AHIMA CCA FINAL EXAM 2026 FULL
ANSWERS AND REVIEW
◉AMBULATORY RECORD
DATE: 8/12/20XX
SURGERY RECORD:
PATIENT HISTORY: This patient is seen today to insert an intrathecal
pump for pain management due to ductal carcinoma of the left
upper breast metastatic to the spine. She previously underwent
modified radical mastectomy with general anesthesia and had no
adverse effects. No other surgical history is given. No known
allergies, no current medications. Review of systems is normal ASA =
2.
Following preoperative evaluation and discussion with the patient,
local anesthesia was used to implant an intrathecal programmable
pump surgically placed and attached to a previously placed catheter.
The patient tolerated the procedure well. There were no adverse
effects of anesthesia.
, -----------
Enter three diagnosis codes and one procedure code.
PDX
DX2
DX3
PP1. Answer: Case Studies
PDX 338.3 Neoplasm-related pain (acute) (chronic)
DX2 174.8 Malignant neoplasm of female breast, other specified
sites
DX3 198.5 Secondary malignant neoplasm of bone and bone marrow
PP1 62362 Implantation or replacement of device for intrathecal or
epidural drug infusion; programmable pump, including preparation
of pump, with or without programming
Notes for Practice Outpatient Case—Patient 2
338.3 The patient is admitted for pain management due to
metastatic cancer. If the admission is for pain control related to,
ANSWERS AND REVIEW
◉AMBULATORY RECORD
DATE: 8/12/20XX
SURGERY RECORD:
PATIENT HISTORY: This patient is seen today to insert an intrathecal
pump for pain management due to ductal carcinoma of the left
upper breast metastatic to the spine. She previously underwent
modified radical mastectomy with general anesthesia and had no
adverse effects. No other surgical history is given. No known
allergies, no current medications. Review of systems is normal ASA =
2.
Following preoperative evaluation and discussion with the patient,
local anesthesia was used to implant an intrathecal programmable
pump surgically placed and attached to a previously placed catheter.
The patient tolerated the procedure well. There were no adverse
effects of anesthesia.
, -----------
Enter three diagnosis codes and one procedure code.
PDX
DX2
DX3
PP1. Answer: Case Studies
PDX 338.3 Neoplasm-related pain (acute) (chronic)
DX2 174.8 Malignant neoplasm of female breast, other specified
sites
DX3 198.5 Secondary malignant neoplasm of bone and bone marrow
PP1 62362 Implantation or replacement of device for intrathecal or
epidural drug infusion; programmable pump, including preparation
of pump, with or without programming
Notes for Practice Outpatient Case—Patient 2
338.3 The patient is admitted for pain management due to
metastatic cancer. If the admission is for pain control related to,
