https://www.stuvia.com/user/passnursingnow
https://www.stuvia.com/user/passnursingnow
https://www.stuvia.com/user/passnursingnow
CCA Prep - Clinical Classification Systems 2025/2026
d. R07.9 Chest pain, unspecified
A patient is seen in the ED for chest pain.
After evaluation of the patient it is
suspected that the patient may have
GERD. The final diagnosis was "chest pain
versus GERD." The correct ICD-10-CM
code is:
a. Z03.89 Encounter for observation for
other suspected diseases and conditions
ruled out
b. R10.11 Right upper quadrant abdominal
pain
c. K21.9 Gastro-esophageal reflux disease
d. R07.9 Chest pain, unspecified
a. does not require documentation of the type of test performed; the physician's
diagnostic statement that the condition is confirmed is sufficient
Code only a confirmed diagnosis of Zika
virus (A92.5, Zika virus disease) as
documented by the provider. In this context
"confirmation" ______.
a. Does not require documentation of the
type of test performed; the physician's
diagnostic statement that the condition is
confirmed is sufficient
b. Requires the documentation of the type
of test in addition to the physician's
diagnostic statement
c. Must be provided by the laboratory
findings report
d. Requires that the Public Health Agency
be contacted
c. C18.9, C78.02
Identify the correct ICD-10-CM diagnosis
codes for metastatic carcinoma of the
colon to the left lung.
a. C18.9, C34.92
b. C78.00, C18.9
c. C18.9, C78.02
d. C18.9, D49.1
a. CPT
Which of the following is a standard
terminology used to code medical
procedures and services?
a. CPT
b. HCPCS
c. ICD-10-PCS
d. SNOMED CT
https://www.stuvia.com/user/passnursingnow
https://www.stuvia.com/user/passnursingnow
https://www.stuvia.com/user/passnursingnow
,https://www.stuvia.com/user/passnursingnow
https://www.stuvia.com/user/passnursingnow
https://www.stuvia.com/user/passnursingnow
CCA Prep - Clinical Classification Systems 2025/2026
A. "with manipulation" code
If an orthopedic surgeon attempted to
reduce a fracture but was unsuccessful in
obtaining acceptable alignment, what type
of code should be assigned for the
procedure?
a. A "with manipulation" code
b. A "without manipulation" code
c. An unlisted procedure code
d. An E/M code only
46930
What is the correct CPT code assignment
for destruction of internal hemorrhoids with
use of infrared coagulation?
a. 46255
b. 46930
c. 46260
d. 46945
a. 21012
Identify CPT code(s) for the following
patient. A 35-year-old female undergoes an
excision of a 3.0-cm tumor in her forehead.
An incision is made through the skin and
subcutaneous tissue. The tumor is
dissected free of surrounding structures.
The wound is closed with interrupted
sutures.
a. 21012
b. 21012, 12052
c. 21014
d. 21014, 12052
c. S06.371A
Identify the appropriate ICD-10-CM
diagnosis code for right cerebral contusion
with 15-minute loss of consciousness,
initial encounter for care.
a. T14.8
b. S06.371A
c. S06.311A
d. S06.310A
C. chatper 14 Diseases of the genitourinary system
Identify the chapter in which certain signs
and symptoms of breast disease, such as
mastodynia, induration of breast, and
nipple discharge, are included.
a. Chapter 2 Neoplasms
b. Chapter 12 Diseases of the skin and
subcutaneous tissue
c. Chapter 14 Diseases of the
genitourinary system
d. Chapter 18 Symptoms, signs and
abnormal clinical and laboratory findings,
not elsewhere classified
https://www.stuvia.com/user/passnursingnow
https://www.stuvia.com/user/passnursingnow
https://www.stuvia.com/user/passnursingnow
, https://www.stuvia.com/user/passnursingnow
https://www.stuvia.com/user/passnursingnow
https://www.stuvia.com/user/passnursingnow
CCA Prep - Clinical Classification Systems 2025/2026
D. 58720
The physician performs an exploratory
laparotomy with bilateral salpingo-
oophorectomy. What is the correct CPT
code assignment for this procedure?
a. 49000, 58940, 58700
b. 58940, 58720-50
c. 49000, 58720
d. 58720
c. O65.4; 01967; 01968
An epidural was given during labor.
Subsequently, it was determined that the
patient would require a C-section for
cephalopelvic disproportion because of
obstructed labor. Assign the correct ICD-
10-CM diagnostic and CPT anesthesia
codes. (Modifiers are not used in this
example.)
a. O65.4, 64479
b. O65.4, O33.0, 01961
c. O65.4, 01967, 01968
d. O65.4, O33.9, 01996
C. Incomplete abortion
Identify the term ICD-10-CM uses for the
following definition: "the expulsion of some,
but not all, of the products of conception
from the uterus."
a. Spontaneous abortion
b. Therapeutic abortion
c. Incomplete abortion
d. Complete abortion
A. D35.02; E26.01
Identify the correct diagnosis code(s) for
adenoma of left adrenal cortex with Conn's
syndrome.
a. D35.02, E26.01
b. D35.02
c. E26.01
d. E26.01, D35.7
https://www.stuvia.com/user/passnursingnow
https://www.stuvia.com/user/passnursingnow
https://www.stuvia.com/user/passnursingnow
https://www.stuvia.com/user/passnursingnow
https://www.stuvia.com/user/passnursingnow
CCA Prep - Clinical Classification Systems 2025/2026
d. R07.9 Chest pain, unspecified
A patient is seen in the ED for chest pain.
