CCA EXAM PREPARATION DOMAINS 1,
2, 3, 4, 5, & 6 PRACTICE TEST
QUESTIONS WITH COMPLETE
ANSWERS
1. ddA ddpatient ddis ddadmitted ddwith ddspotting. ddShe ddhad ddbeen ddtreated ddtwo ddweeks
ddpreviously ddfor dda ddmiscarriage ddwith ddsepsis. ddThe ddsepsis ddhad ddresolved, ddand
ddshe ddis ddafebrile ddat ddthis ddtime. ddShe ddis ddtreated ddwith ddan ddaspiration dddilation
ddand ddcurettage ddand ddproducts ddof ddconception ddare ddfound. ddWhich ddof ddthe
ddfollowing ddshould ddbe ddthe ddprincipal dddiagnosis?
a. ddMiscarriage
b. ddComplications ddof ddspontaneous ddabortion ddwith ddsepsis
c. ddSepsis
d. ddSpontaneous ddabortion ddwith ddsepsis dd- ddANS-a. ddMiscarriage
2. ddIf dda ddpatient ddhas ddan ddexcision ddof dda ddmalignant ddlesion ddof ddthe ddskin, ddthe
ddCPT ddcode ddis dddetermined ddby ddthe ddbody ddarea ddfrom ddwhich ddthe ddexcision
ddoccurs ddand ddwhich ddof ddthe ddfollowing?
a. ddLength ddof ddthe ddlesion ddas dddescribed ddin ddthe ddpathology ddreport
b. ddDimension ddof ddthe ddspecimen ddsubmitted ddas dddescribed ddin ddthe ddpathology
ddreport
c. ddWidth ddtimes ddthe ddlength ddof ddthe ddlesion ddas dddescribed ddin ddthe ddoperative
ddreport
d. ddDiameter ddof ddthe ddlesion ddas ddwell ddas ddthe ddmost ddnarrow ddmargins ddrequired
ddto ddadequately ddexcise ddthe ddlesion dddescribed ddin ddthe ddoperative ddreport dd-
ddANS-d. ddDiameter ddof ddthe ddlesion ddas ddwell ddas ddthe ddmost ddnarrow ddmargins
ddrequired ddto ddadequately ddexcise ddthe ddlesion dddescribed ddin ddthe ddoperative
ddreport
3. ddA ddpatient ddis ddadmitted ddto ddthe ddhospital ddwith ddshortness ddof ddbreath ddand
ddcongestive ddheart ddfailure. ddThe ddpatient ddsubsequently dddevelops ddrespiratory
,ddfailure. ddThe ddpatient ddundergoes ddintubation ddwith ddventilator ddmanagement.
ddWhich ddof ddthe ddfollowing ddwould ddbe ddthe ddcorrect ddsequencing ddand ddcoding ddof
ddthis ddcase?
a. ddCongestive ddheart ddfailure, ddrespiratory ddfailure, ddventilator ddmanagement
b. ddRespiratory ddfailure, ddintubation, ddventilator ddmanagement
c. ddRespiratory ddfailure, ddcongestive ddheart ddfailure, ddintubation, ddventilator
ddmanagement
d. ddShortness ddof ddbreath, ddcongestive ddheart ddfailure, ddrespiratory ddfailure,
ddventilator ddmanagement dd- ddANS-a. ddCongestive ddheart ddfailure, ddrespiratory
ddfailure, ddventilator ddmanagement
4. ddWhich ddof ddthe ddfollowing ddis dda ddstandard ddterminology ddused ddto ddcode
ddmedical ddprocedures ddand ddservices?
a. ddCPT
b. ddHCPCS
c. ddICD-10-PCS
d. ddSNOMED ddCT dd- ddANS-a. ddCPT
5. ddWhat ddis ddthe ddcorrect ddCPT ddcode ddassignment ddfor ddhysteroscopy ddwith ddlysis
ddof ddintrauterine ddadhesions?
a. dd58555, dd58559
b. dd58559
c. dd58559, dd58740
d. dd58555, dd58559, dd58740 dd- ddANS-b. dd58559
6. ddWhat ddis ddthe ddcorrect ddCPT ddcode ddassignment ddfor dddestruction ddof ddinternal
ddhemorrhoids ddwith dduse ddof ddinfrared ddcoagulation?
a. dd46255
b. dd46930
c. dd46260
d. dd46945 dd- ddANS-b. dd46930
7.00Identify ddthe dddiagnosis ddcode(s) ddfor ddmelanoma ddof ddskin ddof ddright ddshoulder.
a. ddD03.61, ddC43.61
b. ddC43.61
c. ddC43.60
d. ddD03.61 dd- ddANS-b. ddC43.61
8. ddA ddfemale ddpatient ddis ddadmitted ddfor ddstress ddincontinence. ddA ddurethral
ddsuspension ddto ddreposition ddthe ddurethra ddvia ddopen ddapproach ddis ddperformed.
ddAssign ddthe ddcorrect ddICD-10-CM dddiagnosis ddand/or ddprocedure ddcodes.
