CCA Exam Questions and Answers with Certified Solutions

CCA Exam Questions and Answers with Certified Solutions 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 . 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