CCA Exam Prep Test CORRECT QUESTIONS &
SOLUTIONS(GRADED A)
The nose, mouth, sinuses, pharynx, & larynx make up the? - ANSWER The upper respiratory tract
Mary Giovanni is in the hospital recovering from colon resection surgery. Based on her symptoms, her
doctors are concerned about the possibility that she has developed a pulmonary embolism. Which of the
following procedures will provide the definitive diagnosis?
a) Chest X-ray
b) Pulmonary angiography
c) Lung scan
d) None of the above - ANSWER Pulmonary angiography
A 32 year old patient has a colonoscopy with removal of 3 polyps by snare. Moderate sedation was used
& provided by the physician. The intraservice time was 30 minutes. - ANSWER 45385 - colonoscopy with
removal of tumor or polyps or other lesions by snare technique
99156-initial 15 minutes of intraservice time, patient 5 years or older.
99157-each additional 15 minutes of intraservice time (list separately in addition to code for primary
service)
The diagnosis is as follows: "Carcinoma of axillary lymph nodes & Lungs, metastatic from breast" what is
the primary cancer site?
a) Lungs
b) Axillary lymph nodes
c) Breast
d) Both Axillary lymph nodes & Lungs - ANSWER Breast
Patient has a year history of mitral valve regurgitation (mitral insufficiency) and now presents for a mitral
valve replacement with bypass (Code for physician using CPT procedure codes only).
, **(Valvuloplasty is a plastic repair of a valve) - ANSWER 33430 Replacement, mitralvalve, with
cardiopulmonary bypass
You are conducting an educational session on benchmarking. You tell your audience that the key to
benchmarking is to use the comparison to? - ANSWER Improve your departments processes
Your facility would like to improve physician documentation in order to allow improved coding. As a
coding supervisor, you have found it very effective to provide the physicians with? - ANSWER Feedback
on specific instances when improved documentation would improve coding.
A patient is diagnosed with early onset Alzheimer's disease with dementia, how would this be coded? -
ANSWER G30.0-Alzheimer's disease with early onset
F02.80-Dementia in other diseases classified elsewhere. Without behavioral disturbance.
An established patient was seen by a physician in her office for DTaP-IPV/Hib (DTap=Diphtheria, Tetanus,
& Acellular Pertussis) (IPV=Inactivated Polio Vaccine) (Hib=Haemophilus influenzae type B vaccine) -
ANSWER 90471-Immunization administration (includes percutaneous intradermal, subcutaneous, or
intramuscular injections) 1 vaccine (single or combination vaccine/toxoid)
90698-Diphtheria, tetanus toxoids, acellular pertussis vaccine, Haemophilus influenza type b, &
inactivated poliovirus vaccine (DTaP-IPV/Hib) for intramuscular use.
What CPT code is used for a high-energy ESW of the lateral humeral epicondyle (tennis elbow) using
general anesthesia? - ANSWER 0102T-Extracorporeal shock wave, high energy, performed by a
physician , requiring anesthesia other than local, involving lateral humeral epicondyle.
Which of the following procedures can be identified as "destruction" of lesions:
a) paring of hyperkeratotic lesion
b) laser removal of condylomata (wart)
c) shaving of skin lesion
d) removal of skin tags - 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? - ANSWER Upcoding
, A ________is a collection of information or data that is organized in such a way that it's contents can be
queried and relationships created - ANSWER Database
A single lung transplant without cardiopulmonary bypass. (Code for physician using CPT procedure only)
- ANSWER 32851 Lung transplant, single, without cardiopulmonary bypass
A female with 6 months of stress incontinence. Laparoscopic urethral suspension was completed. choose
the appropriate ICD-10-CM and CPT codes? - ANSWER N39.3- Stress incontinence (female) (male)
51990-Laparoscopy, surgical; urethral suspension for stress incontinence.
The use of radioactive sources placed into a tumor-bearing area to generate high intensity radiation is
termed? - ANSWER Brachytherapy
External Beam Radiation - ANSWER The most common type of radiation therapy used for cancer
treatment. A machine is used to aim high-energy rays (or beams) from outside the body into the tumor.
(The machine most commonly used is called a linear accelerator or "linac.")
What radiation therapy uses several beams of various intensities aimed at different angles to precisely
target the tumor. Through the use of CT, MRI or other advanced imaging techniques to precisely map the
position of the tumor. The images are used to design a four-dimensional, customized treatment plan that
determines beam intensity and positioning. The goal is to deliver the highest possible dose to kill the
cancer while minimizing exposure to healthy organs. - ANSWER Stereotactic body radiation therapy
(SBRT) or Stereotactic ablative radiotherapy
A machine called a synchrotron or cyclotron speeds up protons. The high speed of the protons creates
high energy. This energy makes the protons travel to the desired depth in the body. The protons then
give the targeted radiation dose in the tumor. There is less radiation dose outside of the tumor which
minimizes damage to the surrounding healthy tissues & organs, which helps reduce side effects. -
ANSWER Proton Beam Treatment
Which of the following procedures would not be coded to "resection" when using ICD-10-PCS?