,a. ddN39.3, dd0TJB8ZZ
b. ddN23, dd0TSD0ZZ
c. ddN39.3, dd0TSD0ZZ
d. ddR32, dd0TSD4ZZ dd- ddANS-c. ddN39.3, dd0TSD0ZZ
9. ddA ddpatient ddis ddadmitted ddto ddthe ddhospital ddwith ddabdominal ddpain. ddThe
ddprincipal dddiagnosis ddis ddcholecystitis. ddThe ddpatient ddalso ddhas dda ddhistory ddof
ddhypertension ddand dddiabetes. ddIn ddthe ddDRG ddprospective ddpayment ddsystem,
ddwhich ddof ddthe ddfollowing ddwould dddetermine ddthe ddMDC ddassignment ddfor ddthis
ddpatient?
a. ddAbdominal ddpain
b. ddCholecystitis
c. ddHypertension
d. ddDiabetes dd- ddANS-b. ddCholecystitis
10. ddReference ddcodes dd49491 ddthrough dd49525 ddfor ddinguinal ddhernia ddrepair.
ddPatient ddis dd47 ddyears ddold. ddWhat ddis ddthe ddcorrect ddcode ddfor ddan ddinitial
ddinguinal ddherniorrhaphy ddfor ddincarcerated ddhernia?
a. dd49496
b. dd49501
c. dd49507
d. dd49521 dd- ddANS-c. dd49507
11. ddA ddpatient ddwas ddadmitted ddfor ddabdominal ddpain ddwith dddiarrhea ddand ddwas
dddiagnosed ddwith ddinfectious ddgastroenteritis. ddThe ddpatient ddalso ddhas ddangina
ddand ddchronic ddobstructive ddpulmonary dddisease. ddWhich ddof ddthe ddfollowing ddwould
ddbe ddthe ddcorrect ddcoding ddand ddsequencing ddfor ddthis ddcase?
a. ddAbdominal ddpain; ddinfectious ddgastroenteritis; ddchronic ddobstructive ddpulmonary
dddisease; ddangina
b. ddInfectious ddgastroenteritis; ddchronic ddobstructive ddpulmonary dddisease; ddangina
c. ddGastroenteritis; ddabdominal ddpain; ddangina
d. ddGastroenteritis; ddabdominal ddpain; dddiarrhea; ddchronic ddobstructive ddpulmonary
dddisease; ddangina dd- ddANS-b. ddInfectious ddgastroenteritis; ddchronic ddobstructive
ddpulmonary dddisease; ddangina
12. ddA dd65-year-old ddfemale ddwas ddadmitted ddto ddthe ddhospital. ddShe ddwas
dddiagnosed ddwith ddsepsis ddsecondary ddto ddStaphylococcus ddaureus ddand
ddabdominal ddpain ddsecondary ddto dddiverticulitis ddof ddthe ddcolon. ddWhat ddis ddthe
ddcorrect ddcode ddassignment?
a. ddA41.89, ddK57.92, ddR10.9
b. ddA41.01, ddK57.92
, c. ddA41.89, ddK57.92, ddA49.01
d. ddA41.9, ddK57.92 dd- ddANS-b. ddA41.01, ddK57.92
13. ddCoding ddaccuracy ddis ddanticipated ddto ddimprove dddue ddto ddwhich ddICD-10-CM
ddenhancement?
a. ddLess ddcombination ddcodes
b. ddIncreased ddcross ddreferencing
c. ddRemoval ddof ddlaterality
d. ddExpanded ddcodes ddthat ddcapture ddmore dddetail dd- ddANS-d. ddExpanded ddcodes
ddthat ddcapture ddmore dddetail
14. ddPatient ddwith ddflank ddpain ddwas ddadmitted ddand ddfound ddto ddhave dda ddcalculus
ddof ddthe ddkidney. ddA ddureteroscopy ddwith ddplacement ddof ddbilateral ddureteral ddstents
ddwas ddperformed ddto ddexpand ddthe ddlumen ddso ddthe ddstone ddcould ddpass ddnaturally.
ddAssign ddthe ddcorrect ddICD-10-CM/PCS dddiagnosis ddand ddprocedure ddcodes.
