AM
CCA Practice Exam 1 2025–2026 | Latest AHIMA Certified
Coding Associate (CCA) Exam Questions & Answers | Fully
Solved with Detailed Rationales | ICD-10-CM, ICD-10-PCS &
CPT Coding Study Guide | Updated Certification Prep.
1. Identify the ICD-10-CM code for a patient with a subsequent encounter for routine
healing of a closed traumatic capital epiphyseal fracture of the left femur.
a. S79.012A
b. S79.019D
c. M84.452D
d. S79.012D
1. d Index Fracture, traumatic, femur, capital epiphyseal. Seventh character is
required for further classification of an episode of care and the healing status
2. Identify the ICD-10-CM code(s) for neonatal tooth eruption.
a. K01.1
b. K00.6, K08.0
c. K01.0
d. K00.6
2. d Index either Neonatal, tooth, teeth K00.6, or Eruption, teeth/tooth
3. 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
3. a CPT code 21012 describes excision of a subcutaneous soft tissue tumor of the
face or scalp greater than 2 cm and is appropriately coded when the tumor is
removed from the subcutaneous tissue rather than subgaleal or intramuscular.
Simple and intermediate closure of the wound is included in the procedure for the
excision in the musculoskeletal section
4. Identify CPT code(s) for the following Medicare patient. A 67-year-old female
1/43
,7/8/26, 6:04 FAC-C CERTIFICATION EXAM
AM
undergoes an excision of a breast lesion identified by preoperative placement of
radiological marker.
a. 19101
b. 19101, 19125
2/43
,7/8/26, 6:04 FAC-C CERTIFICATION EXAM
AM
c. 19125
d. 19125, 19126
4. c Code 19125 describes an excision of a lesion that was identified by preoperative
placement of a radiological marker
5. Identify the ICD-10-CM code(s) for an open skull fracture with subarachnoid and
subdural hemorrhage, expired due to brain injury without regaining consciousness, initial
encounter.
a. S02.80XB, S06.4X7B, S06.5X7A
b. S02.81XB, S06.5X7B
c. S06.6X7A, S06.5X7A, S03.81XB
d. S02.91XB, S06.6X7A, S06.5X7A
5. d Open skull fracture: The Alphabetic Index main term is Fracture, traumatic. The
specific site of the skull fracture is not stated within the diagnostic statement. The
seventh character "B" is assigned to indicate the fracture is open and this is the initial
encounter. Subarachnoid hemorrhage: The Alphabetic Index main term is
Hemorrhage with subterms intracranial, subarachnoid, traumatic. Subdural
hemorrhage: The Alphabetic Index main term is Injury with subterms intracranial,
subdural hemorrhage (traumatic). For the subdural and subarachnoid hemorrhage
code assignments, the sixth character "7" is selected upon review of the Tabular List
to indicate the loss of consciousness with death due to brain injury, prior to regaining
consciousness and the seventh character "A" is assigned to represent the initial
encounter
6. Identify the ICD-10-PCS code(s) for insertion of dual chamber cardiac pacemaker battery
via an incision in the subcutaneous tissue of the chest wall, and percutaneous
transvenous insertion of right atrial and right ventricular leads.
a. 0JH606Z, 02H73JZ, 02HL3JZ
b. 0WH80YZ, 02H63JZ, 02HK3JZ
c. 0WH80YZ, 02H73JZ, 02HL3JZ
d. 0JH606Z, 02H63JZ, 02HK3JZ
6. d ICD-10-PCS classifies cardiac pacemakers as Devices, character 6. Root
operations of Insertion, removal, and revision always involve a device, such as a
pacemaker. In coding initial insertion of a dual chamber permanent pacemaker,
three codes are required—one for the pacemaker (0JH606Z) and one for each lead
7. Identify the correct ICD-10-PCS code for thrombectomy of arteriovenous dialysis graft.
The operative report indicates that the AV graft is located in the right upper arm with the
3/43
, 7/8/26, 6:04 FAC-C CERTIFICATION EXAM
AM
right cephalic vein being obstructed with the thrombus. An incision was performed as
the approach.
a. 05D0ZZ
4/43