CCA Comprehensive Resource To Help You Ace 2026-2027
Exams Includes Frequently Tested Questions With
Elaborated 100% Correct Complete Solutions
Guaranteed Pass First Attempt!! Current Update!!
1. According to the UHDDS, which of the following is the definition of "other diagnoses"?
a. Is recorded in the patient record
b. Is documented by the attending physician
c. Receives clinical evaluation or therapeutic treatment or diagnostic procedures or
extends the length of stay or increases nursing care and monitoring
d. Is documented by at least two physicians and the nursing staff - CORRECT
ANSWER c. Receives clinical evaluation or therapeutic treatment or diagnostic
procedures or extends the length of stay or increases nursing care and
monitoring
2. "Code, if applicable, on causal condition first," note indicates that this code may be
assigned as a first listed or principal diagnosis when:
a. the causal condition is a symptom code
b. the code for the condition is unrelated to the causal condition
c. the causal condition is unknown or not applicable
d. the code appears in italicized font - CORRECT ANSWER c. the causal condition is
unknown or not applicable
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 determine if the patient has sepsis due to the
symptomatology.
, d. Query the physician to determine if the patient has septic shock so that this may
be used as the principal diagnosis. - CORRECT ANSWER c. Query the physician to
determine if the patient has sepsis due to the symptomatology.
4. The assignment of a diagnosis code is based on ________.
a. The coder's assessment of the health record
b. The provider's statement that the patient has a particular condition
c. Clinical criteria used by the provider to establish the diagnosis
d. Its inclusion in the discharge summary - CORRECT ANSWER b. The provider's
statement that the patient has a particular condition
5. Notes appearing under a 3-character code apply to which of the following?
a. Only to category codes that are exactly three-characters long
b. To all codes within that category
c. Only to one specific code
d. To all codes within that chapter - CORRECT ANSWER b. To all codes within that
category
6. According to CPT, a repair of a laceration that includes retention sutures would be
considered what type of closure?
a. Simple
b. Intermediate
c. Complex
d. Not specified - CORRECT ANSWER c. Complex
7. A patient is admitted with acute exacerbation of COPD, chronic renal failure, and
hypertension.
a. J44.1, J44.9, I12.9, N18.9
b. J44.1, N18.9, I10
c. J44.9, N18.9, I10
d. J44.1, I12.9, N18.9 - CORRECT ANSWER d. J44.1, I12.9, N18.9
8. When present, conditions that are not an integral part of the disease process
, a. should never be coded
b. should prompt a physician query
c. are always coded
d. should be assigned from the signs and symptoms codes - CORRECT ANSWER d.
should be assigned from the signs and symptoms codes
9. The patient was admitted with major depression current episode severe, recurrent.
What is the correct ICD-10-CM diagnosis code assignment for this condition?
a. F33.2
b. F33.40
c. F32.9
d. F31.81 - CORRECT ANSWER a. F33.2
10. A patient is admitted with abdominal pain. The physician documents the discharge
diagnosis as pancreatitis versus noncalculus cholecystitis. Both diagnoses are equally
treated. The correct coding and sequencing for this case would be:
a. Sequence either the pancreatitis or noncalculus cholecystitis as principal
diagnosis
b. Pancreatitis; noncalculus cholecystitis; abdominal pain
c. Noncalculus cholecystitis; pancreatitis; abdominal pain
d. Abdominal pain; pancreatitis; noncalculus cholecystitis - CORRECT ANSWER a.
Sequence either the pancreatitis or noncalculus cholecystitis as principal
diagnosis
11. A 35-year-old male was admitted with heartburn that has not improved with over-the-
counter medications. An esophagoscopy and closed esophageal biopsy at the upper
esophagus was performed. The physician documented esophageal reflux with
esophagitis as the final diagnosis based on pathological examination. Identify the correct
diagnosis and procedure codes.
a. K23, 0DJ07ZZ
b. K20.9, 0DB58ZX
c. K21.0, 0DB18ZX
d. K21.9, 0DB18ZX - CORRECT ANSWER c. K21.0, 0DB18ZX
, 12. A patient is admitted for chest pain with cardiac dysrhythmia to Hospital A. The patient is
found to have an acute ST elevation (STEMI) inferior myocardial infarction with atrial fibrillation.
After the atrial fibrillation was controlled and the patient was stabilized, the patient was
transferred to Hospital B for a CABG X 3. Coumadin therapy and monitoring for the atrial
fibrillation continued at Hospital B. Using the codes listed here, what are the appropriate ICD-
10-CM codes and sequencing for both hospitalizations?
- I21.09ST elevation (STEMI) myocardial infarction involving other coronary artery of anterior
wall
-I21.19ST elevation (STEMI) myocardial infarction involving other coronary artery of inferior wall
-I22.0Subsequent ST elevation (STEMI) myocardial infarction of anterior wallI22.1Subsequent ST
elevation (STEMI) myocardial infarction of inferior wall
-I48.0Paroxysmal atrial fibrillation
-I48.2Chronic at - CORRECT ANSWER c. Hospital A: I21.19, I48.91; Hospital B: I21.19, I48.91,
021209W
13. A patient is admitted to the hospital with abdominal pain. The principal diagnosis is
cholecystitis. The patient also has a history of hypertension and diabetes. In the MS-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 - CORRECT ANSWER b. Cholecystitis
14. 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
Exams Includes Frequently Tested Questions With
Elaborated 100% Correct Complete Solutions
Guaranteed Pass First Attempt!! Current Update!!
