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CCA Mock Test Questions and Answers (100%
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ANS>A 32-year-old patient has a colonoscopy with removal of three polyps by snare. Moderate sedation was used and provided by the physician. The intraservice time was 30 minutes.
- breast ANS>The diagnosis is as follows"Carcinoma of axillary lymph nodes and lungs, metastatic from breast." Given this which are the primary cancer site(s)?
ANS>Patient has a year history of mitral valve regurgitation and now presents for a mitral valve replacement with bypass. (Code for physician using CPT proce-dure codes only.)
- improve your department's processes ANS>You are conducting an educational session on benchmarking. You tell your audience that the key to benchmarking isto use the comparison to
- feedback on specific instances when improved documentation would im- prove coding ANS>Your facility would like to improve physician documentation in order to allow improved coding. As coding supervisor, you have found it very effective to provide the physicians with
6. G30.0, F02.
ANS>A patient is diagnosed with early onset Alzheimer's disease withdementia.
(If immunization is the only service that the patient receives, then two codesare used to report the service the immunization administration code is first and then the code for the vaccine/toxoid.) ANS>An established patient was seen byphysician in her office for DTaP-IPV/Hib.
- 0102T ANS>CPT code for a high-energy ESW of the lateral humeral epicondyle using general anesthesia.
- laser removal of condyloma
13. N39.3, 51990
ANS>Female with 6 months of stress incontinence. Laparoscopic urethral suspension was completed. Choose the appropriate ICD-10-CM and CPTcodes.
- external beam radiation ANS>The use of radioactive sources placed into a tu-mor-bearing area to generate high-intensity radiation is termed
- partial resection of the upper left lobe ANS>Which of the following procedureswould NOT be coded to "resection" when using ICD-10-PCS?
- used and sequenced as a secondary diagnosis ANS>During her hospitalizationfor her third delivery, Janet had a sterilization procedure performed. When the record is coded, the code for sterilization, Z30.2, is
- R42, T42.3x1A, T51.8x1A ANS>A patient suffered dizziness as a result of takingprescribed phenobarbital. The patient took his medication with beer.
- are always present on admission and represent circumstances regardingthe health care encounter or factors influencing health status that do not represent a current disease or injury. ANS>Some ICD-10-CM codes are exempt fromPOA reporting because they
- Medicare Administrative Contractor (MAC) ANS>CMS delegates its daily opera-tions of the Medicare and Medicaid programs to
- principal diagnosis ANS>Which diagnosis should be listed first when sequencinginpatient codes using the UHDDS?
21. N40.0, 53852
ANS>Male patient has been diagnosed with benign prostatic hyper- trophy and undergoes a transurethral destruction of the prostate by radiofrequencythermotherapy. (Code ICD-10- CM for diagnoses and CPT for procedures.)
- doctor's admitting progress note
26. all answers apply changes in the services offered by a facility, changes in DRG weights, and accuracy of coding ANS>Which of the following could influence a facility's case mix?
27. D17.
ANS>Excision 2 cm subcutaneous soft tissue lipoma of the back. (Code fordiagnoses using ICD-10-CM. Code for procedure using CPT.)
- 30 days ANS>The Joint Commission requires that all medical records be completedwithin following patient discharge.
ANS>Provide the CPT code for a patient that had a complicated removal ofa wrist prosthesis.
- they should both be coded, acute sequenced first ANS>If the same conditionis described as both acute and chronic and separate subentries exist in the ICD-10-CM alphabetic index at the same indentation level
31. D12.2, D12.3, 45384, 45385-
ANS>Patient presents to the GI lab for a colonoscopy. During the colonoscopy, adenomatous polyps were discovered in the ascending colon and in the transverse colon. Polyps in the ascending colon were removed via hot biopsy forceps, and the polyps in the transverse colon wereremoved by snare technique.
- quid pro quo ANS>What legal term is used in describing sexual harassment in reference to unwelcome sexual advances, request for sexual favors, and verbal orphysical conduct of a sexual nature made in return for job benefits?
(Code 44204 for the laparoscopy, surgical; colectomy, partial, with anastomo-sis. Code additional code of 44213 for the laparoscopy, surgical, mobilization (take- down) of splenic flexure performed in conjunction with partial colec- tomy. (List separately in addition to primary procedure.) ANS>CPT code(s) for a laparoscopic takedown of the splenic flexure and a partial colectomy with anasto-mosis.
- is a system for documenting the extent or spread of cancer
37. chronic cough (For outpatients, possible and probable diagnoses are not coded. Outpatientcases are only coded to the diagnoses that are proven at the visit. For inpatients, possible and probable diagnoses can be coded as certain IF thediagnosis remains as a possible diagnosis upon discharge and is includedin the discharge summary.) ANS>Robert Thompson was seen in the outpatient de- partment with a chronic cough and the record states "rule out lung cancer." Whatshould be coded as the patient's diagnosis?
- L25.1, T49.0x5A ANS>A patient presents with dermatitis due to prescription topicalantibiotic cream used as directed by physician.
ANS>Based on the sample MS-DRG report above, what is the case-mixindex for this facility?
