CCA Mock Exam UPDATED Actual Exam
Questions and CORRECT Answers
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. -
CORRECT ANSWER- ✔✔45385, 99156, 99157
A code of 45385 should be used for the colonoscopy procedure with the removal of polpys.
No additional codes needed for the colonscopy since it included the colonoscopy and removal
of polyps. The moderate sedation also needs to be coded. A code of 99156 should be used to
code the moderate sedation services provided by a physician for the intial 15 minutes of
intraservice time. An additional code of 99157 should be coded for the additional 15 minutes
of intraservice time for the moderate sedation since the patient was sedated for a total of 30
minutes. No additional codes needed.
The diagnosis is as follows: "Carcinoma of axillary lymph nodes and lungs, metastatic from
breast." Given this which are the primary cancer site(s)? - CORRECT ANSWER- ✔✔breast
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.)
33425 Valvuloplasty, mitral valve, with cardiopulmonary bypass
33430 Replacement, mitral valve, with cardiopulmonary bypass
33460 Valvectomy, tricuspid valve, with cardiopulmonary bypass
35231 Repair blood vessel with vein graft; neck - CORRECT ANSWER- ✔✔33430
You are conducting an educational session on benchmarking. You tell your audience that the
key to benchmarking is to use the comparison to - CORRECT ANSWER- ✔✔improve your
department's processes
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
- CORRECT ANSWER- ✔✔feedback on specific instances when improved documentation
would improve coding
, Which of the following procedures can be identified as "destruction" of lesions? - CORRECT
ANSWER- ✔✔laser removal of condylomata
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 - CORRECT ANSWER-
✔✔upcoding
A ________ is a collection of information or data that is organized in such a way that its
contents can be queried and relationships created. - CORRECT ANSWER- ✔✔database
The use of radioactive sources placed into a tumor-bearing area to generate high-intensity
radiation is termed - CORRECT ANSWER- ✔✔brachytherapy
Which of the following procedures would NOT be coded to "resection" when using ICD-10-
PCS? - CORRECT ANSWER- ✔✔partial resection of upper left lobe
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 - CORRECT
ANSWER- ✔✔used and sequenced as a secondary diagnosis
Some ICD-10-CM codes are exempt from POA reporting because they - CORRECT
ANSWER- ✔✔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
CMS delegates its daily operations of the Medicare and Medicaid programs to - CORRECT
ANSWER- ✔✔Medicare administrative contractor (MAC)
Which diagnosis should be listed first when sequencing inpatient codes using the UHDDS? -
CORRECT ANSWER- ✔✔principal diagnosis
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 - CORRECT
ANSWER- ✔✔doctor's admitting progress note
Questions and CORRECT Answers
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. -
CORRECT ANSWER- ✔✔45385, 99156, 99157
A code of 45385 should be used for the colonoscopy procedure with the removal of polpys.
No additional codes needed for the colonscopy since it included the colonoscopy and removal
of polyps. The moderate sedation also needs to be coded. A code of 99156 should be used to
code the moderate sedation services provided by a physician for the intial 15 minutes of
intraservice time. An additional code of 99157 should be coded for the additional 15 minutes
of intraservice time for the moderate sedation since the patient was sedated for a total of 30
minutes. No additional codes needed.
The diagnosis is as follows: "Carcinoma of axillary lymph nodes and lungs, metastatic from
breast." Given this which are the primary cancer site(s)? - CORRECT ANSWER- ✔✔breast
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.)
33425 Valvuloplasty, mitral valve, with cardiopulmonary bypass
33430 Replacement, mitral valve, with cardiopulmonary bypass
33460 Valvectomy, tricuspid valve, with cardiopulmonary bypass
35231 Repair blood vessel with vein graft; neck - CORRECT ANSWER- ✔✔33430
You are conducting an educational session on benchmarking. You tell your audience that the
key to benchmarking is to use the comparison to - CORRECT ANSWER- ✔✔improve your
department's processes
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
- CORRECT ANSWER- ✔✔feedback on specific instances when improved documentation
would improve coding
, Which of the following procedures can be identified as "destruction" of lesions? - CORRECT
ANSWER- ✔✔laser removal of condylomata
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 - CORRECT ANSWER-
✔✔upcoding
A ________ is a collection of information or data that is organized in such a way that its
contents can be queried and relationships created. - CORRECT ANSWER- ✔✔database
The use of radioactive sources placed into a tumor-bearing area to generate high-intensity
radiation is termed - CORRECT ANSWER- ✔✔brachytherapy
Which of the following procedures would NOT be coded to "resection" when using ICD-10-
PCS? - CORRECT ANSWER- ✔✔partial resection of upper left lobe
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 - CORRECT
ANSWER- ✔✔used and sequenced as a secondary diagnosis
Some ICD-10-CM codes are exempt from POA reporting because they - CORRECT
ANSWER- ✔✔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
CMS delegates its daily operations of the Medicare and Medicaid programs to - CORRECT
ANSWER- ✔✔Medicare administrative contractor (MAC)
Which diagnosis should be listed first when sequencing inpatient codes using the UHDDS? -
CORRECT ANSWER- ✔✔principal diagnosis
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 - CORRECT
ANSWER- ✔✔doctor's admitting progress note
