CCA EXAM PREPARATION DOMAINS 1,
2, 3, 4, 5, & 6 PRACTICE TEST WITH
CORRECT ANSWERS
1. nA npatient nis nadmitted nwith nspotting. nShe nhad nbeen ntreated ntwo nweeks
npreviously nfor na nmiscarriage nwith nsepsis. nThe nsepsis nhad nresolved, nand nshe nis
nafebrile nat nthis ntime. nShe nis ntreated nwith nan naspiration ndilation nand ncurettage
nand nproducts nof nconception nare nfound. nWhich nof nthe nfollowing nshould nbe nthe
nprincipal ndiagnosis?
a. nMiscarriage
b. nComplications nof nspontaneous nabortion nwith nsepsis
c. nSepsis
d. nSpontaneous nabortion nwith nsepsis n- ncorrect nanswers n-a. nMiscarriage
,2. nIf na npatient nhas nan nexcision nof na nmalignant nlesion nof nthe nskin, nthe nCPT
ncode nis ndetermined nby nthe nbody narea nfrom nwhich nthe nexcision noccurs nand
nwhich nof nthe nfollowing?
a. nLength nof nthe nlesion nas ndescribed nin nthe npathology nreport
b. nDimension nof nthe nspecimen nsubmitted nas ndescribed nin nthe npathology nreport
c. nWidth ntimes nthe nlength nof nthe nlesion nas ndescribed nin nthe noperative nreport
d. nDiameter nof nthe nlesion nas nwell nas nthe nmost nnarrow nmargins nrequired nto
nadequately nexcise nthe nlesion ndescribed nin nthe noperative nreport n- ncorrect
nanswers n-d. nDiameter nof nthe nlesion nas nwell nas nthe nmost nnarrow nmargins
nrequired nto nadequately nexcise nthe nlesion ndescribed nin nthe noperative nreport
3. nA npatient nis nadmitted nto nthe nhospital nwith nshortness nof nbreath nand
ncongestive nheart nfailure. nThe npatient nsubsequently ndevelops nrespiratory nfailure.
nThe npatient nundergoes nintubation nwith nventilator nmanagement. nWhich nof nthe
nfollowing nwould nbe nthe ncorrect nsequencing nand ncoding nof nthis ncase?
a. nCongestive nheart nfailure, nrespiratory nfailure, nventilator nmanagement
b. nRespiratory nfailure, nintubation, nventilator nmanagement
c. nRespiratory nfailure, ncongestive nheart nfailure, nintubation, nventilator nmanagement
d. nShortness nof nbreath, ncongestive nheart nfailure, nrespiratory nfailure, nventilator
nmanagement n- ncorrect nanswers n-a. nCongestive nheart nfailure, nrespiratory nfailure,
nventilator nmanagement
4. nWhich nof nthe nfollowing nis na nstandard nterminology nused nto ncode nmedical
nprocedures nand nservices?
a. nCPT
b. nHCPCS
c. nICD-10-PCS
d. nSNOMED nCT n- ncorrect nanswers n-a. nCPT
5. nWhat nis nthe ncorrect nCPT ncode nassignment nfor nhysteroscopy nwith nlysis nof
nintrauterine nadhesions?
a. n58555, n58559
b. n58559
c. n58559, n58740
d. n58555, n58559, n58740 n- ncorrect nanswers n-b. n58559
6. nWhat nis nthe ncorrect nCPT ncode nassignment nfor ndestruction nof ninternal
nhemorrhoids nwith nuse nof ninfrared ncoagulation?
a. n46255
b. n46930
c. n46260
,d. n46945 n- ncorrect nanswers n-b. n46930
7.00Identify nthe ndiagnosis ncode(s) nfor nmelanoma nof nskin nof nright nshoulder.
a. nD03.61, nC43.61
b. nC43.61
c. nC43.60
d. nD03.61 n- ncorrect nanswers n-b. nC43.61
8. nA nfemale npatient nis nadmitted nfor nstress nincontinence. nA nurethral nsuspension
nto nreposition nthe nurethra nvia nopen napproach nis nperformed. nAssign nthe ncorrect
nICD-10-CM ndiagnosis nand/or nprocedure ncodes.
a. nN39.3, n0TJB8ZZ
b. nN23, n0TSD0ZZ
c. nN39.3, n0TSD0ZZ
d. nR32, n0TSD4ZZ n- ncorrect nanswers n-c. nN39.3, n0TSD0ZZ
9. nA npatient nis nadmitted nto nthe nhospital nwith nabdominal npain. nThe nprincipal
ndiagnosis nis ncholecystitis. nThe npatient nalso nhas na nhistory nof nhypertension nand
ndiabetes. nIn nthe nDRG nprospective npayment nsystem, nwhich nof nthe nfollowing
nwould ndetermine nthe nMDC nassignment nfor nthis npatient?
