AHIMA CCA COMPLETE EXAMINATION
TEST QUESTIONS WITH VERIFIED
SOLUTIONS
●● 2.
Exceptions to the consent requirement include:
a. Medical emergencies
b. Provider discretion
c. Implied consent
d. Informed consent
Answer: Correct Answer: A
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.
Answer: 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
b. 46930
c. 46260
d. 46945
Answer: 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
Answer: 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)
TEST QUESTIONS WITH VERIFIED
SOLUTIONS
●● 2.
Exceptions to the consent requirement include:
a. Medical emergencies
b. Provider discretion
c. Implied consent
d. Informed consent
Answer: Correct Answer: A
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.
Answer: 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
b. 46930
c. 46260
d. 46945
Answer: 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
Answer: 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)