a. ddN20.0, ddN23, dd0T788DZ
b. ddN23, ddN20.0, dd0TC68ZZ, dd0TC78ZZ
c. ddN20.0, dd0T768DZ, dd0T778DZ
d. ddN20.0, dd0T788DZ dd- ddANS-d. ddN20.0, dd0T788DZ
15. ddCode ddonly dda ddconfirmed dddiagnosis ddof ddZika ddvirus dd(A92.5, ddZika ddvirus
dddisease) ddas dddocumented ddby ddthe ddprovider. ddIn ddthis ddcontext, dd"confirmation"
dd__________.
a. ddDoes ddnot ddrequire dddocumentation ddof ddthe ddtype ddof ddtest ddperformed; ddthe
ddphysician's dddiagnostic ddstatement ddthat ddthe ddcondition ddis ddconfirmed ddis
ddsufficient
b. ddRequires ddthe dddocumentation ddof ddthe ddtype ddof ddtest ddin ddaddition ddto ddthe
ddphysician's dddiagnostic ddstatement
c. ddMust ddbe ddprovided ddby ddthe ddlaboratory ddfindings ddreport
d. ddRequires ddthat ddthe ddPublic ddHealth ddAgency ddbe ddcontacted dd- ddANS-a. ddDoes
ddnot ddrequire dddocumentation ddof ddthe ddtype ddof ddtest ddperformed; ddthe ddphysician's
dddiagnostic ddstatement ddthat ddthe ddcondition ddis ddconfirmed ddis ddsufficient
16. ddA dd7-year-old ddpatient ddwas ddadmitted ddto ddthe ddemergency dddepartment ddfor
ddtreatment ddof ddshortness ddof ddbreath. ddThe ddpatient ddis ddgiven ddepinephrine ddand
ddnebulizer ddtreatments. ddThe ddshortness ddof ddbreath ddand ddwheezing ddare
ddunabated ddfollowing ddtreatment. ddWhat dddiagnosis ddshould ddbe ddsuspected?
a. ddAcute ddbronchitis
b. ddAcute ddbronchitis ddwith ddchronic ddobstructive ddpulmonary dddisease
c. ddAsthma ddwith ddstatus ddasthmaticus
d. ddChronic ddobstructive ddasthma dd- ddANS-c. ddAsthma ddwith ddstatus ddasthmaticus
2, 3, 4, 5, & 6 PRACTICE TEST
QUESTIONS WITH COMPLETE
ANSWERS
1. ddA ddpatient ddis ddadmitted ddwith ddspotting. ddShe ddhad ddbeen ddtreated ddtwo ddweeks
ddpreviously ddfor dda ddmiscarriage ddwith ddsepsis. ddThe ddsepsis ddhad ddresolved, ddand
ddshe ddis ddafebrile ddat ddthis ddtime. ddShe ddis ddtreated ddwith ddan ddaspiration dddilation
ddand ddcurettage ddand ddproducts ddof ddconception ddare ddfound. ddWhich ddof ddthe
ddfollowing ddshould ddbe ddthe ddprincipal dddiagnosis?
a. ddMiscarriage
b. ddComplications ddof ddspontaneous ddabortion ddwith ddsepsis
c. ddSepsis
d. ddSpontaneous ddabortion ddwith ddsepsis dd- ddANS-a. ddMiscarriage
2. ddIf dda ddpatient ddhas ddan ddexcision ddof dda ddmalignant ddlesion ddof ddthe ddskin, ddthe
ddCPT ddcode ddis dddetermined ddby ddthe ddbody ddarea ddfrom ddwhich ddthe ddexcision
ddoccurs ddand ddwhich ddof ddthe ddfollowing?
a. ddLength ddof ddthe ddlesion ddas dddescribed ddin ddthe ddpathology ddreport
b. ddDimension ddof ddthe ddspecimen ddsubmitted ddas dddescribed ddin ddthe ddpathology
ddreport
c. ddWidth ddtimes ddthe ddlength ddof ddthe ddlesion ddas dddescribed ddin ddthe ddoperative
ddreport
d. ddDiameter ddof ddthe ddlesion ddas ddwell ddas ddthe ddmost ddnarrow ddmargins ddrequired
ddto ddadequately ddexcise ddthe ddlesion dddescribed ddin ddthe ddoperative ddreport dd-
ddANS-d. ddDiameter ddof ddthe ddlesion ddas ddwell ddas ddthe ddmost ddnarrow ddmargins
ddrequired ddto ddadequately ddexcise ddthe ddlesion dddescribed ddin ddthe ddoperative
ddreport
3. ddA ddpatient ddis ddadmitted ddto ddthe ddhospital ddwith ddshortness ddof ddbreath ddand
ddcongestive ddheart ddfailure. ddThe ddpatient ddsubsequently dddevelops ddrespiratory
,ddfailure. ddThe ddpatient ddundergoes ddintubation ddwith ddventilator ddmanagement.
