CCA Mock Exam | Practice Questions & Answers | Comprehensive Exam Prep
The best place to ascertain the size of an excised lesion operative report.
for accurate CPT coding is the
operative report.
pathology report.
anesthesia record.
discharge summary.
Identify the correct root operation, in ICD-10-PCS, for the destruction
following Colon polyp fulguration
excision
extraction
detachment
destruction
Dr. Gastron fulgurated a rectal polyp of the patient. The Destruction: physical eradication of all or a portion of a body part by the direct use
root operation term used for this ICD-10-PCS code is: of energy, force, or a destructive agent
Extirpation: taking or cutting out solid matter from a body
part
Destruction: physical eradication of all or a portion of a
body part by the direct use of energy, force, or a
destructive agent
Removal: taking out or off a device from a body part
Extraction: pulling or stripping out or off all or a portion of a
body part by the use of force
If a claim is returned as denied or rejected due to an error, correct the claim and resubmit in accordance with the third-party payer.
the best thing to do is
write the loss off as unrecoverable.
send a bill to the patient.
correct the claim and resubmit in accordance with the
third-party payer.
resubmit the same claim form, with no changes, to hope
for a different outcome.
Identify the correct root operation term used in ICD-10- fusion
PCS for the following Spinal fusion cervical C1-C2
repair
arthrodesis
creation
fusion
In ICD-10-PCS, extraction left intraocular lens without 08DK3ZZ
replacement, percutaneous
08QK3ZZ
08PK3JZ
08DK3ZZ
08BK3ZZ
According to CPT, a biopsy of the breast that involves incisional.
removal of a full-thickness sample of tissue using a vertical
incision or wedge, penetrating to the subcutaneous space
for pathologic examination is
punch.
excisional.
incisional.
percutaneous.
2026 2027 / Stuvia Edition
, CCA Mock Exam | Practice Questions & Answers | Comprehensive Exam Prep
A 32-year-old patient has a colonoscopy with removal of 45385, 99152, 99153
three polyps by snare. Moderate sedation was used and
provided by the physician. The intraservice time was 30
minutes.
45385, 99151
45385, 99152, 99153
45385, 45385-51, 45385-51
45385, 45385-51, 45385-51, 99156
Last week, Dr. Smith successfully completed surgery on Z87.730
Janie Doe, to correct her cleft soft palate with bilateral cleft
lip. He is now seeing her in the office for a post-procedural
follow-up to check on her healing. The diagnosis code to
report the medical necessity for the encounter is: Z87.730
Personal history of (corrected) cleft lip and palate Q35.5.
Cleft hard palate with cleft soft palate Q37.9Unspecified
cleft palate with unilateral cleft lip Q37.2 Cleft soft palate
with bilateral cleft lip
Q37.9
Q35.5
Z87.730
Q37.2
Patient has bilateral inguinal hernias; the left is indirect and K40.20, 0YUA0JZ
the right is direct. He has open repairs of both hernias with
flexible composite mesh prosthesis. (Code the ICD-10-CM
diagnoses and procedures using ICD-10-PCS.)
K40.20 Bilateral inguinal hernia, without obstruction or
gangrene, not specified as recurrent
K40.90 Unilateral inguinal hernia, without obstruction or
gangrene, not specified as recurrent
K40.91 Unilateral inguinal hernia, without obstruction or
gangrene, recurrent
0YQ50ZZ Repair, inguinal region, right, open approach
0YQ60ZZ Repair, inguinal region, left, open approach
0YUA0JZ Supplement, inguinal region, bilateral, open,
with synthetic substitute
K40.90, 0YQ50ZZ, 0YQ60ZZ
K40.91, K40.20, 0YUA0JZ
K40.20, 0YUA0JZ
K40.20, 0YQ50ZZ, 0YQ60ZZ
In determining your acute care facility's degree of Federal Register.
compliance with prospective payment requirements for
Medicare, the best resource to reference for recent
certification standards is the
CARF manual.
hospital bylaws.
Federal Register.
Joint Commission accreditation manual.
A patient is admitted with a left wrist laceration, with S61.522A, S64.22XA
embedded glass that involved the radical nerve, initial
encounter.
S64.22XA
S61.522A, S64.22XA
S62.522A
S61.512, S64.22XA
2026 2027 / Stuvia Edition
, CCA Mock Exam | Practice Questions & Answers | Comprehensive Exam Prep
After reviewing the following excerpt from CPT, code 27646 radical resection of tumor; fibula.
