CCA practice exam

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 - correct answer 45385, 99156, 99157 The diagnosis is as follows: "Carcinoma of axillary lymph nodes and lungs, metastatic from breast." Given this which are the primary cancer site(s)? - correct answer Breast 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.) - correct answer 33430 You are conducting an educational session on benchmarking. You tell your audience that the key to benchmarking is to use the comparison to - correct answer improve your departments processes Your facility would like to improve physician documentation in order to allow improved coding. As coding supervisor, you have found it very effective to provide the physicians - correct answer with feedback on specific instances when improved documentation would improve coding A patient is diagnosed with early onset Alzheimer's disease with dementia - correct answer G30.0, F02.80 An established patient was seen by physician in her office for DTaP-IPV/Hib - correct answer 90471, 90698 CPT code for a high-energy ESW of the lateral humeral epicondyle using general anesthesia. - correct answer 0102T Which of the following procedures can be identified as "destruction" of lesions? - correct answer laser removal condylomata 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 - correct answer upcoming A ________ is a collection of information or data that is organized in such a way that its contents can be queried and relationships created - correct answer database Single lung transplant without cardiopulmonary bypass (CPT) - correct answer 32851 Female with 6 months of stress incontinence. Laparoscopic urethral suspension was completed. Choose the appropriate ICD-10-CM and CPT codes. - correct answer N39.3, 51990 The use of radioactive sources placed into a tumor-bearing area to generate high-intensity radiation is termed - correct answer brachytherapy Which of the following procedures would NOT be coded to "resection" when using ICD-10-PCS? - correct answer partial resection of upper left lobe During her hospitalization for her third delivery, Janet had a sterilization procedure performed. When the record is coded, the code for sterilization, Z30.2, - correct answer used and sequenced as the secondary diagnosis A patient suffered dizziness as a result of taking prescribed phenobarbital. The patient took his medication with - correct answer beer R42, T42.3x1A, T51.8x1A Some ICD-10-CM codes are exempt from POA reporting because they - correct answer 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 CMS delegates its daily operations of the Medicare and Medicaid programs - correct answer to medicare administrative contractor (MAC) Which diagnosis should be listed first when sequencing inpatient codes using the UHDDS? - correct answer principal diagnosis Male patient has been diagnosed with benign prostatic hypertrophy and undergoes a transurethral destruction of the prostate by radiofrequency thermotherapy - correct answer N40.0, 53852 As part of a concurrent record review, you need to locate the initial plan of action based on the attending physician's initial assessment of the patient. You can expect to find this documentation either within the body of the history and physical or in the - correct answer doctors admitting progress note Lumbar laminectomy (one segment) for decompression of spinal cord - correct answer 63005 The _______________ are the organizations that contract with Medicare to perform reviews of medical records with the corresponding Medicare claims to detect and correct improper payments - correct answer recovery audit contractors (RACs) Patient has breast carcinoma and is now undergoing complete axillary lymphadenectomy - correct answer 38745 Which of the following could influence a facility case mix? - correct answer all answers apply Excision 2 cm subcutaneous soft tissue lipoma of the back - correct answer D17.1, 21930 The Joint Commission requires that all medical records be completed within ___________ following patient discharge. - correct answer 30 days Provide the CPT code for a patient that had a complicated removal of a wrist prosthesis. - correct answer 25251 If the same condition is described as both acute and chronic and separate subentries exist in the ICD-10-CM alphabetic index at the same indentation level - correct answer they should both be coded, acute sequenced first Patient presents to the GI lab for a colonoscopy. During the colonoscopy, adenomatous polyps were discovered in the ascending colon and in the transverse colon. Polyps in the ascending colon were removed via hot biopsy forceps, and the polyps in the transverse colon were removed by snare technique. - correct answer D12.2, D12.3, 45384, 45385-59 What legal term is used in describing sexual harassment in reference to unwelcome sexual advances, request for sexual favors, and verbal or physical conduct of a sexual nature made in return for job benefits? - correct answer quid pro quo CPT code(s) for a laparoscopic takedown of the splenic flexure and a partial colectomy with anastomosis - correct answer 44204, 44213 Staging is a - correct answer system for documenting the extent or spread of cancer Which of these conditions are always considered "present on admission" (POA)? - correct answer congenital conditions Patient came to the hospital ambulatory surgical center for repair of incisional inguinal hernia. This is the second time the patient has developed this problem. The hernia was repaired with Gore-Tex graft. Choose the appropriate ICD-10-CM and CPT codes - correct answer K40.91, 49565, 49568 Robert Thompson was seen in the outpatient department with a chronic cough and the record states "rule out lung cancer." What should be coded as the patient's diagnosis? - correct answer chronic cough A patient presents with dermatitis due to prescription topical antibiotic cream used as directed by physician. - correct answer L25.1, T49.0x5A