CCA EXAM PREPARATION DOMAINS 1, 2, 3, 4, 5, & 6
TEST UPDATED ACTUAL QUESTIONS AND CORRECT
ANSWERS (2)
Question:
1. A patient is admitted with spotting. She had been
treated two weeks previously for a miscarriage with
sepsis. The sepsis had resolved, and she is afebrile at this
time. She is treated with an aspiration dilation and
curettage and products of conception are found. Which
of the following should be the principal diagnosis?
a. Miscarriage
b. Complications of spontaneous abortion with sepsis
c. Sepsis
d. Spontaneous abortion with sepsis
Answer:
a. Miscarriage
Question:
2. If a patient has an excision of a malignant lesion of the
skin, the CPT code is determined by the body area from
which the excision occurs and which of the following?
a. Length of the lesion as described in the pathology
report
b. Dimension of the specimen submitted as described in
the pathology report
c. Width times the length of the lesion as described in the
operative report
d. Diameter of the lesion as well as the most narrow
margins required to adequately excise the lesion
described in the operative report
Answer:
d. Diameter of the lesion as well as the most narrow margins required to
adequately excise the lesion described in the operative report
Question:
3. A patient is admitted to the hospital with shortness of
breath and congestive heart failure. The patient
subsequently develops respiratory failure. The patient
undergoes intubation with ventilator management. Which
of the following would be the correct sequencing and
coding of this case?
a. Congestive heart failure, respiratory failure, ventilator
management
b. Respiratory failure, intubation, ventilator management
c. Respiratory failure, congestive heart failure, intubation,
,ventilator management
d. Shortness of breath, congestive heart failure,
respiratory failure, ventilator management
Answer:
a. Congestive heart failure, respiratory failure, ventilator management
Question:
4. 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
Answer:
a. CPT
Question:
5. What is the correct CPT code assignment for
hysteroscopy with lysis of intrauterine adhesions?
a. 58555, 58559
b. 58559
c. 58559, 58740
d. 58555, 58559, 58740
Answer:
b. 58559
Question:
6. 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
Answer:
b. 46930
Question:
7.00Identify the diagnosis code(s) for melanoma of skin of
right shoulder.
a. D03.61, C43.61
b. C43.61
c. C43.60
d. D03.61
Answer:
b. C43.61
, Question:
8. A female patient is admitted for stress incontinence. A
urethral suspension to reposition the urethra via open
approach is performed. Assign the correct ICD-10-CM
diagnosis and/or procedure codes.
a. N39.3, 0TJB8ZZ
b. N23, 0TSD0ZZ
c. N39.3, 0TSD0ZZ
d. R32, 0TSD4ZZ
Answer:
c. N39.3, 0TSD0ZZ
Question:
9. A patient is admitted to the hospital with abdominal
pain. The principal diagnosis is cholecystitis. The patient
also has a history of hypertension and diabetes. In the
DRG prospective payment system, which of the following
would determine the MDC assignment for this patient?
a. Abdominal pain
b. Cholecystitis
c. Hypertension
d. Diabetes
Answer:
b. Cholecystitis
Question:
10. Reference codes 49491 through 49525 for inguinal
hernia repair. Patient is 47 years old. What is the correct
code for an initial inguinal herniorrhaphy for incarcerated
hernia?
a. 49496
b. 49501
c. 49507
d. 49521
Answer:
c. 49507
Question:
11. A patient was admitted for abdominal pain with
diarrhea and was diagnosed with infectious
gastroenteritis. The patient also has angina and chronic
obstructive pulmonary disease. Which of the following
would be the correct coding and sequencing for this
case?
a. Abdominal pain; infectious gastroenteritis; chronic
obstructive pulmonary disease; angina
b. Infectious gastroenteritis; chronic obstructive
TEST UPDATED ACTUAL QUESTIONS AND CORRECT
ANSWERS (2)
Question:
1. A patient is admitted with spotting. She had been
treated two weeks previously for a miscarriage with
sepsis. The sepsis had resolved, and she is afebrile at this
time. She is treated with an aspiration dilation and
curettage and products of conception are found. Which
of the following should be the principal diagnosis?
a. Miscarriage
b. Complications of spontaneous abortion with sepsis
c. Sepsis
d. Spontaneous abortion with sepsis
Answer:
a. Miscarriage
Question:
2. If a patient has an excision of a malignant lesion of the
skin, the CPT code is determined by the body area from
which the excision occurs and which of the following?
a. Length of the lesion as described in the pathology
report
b. Dimension of the specimen submitted as described in
the pathology report
c. Width times the length of the lesion as described in the
operative report
d. Diameter of the lesion as well as the most narrow
margins required to adequately excise the lesion
described in the operative report
Answer:
d. Diameter of the lesion as well as the most narrow margins required to
adequately excise the lesion described in the operative report
Question:
3. A patient is admitted to the hospital with shortness of
breath and congestive heart failure. The patient
subsequently develops respiratory failure. The patient
undergoes intubation with ventilator management. Which
of the following would be the correct sequencing and
coding of this case?
a. Congestive heart failure, respiratory failure, ventilator
management
b. Respiratory failure, intubation, ventilator management
c. Respiratory failure, congestive heart failure, intubation,
,ventilator management
d. Shortness of breath, congestive heart failure,
respiratory failure, ventilator management
Answer:
a. Congestive heart failure, respiratory failure, ventilator management
Question:
4. 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
Answer:
a. CPT
Question:
5. What is the correct CPT code assignment for
hysteroscopy with lysis of intrauterine adhesions?
a. 58555, 58559
b. 58559
c. 58559, 58740
d. 58555, 58559, 58740
Answer:
b. 58559
Question:
6. 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
Answer:
b. 46930
Question:
7.00Identify the diagnosis code(s) for melanoma of skin of
right shoulder.
a. D03.61, C43.61
b. C43.61
c. C43.60
d. D03.61
Answer:
b. C43.61
, Question:
8. A female patient is admitted for stress incontinence. A
urethral suspension to reposition the urethra via open
approach is performed. Assign the correct ICD-10-CM
diagnosis and/or procedure codes.
a. N39.3, 0TJB8ZZ
b. N23, 0TSD0ZZ
c. N39.3, 0TSD0ZZ
d. R32, 0TSD4ZZ
Answer:
c. N39.3, 0TSD0ZZ
Question:
9. A patient is admitted to the hospital with abdominal
pain. The principal diagnosis is cholecystitis. The patient
also has a history of hypertension and diabetes. In the
DRG prospective payment system, which of the following
would determine the MDC assignment for this patient?
a. Abdominal pain
b. Cholecystitis
c. Hypertension
d. Diabetes
Answer:
b. Cholecystitis
Question:
10. Reference codes 49491 through 49525 for inguinal
hernia repair. Patient is 47 years old. What is the correct
code for an initial inguinal herniorrhaphy for incarcerated
hernia?
a. 49496
b. 49501
c. 49507
d. 49521
Answer:
c. 49507
Question:
11. A patient was admitted for abdominal pain with
diarrhea and was diagnosed with infectious
gastroenteritis. The patient also has angina and chronic
obstructive pulmonary disease. Which of the following
would be the correct coding and sequencing for this
case?
a. Abdominal pain; infectious gastroenteritis; chronic
obstructive pulmonary disease; angina
b. Infectious gastroenteritis; chronic obstructive