1. According to the UHDDS, which of the following is the definition of "other diagnoses"?
a. Is recorded in the patient record
b. Is documented by the attending physician
c. Receives clinical evaluation or therapeutic treatment or diagnostic procedures or
extends the length of stay or increases nursing care and monitoring
d. Is documented by at least two physicians and the nursing staff - CORRECT
ANSWER c. Receives clinical evaluation or therapeutic treatment or diagnostic
procedures or extends the length of stay or increases nursing care and
monitoring
2. "Code, if applicable, on causal condition first," note indicates that this code may be
assigned as a first listed or principal diagnosis when:
a. the causal condition is a symptom code
b. the code for the condition is unrelated to the causal condition
c. the causal condition is unknown or not applicable
d. the code appears in italicized font - CORRECT ANSWER c. the causal condition is
unknown or not applicable
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 determine if the patient has sepsis due to the
symptomatology.
, d. Query the physician to determine if the patient has septic shock so that this may
be used as the principal diagnosis. - CORRECT ANSWER c. Query the physician to
determine if the patient has sepsis due to the symptomatology.
4. The assignment of a diagnosis code is based on ________.
a. The coder's assessment of the health record
b. The provider's statement that the patient has a particular condition
c. Clinical criteria used by the provider to establish the diagnosis
d. Its inclusion in the discharge summary - CORRECT ANSWER b. The provider's
statement that the patient has a particular condition
5. Notes appearing under a 3-character code apply to which of the following?
a. Only to category codes that are exactly three-characters long
b. To all codes within that category
c. Only to one specific code
d. To all codes within that chapter - CORRECT ANSWER b. To all codes within that
category
6. According to CPT, a repair of a laceration that includes retention sutures would be
considered what type of closure?
a. Simple
b. Intermediate
c. Complex
d. Not specified - CORRECT ANSWER c. Complex
7. A patient is admitted with acute exacerbation of COPD, chronic renal failure, and
hypertension.
a. J44.1, J44.9, I12.9, N18.9
b. J44.1, N18.9, I10
c. J44.9, N18.9, I10
d. J44.1, I12.9, N18.9 - CORRECT ANSWER d. J44.1, I12.9, N18.9
8. When present, conditions that are not an integral part of the disease process
, a. should never be coded
b. should prompt a physician query
c. are always coded
d. should be assigned from the signs and symptoms codes - CORRECT ANSWER d.
should be assigned from the signs and symptoms codes
9. The patient was admitted with major depression current episode severe, recurrent.
What is the correct ICD-10-CM diagnosis code assignment for this condition?
a. F33.2
b. F33.40
c. F32.9
d. F31.81 - CORRECT ANSWER a. F33.2
10. A patient is admitted with abdominal pain. The physician documents the discharge
diagnosis as pancreatitis versus noncalculus cholecystitis. Both diagnoses are equally
treated. The correct coding and sequencing for this case would be:
a. Sequence either the pancreatitis or noncalculus cholecystitis as principal
diagnosis
b. Pancreatitis; noncalculus cholecystitis; abdominal pain
c. Noncalculus cholecystitis; pancreatitis; abdominal pain
d. Abdominal pain; pancreatitis; noncalculus cholecystitis - CORRECT ANSWER a.
Sequence either the pancreatitis or noncalculus cholecystitis as principal
diagnosis
11. A 35-year-old male was admitted with heartburn that has not improved with over-the-
counter medications. An esophagoscopy and closed esophageal biopsy at the upper
esophagus was performed. The physician documented esophageal reflux with
esophagitis as the final diagnosis based on pathological examination. Identify the correct
diagnosis and procedure codes.
a. K23, 0DJ07ZZ
b. K20.9, 0DB58ZX
c. K21.0, 0DB18ZX
d. K21.9, 0DB18ZX - CORRECT ANSWER c. K21.0, 0DB18ZX
, 12. A patient is admitted for chest pain with cardiac dysrhythmia to Hospital A. The patient is
found to have an acute ST elevation (STEMI) inferior myocardial infarction with atrial fibrillation.
After the atrial fibrillation was controlled and the patient was stabilized, the patient was
transferred to Hospital B for a CABG X 3. Coumadin therapy and monitoring for the atrial
fibrillation continued at Hospital B. Using the codes listed here, what are the appropriate ICD-
10-CM codes and sequencing for both hospitalizations?
- I21.09ST elevation (STEMI) myocardial infarction involving other coronary artery of anterior
wall
-I21.19ST elevation (STEMI) myocardial infarction involving other coronary artery of inferior wall
-I22.0Subsequent ST elevation (STEMI) myocardial infarction of anterior wallI22.1Subsequent ST
elevation (STEMI) myocardial infarction of inferior wall
-I48.0Paroxysmal atrial fibrillation
-I48.2Chronic at - CORRECT ANSWER c. Hospital A: I21.19, I48.91; Hospital B: I21.19, I48.91,
021209W
13. A patient is admitted to the hospital with abdominal pain. The principal diagnosis is
cholecystitis. The patient also has a history of hypertension and diabetes. In the MS-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 - CORRECT ANSWER b. Cholecystitis
14. 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