After evaluation of the patient it is
suspected that the patient may have
GERD. The final diagnosis was "chest pain
versus GERD." The correct ICD-10-CM
code is:
a. Z03.89 Encounter for observation for
other suspected diseases and conditions
ruled out
b. R10.11 Right upper quadrant abdominal
pain
c. K21.9 Gastro-esophageal reflux disease
d. R07.9 Chest pain, unspecified
a. does not require documentation of the type of test performed; the physician's
diagnostic statement that the condition is confirmed is sufficient
Code only a confirmed diagnosis of Zika
virus (A92.5, Zika virus disease) as
documented by the provider. In this context
"confirmation" ______.
a. Does not require documentation of the
type of test performed; the physician's
diagnostic statement that the condition is
confirmed is sufficient
b. Requires the documentation of the type
of test in addition to the physician's
diagnostic statement
c. Must be provided by the laboratory
findings report
d. Requires that the Public Health Agency
be contacted
c. C18.9, C78.02
Identify the correct ICD-10-CM diagnosis
codes for metastatic carcinoma of the
colon to the left lung.
a. C18.9, C34.92
b. C78.00, C18.9
c. C18.9, C78.02
d. C18.9, D49.1
a. CPT
Which of the following is a standard
terminology used to code medical
procedures and services?
a. CPT
b. HCPCS
c. ICD-10-PCS
d. SNOMED CT
https://www.stuvia.com/user/passnursingnow
https://www.stuvia.com/user/passnursingnow
https://www.stuvia.com/user/passnursingnow
,https://www.stuvia.com/user/passnursingnow
https://www.stuvia.com/user/passnursingnow
https://www.stuvia.com/user/passnursingnow
CCA Prep - Clinical Classification Systems 2025/2026
A. "with manipulation" code
If an orthopedic surgeon attempted to
reduce a fracture but was unsuccessful in
obtaining acceptable alignment, what type
of code should be assigned for the
procedure?
a. A "with manipulation" code
b. A "without manipulation" code
c. An unlisted procedure code
d. An E/M code only
46930
What is the correct CPT code assignment
for destruction of internal hemorrhoids with
use of infrared coagulation?
a. 46255
b. 46930
c. 46260
d. 46945
a. 21012
Identify CPT code(s) for the following
patient. A 35-year-old female undergoes an
excision of a 3.0-cm tumor in her forehead.
An incision is made through the skin and
subcutaneous tissue. The tumor is
dissected free of surrounding structures.
The wound is closed with interrupted
sutures.
a. 21012
b. 21012, 12052
c. 21014
d. 21014, 12052
c. S06.371A
Identify the appropriate ICD-10-CM
diagnosis code for right cerebral contusion
with 15-minute loss of consciousness,
initial encounter for care.
a. T14.8
b. S06.371A
c. S06.311A
d. S06.310A
C. chatper 14 Diseases of the genitourinary system
Identify the chapter in which certain signs
and symptoms of breast disease, such as
mastodynia, induration of breast, and
nipple discharge, are included.
a. Chapter 2 Neoplasms
b. Chapter 12 Diseases of the skin and
subcutaneous tissue
c. Chapter 14 Diseases of the
genitourinary system
d. Chapter 18 Symptoms, signs and
abnormal clinical and laboratory findings,
not elsewhere classified
https://www.stuvia.com/user/passnursingnow
https://www.stuvia.com/user/passnursingnow
https://www.stuvia.com/user/passnursingnow
, https://www.stuvia.com/user/passnursingnow
https://www.stuvia.com/user/passnursingnow
https://www.stuvia.com/user/passnursingnow
CCA Prep - Clinical Classification Systems 2025/2026
D. 58720
The physician performs an exploratory
laparotomy with bilateral salpingo-
oophorectomy. What is the correct CPT
code assignment for this procedure?
a. 49000, 58940, 58700
b. 58940, 58720-50
c. 49000, 58720
d. 58720
c. O65.4; 01967; 01968
An epidural was given during labor.
Subsequently, it was determined that the
patient would require a C-section for
cephalopelvic disproportion because of
obstructed labor. Assign the correct ICD-
10-CM diagnostic and CPT anesthesia
codes. (Modifiers are not used in this
example.)
a. O65.4, 64479
b. O65.4, O33.0, 01961
c. O65.4, 01967, 01968
d. O65.4, O33.9, 01996
C. Incomplete abortion
Identify the term ICD-10-CM uses for the
following definition: "the expulsion of some,
but not all, of the products of conception
from the uterus."
a. Spontaneous abortion
b. Therapeutic abortion
c. Incomplete abortion
d. Complete abortion
A. D35.02; E26.01
Identify the correct diagnosis code(s) for
adenoma of left adrenal cortex with Conn's
syndrome.
a. D35.02, E26.01
b. D35.02
c. E26.01
d. E26.01, D35.7
https://www.stuvia.com/user/passnursingnow
https://www.stuvia.com/user/passnursingnow
https://www.stuvia.com/user/passnursingnow