CCA PRACTICE PRACTICE SCRIPT
UPDATED 2026 TESTED SOLUTIONS
⫸ 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 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 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 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 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 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 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 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 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 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?
UPDATED 2026 TESTED SOLUTIONS
⫸ 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 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 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 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 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 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 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 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 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 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?
