AHIMA CCA: Practice Questions With Actual Answers.
Correct Answer: C
1. 1.
Identify the CPT code for a 42-year-old diagnosed with Dialysis, end-stage renal
ESRD who requires home dialysis for the month of disease. Code 90966 is
April. for end-stage renal dis-
ease (ESRD) related ser-
a. 90965
vices for home dialysis per
b. 90964 full month for patients 20
years of age and older
c. 90966 (Smith 2012, 227).
d. 90970
Correct Answer: A
2. 2.
Exceptions to the consent requirement include: The law permits a pre-
sumption of consent dur-
a. Medical emergencies
ing emergency situations,
b. Provider discretion regardless of whether the
patient is an adult or mi-
c. Implied consent nor (Brodnik et al. 2009,
99).
d. Informed consent
Correct Answer: C
3. 3.
An 80-year-old female is admitted with fever, lethargy, The term "urosepsis" is
hypotension, tachycardia, oliguria, and elevated WBC. a nonspecific term. If that
The patient has more than 100,000 organisms of Es- is the only term docu-
cherichia coli per cc of urine. The attending physicianmented, only code 599.0
documents "urosepsis." How should the coder pro- should be assigned based
ceed to code this case? on the default for the term
in the ICD-9-CM index,
a. Code sepsis as the principal diagnosis with urinary
in addition to the code
tract infection due to E. coli as secondary diagnosis.
, AHIMA CCA: Practice Questions With Actual Answers.
for the causal organism,
b. Code urinary tract infection with sepsis as the prin- if known. Septicemia re-
cipal diagnosis. sults from the entry of
pathogens into the blood-
c. Query the physician to ask if the patient has sep-
stream. Symptoms include
ticemia because of the symptomatology.
spiking fever, chills, and
skin eruptions in the form
d. Query the physician to ask if the patient had septic
of petechiae or purpura.
shock so that this may be used as the principal diag-
Blood cultures are usu-
nosis.
ally positive; however, a
negative culture does not
exclude the diagnosis of
septicemia. Several oth-
er clinical indications and
symptomology could indi-
cate the diagnosis of sep-
ticemia. Only the physi-
cian can diagnose the
condition based on clini-
cal indications. Query the
physician when the di-
agnosis is not clear to
the coder (Schrattenberg-
er 2012, 79-81, 251).
4. 4. Correct Answer: B
What is the correct CPT code assignment for destruc-
tion of internal hemorrhoids with use of infrared co- Index main term: Destruc-
agulation? tion, hemorrhoid, ther-
mal. Thermal includes in-
a. 46255 frared coagulation (Kuehn
2012, 27, 163).
, AHIMA CCA: Practice Questions With Actual Answers.
b. 46930
c. 46260
d. 46945
5. 5. Correct Answer: D
Identify the two-digit modifier that may be reported
to indicate a physician performed the postoperative Modifiers are append-
management of a patient, but another physician per- ed to the code to provide
formed the surgical procedure. more information or to
alert the payer that a pay-
a. -22 ment change is required.
Modifier -55 is used to
b. -54 identify the physician pro-
vided only postoperative
c. -32 care services for a par-
ticular procedure (Kuehn
d. -55
2012, 292, 295).
6. 6. Correct Answer: B
Which of the following organizations is responsible for
updating the procedure classification of ICD-9-CM? NCHS is responsible for
updating the diagnosis
a. Centers for Disease Control (CDC) classification (Volumes 1
and 2), and CMS is re-
b. Centers for Medicare and Medicaid Services (CMS) sponsible for updating
the procedure classifica-
c. National Center for Health Statistics (NCHS) tion (Volume 3) (Johns
2011, 239).
d. World Health Organization (WHO)
7. 7. Correct Answer: A
Good encoding software should include to
, AHIMA CCA: Practice Questions With Actual Answers.
ensure data quality. Good encoding software
should include edit checks
a. Edit checks to ensure data quality
(Johns 2011, 270).
b. Voice recognition
c. Reimbursement technology
d. Passwords
8. 8. Correct Answer: B
Patient was admitted through the emergency depart-
The fracture is the prin-
ment following a fall from a ladder while painting an
cipal diagnosis, with the
interior room in his house. He had contusions of the
contusions as a secondary
scalp and face and an open fracture of the acetabu-
diagnosis. The fracture is
lum. The fracture site was debrided and the fracture
was reduced by open procedure with an external fixa- what required the most
tion device applied. Which is the correct code assign- treatment. Procedures for
ment? the reduction, debride-
ment, and external fixation
a. 808.1, E881.0, E849.0, 79.25, 78.15 device would all need to
be coded (Schrattenberg-
b. 808.1, 920, E881.0, E849.0, E000.8, E013.9, 79.25, er 2012, 354-355).
78.15, 79.65
c. 808.0, E881.0, E000.8, E013.9, 79.35, 79.65
d. 808.1, E881.0, E849.0, E013.9, 79.25, 78.15, 79.65
9. 9. Correct Answer: C
A request for reconsideration of a denied claim for
insurance coverage for healthcare services is called An appeal is a request
a(n): for consideration of denial
Correct Answer: C
1. 1.