27646 would be interpreted as
27645Radical resection of tumor; tibia
27646Fibula
27647Talus or calcaneus
27646 radical resection of tumor; fibula or tibia.
27646 radical resection of tumor; fibula, talus, or
calcaneus.
27646 radical resection of tumor; tibia and fibula.
27646 radical resection of tumor; fibula.
Dr. Mason performed a facelift. The ICD-10-PCS code 0W023ZZ
reported is:
0W023ZZAlteration, face, percutaneous approach
0W22XYZChange, face, other device, externally
0W043ZZAlteration, upper jaw, percutaneous approach
0W22XYZ
No code is assigned because third-party payers will not
reimburse for cosmetic surgery
0W043ZZ
0W023ZZ
All of the following signs/symptoms suggest gram-negative decreased leukocyte count.
pneumonia EXCEPT
fever.
purulent sputum.
patchy infiltrate.
decreased leukocyte count.
Elaine was a diabetic and had a wound that would not Assistance: taking over a portion of a physiological function by extracorporeal
heal, so Dr. Smith had her placed in a hyperbaric means
oxygenation of the wound. The root operation term used in
ICD-10-PCS is:
Performance: completely taking over a physiological
function by extracorporeal means
Restoration: Returning, or attempting to return, a
physiological function to its original state by extracorporeal
means
Assistance: taking over a portion of a physiological
function by extracorporeal means
Compression: putting pressure on a body region
A patient has major surgery and sees the surgeon 10 days -24 Unrelated E/M during post-op period
later for an unrelated E/M service. Indicate the modifier
that should be attached to the E/M code for the service
provided.
-24 Unrelated E/M during post-op period
-25 Significant separate E/M on same day of other service
-79 Unrelated procedure during post-op period
-59 Distinct procedural service
Excision 2 cm subcutaneous soft tissue lipoma of the back. D17.1, 21930
(Code for diagnoses using ICD-10-CM. Code for
procedure using CPT.)
D17.1Benign lipomatous neoplasm of skin and
subcutaneous tissue of trunkD17.30Benign lipomatous
neoplasm of skin and subcutaneous tissue of unspecified
sitesD23.5Other benign neoplasm of skin of
trunkD23.9Other benign neoplasm of skin,
unspecified11600Excision, malignant lesion, trunk, arms,
or legs; excised diameter 0.5 cm or less21556Excision,
tumor, soft tissue of neck or anterior thorax; subfascial
(e.g., intramuscular); less than 5 cm21925Biopsy, soft
tissue of back or flank; deep21930Excision, tumor, soft
tissue of back or flank, subcutaneous; less than 3 cm
D17.30, 21925
D23.9, 21556
D23.5, 11600
D17.1, 21930
2026 2027 / Stuvia Edition
, CCA Mock Exam | Practice Questions & Answers | Comprehensive Exam Prep
Use the following table to answer the question. HCPCS/CPT code
HCPCSCode Charge Service CodeItem Service
DescriptionGeneral Ledger
KeyMedicareMedicaidChargesRevenue CodeActivity
Date49683105CT scan; head; w/out contrast and with
contrast37047070470500.0003511/1/202149683106CT
scan; soft tissue neck; with
contrast37049170491675.0003511/1/2021
This data is used because it provides a uniform system of
identifying procedures, services, or supplies. Multiple
columns can be available for various financial classes.
revenue code
charge/service code
general ledger key
HCPCS/CPT code
Patient with Bell's palsy requiring a total facial nerve 69955
decompression
64864
69955
64771
64742
Drainage of simple external ear abscess 69000
69020
69000
69110
69100
The old practices of flagging records for deficiencies and point-of-care documentation.
requiring retrospective documentation add little or no value
to patient care. You try to convince the entire health care
team to consistently enter data into the patient's record at
the time and location of service instead of waiting for
retrospective analysis to alert them to complete the record.
You are proposing
concurrent record analysis.
point-of-care documentation.
clinical pertinence review.
quantitative record review.
Surgical case review includes all of the following EXCEPT cases with elements missing in the preoperative anesthesia consultation.
cases with elements missing in the preoperative
anesthesia consultation.
determination of surgical justification based on clinical
indication(s) in cases where no tissue has been removed.
cases where there is a significant discrepancy between
preoperative, postoperative, and pathological diagnoses.
cases with serious surgical complications or surgical
mortalities.
A patient admitted with gross hematuria and benign R31.0, N40.0
prostatic hypertrophy.