a. nAbdominal npain
b. nCholecystitis
c. nHypertension
d. nDiabetes n- ncorrect nanswers n-b. nCholecystitis
10. nReference ncodes n49491 nthrough n49525 nfor ninguinal nhernia nrepair. nPatient nis
n47 nyears nold. nWhat nis nthe ncorrect ncode nfor nan ninitial ninguinal nherniorrhaphy nfor
nincarcerated nhernia?
a. n49496
b. n49501
c. n49507
d. n49521 n- ncorrect nanswers n-c. n49507
11. nA npatient nwas nadmitted nfor nabdominal npain nwith ndiarrhea nand nwas
ndiagnosed nwith ninfectious ngastroenteritis. nThe npatient nalso nhas nangina nand
nchronic nobstructive npulmonary ndisease. nWhich nof nthe nfollowing nwould nbe nthe
ncorrect ncoding nand nsequencing nfor nthis ncase?
a. nAbdominal npain; ninfectious ngastroenteritis; nchronic nobstructive npulmonary
ndisease; nangina
b. nInfectious ngastroenteritis; nchronic nobstructive npulmonary ndisease; nangina
c. nGastroenteritis; nabdominal npain; nangina
, d. nGastroenteritis; nabdominal npain; ndiarrhea; nchronic nobstructive npulmonary
ndisease; nangina n- ncorrect nanswers n-b. nInfectious ngastroenteritis; nchronic
nobstructive npulmonary ndisease; nangina
12. nA n65-year-old nfemale nwas nadmitted nto nthe nhospital. nShe nwas ndiagnosed
nwith nsepsis nsecondary nto nStaphylococcus naureus nand nabdominal npain nsecondary
nto ndiverticulitis nof nthe ncolon. nWhat nis nthe ncorrect ncode nassignment?
a. nA41.89, nK57.92, nR10.9
b. nA41.01, nK57.92
c. nA41.89, nK57.92, nA49.01
d. nA41.9, nK57.92 n- ncorrect nanswers n-b. nA41.01, nK57.92
13. nCoding naccuracy nis nanticipated nto nimprove ndue nto nwhich nICD-10-CM
nenhancement?
a. nLess ncombination ncodes
b. nIncreased ncross nreferencing
c. nRemoval nof nlaterality
d. nExpanded ncodes nthat ncapture nmore ndetail n- ncorrect nanswers n-d. nExpanded
ncodes nthat ncapture nmore ndetail
14. nPatient nwith nflank npain nwas nadmitted nand nfound nto nhave na ncalculus nof nthe
nkidney. nA nureteroscopy nwith nplacement nof nbilateral nureteral nstents nwas
nperformed nto nexpand nthe nlumen nso nthe nstone ncould npass nnaturally. nAssign nthe
ncorrect nICD-10-CM/PCS ndiagnosis nand nprocedure ncodes.
a. nN20.0, nN23, n0T788DZ
b. nN23, nN20.0, n0TC68ZZ, n0TC78ZZ
c. nN20.0, n0T768DZ, n0T778DZ
d. nN20.0, n0T788DZ n- ncorrect nanswers n-d. nN20.0, n0T788DZ
15. nCode nonly na nconfirmed ndiagnosis nof nZika nvirus n(A92.5, nZika nvirus ndisease)
nas ndocumented nby nthe nprovider. nIn nthis ncontext, n"confirmation" n__________.
a. nDoes nnot nrequire ndocumentation nof nthe ntype nof ntest nperformed; nthe
nphysician's ndiagnostic nstatement nthat nthe ncondition nis nconfirmed nis nsufficient
b. nRequires nthe ndocumentation nof nthe ntype nof ntest nin naddition nto nthe nphysician's
ndiagnostic nstatement
c. nMust nbe nprovided nby nthe nlaboratory nfindings nreport
d. nRequires nthat nthe nPublic nHealth nAgency nbe ncontacted n- ncorrect nanswers n-a.
