2/26/26, 10:00 PM AHIMA CCA: Practice Questions
AHIMA CCA: Practice Questions Most Recent Exam Actual
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,2/26/26, 10:00 PM AHIMA CCA: Practice Questions
1.
Identify the CPT code for a 42-year-old diagnosed with ESRD who requires home dialysis
for the month of April.
a. 90965
b. 90964
c. 90966
d. 90970
Correct Answer: C
Dialysis, end-stage renal disease. Code 90966 is for end-stage renal disease (ESRD)
related services for home dialysis per full month for patients 20 years of age and older
(Smith 2012, 227).
2.
Exceptions to the consent requirement include:
a. Medical emergencies
b. Provider discretion
c. Implied consent
d. Informed consent
Correct Answer: A
The law permits a presumption of consent during emergency situations, regardless of
whether the patient is an adult or minor (Brodnik et al. 2009, 99).
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,2/26/26, 10:00 PM AHIMA CCA: Practice Questions
3.
An 80-year-old female is admitted with fever, lethargy, hypotension, tachycardia,
oliguria, and elevated WBC. The patient has more than 100,000 organisms of Escherichia
coli per cc of urine. The attending physician documents "urosepsis." How should the
coder proceed to code this case?
a. Code sepsis as the principal diagnosis with urinary tract infection due to E. coli as
secondary diagnosis.
b. Code urinary tract infection with sepsis as the principal diagnosis.
c. Query the physician to ask if the patient has septicemia because of the
symptomatology.
d. Query the physician to ask if the patient had septic shock so that this may be used as
the principal diagnosis.
Correct Answer: C
The term "urosepsis" is a nonspecific term. If that is the only term documented, only code
599.0 should be assigned based on the default for the term in the ICD-9-CM index, in
addition to the code for the causal organism, if known. Septicemia results from the
entry of pathogens into the bloodstream. Symptoms include spiking fever, chills, and skin
eruptions in the form of petechiae or purpura. Blood cultures are usually positive;
however, a negative culture does not exclude the diagnosis of septicemia. Several other
clinical indications and symptomology could indicate the diagnosis of septicemia. Only the
physician can diagnose the condition based on clinical indications. Query the physician
when the diagnosis is not clear to the coder (Schraffenberger 2012, 79-81, 251).
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, 2/26/26, 10:00 PM AHIMA CCA: Practice Questions
4.
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
Correct Answer: B
Index main term: Destruction, hemorrhoid, thermal. Thermal includes infrared
coagulation (Kuehn 2012, 27, 163).
4/179
AHIMA CCA: Practice Questions Most Recent Exam Actual
Complete 200+ Questions And Correct Answers (Verified
Answers) Already Graded A+ | Guaranteed Success!!
Newest Exam | Just Released!!
1/179
,2/26/26, 10:00 PM AHIMA CCA: Practice Questions
1.
Identify the CPT code for a 42-year-old diagnosed with ESRD who requires home dialysis
for the month of April.
a. 90965
b. 90964
c. 90966
d. 90970
Correct Answer: C
Dialysis, end-stage renal disease. Code 90966 is for end-stage renal disease (ESRD)
related services for home dialysis per full month for patients 20 years of age and older
(Smith 2012, 227).
2.
Exceptions to the consent requirement include:
a. Medical emergencies
b. Provider discretion
c. Implied consent
d. Informed consent
Correct Answer: A
The law permits a presumption of consent during emergency situations, regardless of
whether the patient is an adult or minor (Brodnik et al. 2009, 99).
2/179
,2/26/26, 10:00 PM AHIMA CCA: Practice Questions
3.
An 80-year-old female is admitted with fever, lethargy, hypotension, tachycardia,
oliguria, and elevated WBC. The patient has more than 100,000 organisms of Escherichia
coli per cc of urine. The attending physician documents "urosepsis." How should the
coder proceed to code this case?
a. Code sepsis as the principal diagnosis with urinary tract infection due to E. coli as
secondary diagnosis.
b. Code urinary tract infection with sepsis as the principal diagnosis.
c. Query the physician to ask if the patient has septicemia because of the
symptomatology.
d. Query the physician to ask if the patient had septic shock so that this may be used as
the principal diagnosis.
Correct Answer: C
The term "urosepsis" is a nonspecific term. If that is the only term documented, only code
599.0 should be assigned based on the default for the term in the ICD-9-CM index, in
addition to the code for the causal organism, if known. Septicemia results from the
entry of pathogens into the bloodstream. Symptoms include spiking fever, chills, and skin
eruptions in the form of petechiae or purpura. Blood cultures are usually positive;
however, a negative culture does not exclude the diagnosis of septicemia. Several other
clinical indications and symptomology could indicate the diagnosis of septicemia. Only the
physician can diagnose the condition based on clinical indications. Query the physician
when the diagnosis is not clear to the coder (Schraffenberger 2012, 79-81, 251).
3/179
, 2/26/26, 10:00 PM AHIMA CCA: Practice Questions
4.
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
Correct Answer: B
Index main term: Destruction, hemorrhoid, thermal. Thermal includes infrared
coagulation (Kuehn 2012, 27, 163).
4/179
