diagnosis code(s) for melanoma of skin of right shoulder.
a. D03.61, C43.61
b. C43.61
c. C43.60
d. D03.61 - ANSWER-b. C43.61
8. A female patient is admitted for stress incontinence. A urethral suspension to
reposition the urethra via open approach is performed. Assign the correct ICD-10-
CM diagnosis and/or procedure codes.
a. N39.3, 0TJB8ZZ
b. N23, 0TSD0ZZ
c. N39.3, 0TSD0ZZ
d. R32, 0TSD4ZZ - ANSWER-c. N39.3, 0TSD0ZZ
9. A patient is admitted to the hospital with abdominal pain. The principal
diagnosis is cholecystitis. The patient also has a history of hypertension and
3
, diabetes. In the DRG prospective payment system, which of the following would
determine the MDC assignment for this patient?
a. Abdominal pain
b. Cholecystitis
c. Hypertension
d. Diabetes - ANSWER-b. Cholecystitis
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 - ANSWER-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
4
Review – 200 Questions and Correct answers/
AHIMA CCA Certification Exam Prep 2026-
2027 Test Bank A (New!)
Domains 1,2, 3, 4, 5, & 6
1. A patient is admitted with spotting. She had been treated two weeks previously
for a miscarriage with sepsis. The sepsis had resolved, and she is afebrile at this
time. She is treated with an aspiration dilation and curettage and products of
conception are found. Which of the following should be the principal diagnosis?
a. Miscarriage
b. Complications of spontaneous abortion with sepsis
c. Sepsis
d. Spontaneous abortion with sepsis - ANSWER-a. Miscarriage
2. If a patient has an excision of a malignant lesion of the skin, the CPT code is
determined by the body area from which the excision occurs and which of the
following?
a. Length of the lesion as described in the pathology report
b. Dimension of the specimen submitted as described in the pathology report
c. Width times the length of the lesion as described in the operative report
d. Diameter of the lesion as well as the most narrow margins required to
adequately excise the lesion described in the operative report - ANSWER-d.
Diameter of the lesion as well as the most narrow margins required to adequately
excise the lesion described in the operative report
1
,3. A patient is admitted to the hospital with shortness of breath and congestive
heart failure. The patient subsequently develops respiratory failure. The patient
undergoes intubation with ventilator management. Which of the following would
be the correct sequencing and coding of this case?
a. Congestive heart failure, respiratory failure, ventilator management
b. Respiratory failure, intubation, ventilator management
c. Respiratory failure, congestive heart failure, intubation, ventilator management
d. Shortness of breath, congestive heart failure, respiratory failure, ventilator
management - ANSWER-a. Congestive heart failure, respiratory failure, ventilator
management
4. Which of the following is a standard terminology used to code medical
procedures and services?
a. CPT
b. HCPCS
c. ICD-10-PCS
d. SNOMED CT - ANSWER-a. CPT
5. What is the correct CPT code assignment for hysteroscopy with lysis of
intrauterine adhesions?
a. 58555, 58559
b. 58559
c. 58559, 58740
d. 58555, 58559, 58740 - ANSWER-b. 58559
2
,6. What is the correct CPT code assignment for destruction of internal hemorrhoids
with use of infrared coagulation?
a. 46255
b. 46930
c. 46260
d. 46945 - ANSWER-b. 46930
7.00Identify the diagnosis code(s) for melanoma of skin of right shoulder.
a. D03.61, C43.61
b. C43.61
c. C43.60
d. D03.61 - ANSWER-b. C43.61
8. A female patient is admitted for stress incontinence. A urethral suspension to
reposition the urethra via open approach is performed. Assign the correct ICD-10-
CM diagnosis and/or procedure codes.
a. N39.3, 0TJB8ZZ
b. N23, 0TSD0ZZ
c. N39.3, 0TSD0ZZ
d. R32, 0TSD4ZZ - ANSWER-c. N39.3, 0TSD0ZZ
9. A patient is admitted to the hospital with abdominal pain. The principal
diagnosis is cholecystitis. The patient also has a history of hypertension and
3
, diabetes. In the DRG prospective payment system, which of the following would
determine the MDC assignment for this patient?
a. Abdominal pain
b. Cholecystitis
c. Hypertension
d. Diabetes - ANSWER-b. Cholecystitis
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 - ANSWER-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
4
