CCA PRACTICE COMPREHENSIVE TEST
PAPER 2026 COMPLETE ANSWERS
ACCURATE
⫸ Identify the correct ICD-10-CM diagnosis code(s) and sequencing for
the following: patient with dysphasia secondary to a previous cerebral
infarction.
a. R13.10, I69.391
b. R47.02, I69.391
c. I69.391, R13.10
d. R13.10, I69.398 Answer: C
Index Dysphagia, following, cerebral infarction I69.391. Add R13.10 as
an additional code per "use additional code to identify the type of
dysphagia, if known (R13.1-)" note under I69.391. Multiple codes may
be needed for sequelae...in order to fully describe a condition. In the
Tabular List, the instruction of "Use additional code" not indicates it is
necessary to assign a secondary code to fully describe a condition or
disease process.
⫸ Identify the correct ICD-10-CM diagnosis code(s) for the following:
patient suffered a partial traumatic metacarpophalangeal amputation of
his right index and middle fingers.
,a. S68.011A, S68.012A
b. S68.120A, S68.122A
c. S68.011D, S68.012D
d. S68.011S Answer: B
Traumatic amputation classified in chapter 19. Index Traumatic
amputation, finger (complete metacarpophalangeal) S68.11-. 7th
character "A" initial encounter.
⫸ Identify the correct ICD-10-PCS code for open thrombectomy, left
brachial artery.
a. R68.89
b. R79.89
c. R89.8
d. R97.2 Answer: D
Index Elevated, elevation, prostate specific antigen (PSA), R97.20
⫸ Identify the correct ICD-10-CM diagnosis code(s) for a patient with
near-syncope event and nausea.
a. R55
b. R55, R11.0
c. R55, R11.2
d. R42, R11.0 Answer: B
,Near-syncope and nausea are both symptoms and therefore not integral
to the other. Both conditions should be coded.
⫸ Identify the correct ICD-10-CM diagnosis code(s) for a patient with
an elevated glucose tolerance test.
a. R73.9
b. R73.01
c. R73.01, R73.9
d. R73.02 Answer: D
An oral glucose tolerance test helps determine whether a patient has
prediabetes or diabetes. Index Elevated, elevation, glucose tolerance
(oral) R73.02, which when verified in the Tabular, is a complete code.
The Tabular should always be referenced to verify the code.
⫸ Identify the correct ICD-10-CM diagnosis code(s) for a patient with
pneumonia and persistent cough.
a. R05, J40
b. J18.9, R05
c. J18.9
d. J18.1 Answer: C
Pneumonia, unspecified, is assigned J18.9 in the Alphabetic Index. The
persistent cough is a symptom of the pneumonia and should not be
coded separately.
, ⫸ Identify the correct ICD-10-CM diagnosis code(s) for a patient with
seizures; epilepsy ruled out.
a. R56.9
b. G40.901
c. R56.9, G40.909
d. G40.909 Answer: A
Code signs and symptoms when a condition is ruled out, which means
the condition has been proven not to exist. The code for seizures (R56.9)
is assigned when a more specific diagnosis cannot be made even after all
the bearing on the case have been investigated.
⫸ Identify the correct ICD-10-CM diagnosis code for a male patient
with stress urinary incontinence.
a. N39.46
b. R32
c. N39.3
d. N39.498 Answer: C
Urinary incontinence is a loss of urine without warning and may be
associated with many conditions. ICD-10-CM classifies stress
incontinence to N39.3 for both male and female types. Index
Incontinence, stress (female) (male), N39.3. Subcategory N39.498 Other
specified urinary incontinence is not correct because the type (stress) has
a specific code.
PAPER 2026 COMPLETE ANSWERS
ACCURATE
⫸ Identify the correct ICD-10-CM diagnosis code(s) and sequencing for
the following: patient with dysphasia secondary to a previous cerebral
infarction.
a. R13.10, I69.391
b. R47.02, I69.391
c. I69.391, R13.10
d. R13.10, I69.398 Answer: C
Index Dysphagia, following, cerebral infarction I69.391. Add R13.10 as
an additional code per "use additional code to identify the type of
dysphagia, if known (R13.1-)" note under I69.391. Multiple codes may
be needed for sequelae...in order to fully describe a condition. In the
Tabular List, the instruction of "Use additional code" not indicates it is
necessary to assign a secondary code to fully describe a condition or
disease process.
⫸ Identify the correct ICD-10-CM diagnosis code(s) for the following:
patient suffered a partial traumatic metacarpophalangeal amputation of
his right index and middle fingers.
,a. S68.011A, S68.012A
b. S68.120A, S68.122A
c. S68.011D, S68.012D
d. S68.011S Answer: B
Traumatic amputation classified in chapter 19. Index Traumatic
amputation, finger (complete metacarpophalangeal) S68.11-. 7th
character "A" initial encounter.
⫸ Identify the correct ICD-10-PCS code for open thrombectomy, left
brachial artery.
a. R68.89
b. R79.89
c. R89.8
d. R97.2 Answer: D
Index Elevated, elevation, prostate specific antigen (PSA), R97.20
⫸ Identify the correct ICD-10-CM diagnosis code(s) for a patient with
near-syncope event and nausea.
a. R55
b. R55, R11.0
c. R55, R11.2
d. R42, R11.0 Answer: B
,Near-syncope and nausea are both symptoms and therefore not integral
to the other. Both conditions should be coded.
⫸ Identify the correct ICD-10-CM diagnosis code(s) for a patient with
an elevated glucose tolerance test.
a. R73.9
b. R73.01
c. R73.01, R73.9
d. R73.02 Answer: D
An oral glucose tolerance test helps determine whether a patient has
prediabetes or diabetes. Index Elevated, elevation, glucose tolerance
(oral) R73.02, which when verified in the Tabular, is a complete code.
The Tabular should always be referenced to verify the code.
⫸ Identify the correct ICD-10-CM diagnosis code(s) for a patient with
pneumonia and persistent cough.
a. R05, J40
b. J18.9, R05
c. J18.9
d. J18.1 Answer: C
Pneumonia, unspecified, is assigned J18.9 in the Alphabetic Index. The
persistent cough is a symptom of the pneumonia and should not be
coded separately.
, ⫸ Identify the correct ICD-10-CM diagnosis code(s) for a patient with
seizures; epilepsy ruled out.
a. R56.9
b. G40.901
c. R56.9, G40.909
d. G40.909 Answer: A
Code signs and symptoms when a condition is ruled out, which means
the condition has been proven not to exist. The code for seizures (R56.9)
is assigned when a more specific diagnosis cannot be made even after all
the bearing on the case have been investigated.
⫸ Identify the correct ICD-10-CM diagnosis code for a male patient
with stress urinary incontinence.
a. N39.46
b. R32
c. N39.3
d. N39.498 Answer: C
Urinary incontinence is a loss of urine without warning and may be
associated with many conditions. ICD-10-CM classifies stress
incontinence to N39.3 for both male and female types. Index
Incontinence, stress (female) (male), N39.3. Subcategory N39.498 Other
specified urinary incontinence is not correct because the type (stress) has
a specific code.
