CCA Exam Preparation Domains 1, 2, 3,
4, 5, & 6 Practice Test
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 - verified answer a. Miscarriage
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 - verified answer d. Diameter of the lesion as well as the
most narrow margins required to adequately excise the lesion described in the operative report
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 - verified
answer a. Congestive heart failure, respiratory failure, ventilator management
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 - verified answer a. CPT
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 - verified answer b. 58559
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 - verified answer b. 46930
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 - verified answer b. C43.61
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 - verified answer c. N39.3, 0TSD0ZZ
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 - verified answer b. Cholecystitis
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 - verified answer c. 49507
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 pulmonary disease; angina
c. Gastroenteritis; abdominal pain; angina
d. Gastroenteritis; abdominal pain; diarrhea; chronic obstructive pulmonary disease; angina -
verified answer b. Infectious gastroenteritis; chronic obstructive pulmonary disease; angina
12. A 65-year-old female was admitted to the hospital. She was diagnosed with sepsis secondary to
Staphylococcus aureus and abdominal pain secondary to diverticulitis of the colon. What is the
correct code assignment?
, a. A41.89, K57.92, R10.9
b. A41.01, K57.92
c. A41.89, K57.92, A49.01
d. A41.9, K57.92 - verified answer b. A41.01, K57.92
13. Coding accuracy is anticipated to improve due to which ICD-10-CM enhancement?
a. Less combination codes
b. Increased cross referencing
c. Removal of laterality
d. Expanded codes that capture more detail - verified answer d. Expanded codes that capture more
detail
14. Patient with flank pain was admitted and found to have a calculus of the kidney. A ureteroscopy
with placement of bilateral ureteral stents was performed to expand the lumen so the stone could
pass naturally. Assign the correct ICD-10-CM/PCS diagnosis and procedure codes.
a. N20.0, N23, 0T788DZ
b. N23, N20.0, 0TC68ZZ, 0TC78ZZ
c. N20.0, 0T768DZ, 0T778DZ
d. N20.0, 0T788DZ - verified answer d. N20.0, 0T788DZ
15. Code only a confirmed diagnosis of Zika virus (A92.5, Zika virus disease) as documented by the
provider. In this context, "confirmation" __________.
a. Does not require documentation of the type of test performed; the physician's diagnostic
statement that the condition is confirmed is sufficient
b. Requires the documentation of the type of test in addition to the physician's diagnostic statement
c. Must be provided by the laboratory findings report
d. Requires that the Public Health Agency be contacted - verified answer a. Does not require
documentation of the type of test performed; the physician's diagnostic statement that the
condition is confirmed is sufficient
4, 5, & 6 Practice Test
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 - verified answer a. Miscarriage
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 - verified answer d. Diameter of the lesion as well as the
most narrow margins required to adequately excise the lesion described in the operative report
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 - verified
answer a. Congestive heart failure, respiratory failure, ventilator management
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 - verified answer a. CPT
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 - verified answer b. 58559
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 - verified answer b. 46930
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 - verified answer b. C43.61
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 - verified answer c. N39.3, 0TSD0ZZ
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 - verified answer b. Cholecystitis
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 - verified answer c. 49507
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 pulmonary disease; angina
c. Gastroenteritis; abdominal pain; angina
d. Gastroenteritis; abdominal pain; diarrhea; chronic obstructive pulmonary disease; angina -
verified answer b. Infectious gastroenteritis; chronic obstructive pulmonary disease; angina
12. A 65-year-old female was admitted to the hospital. She was diagnosed with sepsis secondary to
Staphylococcus aureus and abdominal pain secondary to diverticulitis of the colon. What is the
correct code assignment?
, a. A41.89, K57.92, R10.9
b. A41.01, K57.92
c. A41.89, K57.92, A49.01
d. A41.9, K57.92 - verified answer b. A41.01, K57.92
13. Coding accuracy is anticipated to improve due to which ICD-10-CM enhancement?
a. Less combination codes
b. Increased cross referencing
c. Removal of laterality
d. Expanded codes that capture more detail - verified answer d. Expanded codes that capture more
detail
14. Patient with flank pain was admitted and found to have a calculus of the kidney. A ureteroscopy
with placement of bilateral ureteral stents was performed to expand the lumen so the stone could
pass naturally. Assign the correct ICD-10-CM/PCS diagnosis and procedure codes.
a. N20.0, N23, 0T788DZ
b. N23, N20.0, 0TC68ZZ, 0TC78ZZ
c. N20.0, 0T768DZ, 0T778DZ
d. N20.0, 0T788DZ - verified answer d. N20.0, 0T788DZ
15. Code only a confirmed diagnosis of Zika virus (A92.5, Zika virus disease) as documented by the
provider. In this context, "confirmation" __________.
a. Does not require documentation of the type of test performed; the physician's diagnostic
statement that the condition is confirmed is sufficient
b. Requires the documentation of the type of test in addition to the physician's diagnostic statement
c. Must be provided by the laboratory findings report
d. Requires that the Public Health Agency be contacted - verified answer a. Does not require
documentation of the type of test performed; the physician's diagnostic statement that the
condition is confirmed is sufficient
