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CCA Certification NC Jurisprudence Prep
NC Chiropractic Assistant Study Guide
History & Philosophy Exam Prep 2026
1. 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
2. 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
3. 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
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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?
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 <<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 <<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 <<Answer>> D. Expanded codes
that capture more detail
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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 <<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 <<Answer>> A Does not
require documentation of the type of test performed; the physician's diagnostic
statement that the condition is confirmed is sufficient
16. A 7-year-old patient was admitted to the emergency department for treatment of
shortness of breath. The patient is given epinephrine and nebulizer treatments. The
shortness of breath and wheezing are unabated following treatment. What diagnosis
should be suspected?
a. Acute bronchitis
b. Acute bronchitis with chronic obstructive pulmonary disease
c. Asthma with status asthmaticus
d. Chronic obstructive asthma <<Answer>> C. Asthma with status asthmaticus
17. A patient is admitted with acute exacerbation of COPD, chronic renal failure, and
hypertension.
a. J44.1, J44.9, I12.9, N18.9
b. J44.1, N18.9, I10
c. J44.9, N18.9, I10
d. J44.1, I12.9, N18.9 <<Answer>> D. J44.1, I12.9, N18.9
18. What does the fourth character of an ICD-10-CM diagnosis code capture?
a. Anatomic site
b. Severity
c. Etiology
d. Supplemental information <<Answer>> C. Etiology
19. Identify the diagnosis code(s) for carcinoma in situ of vocal cord.
, 4
a. D02.0
b. C32.0
CCA Certification NC Jurisprudence Prep
NC Chiropractic Assistant Study Guide
History & Philosophy Exam Prep 2026
1. 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
2. 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
3. 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
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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?
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 <<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 <<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 <<Answer>> D. Expanded codes
that capture more detail
,3
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 <<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 <<Answer>> A Does not
require documentation of the type of test performed; the physician's diagnostic
statement that the condition is confirmed is sufficient
16. A 7-year-old patient was admitted to the emergency department for treatment of
shortness of breath. The patient is given epinephrine and nebulizer treatments. The
shortness of breath and wheezing are unabated following treatment. What diagnosis
should be suspected?
a. Acute bronchitis
b. Acute bronchitis with chronic obstructive pulmonary disease
c. Asthma with status asthmaticus
d. Chronic obstructive asthma <<Answer>> C. Asthma with status asthmaticus
17. A patient is admitted with acute exacerbation of COPD, chronic renal failure, and
hypertension.
a. J44.1, J44.9, I12.9, N18.9
b. J44.1, N18.9, I10
c. J44.9, N18.9, I10
d. J44.1, I12.9, N18.9 <<Answer>> D. J44.1, I12.9, N18.9
18. What does the fourth character of an ICD-10-CM diagnosis code capture?
a. Anatomic site
b. Severity
c. Etiology
d. Supplemental information <<Answer>> C. Etiology
19. Identify the diagnosis code(s) for carcinoma in situ of vocal cord.
, 4
a. D02.0
b. C32.0
