CCA EXAM PREP TEST NEWEST VERSION 2026 ACTUAL EXAM COMPLETE 100+
QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+.
Which CPT code is used for a high-energy extracorporeal shock wave (ESW)
treatment of the lateral humeral epicondyle (tennis elbow) using general
anesthesia?
A) 0102T
B) 0101T
C) 0103T
D) 0100T
Correct Answer: A) 0102T
Rationale
CPT code 0102T is specifically designated for extracorporeal shock wave
therapy (ESWT) when performed by a physician, requiring anesthesia other
than local, and involving the lateral humeral epicondyle. This procedure is
used to treat chronic tennis elbow (lateral epicondylitis) that has not
responded to conservative treatments. The high-energy shock waves are
intended to stimulate healing in the affected tendon. General anesthesia is
sometimes used to manage the discomfort associated with this high-energy
procedure. The other codes do not match this specific description: 0101T
may refer to a similar procedure but with different specifications, 0103T and
0100T are not the correct codes for this specific treatment.
DIF: Cognitive Level: Apply (Application)
TOP: CPT Coding
MSC: NCLEX: Safe and Effective Care Environment
,Which of the following procedures can be identified as "destruction" of
lesions?
A) Paring of hyperkeratotic lesion
B) Laser removal of condylomata (wart)
C) Shaving of skin lesion
D) Removal of skin tags
Correct Answer: B) Laser removal of condylomata
Rationale
In CPT coding, "destruction" refers to the ablation or removal of lesions by
various methods, including laser, cryosurgery, electrocautery, and chemical
treatment. Laser removal of condylomata (genital warts) is considered
destruction of lesions. Paring of hyperkeratotic lesions (A) involves trimming
or shaving down thickened skin, which is not considered destruction.
Shaving of skin lesions (C) is an excision procedure, and removal of skin tags
(D) is typically coded as an excision. The nurse should also be aware that
destruction codes are used when the lesion is removed by means that do
not involve cutting and suturing.
DIF: Cognitive Level: Understand (Comprehension)
TOP: CPT Coding
MSC: NCLEX: Safe and Effective Care Environment
The practice of using a code that results in a higher payment to the provider
than the code that more accurately reflects the service provided is known as:
A) Upcoding
B) Downcoding
C) Unbundling
D) Bundling
Correct Answer: A) Upcoding
,Rationale
Upcoding is the fraudulent practice of assigning a medical code that results
in a higher reimbursement than the code that more accurately reflects the
service provided. This can involve using a code for a more complex
procedure or diagnosis than was actually documented. Downcoding (B) is
the opposite, assigning a lower code. Unbundling (C) involves billing
individual components of a procedure separately rather than as a single
bundled code. Bundling (D) is combining procedures into one code. The
nurse should also be aware that upcoding is a violation of the False Claims
Act and can result in significant penalties.
DIF: Cognitive Level: Understand (Comprehension)
TOP: Medical Billing/Compliance
MSC: NCLEX: Safe and Effective Care Environment
A ________ is a collection of information or data that is organized in such a
way that its contents can be queried and relationships created.
A) Database
B) Spreadsheet
C) File
D) Record
Correct Answer: A) Database
Rationale
A database is a structured collection of information or data that is organized
to allow for efficient querying, retrieval, and the creation of relationships
between different data elements. A spreadsheet (B) is a more basic tool for
organizing data in rows and columns. A file (C) is a container for data but
does not inherently provide querying capabilities. A record (D) is a single
entry within a database. The nurse should also be aware that databases are
fundamental to health information management and electronic health
records.
, DIF: Cognitive Level: Understand (Comprehension)
TOP: Health Information Management
MSC: NCLEX: Safe and Effective Care Environment
A single lung transplant without cardiopulmonary bypass. (Code for
physician using CPT procedure only)
A) 32851
B) 32852
C) 32853
D) 32854
Correct Answer: A) 32851
Rationale
CPT code 32851 is for a single lung transplant performed without
cardiopulmonary bypass. Code 32852 is for a single lung transplant with
cardiopulmonary bypass. Codes 32853 and 32854 are for double lung
transplants (with and without bypass). The nurse should also be aware that
lung transplantation is a complex procedure requiring careful coding to
ensure accurate reimbursement and documentation.
DIF: Cognitive Level: Apply (Application)
TOP: CPT Coding
MSC: NCLEX: Physiological Integrity
A female with 6 months of stress incontinence. Laparoscopic urethral
suspension was completed. Choose the appropriate ICD-10-CM and CPT
codes.