R31.0, N40.1
R31.0, N40.0
N40.0, R31.0
N40.1, R31.0
2026 2027 / Stuvia Edition
The best place to ascertain the size of an excised lesion operative report.
for accurate CPT coding is the
operative report.
pathology report.
anesthesia record.
discharge summary.
Identify the correct root operation, in ICD-10-PCS, for the destruction
following Colon polyp fulguration
excision
extraction
detachment
destruction
Dr. Gastron fulgurated a rectal polyp of the patient. The Destruction: physical eradication of all or a portion of a body part by the direct use
root operation term used for this ICD-10-PCS code is: of energy, force, or a destructive agent
Extirpation: taking or cutting out solid matter from a body
part
Destruction: physical eradication of all or a portion of a
body part by the direct use of energy, force, or a
destructive agent
Removal: taking out or off a device from a body part
Extraction: pulling or stripping out or off all or a portion of a
body part by the use of force
If a claim is returned as denied or rejected due to an error, correct the claim and resubmit in accordance with the third-party payer.
the best thing to do is
write the loss off as unrecoverable.
send a bill to the patient.
correct the claim and resubmit in accordance with the
third-party payer.
resubmit the same claim form, with no changes, to hope
for a different outcome.
Identify the correct root operation term used in ICD-10- fusion
PCS for the following Spinal fusion cervical C1-C2
repair
arthrodesis
creation
fusion
In ICD-10-PCS, extraction left intraocular lens without 08DK3ZZ
replacement, percutaneous
08QK3ZZ
08PK3JZ
08DK3ZZ
08BK3ZZ
According to CPT, a biopsy of the breast that involves incisional.
removal of a full-thickness sample of tissue using a vertical
incision or wedge, penetrating to the subcutaneous space
for pathologic examination is
punch.
excisional.
incisional.
percutaneous.
2026 2027 / Stuvia Edition
, CCA Mock Exam | Practice Questions & Answers | Comprehensive Exam Prep
A 32-year-old patient has a colonoscopy with removal of 45385, 99152, 99153
three polyps by snare. Moderate sedation was used and
provided by the physician. The intraservice time was 30
minutes.
45385, 99151
45385, 99152, 99153
45385, 45385-51, 45385-51
45385, 45385-51, 45385-51, 99156
Last week, Dr. Smith successfully completed surgery on Z87.730
Janie Doe, to correct her cleft soft palate with bilateral cleft
lip. He is now seeing her in the office for a post-procedural
follow-up to check on her healing. The diagnosis code to
report the medical necessity for the encounter is: Z87.730
Personal history of (corrected) cleft lip and palate Q35.5.
Cleft hard palate with cleft soft palate Q37.9Unspecified
cleft palate with unilateral cleft lip Q37.2 Cleft soft palate
with bilateral cleft lip
Q37.9
Q35.5
Z87.730
Q37.2
Patient has bilateral inguinal hernias; the left is indirect and K40.20, 0YUA0JZ
the right is direct. He has open repairs of both hernias with
flexible composite mesh prosthesis. (Code the ICD-10-CM
diagnoses and procedures using ICD-10-PCS.)
K40.20 Bilateral inguinal hernia, without obstruction or
gangrene, not specified as recurrent
K40.90 Unilateral inguinal hernia, without obstruction or
gangrene, not specified as recurrent
K40.91 Unilateral inguinal hernia, without obstruction or
gangrene, recurrent
0YQ50ZZ Repair, inguinal region, right, open approach
0YQ60ZZ Repair, inguinal region, left, open approach
0YUA0JZ Supplement, inguinal region, bilateral, open,
with synthetic substitute
K40.90, 0YQ50ZZ, 0YQ60ZZ
K40.91, K40.20, 0YUA0JZ
K40.20, 0YUA0JZ
K40.20, 0YQ50ZZ, 0YQ60ZZ
In determining your acute care facility's degree of Federal Register.
compliance with prospective payment requirements for
Medicare, the best resource to reference for recent
certification standards is the
CARF manual.
hospital bylaws.
Federal Register.
Joint Commission accreditation manual.
A patient is admitted with a left wrist laceration, with S61.522A, S64.22XA
embedded glass that involved the radical nerve, initial
encounter.
S64.22XA
S61.522A, S64.22XA
S62.522A
S61.512, S64.22XA
2026 2027 / Stuvia Edition
, CCA Mock Exam | Practice Questions & Answers | Comprehensive Exam Prep
After reviewing the following excerpt from CPT, code 27646 radical resection of tumor; fibula.
