1|Page
CCA EXAM PREP DOMAINS 1, 2, 3, 4, 5 & 6 NEWEST
2025 ACTUAL EXAM TEST BANK| COMPLETE 600
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) ALREADY GRADED A+| CCA
EXAM REVIEW 2025 (BRAND NEW!!)
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 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
Reference codes 49491 through 49525 for inguinal hernia repair. Patient
is 47 years old. What is the correct code for an initial inguinal
herniorrhaphy for incarcerated hernia?
a. 49496
b. 49501
c. 49507
d. 49521 - Correct Answer - c. 49507
A patient was admitted for abdominal pain with diarrhea and was
diagnosed with infectious gastroenteritis. The patient also has angina
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and chronic obstructive pulmonary disease. Which of the following
would be the correct coding and sequencing for this case?
a. Abdominal pain; infectious gastroenteritis; chronic obstructive
pulmonary disease; angina
b. Infectious gastroenteritis; chronic obstructive pulmonary disease;
angina
c. Gastroenteritis; abdominal pain; angina
d. Gastroenteritis; abdominal pain; diarrhea; chronic obstructive
pulmonary disease; angina - Correct Answer - b. Infectious
gastroenteritis; chronic obstructive pulmonary disease; angina
A 65-year-old female was admitted to the hospital. She was diagnosed
with sepsis secondary to Staphylococcus aureus and abdominal pain
secondary to diverticulitis of the colon. What is the correct code
assignment?
a. A41.89, K57.92, R10.9
b. A41.01, K57.92
c. A41.89, K57.92, A49.01
d. A41.9, K57.92 - Correct Answer - b. A41.01, K57.92
Coding accuracy is anticipated to improve due to which ICD-10-CM
enhancement?
a. Less combination codes
b. Increased cross referencing
c. Removal of laterality
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d. Expanded codes that capture more detail - Correct Answer - d.
Expanded codes that capture more detail
Patient with flank pain was admitted and found to have a calculus of the
kidney. A ureteroscopy with placement of bilateral ureteral stents was
performed to expand the lumen so the stone could pass naturally. Assign
the correct ICD-10-CM/PCS diagnosis and procedure codes.
a. N20.0, N23, 0T788DZ
b. N23, N20.0, 0TC68ZZ, 0TC78ZZ
c. N20.0, 0T768DZ, 0T778DZ
d. N20.0, 0T788DZ - Correct Answer - d. N20.0, 0T788DZ
A 7-year-old patient was admitted to the emergency department for
treatment of shortness of breath. The patient is given epinephrine and
nebulizer treatments. The shortness of breath and wheezing are unabated
following treatment. What diagnosis should be suspected?
a. Acute bronchitis
b. Acute bronchitis with chronic obstructive pulmonary disease
c. Asthma with status asthmaticus
d. Chronic obstructive asthma - Correct Answer - c. Asthma with status
asthmaticus
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
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c. J44.9, N18.9, I10
d. J44.1, I12.9, N18.9 - Correct Answer - d. J44.1, I12.9, N18.9
What does the fourth character of an ICD-10-CM diagnosis code
capture?
a. Anatomic site
b. Severity
c. Etiology
d. Supplemental information - Correct Answer - c. Etiology
Identify the diagnosis code(s) for carcinoma in situ of vocal cord.
a. D02.0
b. C32.0
c. D49.1
d. D14.1 - Correct Answer - a. D02.0
To help clarify terms that currently have overlapping meaning, ICD-10-
PCS has defined root operations. What is an example of the root
operation of Excision?
a. Partial nephrectomy
b. Total nephrectomy
c. Total lobectomy
d. Total mastectomy - Correct Answer - a. Partial nephrectomy
pg. 4
CCA EXAM PREP DOMAINS 1, 2, 3, 4, 5 & 6 NEWEST
2025 ACTUAL EXAM TEST BANK| COMPLETE 600
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) ALREADY GRADED A+| CCA
EXAM REVIEW 2025 (BRAND NEW!!)
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 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
Reference codes 49491 through 49525 for inguinal hernia repair. Patient
is 47 years old. What is the correct code for an initial inguinal
herniorrhaphy for incarcerated hernia?
a. 49496
b. 49501
c. 49507
d. 49521 - Correct Answer - c. 49507
A patient was admitted for abdominal pain with diarrhea and was
diagnosed with infectious gastroenteritis. The patient also has angina
pg. 1
,2|Page
and chronic obstructive pulmonary disease. Which of the following
would be the correct coding and sequencing for this case?
a. Abdominal pain; infectious gastroenteritis; chronic obstructive
pulmonary disease; angina
b. Infectious gastroenteritis; chronic obstructive pulmonary disease;
angina
c. Gastroenteritis; abdominal pain; angina
d. Gastroenteritis; abdominal pain; diarrhea; chronic obstructive
pulmonary disease; angina - Correct Answer - b. Infectious
gastroenteritis; chronic obstructive pulmonary disease; angina
A 65-year-old female was admitted to the hospital. She was diagnosed
with sepsis secondary to Staphylococcus aureus and abdominal pain
secondary to diverticulitis of the colon. What is the correct code
assignment?
a. A41.89, K57.92, R10.9
b. A41.01, K57.92
c. A41.89, K57.92, A49.01
d. A41.9, K57.92 - Correct Answer - b. A41.01, K57.92
Coding accuracy is anticipated to improve due to which ICD-10-CM
enhancement?
a. Less combination codes
b. Increased cross referencing
c. Removal of laterality
pg. 2
,3|Page
d. Expanded codes that capture more detail - Correct Answer - d.
Expanded codes that capture more detail
Patient with flank pain was admitted and found to have a calculus of the
kidney. A ureteroscopy with placement of bilateral ureteral stents was
performed to expand the lumen so the stone could pass naturally. Assign
the correct ICD-10-CM/PCS diagnosis and procedure codes.
a. N20.0, N23, 0T788DZ
b. N23, N20.0, 0TC68ZZ, 0TC78ZZ
c. N20.0, 0T768DZ, 0T778DZ
d. N20.0, 0T788DZ - Correct Answer - d. N20.0, 0T788DZ
A 7-year-old patient was admitted to the emergency department for
treatment of shortness of breath. The patient is given epinephrine and
nebulizer treatments. The shortness of breath and wheezing are unabated
following treatment. What diagnosis should be suspected?
a. Acute bronchitis
b. Acute bronchitis with chronic obstructive pulmonary disease
c. Asthma with status asthmaticus
d. Chronic obstructive asthma - Correct Answer - c. Asthma with status
asthmaticus
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
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c. J44.9, N18.9, I10
d. J44.1, I12.9, N18.9 - Correct Answer - d. J44.1, I12.9, N18.9
What does the fourth character of an ICD-10-CM diagnosis code
capture?
a. Anatomic site
b. Severity
c. Etiology
d. Supplemental information - Correct Answer - c. Etiology
Identify the diagnosis code(s) for carcinoma in situ of vocal cord.
a. D02.0
b. C32.0
c. D49.1
d. D14.1 - Correct Answer - a. D02.0
To help clarify terms that currently have overlapping meaning, ICD-10-
PCS has defined root operations. What is an example of the root
operation of Excision?
a. Partial nephrectomy
b. Total nephrectomy
c. Total lobectomy
d. Total mastectomy - Correct Answer - a. Partial nephrectomy
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