A) N39.3, 51990
B) N39.4, 51990
QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+.
Which CPT code is used for a high-energy extracorporeal shock wave (ESW)
treatment of the lateral humeral epicondyle (tennis elbow) using general
anesthesia?
A) 0102T
B) 0101T
C) 0103T
D) 0100T
Correct Answer: A) 0102T
Rationale
CPT code 0102T is specifically designated for extracorporeal shock wave
therapy (ESWT) when performed by a physician, requiring anesthesia other
than local, and involving the lateral humeral epicondyle. This procedure is
used to treat chronic tennis elbow (lateral epicondylitis) that has not
responded to conservative treatments. The high-energy shock waves are
intended to stimulate healing in the affected tendon. General anesthesia is
sometimes used to manage the discomfort associated with this high-energy
procedure. The other codes do not match this specific description: 0101T
may refer to a similar procedure but with different specifications, 0103T and
0100T are not the correct codes for this specific treatment.
DIF: Cognitive Level: Apply (Application)
TOP: CPT Coding
MSC: NCLEX: Safe and Effective Care Environment
,Which of the following procedures can be identified as "destruction" of
lesions?
A) Paring of hyperkeratotic lesion
B) Laser removal of condylomata (wart)
C) Shaving of skin lesion
D) Removal of skin tags
Correct Answer: B) Laser removal of condylomata
Rationale
In CPT coding, "destruction" refers to the ablation or removal of lesions by
various methods, including laser, cryosurgery, electrocautery, and chemical
treatment. Laser removal of condylomata (genital warts) is considered
destruction of lesions. Paring of hyperkeratotic lesions (A) involves trimming
or shaving down thickened skin, which is not considered destruction.
Shaving of skin lesions (C) is an excision procedure, and removal of skin tags
(D) is typically coded as an excision. The nurse should also be aware that
destruction codes are used when the lesion is removed by means that do
not involve cutting and suturing.
DIF: Cognitive Level: Understand (Comprehension)
TOP: CPT Coding
MSC: NCLEX: Safe and Effective Care Environment
The practice of using a code that results in a higher payment to the provider
than the code that more accurately reflects the service provided is known as:
A) Upcoding
B) Downcoding
C) Unbundling
D) Bundling
Correct Answer: A) Upcoding
,Rationale
Upcoding is the fraudulent practice of assigning a medical code that results
in a higher reimbursement than the code that more accurately reflects the
service provided. This can involve using a code for a more complex
procedure or diagnosis than was actually documented. Downcoding (B) is
the opposite, assigning a lower code. Unbundling (C) involves billing
individual components of a procedure separately rather than as a single
bundled code. Bundling (D) is combining procedures into one code. The
nurse should also be aware that upcoding is a violation of the False Claims
Act and can result in significant penalties.
DIF: Cognitive Level: Understand (Comprehension)
TOP: Medical Billing/Compliance
MSC: NCLEX: Safe and Effective Care Environment
A ________ is a collection of information or data that is organized in such a
way that its contents can be queried and relationships created.
A) Database
B) Spreadsheet
C) File
D) Record
Correct Answer: A) Database
Rationale
A database is a structured collection of information or data that is organized
to allow for efficient querying, retrieval, and the creation of relationships
between different data elements. A spreadsheet (B) is a more basic tool for
organizing data in rows and columns. A file (C) is a container for data but
does not inherently provide querying capabilities. A record (D) is a single
entry within a database. The nurse should also be aware that databases are
fundamental to health information management and electronic health
records.
, DIF: Cognitive Level: Understand (Comprehension)
TOP: Health Information Management
MSC: NCLEX: Safe and Effective Care Environment
A single lung transplant without cardiopulmonary bypass. (Code for
physician using CPT procedure only)
A) 32851
B) 32852
C) 32853
D) 32854
Correct Answer: A) 32851
Rationale
CPT code 32851 is for a single lung transplant performed without
cardiopulmonary bypass. Code 32852 is for a single lung transplant with
cardiopulmonary bypass. Codes 32853 and 32854 are for double lung
transplants (with and without bypass). The nurse should also be aware that
lung transplantation is a complex procedure requiring careful coding to
ensure accurate reimbursement and documentation.
DIF: Cognitive Level: Apply (Application)
TOP: CPT Coding
MSC: NCLEX: Physiological Integrity
A female with 6 months of stress incontinence. Laparoscopic urethral
suspension was completed. Choose the appropriate ICD-10-CM and CPT
codes.
A) N39.3, 51990
B) N39.4, 51990