27646 would be interpreted as
27645Radical resection of tumor; tibia
27646Fibula
27647Talus or calcaneus
27646 radical resection of tumor; fibula or tibia.
27646 radical resection of tumor; fibula, talus, or
calcaneus.
27646 radical resection of tumor; tibia and fibula.
27646 radical resection of tumor; fibula.
Dr. Mason performed a facelift. The ICD-10-PCS code 0W023ZZ
reported is:
0W023ZZAlteration, face, percutaneous approach
0W22XYZChange, face, other device, externally
0W043ZZAlteration, upper jaw, percutaneous approach
0W22XYZ
No code is assigned because third-party payers will not
reimburse for cosmetic surgery
0W043ZZ
0W023ZZ
All of the following signs/symptoms suggest gram-negative decreased leukocyte count.
pneumonia EXCEPT
fever.
purulent sputum.
patchy infiltrate.
decreased leukocyte count.
Elaine was a diabetic and had a wound that would not Assistance: taking over a portion of a physiological function by extracorporeal
heal, so Dr. Smith had her placed in a hyperbaric means
oxygenation of the wound. The root operation term used in
ICD-10-PCS is:
Performance: completely taking over a physiological
function by extracorporeal means
Restoration: Returning, or attempting to return, a
physiological function to its original state by extracorporeal
means
Assistance: taking over a portion of a physiological
function by extracorporeal means
Compression: putting pressure on a body region
A patient has major surgery and sees the surgeon 10 days -24 Unrelated E/M during post-op period
later for an unrelated E/M service. Indicate the modifier
that should be attached to the E/M code for the service
provided.
-24 Unrelated E/M during post-op period
-25 Significant separate E/M on same day of other service
-79 Unrelated procedure during post-op period
-59 Distinct procedural service
Excision 2 cm subcutaneous soft tissue lipoma of the back. D17.1, 21930
(Code for diagnoses using ICD-10-CM. Code for
procedure using CPT.)
D17.1Benign lipomatous neoplasm of skin and
subcutaneous tissue of trunkD17.30Benign lipomatous
neoplasm of skin and subcutaneous tissue of unspecified
sitesD23.5Other benign neoplasm of skin of
trunkD23.9Other benign neoplasm of skin,
unspecified11600Excision, malignant lesion, trunk, arms,
or legs; excised diameter 0.5 cm or less21556Excision,
tumor, soft tissue of neck or anterior thorax; subfascial
(e.g., intramuscular); less than 5 cm21925Biopsy, soft
tissue of back or flank; deep21930Excision, tumor, soft
tissue of back or flank, subcutaneous; less than 3 cm
D17.30, 21925
D23.9, 21556
D23.5, 11600
D17.1, 21930
2026 2027 / Stuvia Edition
, CCA Mock Exam | Practice Questions & Answers | Comprehensive Exam Prep
Use the following table to answer the question. HCPCS/CPT code
HCPCSCode Charge Service CodeItem Service
DescriptionGeneral Ledger
KeyMedicareMedicaidChargesRevenue CodeActivity
Date49683105CT scan; head; w/out contrast and with
contrast37047070470500.0003511/1/202149683106CT
scan; soft tissue neck; with
contrast37049170491675.0003511/1/2021
This data is used because it provides a uniform system of
identifying procedures, services, or supplies. Multiple
columns can be available for various financial classes.
revenue code
charge/service code
general ledger key
HCPCS/CPT code
Patient with Bell's palsy requiring a total facial nerve 69955
decompression
64864
69955
64771
64742
Drainage of simple external ear abscess 69000
69020
69000
69110
69100
The old practices of flagging records for deficiencies and point-of-care documentation.
requiring retrospective documentation add little or no value
to patient care. You try to convince the entire health care
team to consistently enter data into the patient's record at
the time and location of service instead of waiting for
retrospective analysis to alert them to complete the record.
You are proposing
concurrent record analysis.
point-of-care documentation.
clinical pertinence review.
quantitative record review.
Surgical case review includes all of the following EXCEPT cases with elements missing in the preoperative anesthesia consultation.
cases with elements missing in the preoperative
anesthesia consultation.
determination of surgical justification based on clinical
indication(s) in cases where no tissue has been removed.
cases where there is a significant discrepancy between
preoperative, postoperative, and pathological diagnoses.
cases with serious surgical complications or surgical
mortalities.
A patient admitted with gross hematuria and benign R31.0, N40.0
prostatic hypertrophy.
R31.0, N40.1
R31.0, N40.0
N40.0, R31.0
N40.1, R31.0
2026 2027 / Stuvia Edition
