CCA Mock 2023 Exam / Correctly Answeredv

1. A 32-year-old patient has a colonoscopy with removal of three polyps by snare. Moderate sedation was used and provided by the physician. The intraservice time was 30 minutes.: 45385, 99156, 99157 A code of 45385 should be used for the colonoscopy procedure with the removal of polpys. No additional codes needed for the colonscopy since it included the colonoscopy and removal of polyps. The moderate sedation also needs to be coded. A code of 99156 should be used to code the moderate sedation services provided by a physician for the intial 15 minutes of intraservice time. An additional code of 99157 should be coded for the additional 15 minutes of intraservice time for the moderate sedation since the patient was sedated for a total of 30 minutes. No additional codes needed. 2. The diagnosis is as follows: "Carcinoma of axillary lymph nodes and lungs, metastatic from breast." Given this which are the primary cancer site(s)?: breast 3. Patient has a year history of mitral valve regurgitation and now presents for a mitral valve replacement with bypass. (Code for physician using CPT procedure codes only.) 33425 Valvuloplasty, mitral valve, with cardiopulmonary bypass 33430 Replacement, mitral valve, with cardiopulmonary bypass 33460 Valvectomy, tricuspid valve, with cardiopulmonary bypass 35231 Repair blood vessel with vein graft; neck: 33430 4. You are conducting an educational session on benchmarking.You tell your audience that the key to benchmarking is to use the comparison to: improve your department's processes 5. Your facility would like to improve physician documentation in order to al- low improved coding. As coding supervisor, you have found it very effective to provide the physicians with: feedback on specific instances when improved documentation would improve coding 6. Which of the following procedures can be identified as "destruction" of lesions?: laser removal of condylomata 7. 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: upcoding 8. A is a collection of information or data that is organized in such a way that its contents can be queried and relationships created.: database 9. The use of radioactive sources placed into a tumor-bearing area to gener- ate high-intensity radiation is termed: brachytherapy 10. Which of the following procedures would NOT be coded to "resection" when using ICD-10-PCS?: partial resection of upper left lobe 11. During her hospitalization for her third delivery, Janet had a sterilization procedure performed. When the record is coded, the code for sterilization, Z30.2, is: used and sequenced as a secondary diagnosis 12. Some ICD-10-CM codes are exempt from POA reporting because they: are always present on admission and represent circumstances regarding the health care encounter or factors influencing health status that do not represent a current disease or injury 13. CMS delegates its daily operations of the Medicare and Medicaid pro- grams to: Medicare administrative contractor (MAC) 14. Which diagnosis should be listed first when sequencing inpatient codes using the UHDDS?: principal diagnosis