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CCA Exam Preparation Domains 1, 2, 3, 4, 5, & 6 Practice Test
Questions and Answers
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1. 1. A patient is admitted with spotting. She had been treated two weeks previously for a miscarriage with sepsis. The sepsis had resolved, and she isafebrile at this time. She is treated with an aspiration dilation and curettageand products of conception are found. Which of the following should be theprincipal diagnosis?
a. Miscarriage b. Complications of spontaneous abortion with sepsis c. Sepsis d. Spontaneous abortion with sepsis ANS> a. Miscarriage
2. 2. If a patient has an excision of a malignant lesion of the skin, the CPT code is determined by the body area from 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 ANS> d. Diameter ofthe lesion as well as the most narrow margins required to adequately excise the lesion described in the operative report
3. 3. A patient is admitted to the hospital with shortness of breath and con- gestive 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 manage-ment d. Shortness of breath, congestive heart failure, respiratory failure, ventilator management ANS> a. Congestive heart failure, respiratory failure, ventilator manage-ment
4. 4. Which of the following is a standard terminology used to code medical procedures and services?
a. CPT b. HCPCS
a. D03.61, C43. b. C43. c. C43. d. D03. ANS> b. C43.
8. 8. A female patient is admitted for stress incontinence. A urethral suspen-sion 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 ANS> c. N39.3, 0TSD0ZZ
9. 9. A patient is admitted to the hospital with abdominal pain. The principal diagnosis is cholecystitis. The patient also has a history of hypertension anddiabetes. In the DRG prospective payment system, which of the following would determine the MDC assignment for this patient?
a. Abdominal pain
b. Cholecystitis
d. Gastroenteritis; abdominal pain; diarrhea; chronic obstructive pulmonary disease; angina ANS> b. Infectious gastroenteritis; chronic obstructive pulmonary dis-ease; angina
12. 12. A 65-year-old female was admitted to the hospital. She was diagnosedwith sepsis secondary to Staphylococcus aureus and abdominal pain sec- ondary to diverticulitis of the colon. What is the correct code assignment?
a. A41.89, K57.92, R10. b. A41.01, K57. c. A41.89, K57.92, A49. d. A41.9, K57. ANS> b. A41.01, K57.
13. 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 ANS> d. Expanded codes that capturemore detail
14. 14. Patient with flank pain was admitted and found to have a calculus ofthe 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 ANS> d. N20.0, 0T788DZ
15. 15. Code only a confirmed diagnosis of Zika virus (A92.5, Zika virusdisease) as documented by the provider. In this context, "confirmation" .
a. Does not require documentation of the type of test performed; the physi-cian's diagnostic statement that the condition is confirmed is sufficient b. Requires the documentation of the type of test in addition to the physi-cian's diagnostic statement c. Must be provided by the laboratory findings report d. Requires that the Public Health Agency be contacted ANS> a. Does not require documentation of the type of test performed; the physician's diagnostic statementthat the condition is confirmed is sufficient
18. 18. What does the fourth character of an ICD-10-CM diagnosis codecapture?
a. Anatomic site b. Severity c. Etiology d. Supplemental information ANS> c. Etiology
19. 19. Identify the diagnosis code(s) for carcinoma in situ of vocal cord.
a. D02. b. C32. c. D49. d. D14. ANS> a. D02.
20. 20. To help clarify terms that currently have overlapping meaning, ICD-10- PCS has defined root operations. What is an example of the rootoperation of Excision?
a. Partial nephrectomy b. Total nephrectomy c. Total lobectomy d. Total mastectomy ANS> a. Partial nephrectomy
21. 21. The assignment of a diagnosis code is based on.
a. The coder's assessment of the health record. b. The provider's statement that the patient has a particular condition. c. Clinical criteria used by the provider to establish the diagnosis. d. Its inclusion in the discharge summary ANS> b. The provider's statement that thepatient has a particular condition.
22. 22. Which of the following is a condition that arises during hospitaliza-tion?
a. Case mix b. Complication c. Comorbidity d. Principal diagnosis ANS> b. Complication
23. 23. A patient is admitted to an acute-care hospital for alcohol abuse and uncomplicated alcohol withdrawal syndrome due to chronic alcoholism. His blood alcohol level on admission was 10mg/100mL.
d. K21.9, 0DB18ZX ANS> c. K21.0, 0DB18ZX
26. 26. Which volume of ICD-10-CM contains the Tabular and AlphabeticIndex of procedures?
a. Volume 1 b. Volume 2 c. Volume 3 d. None of the above ANS> d. None of the above
27. 27. Patient has been diagnosed with acute depression, sleep-related teeth grinding and psychogenic dysmenorrhea. The appropriate code assignment is ANS>
a. F32.8, F45. b. F32.9, F45. c. F32.9, F45.8, G47. d. F32.9, G47. ANS> c. F32.9, F45.8, G47.