a) Excision of sigmoid colon
b) Excision of gallbladder
SOLUTIONS(GRADED A)
The nose, mouth, sinuses, pharynx, & larynx make up the? - ANSWER The upper respiratory tract
Mary Giovanni is in the hospital recovering from colon resection surgery. Based on her symptoms, her
doctors are concerned about the possibility that she has developed a pulmonary embolism. Which of the
following procedures will provide the definitive diagnosis?
a) Chest X-ray
b) Pulmonary angiography
c) Lung scan
d) None of the above - ANSWER Pulmonary angiography
A 32 year old patient has a colonoscopy with removal of 3 polyps by snare. Moderate sedation was used
& provided by the physician. The intraservice time was 30 minutes. - ANSWER 45385 - colonoscopy with
removal of tumor or polyps or other lesions by snare technique
99156-initial 15 minutes of intraservice time, patient 5 years or older.
99157-each additional 15 minutes of intraservice time (list separately in addition to code for primary
service)
The diagnosis is as follows: "Carcinoma of axillary lymph nodes & Lungs, metastatic from breast" what is
the primary cancer site?
a) Lungs
b) Axillary lymph nodes
c) Breast
d) Both Axillary lymph nodes & Lungs - ANSWER Breast
Patient has a year history of mitral valve regurgitation (mitral insufficiency) and now presents for a mitral
valve replacement with bypass (Code for physician using CPT procedure codes only).
, **(Valvuloplasty is a plastic repair of a valve) - ANSWER 33430 Replacement, mitralvalve, with
cardiopulmonary bypass
You are conducting an educational session on benchmarking. You tell your audience that the key to
benchmarking is to use the comparison to? - ANSWER Improve your departments processes
Your facility would like to improve physician documentation in order to allow improved coding. As a
coding supervisor, you have found it very effective to provide the physicians with? - ANSWER Feedback
on specific instances when improved documentation would improve coding.
A patient is diagnosed with early onset Alzheimer's disease with dementia, how would this be coded? -
ANSWER G30.0-Alzheimer's disease with early onset
F02.80-Dementia in other diseases classified elsewhere. Without behavioral disturbance.
An established patient was seen by a physician in her office for DTaP-IPV/Hib (DTap=Diphtheria, Tetanus,
& Acellular Pertussis) (IPV=Inactivated Polio Vaccine) (Hib=Haemophilus influenzae type B vaccine) -
ANSWER 90471-Immunization administration (includes percutaneous intradermal, subcutaneous, or
intramuscular injections) 1 vaccine (single or combination vaccine/toxoid)
90698-Diphtheria, tetanus toxoids, acellular pertussis vaccine, Haemophilus influenza type b, &
inactivated poliovirus vaccine (DTaP-IPV/Hib) for intramuscular use.
What CPT code is used for a high-energy ESW of the lateral humeral epicondyle (tennis elbow) using
general anesthesia? - ANSWER 0102T-Extracorporeal shock wave, high energy, performed by a
physician , requiring anesthesia other than local, involving lateral humeral epicondyle.
Which of the following procedures can be identified as "destruction" of lesions:
a) paring of hyperkeratotic lesion
b) laser removal of condylomata (wart)
c) shaving of skin lesion
d) removal of skin tags - 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? - ANSWER Upcoding
, A ________is a collection of information or data that is organized in such a way that it's contents can be
queried and relationships created - ANSWER Database
A single lung transplant without cardiopulmonary bypass. (Code for physician using CPT procedure only)
- ANSWER 32851 Lung transplant, single, without cardiopulmonary bypass
A female with 6 months of stress incontinence. Laparoscopic urethral suspension was completed. choose
the appropriate ICD-10-CM and CPT codes? - ANSWER N39.3- Stress incontinence (female) (male)
51990-Laparoscopy, surgical; urethral suspension for stress incontinence.
The use of radioactive sources placed into a tumor-bearing area to generate high intensity radiation is
termed? - ANSWER Brachytherapy
External Beam Radiation - ANSWER The most common type of radiation therapy used for cancer
treatment. A machine is used to aim high-energy rays (or beams) from outside the body into the tumor.
(The machine most commonly used is called a linear accelerator or "linac.")
What radiation therapy uses several beams of various intensities aimed at different angles to precisely
target the tumor. Through the use of CT, MRI or other advanced imaging techniques to precisely map the
position of the tumor. The images are used to design a four-dimensional, customized treatment plan that
determines beam intensity and positioning. The goal is to deliver the highest possible dose to kill the
cancer while minimizing exposure to healthy organs. - ANSWER Stereotactic body radiation therapy
(SBRT) or Stereotactic ablative radiotherapy
A machine called a synchrotron or cyclotron speeds up protons. The high speed of the protons creates
high energy. This energy makes the protons travel to the desired depth in the body. The protons then
give the targeted radiation dose in the tumor. There is less radiation dose outside of the tumor which
minimizes damage to the surrounding healthy tissues & organs, which helps reduce side effects. -
ANSWER Proton Beam Treatment
Which of the following procedures would not be coded to "resection" when using ICD-10-PCS?
a) Excision of sigmoid colon
b) Excision of gallbladder
