AHIMA CCA COMPREHENSIVE EXAM
QUESTIONS AND CORRECT ANSWERS
STUDY GUIDE
●● 2.
Identify the correct ICD-9-CM diagnosis code(s) for a patient with near-
syncope event and nausea.
a. 780.2
b. 780.2, 787.02
c. 780.2, 787.01
d. 780.4, 787.02
Answer: Correct Answer: B
Near-syncope and nausea are both signs and symptoms and therefore
not integral to the other. Both conditions should be coded (Hazelwood
and Venable 2012, 71).
●● 3.
,The codes in the musculoskeletal section of CPT may be used by:
a. Orthopedic surgeons only
b. Orthopedic surgeons and emergency department physicians
c. Any physician
d. Orthopedic surgeons and neurosurgeons
Answer: Correct Answer: C
Any physician may use the codes in any section of CPT (AHIMA 2012a,
587).
●● 4.
In an EHR, what is the risk of copying and pasting?
a. Reduction in the time required to document
b. The system not recording who entered the data
c. Quicker overall system response time
,d. System thinking that the original documenter recorded the note
Answer: Correct Answer: B
The system not recording who entered the data (Johns 2011, 433).
●● 5.
Mr. Smith is seen in his primary care physician's office for his annual
physical examination. He has a digital rectal examination and is given
three small cards to take home and return with fecal samples to screen
for colorectal cancer. Assign the appropriate CPT code to report this
occult blood sampling.
a. 82270
b. 82271
c. 82272
d. 82274
Answer: Correct Answer: A
, CPT code 82270 describes a test for occult blood using feces source for
the purpose of neoplasm screening with the use of three cards or single
triple card for consecutive collection (AMA 2012b, 417).
●● 6.
Identify the punctuation mark that is used to supplement words or
explanatory information that may or may not be present in the statement
of a diagnosis or procedure in ICD-9-CM coding. The punctuation does
not affect the code number assigned to the case. The punctuation is
considered a nonessential modifier, and all three volumes of ICD-9-CM
use them.
a. Parentheses ( )
b. Square brackets [ ]
c. Slanted brackets [ ]
d. Braces { }
Answer: Correct Answer: A
Parentheses enclose supplementary words or explanatory information
that may or may not be present in the statement of a diagnosis or
procedure. They do not affect the code number assigned in the case.
Terms in parentheses are considered nonessential modifiers, and all three
QUESTIONS AND CORRECT ANSWERS
STUDY GUIDE
●● 2.
Identify the correct ICD-9-CM diagnosis code(s) for a patient with near-
syncope event and nausea.
a. 780.2
b. 780.2, 787.02
c. 780.2, 787.01
d. 780.4, 787.02
Answer: Correct Answer: B
Near-syncope and nausea are both signs and symptoms and therefore
not integral to the other. Both conditions should be coded (Hazelwood
and Venable 2012, 71).
●● 3.
,The codes in the musculoskeletal section of CPT may be used by:
a. Orthopedic surgeons only
b. Orthopedic surgeons and emergency department physicians
c. Any physician
d. Orthopedic surgeons and neurosurgeons
Answer: Correct Answer: C
Any physician may use the codes in any section of CPT (AHIMA 2012a,
587).
●● 4.
In an EHR, what is the risk of copying and pasting?
a. Reduction in the time required to document
b. The system not recording who entered the data
c. Quicker overall system response time
,d. System thinking that the original documenter recorded the note
Answer: Correct Answer: B
The system not recording who entered the data (Johns 2011, 433).
●● 5.
Mr. Smith is seen in his primary care physician's office for his annual
physical examination. He has a digital rectal examination and is given
three small cards to take home and return with fecal samples to screen
for colorectal cancer. Assign the appropriate CPT code to report this
occult blood sampling.
a. 82270
b. 82271
c. 82272
d. 82274
Answer: Correct Answer: A
, CPT code 82270 describes a test for occult blood using feces source for
the purpose of neoplasm screening with the use of three cards or single
triple card for consecutive collection (AMA 2012b, 417).
●● 6.
Identify the punctuation mark that is used to supplement words or
explanatory information that may or may not be present in the statement
of a diagnosis or procedure in ICD-9-CM coding. The punctuation does
not affect the code number assigned to the case. The punctuation is
considered a nonessential modifier, and all three volumes of ICD-9-CM
use them.
a. Parentheses ( )
b. Square brackets [ ]
c. Slanted brackets [ ]
d. Braces { }
Answer: Correct Answer: A
Parentheses enclose supplementary words or explanatory information
that may or may not be present in the statement of a diagnosis or
procedure. They do not affect the code number assigned in the case.
Terms in parentheses are considered nonessential modifiers, and all three