Identify the CPT code for a 42-year-old diagnosed with Dialysis, end-stage renal
ESRD who requires home dialysis for the month of disease. Code 90966 is
April. for end-stage renal dis-
ease (ESRD) related ser-
a. 90965
vices for home dialysis per
b. 90964 full month for patients 20
years of age and older
c. 90966 (Smith 2012, 227).
d. 90970
Correct Answer: A
2. 2.
Exceptions to the consent requirement include: The law permits a pre-
sumption of consent dur-
a. Medical emergencies
ing emergency situations,
b. Provider discretion regardless of whether the
patient is an adult or mi-
c. Implied consent nor (Brodnik et al. 2009,
99).
d. Informed consent
Correct Answer: C
3. 3.
An 80-year-old female is admitted with fever, lethargy, The term "urosepsis" is
hypotension, tachycardia, oliguria, and elevated WBC. a nonspecific term. If that
The patient has more than 100,000 organisms of Es- is the only term docu-
cherichia coli per cc of urine. The attending physicianmented, only code 599.0
documents "urosepsis." How should the coder pro- should be assigned based
ceed to code this case? on the default for the term
in the ICD-9-CM index,
a. Code sepsis as the principal diagnosis with urinary
in addition to the code
tract infection due to E. coli as secondary diagnosis.
, AHIMA CCA: Practice Questions With Actual Answers.
for the causal organism,
b. Code urinary tract infection with sepsis as the prin- if known. Septicemia re-
cipal diagnosis. sults from the entry of
pathogens into the blood-
c. Query the physician to ask if the patient has sep-
stream. Symptoms include
ticemia because of the symptomatology.
spiking fever, chills, and
skin eruptions in the form
d. Query the physician to ask if the patient had septic
of petechiae or purpura.
shock so that this may be used as the principal diag-
Blood cultures are usu-
nosis.
ally positive; however, a
negative culture does not
exclude the diagnosis of
septicemia. Several oth-
er clinical indications and
symptomology could indi-
cate the diagnosis of sep-
ticemia. Only the physi-
cian can diagnose the
condition based on clini-
cal indications. Query the
physician when the di-
agnosis is not clear to
the coder (Schrattenberg-
er 2012, 79-81, 251).
4. 4. Correct Answer: B
What is the correct CPT code assignment for destruc-
tion of internal hemorrhoids with use of infrared co- Index main term: Destruc-
agulation? tion, hemorrhoid, ther-
mal. Thermal includes in-
a. 46255 frared coagulation (Kuehn
2012, 27, 163).
, AHIMA CCA: Practice Questions With Actual Answers.
b. 46930
c. 46260
d. 46945
5. 5. Correct Answer: D
Identify the two-digit modifier that may be reported
to indicate a physician performed the postoperative Modifiers are append-
management of a patient, but another physician per- ed to the code to provide
formed the surgical procedure. more information or to
alert the payer that a pay-
a. -22 ment change is required.
Modifier -55 is used to
b. -54 identify the physician pro-
vided only postoperative
c. -32 care services for a par-
ticular procedure (Kuehn
d. -55
2012, 292, 295).
6. 6. Correct Answer: B
Which of the following organizations is responsible for
updating the procedure classification of ICD-9-CM? NCHS is responsible for
updating the diagnosis
a. Centers for Disease Control (CDC) classification (Volumes 1
and 2), and CMS is re-
b. Centers for Medicare and Medicaid Services (CMS) sponsible for updating
the procedure classifica-
c. National Center for Health Statistics (NCHS) tion (Volume 3) (Johns
2011, 239).
d. World Health Organization (WHO)
7. 7. Correct Answer: A
Good encoding software should include to
, AHIMA CCA: Practice Questions With Actual Answers.
ensure data quality. Good encoding software
should include edit checks
a. Edit checks to ensure data quality
(Johns 2011, 270).
b. Voice recognition
c. Reimbursement technology
d. Passwords
8. 8. Correct Answer: B
Patient was admitted through the emergency depart-
The fracture is the prin-
ment following a fall from a ladder while painting an
cipal diagnosis, with the
interior room in his house. He had contusions of the
contusions as a secondary
scalp and face and an open fracture of the acetabu-
diagnosis. The fracture is
lum. The fracture site was debrided and the fracture
was reduced by open procedure with an external fixa- what required the most
tion device applied. Which is the correct code assign- treatment. Procedures for
ment? the reduction, debride-
ment, and external fixation
a. 808.1, E881.0, E849.0, 79.25, 78.15 device would all need to
be coded (Schrattenberg-
b. 808.1, 920, E881.0, E849.0, E000.8, E013.9, 79.25, er 2012, 354-355).
78.15, 79.65
c. 808.0, E881.0, E000.8, E013.9, 79.35, 79.65
d. 808.1, E881.0, E849.0, E013.9, 79.25, 78.15, 79.65
9. 9. Correct Answer: C
A request for reconsideration of a denied claim for
insurance coverage for healthcare services is called An appeal is a request
a(n): for consideration of denial
