CCA EXAM 10 QUESTIONS AND 100%
CORRECT ANSWERS!!
The patient, a 47-year-old male with adenoma of the prostate, is being treated in the
outpatient surgery suite. The urologist inserts an endoscope in the penile urethra and
dilates the structure to allow instrument passage. After endoscope placement, a
radiofrequency stylet is inserted, and the diseased prostate is excised with radiant energy.
Bleeding is controlled with electrocoagulation. Following instrument removal, a catheter is
inserted and left in place. Which of the following code sets will be reported for this service?
a. 600.20, 53852
b. 600.20, 52601
c. 600.00, 53852
d. 222.2, 53850
Correct Answer: A
When thermotherapy is used code 53852 is reported. Code 52601 is reported for electrosurgical
resection; 53850 is reported for radiofrequency. Adenoma of the prostate is reported with 600.20
(AHIMA 2012a, 697).
An infant is born by cesarean section at 27 weeks' gestation. The baby weights 945 g. The
baby's lungs are immature, and the baby develops respiratory distress syndrome, requiring
a 25-day hospital stay in the NICU. Discharge diagnosis: Extreme immaturity, with 27-
week gestation, with respiratory distress syndrome, delivered by cesarean section. Which of
the following diagnosis ICD-9-CM codes would be correct?
a. V30.01, 765.03, 765.24
b. 765.03, 769
,c. V30.01, 765.03, 765.24, 769
d. V30.01, 769
Correct Answer: C
The codes for prematurity 765.03 and code 765.24 for weeks of gestation meet reporting
guidelines as additional diagnoses. A birth code of V30.01 is reported as the principal diagnosis
(CMS 2010c, Section I, C, 15b; AHA 2006, 190). See instructional note under 765.0x to "Use
Additional Code" for weeks of gestation. A code is also needed for the respiratory distress
syndrome, 769 (AHIMA 2012a, 676)
Identify the CPT procedure code(s) for an automated CBC with automated differential.
a. 85027
b. 85025
c. 85041
d. 85007, 85025
Correct Answer: B
Index Blood Cell Count, hemogram, added indices, resulting in code range 85025-85027. The
codes for reporting CBCs (complete blood counts) are very specific and should be carefully
reviewed. The appropriate code for a CBC with automated white blood cell differential is 85025
(AHIMA 2012a, 628).
Identify the CPT procedure code(s) and correct modifier for a thyroid stimulating
hormone (TSH) when medical necessity is not met and the patient signs a required waiver
of liability signifying the patient will be responsible for payment if the test is not covered by
Medicare. Another name for waiver of liability is Advance Beneficiary Notice (ABN).
,a. 84443-GA
b. 80418-GA
c. 84443-GY
d. 80418-GY
Correct Answer: A
Index Thyroid simulating hormone, 80418, 80438-80440, 84443. Code 84443 is the correct code
for a TSH while the rest of the codes are panels including several tests. Modifier -GA is listed in
the front cover of the CPT Professional Edition and signifies the patient was given a notice of
non-coverage also known as waiver of liability or ABN (AMA 2012b, 427; CMS 2010d; CMS
2010e).
The patient presented through the ED with severe abdominal pain, amenorrhea. Serum
human chorionic gonadotropin (hCG) was lower than normal. There were also endometrial
and uterine changes. Patient diagnosed with tubal pregnancy. A unilateral salpingectomy
with removal of tubal pregnancy was performed. Which of the following is the correct code
assignment?
a. 633.80, 66.62
b. 633.10, 66.62
c. 633.10, 66.4
d. 633.10, 66.02
Correct Answer: B
, The ectopic pregnancy was documented as tubal. The salpingectomy was "with removal of tubal
pregnancy." The procedure performed was a salpingectomy, not a salpingostomy (AHIMA
2012a, 679).
Identify the CPT procedure code(s) for ultrasound, pregnant uterus, fetal and maternal
evaluation, second trimester, single gestation.
a. 76700
b. 76805
c. 76801
d. 76813
Correct Answer: B
Index Ultrasound, pregnant uterus, resulting in code range 76801-76817. Review of the available
codes indicates that code 76805 is the appropriate code (AHIMA 2012a, 625).
Identify the CPT procedure code(s) for a SPECT bone scan.
a. 78710
b. 78803
c. 78607
d. 78320
Correct Answer: D
Index Bone, nuclear medicine, SPECT, resulting in code 78320. The acronym SPECT stand for
single photon emission computed tomography and is a more sophisticated form of CT scanning.