ddWhich ddof ddthe ddfollowing ddwould ddbe ddthe ddcorrect ddsequencing ddand ddcoding ddof
ddthis ddcase?
a. ddCongestive ddheart ddfailure, ddrespiratory ddfailure, ddventilator ddmanagement
b. ddRespiratory ddfailure, ddintubation, ddventilator ddmanagement
c. ddRespiratory ddfailure, ddcongestive ddheart ddfailure, ddintubation, ddventilator
ddmanagement
d. ddShortness ddof ddbreath, ddcongestive ddheart ddfailure, ddrespiratory ddfailure,
ddventilator ddmanagement dd- ddANS-a. ddCongestive ddheart ddfailure, ddrespiratory
ddfailure, ddventilator ddmanagement
4. ddWhich ddof ddthe ddfollowing ddis dda ddstandard ddterminology ddused ddto ddcode
ddmedical ddprocedures ddand ddservices?
a. ddCPT
b. ddHCPCS
c. ddICD-10-PCS
d. ddSNOMED ddCT dd- ddANS-a. ddCPT
5. ddWhat ddis ddthe ddcorrect ddCPT ddcode ddassignment ddfor ddhysteroscopy ddwith ddlysis
ddof ddintrauterine ddadhesions?
a. dd58555, dd58559
b. dd58559
c. dd58559, dd58740
d. dd58555, dd58559, dd58740 dd- ddANS-b. dd58559
6. ddWhat ddis ddthe ddcorrect ddCPT ddcode ddassignment ddfor dddestruction ddof ddinternal
ddhemorrhoids ddwith dduse ddof ddinfrared ddcoagulation?
a. dd46255
b. dd46930
c. dd46260
d. dd46945 dd- ddANS-b. dd46930
7.00Identify ddthe dddiagnosis ddcode(s) ddfor ddmelanoma ddof ddskin ddof ddright ddshoulder.
a. ddD03.61, ddC43.61
b. ddC43.61
c. ddC43.60
d. ddD03.61 dd- ddANS-b. ddC43.61
8. ddA ddfemale ddpatient ddis ddadmitted ddfor ddstress ddincontinence. ddA ddurethral
ddsuspension ddto ddreposition ddthe ddurethra ddvia ddopen ddapproach ddis ddperformed.
ddAssign ddthe ddcorrect ddICD-10-CM dddiagnosis ddand/or ddprocedure ddcodes.
,a. ddN39.3, dd0TJB8ZZ
b. ddN23, dd0TSD0ZZ
c. ddN39.3, dd0TSD0ZZ
d. ddR32, dd0TSD4ZZ dd- ddANS-c. ddN39.3, dd0TSD0ZZ
9. ddA ddpatient ddis ddadmitted ddto ddthe ddhospital ddwith ddabdominal ddpain. ddThe
ddprincipal dddiagnosis ddis ddcholecystitis. ddThe ddpatient ddalso ddhas dda ddhistory ddof
ddhypertension ddand dddiabetes. ddIn ddthe ddDRG ddprospective ddpayment ddsystem,
ddwhich ddof ddthe ddfollowing ddwould dddetermine ddthe ddMDC ddassignment ddfor ddthis
ddpatient?
a. ddAbdominal ddpain
b. ddCholecystitis
c. ddHypertension
d. ddDiabetes dd- ddANS-b. ddCholecystitis
10. ddReference ddcodes dd49491 ddthrough dd49525 ddfor ddinguinal ddhernia ddrepair.
ddPatient ddis dd47 ddyears ddold. ddWhat ddis ddthe ddcorrect ddcode ddfor ddan ddinitial
ddinguinal ddherniorrhaphy ddfor ddincarcerated ddhernia?
a. dd49496
b. dd49501
c. dd49507
d. dd49521 dd- ddANS-c. dd49507
11. ddA ddpatient ddwas ddadmitted ddfor ddabdominal ddpain ddwith dddiarrhea ddand ddwas
dddiagnosed ddwith ddinfectious ddgastroenteritis. ddThe ddpatient ddalso ddhas ddangina
ddand ddchronic ddobstructive ddpulmonary dddisease. ddWhich ddof ddthe ddfollowing ddwould
ddbe ddthe ddcorrect ddcoding ddand ddsequencing ddfor ddthis ddcase?