nDoes nnot nrequire ndocumentation nof nthe ntype nof ntest nperformed; nthe nphysician's
ndiagnostic nstatement nthat nthe ncondition nis nconfirmed nis nsufficient
16. nA n7-year-old npatient nwas nadmitted nto nthe nemergency ndepartment nfor
ntreatment nof nshortness nof nbreath. nThe npatient nis ngiven nepinephrine nand
2, 3, 4, 5, & 6 PRACTICE TEST WITH
CORRECT ANSWERS
1. nA npatient nis nadmitted nwith nspotting. nShe nhad nbeen ntreated ntwo nweeks
npreviously nfor na nmiscarriage nwith nsepsis. nThe nsepsis nhad nresolved, nand nshe nis
nafebrile nat nthis ntime. nShe nis ntreated nwith nan naspiration ndilation nand ncurettage
nand nproducts nof nconception nare nfound. nWhich nof nthe nfollowing nshould nbe nthe
nprincipal ndiagnosis?
a. nMiscarriage
b. nComplications nof nspontaneous nabortion nwith nsepsis
c. nSepsis
d. nSpontaneous nabortion nwith nsepsis n- ncorrect nanswers n-a. nMiscarriage
,2. nIf na npatient nhas nan nexcision nof na nmalignant nlesion nof nthe nskin, nthe nCPT
ncode nis ndetermined nby nthe nbody narea nfrom nwhich nthe nexcision noccurs nand
nwhich nof nthe nfollowing?
a. nLength nof nthe nlesion nas ndescribed nin nthe npathology nreport
b. nDimension nof nthe nspecimen nsubmitted nas ndescribed nin nthe npathology nreport
c. nWidth ntimes nthe nlength nof nthe nlesion nas ndescribed nin nthe noperative nreport
d. nDiameter nof nthe nlesion nas nwell nas nthe nmost nnarrow nmargins nrequired nto
nadequately nexcise nthe nlesion ndescribed nin nthe noperative nreport n- ncorrect
nanswers n-d. nDiameter nof nthe nlesion nas nwell nas nthe nmost nnarrow nmargins
nrequired nto nadequately nexcise nthe nlesion ndescribed nin nthe noperative nreport
3. nA npatient nis nadmitted nto nthe nhospital nwith nshortness nof nbreath nand
ncongestive nheart nfailure. nThe npatient nsubsequently ndevelops nrespiratory nfailure.
nThe npatient nundergoes nintubation nwith nventilator nmanagement. nWhich nof nthe
nfollowing nwould nbe nthe ncorrect nsequencing nand ncoding nof nthis ncase?
a. nCongestive nheart nfailure, nrespiratory nfailure, nventilator nmanagement
b. nRespiratory nfailure, nintubation, nventilator nmanagement
c. nRespiratory nfailure, ncongestive nheart nfailure, nintubation, nventilator nmanagement
d. nShortness nof nbreath, ncongestive nheart nfailure, nrespiratory nfailure, nventilator
nmanagement n- ncorrect nanswers n-a. nCongestive nheart nfailure, nrespiratory nfailure,
nventilator nmanagement
4. nWhich nof nthe nfollowing nis na nstandard nterminology nused nto ncode nmedical
nprocedures nand nservices?
a. nCPT
b. nHCPCS
c. nICD-10-PCS
d. nSNOMED nCT n- ncorrect nanswers n-a. nCPT
5. nWhat nis nthe ncorrect nCPT ncode nassignment nfor nhysteroscopy nwith nlysis nof
nintrauterine nadhesions?
a. n58555, n58559
b. n58559
c. n58559, n58740
d. n58555, n58559, n58740 n- ncorrect nanswers n-b. n58559
6. nWhat nis nthe ncorrect nCPT ncode nassignment nfor ndestruction nof ninternal
nhemorrhoids nwith nuse nof ninfrared ncoagulation?
a. n46255
b. n46930
c. n46260
,d. n46945 n- ncorrect nanswers n-b. n46930
7.00Identify nthe ndiagnosis ncode(s) nfor nmelanoma nof nskin nof nright nshoulder.
a. nD03.61, nC43.61
b. nC43.61
c. nC43.60
d. nD03.61 n- ncorrect nanswers n-b. nC43.61
8. nA nfemale npatient nis nadmitted nfor nstress nincontinence. nA nurethral nsuspension
nto nreposition nthe nurethra nvia nopen napproach nis nperformed. nAssign nthe ncorrect
nICD-10-CM ndiagnosis nand/or nprocedure ncodes.
a. nN39.3, n0TJB8ZZ
b. nN23, n0TSD0ZZ
c. nN39.3, n0TSD0ZZ
d. nR32, n0TSD4ZZ n- ncorrect nanswers n-c. nN39.3, n0TSD0ZZ
9. nA npatient nis nadmitted nto nthe nhospital nwith nabdominal npain. nThe nprincipal
ndiagnosis nis ncholecystitis. nThe npatient nalso nhas na nhistory nof nhypertension nand
ndiabetes. nIn nthe nDRG nprospective npayment nsystem, nwhich nof nthe nfollowing
nwould ndetermine nthe nMDC nassignment nfor nthis npatient?
