CCA Mock Test

45385, 99156, 99157 - correct answer A 32-year-old patient has a colonoscopy with removal of three polyps by snare. Moderate sedation was used and provided by the physician. The intraservice time was 30 minutes. breast - correct answer The diagnosis is as follows: "Carcinoma of axillary lymph nodes and lungs, metastatic from breast." Given this which are the primary cancer site(s)? 33430 - correct answer Patient has a year history of mitral valve regurgitation and now presents for a mitral valve replacement with bypass. (Code for physician using CPT procedure codes only.) improve your department's processes - correct answer You are conducting an educational session on benchmarking. You tell your audience that the key to benchmarking is to use the comparison to feedback on specific instances when improved documentation would improve coding - correct answer Your facility would like to improve physician documentation in order to allow improved coding. As coding supervisor, you have found it very effective to provide the physicians with G30.0, F02.80 - correct answer A patient is diagnosed with early onset Alzheimer's disease with dementia. 90471, 90698 (If immunization is the only service that the patient receives, then two codes are used to report the service: the immunization administration code is first and then the code for the vaccine/toxoid.) - correct answer An established patient was seen by physician in her office for DTaP-IPV/Hib. 0102T - correct answer CPT code for a high-energy ESW of the lateral humeral epicondyle using general anesthesia. laser removal of condyloma - correct answer Which of the following procedures can be identified as "destruction" of lesions? upcoding - correct answer The practice of using a code that results in a higher payment to the provider than the code that more accurately reflects the service provided is known as database - correct answer A ________ is a collection of information or data that is organized in such a way that its contents can be queried and relationships created. 32851 - correct answer Single lung transplant without cardiopulmonary bypass. (Code for physician using CPT procedure codes only.) N39.3, 51990 - correct answer Female with 6 months of stress incontinence. Laparoscopic urethral suspension was completed. Choose the appropriate ICD-10-CM and CPT codes. external beam radiation - correct answer The use of radioactive sources placed into a tumor-bearing area to generate high-intensity radiation is termed partial resection of the upper left lobe - correct answer Which of the following procedures would NOT be coded to "resection" when using ICD-10-PCS? used and sequenced as a secondary diagnosis - correct answer During her hospitalization for her third delivery, Janet had a sterilization procedure performed. When the record is coded, the code for sterilization, Z30.2, is R42, T42.3x1A, T51.8x1A - correct answer A patient suffered dizziness as a result of taking prescribed phenobarbital. The patient took his medication with beer. are always present on admission and represent circumstances regarding the health care encounter or factors influencing health status that do not represent a current disease or injury. - correct answer Some ICD-10-CM codes are exempt from POA reporting because they Medicare Administrative Contractor (MAC) - correct answer CMS delegates its daily operations of the Medicare and Medicaid programs to principal diagnosis - correct answer Which diagnosis should be listed first when sequencing inpatient codes using the UHDDS? N40.0, 53852 - correct answer Male patient has been diagnosed with benign prostatic hypertrophy and undergoes a transurethral destruction of the prostate by radiofrequency thermotherapy. (Code ICD-10-CM for diagnoses and CPT for procedures.) doctor's admitting progress note - correct answer As part of a concurrent record review, you need to locate the initial plan of action based on the attending physician's initial assessment of the patient. You can expect to find this documentation either within the body of the history and physical or in the 63005 - correct answer Lumbar laminectomy (one segment) for decompression of spinal cord. (Code CPT for procedures.) recovery audit contractors (RACs) - correct answer The _______________ are the organizations that contract with Medicare to perform reviews of medical records with the corresponding Medicare claims to detect and correct improper payments. 38745 - correct answer Patient has breast carcinoma and is now undergoing complete axillary lymphadenectomy. (Code for physician using CPT procedure codes only.) all answers apply: changes in the services offered by a facility, changes in DRG weights, and accuracy of coding - correct answer Which of the following could influence a facility's case mix? D17.1 - correct answer Excision 2 cm subcutaneous soft tissue lipoma of the back. (Code for diagnoses using ICD-10-CM. Code for procedure using CPT.) 30 days - correct answer The Joint Commission requires that all medical records be completed within ___________ following patient discharge. 25251 - correct answer Provide the CPT code for a patient that had a complicated removal of a wrist prosthesis. they should both be coded, acute sequenced first - correct answer If the same condition is described as both acute and chronic and separate subentries exist in the ICD-10-CM alphabetic index at the same indentation level D12.2, D12.3, 45384, 45385-59 - correct answer Patient presents to the GI lab for a colonoscopy. During the colonoscopy, adenomatous polyps were discovered in the ascending colon and in the transverse colon. Polyps in the ascending colon were removed via hot biopsy forceps, and the polyps in the transverse colon were removed by snare technique. quid pro quo - correct answer What legal term is used in describing sexual harassment in reference to unwelcome sexual advances, request for sexual favors, and verbal or physical conduct of a sexual nature made in return for job benefits? 44204, 44213 (Code 44204 for the laparoscopy, surgical; colectomy, partial, with anastomosis. Code additional code of 44213 for the laparoscopy, surgical, mobilization (take-down) of splenic flexure performed in conjunction with partial colectomy. (List separately in addition to primary procedure.) - correct answer CPT code(s) for a laparoscopic takedown of the splenic flexure and a partial colectomy with anastomosis. is a system for documenting the extent or spread of cancer - correct answer staging congenital disorders - correct answer Which of these conditions are always considered "present on admission" (POA)? K40.91, 49565, 49568 - correct answer Patient came to the hospital ambulatory surgical center for repair of incisional inguinal hernia. This is the second time the patient has developed this problem. The hernia was repaired with Gore-Tex graft. Choose the appropriate ICD-10-CM and CPT codes. chronic cough (For outpatients, possible and probable diagnoses are not coded. Outpatient cases are only coded to the diagnoses that are proven at the visit. For inpatients, possible and probable diagnoses can be coded as certain IF the diagnosis remains as a possible diagnosis upon discharge and is included in the discharge summary.) - correct answer Robert Thompson was seen in the outpatient department with a chronic cough and the record states "rule out lung cancer." What should be coded as the patient's diagnosis? L25.1, T49.0x5A - correct answer A patient presents with dermatitis due to prescription topical antibiotic cream used as directed by physician. 2.965807 - correct answer Based on the sample MS-DRG report above, what is the case-mix index for