CCA 2025 FINAL EXAM PREP TEST QUESTIONS WITH ACCURATE SOLUTIONS –
GUARANTEED A+
Which of the following organizations is responsible for updating the procedure
classification of ICD-10-PCS?
Centers for Medicare and Medicaid Services (CMS) is responsible for updating ICD-10-PCS
Coding accuracy is anticipated to improve due to which ICD-10-CM enhancement?
Expanding codes to capture more detail in several sections such as injury, diabetes, and
postoperative complications
Which character in an ICD-10-CM diagnosis code provides information regarding
encounter of care?
Seventh character provides information about encounter of care, such as intial encounter,
subsequent encounter, or sequelae
What does the fourth character of an ICD-10-CM diagnosis code capture?
Fourth character capture etiology, fifth capture anatomic site, and sixth capture severity
ICD-10-CM codes must be a minimum of how many characters
At least three characters with a decimal point used after the 3rd character
,To which of the following do notes appearing under a 3-character code apply?
When a note appears under a 3-character code, it applies to all codes within that category
Which volume of ICD-10-CM contains the Tabular and Alphabetic Index of procedures?
None since the development of ICD-10-PCS
Identify the correct diagnosis code for lipoma of the face:
Lipoma, face = D17.0
Identify the correct diagnosis code(s) for adenoma of left adrenal cortex with Conn's
syndrome:
Adenoma, adrenal (cortex) = D35.02
Syndrome, Conn = E26.01
Which of the following is a standard terminology used to code medical procedures and
services?
CPT is a comprehensive descriptive listing of terms an codes for reporting diagnostic and
therapeutic procedures and medical services.
Identify the appropriate ICD-10-CM diagnosis code for right cerebral contusion with 15
minute loss of consciousness, initial encounter for care:
,Contusion, cerebral - see Contusion, brain. Add 6th character "1" for loss of consciousness
of 30 minutes for less, 7th character for initial encounter = S06.311A
If a patient has en 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?
Diameter of the lesion as well as the most narrow margins required to adequately excise
the lesion described in the operative report
Pt with dx of ventral hernia is admitted to undergo laparotomy with ventral hernia repair and
undergoes an incision in the abdominal wall, then develops bradycardia. Surgeon does not
indicate that it is a complication of surgery. The operative site is closed without the repair of
the hernia. What is the correct code assignment?
K43.9 - Hernia, ventral
R00.1 - Bradycardia
Z53.09 - Procedure, not done, because of, contraindication
OWJF0ZZ - Inspection, abdominal wall, open, no device or qualifier (assigned to the extent
of the procedure, not the full laparotomy)
Codes used to assign a dx to a pt seeking health services but not necessarily sick:
Z codes
Pt admitted through ED following fall from a ladder with painting an interior bathroom in his
farmhouse and had contusions of the scalp and face, and displaced open fracture of
anterior wall of rt acetabulum. Fracture site was excisionally debrided and fracture was
reduced by open procedure with internal fixation device inserted. What is correct code
assignment?
, S32.411B - Fracture, traumatic, acetabulum, wall, anterior, displaced,right, initial
encounter, open fracture
S00.03XA - Contusion, scalp, X place mark, initial encounter
S00.83XA - Contusion, face NEC, X place mark, initial encounter
W11.XXXA - Ext. cause, fall/falling, from/off/out of, ladder, X place marks, initial encounter
Y92.012 - Ext. cause, Place of occurrence, farm, house (see PoC, res, house), bathroom
Y93.E9 - Ext. cause, activity, maintenance, household (int.) NEC
Y99.8 - Ext. cause, status, specified NEC
0QS404Z - Reduction (see Reposition), acetabulum, right, open, internal fixation device, no
qualifier
0QB40ZZ - Debridement, Excisional (see Excision), Acetabulum, rt, open, no device or
qualifier
Assign CPT code: Reposition of pacemaker electrode
33215 - Pacemaker, heart, repositioning, electrode
Assign CPT code: 58 yo male was seen in OutPt Surgical Center for extensive destruction of
penile lesion by laser:
54065 - Lesion, penis, destruction, extensive
Pt returns during 90-day post-op period from ventral hernia repair now complaining of eye
pain. What modifier would physician setting use with the E/M code?
