CCA Exam Preparation Domains 1, 2, 3, 4, 5, & 6 Practice Test UPDATED
ACTUAL QUESTIONS AND CORRECT ANSWERS
1. A patient is admitted with spotting. She had been a. Miscarriage
treated two weeks previously for a miscarriage with
sepsis. The sepsis had resolved, and she is afebrile at this
time. She is treated with an aspiration dilation and
curettage and products of conception are found. Which
of the following should be the principal diagnosis?
a. Miscarriage
b. Complications of spontaneous abortion with sepsis
c. Sepsis
d. Spontaneous abortion with sepsis
2. If a patient has an excision of a malignant lesion of the d. Diameter of the lesion as well as the most narrow margins required to
skin, the CPT code is determined by the body area from adequately excise the lesion described in the operative report
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
,3. A patient is admitted to the hospital with shortness of a. Congestive heart failure, respiratory failure, ventilator management
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
4. Which of the following is a standard terminology used a. CPT
to code medical procedures and services?
a. CPT
b. HCPCS
c. ICD-10-PCS
d. SNOMED CT
5. What is the correct CPT code assignment for b. 58559
hysteroscopy with lysis of intrauterine adhesions?
a. 58555, 58559
b. 58559
c. 58559, 58740
d. 58555, 58559, 58740
6. What is the correct CPT code assignment for b. 46930
destruction of internal hemorrhoids with use of infrared
coagulation?
a. 46255
b. 46930
c. 46260
d. 46945
7.00Identify the diagnosis code(s) for melanoma of skin of b. C43.61
right shoulder.
a. D03.61, C43.61
b. C43.61
c. C43.60
d. D03.61
, 8. A female patient is admitted for stress incontinence. A c. N39.3, 0TSD0ZZ
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
9. A patient is admitted to the hospital with abdominal b. Cholecystitis
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
10. Reference codes 49491 through 49525 for inguinal c. 49507
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
11. A patient was admitted for abdominal pain with b. Infectious gastroenteritis; chronic obstructive pulmonary disease; angina
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
ACTUAL QUESTIONS AND CORRECT ANSWERS
1. A patient is admitted with spotting. She had been a. Miscarriage
treated two weeks previously for a miscarriage with
sepsis. The sepsis had resolved, and she is afebrile at this
time. She is treated with an aspiration dilation and
curettage and products of conception are found. Which
of the following should be the principal diagnosis?
a. Miscarriage
b. Complications of spontaneous abortion with sepsis
c. Sepsis
d. Spontaneous abortion with sepsis
2. If a patient has an excision of a malignant lesion of the d. Diameter of the lesion as well as the most narrow margins required to
skin, the CPT code is determined by the body area from adequately excise the lesion described in the operative report
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
,3. A patient is admitted to the hospital with shortness of a. Congestive heart failure, respiratory failure, ventilator management
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
4. Which of the following is a standard terminology used a. CPT
to code medical procedures and services?
a. CPT
b. HCPCS
c. ICD-10-PCS
d. SNOMED CT
5. What is the correct CPT code assignment for b. 58559
hysteroscopy with lysis of intrauterine adhesions?
a. 58555, 58559
b. 58559
c. 58559, 58740
d. 58555, 58559, 58740
6. What is the correct CPT code assignment for b. 46930
destruction of internal hemorrhoids with use of infrared
coagulation?
a. 46255
b. 46930
c. 46260
d. 46945
7.00Identify the diagnosis code(s) for melanoma of skin of b. C43.61
right shoulder.
a. D03.61, C43.61
b. C43.61
c. C43.60
d. D03.61
, 8. A female patient is admitted for stress incontinence. A c. N39.3, 0TSD0ZZ
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
9. A patient is admitted to the hospital with abdominal b. Cholecystitis
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
10. Reference codes 49491 through 49525 for inguinal c. 49507
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
11. A patient was admitted for abdominal pain with b. Infectious gastroenteritis; chronic obstructive pulmonary disease; angina
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