a. nAbdominal npain
b. nCholecystitis
c. nHypertension
d. nDiabetes n- ncorrect nanswers n-b. nCholecystitis
10. nReference ncodes n49491 nthrough n49525 nfor ninguinal nhernia nrepair. nPatient nis
n47 nyears nold. nWhat nis nthe ncorrect ncode nfor nan ninitial ninguinal nherniorrhaphy nfor
nincarcerated nhernia?
a. n49496
b. n49501
c. n49507
d. n49521 n- ncorrect nanswers n-c. n49507
11. nA npatient nwas nadmitted nfor nabdominal npain nwith ndiarrhea nand nwas
ndiagnosed nwith ninfectious ngastroenteritis. nThe npatient nalso nhas nangina nand
nchronic nobstructive npulmonary ndisease. nWhich nof nthe nfollowing nwould nbe nthe
ncorrect ncoding nand nsequencing nfor nthis ncase?
a. nAbdominal npain; ninfectious ngastroenteritis; nchronic nobstructive npulmonary
ndisease; nangina
b. nInfectious ngastroenteritis; nchronic nobstructive npulmonary ndisease; nangina
c. nGastroenteritis; nabdominal npain; nangina
, d. nGastroenteritis; nabdominal npain; ndiarrhea; nchronic nobstructive npulmonary
ndisease; nangina n- ncorrect nanswers n-b. nInfectious ngastroenteritis; nchronic
nobstructive npulmonary ndisease; nangina
12. nA n65-year-old nfemale nwas nadmitted nto nthe nhospital. nShe nwas ndiagnosed
nwith nsepsis nsecondary nto nStaphylococcus naureus nand nabdominal npain nsecondary
nto ndiverticulitis nof nthe ncolon. nWhat nis nthe ncorrect ncode nassignment?
a. nA41.89, nK57.92, nR10.9
b. nA41.01, nK57.92
c. nA41.89, nK57.92, nA49.01
d. nA41.9, nK57.92 n- ncorrect nanswers n-b. nA41.01, nK57.92
13. nCoding naccuracy nis nanticipated nto nimprove ndue nto nwhich nICD-10-CM
nenhancement?
a. nLess ncombination ncodes
b. nIncreased ncross nreferencing
c. nRemoval nof nlaterality
d. nExpanded ncodes nthat ncapture nmore ndetail n- ncorrect nanswers n-d. nExpanded
ncodes nthat ncapture nmore ndetail
14. nPatient nwith nflank npain nwas nadmitted nand nfound nto nhave na ncalculus nof nthe
nkidney. nA nureteroscopy nwith nplacement nof nbilateral nureteral nstents nwas
nperformed nto nexpand nthe nlumen nso nthe nstone ncould npass nnaturally. nAssign nthe
ncorrect nICD-10-CM/PCS ndiagnosis nand nprocedure ncodes.
a. nN20.0, nN23, n0T788DZ
b. nN23, nN20.0, n0TC68ZZ, n0TC78ZZ
c. nN20.0, n0T768DZ, n0T778DZ
d. nN20.0, n0T788DZ n- ncorrect nanswers n-d. nN20.0, n0T788DZ
15. nCode nonly na nconfirmed ndiagnosis nof nZika nvirus n(A92.5, nZika nvirus ndisease)
nas ndocumented nby nthe nprovider. nIn nthis ncontext, n"confirmation" n__________.
a. nDoes nnot nrequire ndocumentation nof nthe ntype nof ntest nperformed; nthe
nphysician's ndiagnostic nstatement nthat nthe ncondition nis nconfirmed nis nsufficient
b. nRequires nthe ndocumentation nof nthe ntype nof ntest nin naddition nto nthe nphysician's
ndiagnostic nstatement
c. nMust nbe nprovided nby nthe nlaboratory nfindings nreport
d. nRequires nthat nthe nPublic nHealth nAgency nbe ncontacted n- ncorrect nanswers n-a.
nDoes nnot nrequire ndocumentation nof nthe ntype nof ntest nperformed; nthe nphysician's
ndiagnostic nstatement nthat nthe ncondition nis nconfirmed nis nsufficient
16. nA n7-year-old npatient nwas nadmitted nto nthe nemergency ndepartment nfor
ntreatment nof nshortness nof nbreath. nThe npatient nis ngiven nepinephrine nand