-24 Unrelated service by same physician during a postoperative period
GUARANTEED A+
Which of the following organizations is responsible for updating the procedure
classification of ICD-10-PCS?
Centers for Medicare and Medicaid Services (CMS) is responsible for updating ICD-10-PCS
Coding accuracy is anticipated to improve due to which ICD-10-CM enhancement?
Expanding codes to capture more detail in several sections such as injury, diabetes, and
postoperative complications
Which character in an ICD-10-CM diagnosis code provides information regarding
encounter of care?
Seventh character provides information about encounter of care, such as intial encounter,
subsequent encounter, or sequelae
What does the fourth character of an ICD-10-CM diagnosis code capture?
Fourth character capture etiology, fifth capture anatomic site, and sixth capture severity
ICD-10-CM codes must be a minimum of how many characters
At least three characters with a decimal point used after the 3rd character
,To which of the following do notes appearing under a 3-character code apply?
When a note appears under a 3-character code, it applies to all codes within that category
Which volume of ICD-10-CM contains the Tabular and Alphabetic Index of procedures?
None since the development of ICD-10-PCS
Identify the correct diagnosis code for lipoma of the face:
Lipoma, face = D17.0
Identify the correct diagnosis code(s) for adenoma of left adrenal cortex with Conn's
syndrome:
Adenoma, adrenal (cortex) = D35.02
Syndrome, Conn = E26.01
Which of the following is a standard terminology used to code medical procedures and
services?
CPT is a comprehensive descriptive listing of terms an codes for reporting diagnostic and
therapeutic procedures and medical services.
Identify the appropriate ICD-10-CM diagnosis code for right cerebral contusion with 15
minute loss of consciousness, initial encounter for care:
,Contusion, cerebral - see Contusion, brain. Add 6th character "1" for loss of consciousness
of 30 minutes for less, 7th character for initial encounter = S06.311A
If a patient has en 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?
Diameter of the lesion as well as the most narrow margins required to adequately excise
the lesion described in the operative report
Pt with dx of ventral hernia is admitted to undergo laparotomy with ventral hernia repair and
undergoes an incision in the abdominal wall, then develops bradycardia. Surgeon does not
indicate that it is a complication of surgery. The operative site is closed without the repair of
the hernia. What is the correct code assignment?
K43.9 - Hernia, ventral
R00.1 - Bradycardia
Z53.09 - Procedure, not done, because of, contraindication
OWJF0ZZ - Inspection, abdominal wall, open, no device or qualifier (assigned to the extent
of the procedure, not the full laparotomy)
Codes used to assign a dx to a pt seeking health services but not necessarily sick:
Z codes
Pt admitted through ED following fall from a ladder with painting an interior bathroom in his
farmhouse and had contusions of the scalp and face, and displaced open fracture of
anterior wall of rt acetabulum. Fracture site was excisionally debrided and fracture was
reduced by open procedure with internal fixation device inserted. What is correct code
assignment?
, S32.411B - Fracture, traumatic, acetabulum, wall, anterior, displaced,right, initial
encounter, open fracture
S00.03XA - Contusion, scalp, X place mark, initial encounter
S00.83XA - Contusion, face NEC, X place mark, initial encounter
W11.XXXA - Ext. cause, fall/falling, from/off/out of, ladder, X place marks, initial encounter
Y92.012 - Ext. cause, Place of occurrence, farm, house (see PoC, res, house), bathroom
Y93.E9 - Ext. cause, activity, maintenance, household (int.) NEC
Y99.8 - Ext. cause, status, specified NEC
0QS404Z - Reduction (see Reposition), acetabulum, right, open, internal fixation device, no
qualifier
0QB40ZZ - Debridement, Excisional (see Excision), Acetabulum, rt, open, no device or
qualifier
Assign CPT code: Reposition of pacemaker electrode
33215 - Pacemaker, heart, repositioning, electrode
Assign CPT code: 58 yo male was seen in OutPt Surgical Center for extensive destruction of
penile lesion by laser:
54065 - Lesion, penis, destruction, extensive
Pt returns during 90-day post-op period from ventral hernia repair now complaining of eye
pain. What modifier would physician setting use with the E/M code?
-24 Unrelated service by same physician during a postoperative period