a. ddAbdominal ddpain; ddinfectious ddgastroenteritis; ddchronic ddobstructive ddpulmonary
dddisease; ddangina
b. ddInfectious ddgastroenteritis; ddchronic ddobstructive ddpulmonary dddisease; ddangina
c. ddGastroenteritis; ddabdominal ddpain; ddangina
d. ddGastroenteritis; ddabdominal ddpain; dddiarrhea; ddchronic ddobstructive ddpulmonary
dddisease; ddangina dd- ddANS-b. ddInfectious ddgastroenteritis; ddchronic ddobstructive
ddpulmonary dddisease; ddangina
12. ddA dd65-year-old ddfemale ddwas ddadmitted ddto ddthe ddhospital. ddShe ddwas
dddiagnosed ddwith ddsepsis ddsecondary ddto ddStaphylococcus ddaureus ddand
ddabdominal ddpain ddsecondary ddto dddiverticulitis ddof ddthe ddcolon. ddWhat ddis ddthe
ddcorrect ddcode ddassignment?
a. ddA41.89, ddK57.92, ddR10.9
b. ddA41.01, ddK57.92
, c. ddA41.89, ddK57.92, ddA49.01
d. ddA41.9, ddK57.92 dd- ddANS-b. ddA41.01, ddK57.92
13. ddCoding ddaccuracy ddis ddanticipated ddto ddimprove dddue ddto ddwhich ddICD-10-CM
ddenhancement?
a. ddLess ddcombination ddcodes
b. ddIncreased ddcross ddreferencing
c. ddRemoval ddof ddlaterality
d. ddExpanded ddcodes ddthat ddcapture ddmore dddetail dd- ddANS-d. ddExpanded ddcodes
ddthat ddcapture ddmore dddetail
14. ddPatient ddwith ddflank ddpain ddwas ddadmitted ddand ddfound ddto ddhave dda ddcalculus
ddof ddthe ddkidney. ddA ddureteroscopy ddwith ddplacement ddof ddbilateral ddureteral ddstents
ddwas ddperformed ddto ddexpand ddthe ddlumen ddso ddthe ddstone ddcould ddpass ddnaturally.
ddAssign ddthe ddcorrect ddICD-10-CM/PCS dddiagnosis ddand ddprocedure ddcodes.
a. ddN20.0, ddN23, dd0T788DZ
b. ddN23, ddN20.0, dd0TC68ZZ, dd0TC78ZZ
c. ddN20.0, dd0T768DZ, dd0T778DZ
d. ddN20.0, dd0T788DZ dd- ddANS-d. ddN20.0, dd0T788DZ
15. ddCode ddonly dda ddconfirmed dddiagnosis ddof ddZika ddvirus dd(A92.5, ddZika ddvirus
dddisease) ddas dddocumented ddby ddthe ddprovider. ddIn ddthis ddcontext, dd"confirmation"
dd__________.
a. ddDoes ddnot ddrequire dddocumentation ddof ddthe ddtype ddof ddtest ddperformed; ddthe
ddphysician's dddiagnostic ddstatement ddthat ddthe ddcondition ddis ddconfirmed ddis
ddsufficient
b. ddRequires ddthe dddocumentation ddof ddthe ddtype ddof ddtest ddin ddaddition ddto ddthe
ddphysician's dddiagnostic ddstatement
c. ddMust ddbe ddprovided ddby ddthe ddlaboratory ddfindings ddreport
d. ddRequires ddthat ddthe ddPublic ddHealth ddAgency ddbe ddcontacted dd- ddANS-a. ddDoes
ddnot ddrequire dddocumentation ddof ddthe ddtype ddof ddtest ddperformed; ddthe ddphysician's
dddiagnostic ddstatement ddthat ddthe ddcondition ddis ddconfirmed ddis ddsufficient
16. ddA dd7-year-old ddpatient ddwas ddadmitted ddto ddthe ddemergency dddepartment ddfor
ddtreatment ddof ddshortness ddof ddbreath. ddThe ddpatient ddis ddgiven ddepinephrine ddand
ddnebulizer ddtreatments. ddThe ddshortness ddof ddbreath ddand ddwheezing ddare
ddunabated ddfollowing ddtreatment. ddWhat dddiagnosis ddshould ddbe ddsuspected?
a. ddAcute ddbronchitis
b. ddAcute ddbronchitis ddwith ddchronic ddobstructive ddpulmonary dddisease
c. ddAsthma ddwith ddstatus ddasthmaticus
d. ddChronic ddobstructive ddasthma dd- ddANS-c. ddAsthma ddwith ddstatus ddasthmaticus