28. 18. A physician correctly prescribes Coumadin. The patient takes the Coumadin as prescribed but develops hematuria as a result of taking the medication. Which of the following is the correct way to code this case?
a. Poisoning due to Coumadin b. Unspecified adverse reaction to Coumadin c. Hematuria; poisoning due to Coumadin d. Hematuria; adverse reaction to Coumadin ANS> d. Hematuria; adverse reaction toCoumadin
29. 29. An 80-year-old female is admitted with fever, lethargy, hypotension, tachycardia, oliguria, and elevated WBC. The patient has more than 100, organisms of Escherichia coli per cc of urine. The attending physician doc-uments "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 determine if the patient has sepsis due to the symptomatology. d. Query the physician to determine if the patient has septic shock so that this may be used as the principal diagnosis. ANS> c. Query the physician todetermine if the patient has sepsis due to the symptomatology.
a. Code skin lesion b. Code benign skin lesion c. Code basal cell carcinoma d. Query the dermatologist ANS> c. Code basal cell carcinoma
32. 32. Identify the correct diagnosis code(s) for adenoma of left adrenalcortex with Conn's syndrome.
a. D35.02, E26. b. D35. c. E26. d. E26.01, D35. ANS> a. D35.02, E26.
33. 33. The patient was admitted to the outpatient department and had a bronchoscopy with bronchial brushings performed.
a. 31622, 31640 b. 31622, 31623 c. 31623 d. 31625 ANS> c. 31623
34. 34. A patient is admitted with abdominal pain. The physician documentsthe
discharge diagnosis as pancreatitis versus noncalculus cholecystitis. Both diagnoses are equally treated. The correct coding and sequencing forthis case would be ANS>
a. Sequence either the pancreatitis or noncalculus cholecystitis as principaldiagnosis b. Pancreatitis; noncalculus cholecystitis; abdominal pain c. Noncalculus cholecystitis; pancreatitis; abdominal pain d. Abdominal pain; pancreatitis; noncalculus cholecystitis ANS> a. Sequence ei-ther the pancreatitis or noncalculus cholecystitis as principal diagnosis
35. 35. Identify the CPT code for a 42-year-old diagnosed with ESRD whorequires home dialysis for the month of April.
a. 90965 b. 90964 c. 90966 d. 90970 ANS> c. 90966
c. 49000, 58720 d. 58720 ANS> d. 58720
39. 39. The patient was admitted with major depression current episode severe, recurrent. What is the correct ICD-10-CM diagnosis code assignmentfor this condition?
a. F33. b. F33. c. F32. d. F31. ANS> a. F33.
40. 40. An exception to the Excludes 1 definition is the circumstance whenthe two conditions.
a. Are unrelated to each other. b. Are related to each other. c. Will not be assigned as the principal diagnosis. d. Are injuries with external cause codes. ANS> a. Are unrelated to each other.
41. 41. A patient is seen in the emergency department for chest pain. After evaluation of the patient it is suspected that the patient may have gastroe- sophageal reflux disease (GERD). The final diagnosis was "chest pain versusGERD." The correct ICD-10-CM code is ANS>
a. Z03.89 Encounter for observation for other suspected diseases and con-ditions ruled out b. R10.11 Right upper quadrant abdominal pain c. K21.9 Gastro-esophageal reflux disease d. R07.9 Chest pain, unspecified ANS> d. R07.9 Chest pain, unspecified
42. 42. Patient was admitted through the emergency department following a fall from a ladder while painting an interior bathroom in his farmhouse. He had contusions of the scalp and face and a displaced open fracture of the anterior wall of the right acetabulum. The fracture site was excisionallydebrided and the fracture was reduced by open procedure with an internalfixation device inserted. Which is the correct code assignment?
a. S32.411A, W11XXA, Y92.012, 0QS404Z, 0QB40ZZ b. S32.411B, S00.03XA, S00.83XA, W11.XXXA, Y92.012, Y93.E9, Y99.8,0QS404Z, 0QB40ZZ c. S32.414A, W11.XXA, Y93.E9, Y99.8, 0QS304Z, 0QB50ZZ
