CCA EXAMS ESSENTIAL STUDY QUESTIONS
AND ANSWERS
◉ Epidural given during labor and subsequently it was determined
that pt would require C-section for cephalopelvic disproportion due
to obstructed labor. Assign correct ICD-10-CM dx and CPT
anesthesia codes without modifiers:
Answer: Cephalopelvic = O65.4; two codes req for anesthesia:
planned vaginal delivery = 01967 and add'l code describing
anesthesia for c-section following planned vaginal delivery
converted to cesarean = 01968 (instructional note guides coder to
use 01968 with 01967)
◉ Which of the following purpose and use goals does NOT apply to
ICD-10-PCS?
Answer: Improved collection of data about nursing care
◉ Which of the following is NOT a way that ICD-10-CM improves
coding accuracy?
Answer: Increases cross-referencing
◉ To help clarify terms that currently have overlapping meaning,
ICD-10-PCS has defined root operations. What is an example of the
root operation of "Excision"?
,Answer: Partial nephrectomy: a portion of the body part is cut out or
off, without replacement
◉ When coding benign neoplasm of the breast, the section noted
"D24 Benign neoplasm of breast" directs coder to:
Answer: Use category D24 for fibroadenoma of breast
◉ Patient was discharged with the following dx: "Cerebral artery
occlusion, hemiparesis, and hypertension. The aphasia resolved
before the pt was discharged." Which of the following code
assignment would be appropriate for this case?
Answer: I66.9, G81.90, R47.01, I10
◉ Pt is admitted to hospital with shortness of breath and CHF. Pt
subsequently develops respiratory failure and undergoes intubation
with ventilator management. Which of the following would be the
correct sequencing and coding of this case?
Answer: CHF, respiratory failure, ventilator management (Acute
respiratory failure may be assigned as a PD depending on the
circumstances of the InPT admission; because the respiratory failure
occurred after admission, it is listed as a secondary dx and the CHF
is listed first.)
, ◉ Physician correctly prescribes Coumadin and the pt takes the
Coumadin as prescribed, but develops hematuria as a result. Which
of the following is the correct coding?
Answer: Hematuria; adverse reaction to Coumadin
◉ Pt is admitted to chest pain with cardiac dysrhythmia to Hospital
A, then found to have acute STEMI with atrial fibrillation. After AF
was controlled and pt stabilized, pt is transferred to Hospital B for a
CABG X3. Coumadin therapy and monitoring for the AF continued at
Hospital B. What is the proper coding and sequencing for both
hospitals?
Answer: Hospital A: I21.19, I48.91; Hospital B: I21.19, I48.91,
021209W (Encounters occurring while the MI is equal to, or less
than, 4 wks. old, including transfers to another acute setting or
postacute setting, and pt req continued care for MI, codes from
category I21 may continue to be reported
◉ Pt is admitted to hospital with abdominal pain and PD is
cholecystitis. Pt also has history of hypertension and DM. In DRG-
PPS, which would determine the MDC assignment for this pt?
Answer: Cholecystitis, since PD determines the MDC assignment
◉ Pt was admitted to hospital with symptoms of a stroke and
secondary diagnoses of COPD and hypertension. Pt was
subsequently discharged from hospital with PD of cerbral vascular
accident and secondary diagnoses of catheter-associated urinary
AND ANSWERS
◉ Epidural given during labor and subsequently it was determined
that pt would require C-section for cephalopelvic disproportion due
to obstructed labor. Assign correct ICD-10-CM dx and CPT
anesthesia codes without modifiers:
Answer: Cephalopelvic = O65.4; two codes req for anesthesia:
planned vaginal delivery = 01967 and add'l code describing
anesthesia for c-section following planned vaginal delivery
converted to cesarean = 01968 (instructional note guides coder to
use 01968 with 01967)
◉ Which of the following purpose and use goals does NOT apply to
ICD-10-PCS?
Answer: Improved collection of data about nursing care
◉ Which of the following is NOT a way that ICD-10-CM improves
coding accuracy?
Answer: Increases cross-referencing
◉ To help clarify terms that currently have overlapping meaning,
ICD-10-PCS has defined root operations. What is an example of the
root operation of "Excision"?
,Answer: Partial nephrectomy: a portion of the body part is cut out or
off, without replacement
◉ When coding benign neoplasm of the breast, the section noted
"D24 Benign neoplasm of breast" directs coder to:
Answer: Use category D24 for fibroadenoma of breast
◉ Patient was discharged with the following dx: "Cerebral artery
occlusion, hemiparesis, and hypertension. The aphasia resolved
before the pt was discharged." Which of the following code
assignment would be appropriate for this case?
Answer: I66.9, G81.90, R47.01, I10
◉ Pt is admitted to hospital with shortness of breath and CHF. Pt
subsequently develops respiratory failure and undergoes intubation
with ventilator management. Which of the following would be the
correct sequencing and coding of this case?
Answer: CHF, respiratory failure, ventilator management (Acute
respiratory failure may be assigned as a PD depending on the
circumstances of the InPT admission; because the respiratory failure
occurred after admission, it is listed as a secondary dx and the CHF
is listed first.)
, ◉ Physician correctly prescribes Coumadin and the pt takes the
Coumadin as prescribed, but develops hematuria as a result. Which
of the following is the correct coding?
Answer: Hematuria; adverse reaction to Coumadin
◉ Pt is admitted to chest pain with cardiac dysrhythmia to Hospital
A, then found to have acute STEMI with atrial fibrillation. After AF
was controlled and pt stabilized, pt is transferred to Hospital B for a
CABG X3. Coumadin therapy and monitoring for the AF continued at
Hospital B. What is the proper coding and sequencing for both
hospitals?
Answer: Hospital A: I21.19, I48.91; Hospital B: I21.19, I48.91,
021209W (Encounters occurring while the MI is equal to, or less
than, 4 wks. old, including transfers to another acute setting or
postacute setting, and pt req continued care for MI, codes from
category I21 may continue to be reported
◉ Pt is admitted to hospital with abdominal pain and PD is
cholecystitis. Pt also has history of hypertension and DM. In DRG-
PPS, which would determine the MDC assignment for this pt?
Answer: Cholecystitis, since PD determines the MDC assignment
◉ Pt was admitted to hospital with symptoms of a stroke and
secondary diagnoses of COPD and hypertension. Pt was
subsequently discharged from hospital with PD of cerbral vascular
accident and secondary diagnoses of catheter-associated urinary