CORRECT ANSWERS!!
The patient, a 47-year-old male with adenoma of the prostate, is being treated in the
outpatient surgery suite. The urologist inserts an endoscope in the penile urethra and
dilates the structure to allow instrument passage. After endoscope placement, a
radiofrequency stylet is inserted, and the diseased prostate is excised with radiant energy.
Bleeding is controlled with electrocoagulation. Following instrument removal, a catheter is
inserted and left in place. Which of the following code sets will be reported for this service?
a. 600.20, 53852
b. 600.20, 52601
c. 600.00, 53852
d. 222.2, 53850
Correct Answer: A
When thermotherapy is used code 53852 is reported. Code 52601 is reported for electrosurgical
resection; 53850 is reported for radiofrequency. Adenoma of the prostate is reported with 600.20
(AHIMA 2012a, 697).
An infant is born by cesarean section at 27 weeks' gestation. The baby weights 945 g. The
baby's lungs are immature, and the baby develops respiratory distress syndrome, requiring
a 25-day hospital stay in the NICU. Discharge diagnosis: Extreme immaturity, with 27-
week gestation, with respiratory distress syndrome, delivered by cesarean section. Which of
the following diagnosis ICD-9-CM codes would be correct?
a. V30.01, 765.03, 765.24
b. 765.03, 769
,c. V30.01, 765.03, 765.24, 769
d. V30.01, 769
Correct Answer: C
The codes for prematurity 765.03 and code 765.24 for weeks of gestation meet reporting
guidelines as additional diagnoses. A birth code of V30.01 is reported as the principal diagnosis
(CMS 2010c, Section I, C, 15b; AHA 2006, 190). See instructional note under 765.0x to "Use
Additional Code" for weeks of gestation. A code is also needed for the respiratory distress
syndrome, 769 (AHIMA 2012a, 676)
Identify the CPT procedure code(s) for an automated CBC with automated differential.
a. 85027
b. 85025
c. 85041
d. 85007, 85025
Correct Answer: B
Index Blood Cell Count, hemogram, added indices, resulting in code range 85025-85027. The
codes for reporting CBCs (complete blood counts) are very specific and should be carefully
reviewed. The appropriate code for a CBC with automated white blood cell differential is 85025
(AHIMA 2012a, 628).
Identify the CPT procedure code(s) and correct modifier for a thyroid stimulating
hormone (TSH) when medical necessity is not met and the patient signs a required waiver
of liability signifying the patient will be responsible for payment if the test is not covered by
Medicare. Another name for waiver of liability is Advance Beneficiary Notice (ABN).
,a. 84443-GA
b. 80418-GA
c. 84443-GY
d. 80418-GY
Correct Answer: A
Index Thyroid simulating hormone, 80418, 80438-80440, 84443. Code 84443 is the correct code
for a TSH while the rest of the codes are panels including several tests. Modifier -GA is listed in
the front cover of the CPT Professional Edition and signifies the patient was given a notice of
non-coverage also known as waiver of liability or ABN (AMA 2012b, 427; CMS 2010d; CMS
2010e).
The patient presented through the ED with severe abdominal pain, amenorrhea. Serum
human chorionic gonadotropin (hCG) was lower than normal. There were also endometrial
and uterine changes. Patient diagnosed with tubal pregnancy. A unilateral salpingectomy
with removal of tubal pregnancy was performed. Which of the following is the correct code
assignment?
a. 633.80, 66.62
b. 633.10, 66.62
c. 633.10, 66.4
d. 633.10, 66.02
Correct Answer: B
, The ectopic pregnancy was documented as tubal. The salpingectomy was "with removal of tubal
pregnancy." The procedure performed was a salpingectomy, not a salpingostomy (AHIMA
2012a, 679).
Identify the CPT procedure code(s) for ultrasound, pregnant uterus, fetal and maternal
evaluation, second trimester, single gestation.
a. 76700
b. 76805
c. 76801
d. 76813
Correct Answer: B
Index Ultrasound, pregnant uterus, resulting in code range 76801-76817. Review of the available
codes indicates that code 76805 is the appropriate code (AHIMA 2012a, 625).
Identify the CPT procedure code(s) for a SPECT bone scan.
a. 78710
b. 78803
c. 78607
d. 78320
Correct Answer: D
Index Bone, nuclear medicine, SPECT, resulting in code 78320. The acronym SPECT stand for
single photon emission computed tomography and is a more sophisticated form of CT scanning.