- G56.01, 64721 ANS>Patient with carpal tunnel comes in for an open carpal tunnelrelease, right hand. (Code ICD-9-CM for diagnoses and CPT for procedures.) 41. the secondary neoplasm is coded as the principal diagnosis, and theprimary neoplasm is coded as an additional diagnosis. (When a patient is admitted because of a primary neoplasm with metastasisand treatment is directed toward the secondary site only, the secondary neoplasm is designated as the principal diagnosis even though the primarymalignancy is still
present.") ANS>When a patient is admitted because of a primaryneoplasm with metastasis and treatment is directed toward the secondary neo- plasm only
- 100% (ex ANS>Employee number 425 ANS>120 + (35 × 0.75) + (16 × 0.5) = 154. 154.25/5 = 30.85 average work units per day) ANS>The performance standard for coders is 28-33 workload units per day. Workload units are calculated as followsA document that acknowledges patient respon-sibility for payment if Medicare denies the claim is a(n)
- 58558 (Code 58558 for the hysteroscopy procedure with D&C and polypectomy. Noindication of endometrial sampling or endometrial ablation.) ANS>Hysteroscopy with D&C and polypectomy. (Code CPT for procedures.)
(Dialysis is the main term to be referenced in the CPT manual index.) ANS>Patient was seen today for regular hemodialysis. No problems reported; patient toleratedprocedure well.
- all wound repairs are grouped and coded with the most complex reportedfirst ANS>When coding multiple wound repairs in CPT
- 00530 (Code 00530 for the anesthesia for the permanent transvenous pacemaker insertion.) ANS>Provide the CPT code for anesthesia services for the transvenous insertion of a pacemaker.
- 28080, 28080 ANS>Patient was seen for excision of two interdigital neuroma fromthe left foot. 52. postpartum record (The postpartum record contains information about the condition of the mother after delivery and includes an assessment of the lochia and condi-tions of the breasts, fundus, and perineum.) ANS>You would expect to find docu-
mentation regarding the assessment of an obstetric patient's lochia, fundus, and perineum on the
- A surgical operation may include one more surgical procedures. ANS>Whichof the following statements is true?
- unbundling ANS>A patient has a total abdominal hysterectomy with bilateral salp-ingectomy. The coder selected the following codesD&C for missed abortion, first trimester. (Code CPT for procedures.)
- National Correct Coding Initiative (NCCI) ANS>Which of the following containsa list of coding edits developed by CMS in an effort to promote correct coding nationwide and to prevent the inappropriate unbundling of related services? 57. Z12. ANS>The patient presents for a screening examination for lung cancer.58. K80.10, I66.9, Z53. (The INCLUDES notation beneath I66 informs you that cerebral thrombosis isreported with a code from this code category.) ANS>Patient is admitted for electivecholecystectomy for treatment of chronic cholecystitis with cholelithiasis. Prior to administration of general anesthesia, patient suffers cerebral thrombosis. Surgeryis subsequently canceled. Code and sequence the coding from the following codes.
ANS>A patient presents with cervical spina bifida with hydrocephalus.
67. nonunion ( ANS>Which of the following are considered sequela regardless of time?
- R87. ANS>A woman has a Pap smear that detected cervical high-risk humanpapillomavirus (HPV). The DNA test was positive.
- 59510 ANS>Cesarean delivery with antepartum and postpartum care. (Code CPTfor procedures.)
- 60520 (Code 60520 for the total thymectomy via transcervical approach. No men- tion of excision of cyst, thyroidectomy, or adrenalectomy.) ANS>Total transcervicalthymectomy. (Code CPT for procedures.)
- hospital inpatient procedure ANS>Which of the following would NOT requireHCPCS/CPT codes?
- firewalls ANS>Security devices that form barriers between routers of a public network and a private network to protect access by unauthorized users are called
- I12.0, N18. ANS>A patient has end-stage kidney disease, which resulted frommalignant hypertension.
- 99450
- the remittance advice ANS>Which of the following is vital for determining why thereimbursement from an insurance company is less than that was expected?
- hard coding ANS>The chargemaster relieves the coders from coding repetitiveservices that require little, if any, formal documentation analysis. This is called
- 12035 (The sizes of the layered wound repairs of the same body area are added together in order to select the correct CPT code.) ANS>Patient was seen in the emergency department with lacerations on the left arm. Two lacerations, one 7 cmand one 9 cm, were closed with layered sutures.
- 49501 ANS>A 4-year-old had a repair of an incarcerated inguinal hernia. This is thefirst time this child has been treated for this condition.
- H26.9, 66984-LT (Subconjuctival injections are included in 66984.) ANS>Phacoemulsification of leftcataract with IOL implant and subconjunctival injection. (Code ICD-10-CM for diagnosis and CPT for procedures.) 83. a decrease in serum cholesterol and prolactin (Related to diagnosing hypothyroidism ANS>increase in serum cholesterol andprolactin ; elevated liver enzymes and creatine; and an increase in TSH)
ANS>- Which of the following is NOT related to diagnosing hypothyroidism?
- 34203 ANS>The patient had a thrombectomy, without catheter, of the peronealartery, by leg incision.
- I47.9, F (see CODE FIRST notation beneath F54.) ANS>A patient is diagnosed with psy-chogenic paroxysmal tachycardia.
- 11043 ANS>Patient presents with a diabetic ulcer measuring 18 sq cm that needsto be debrided. The patient was taken to the operating room where debridementof the muscle took place.
- 22800, 22840 (Code 22800 for the posterior arthrodesis due to scoliosis. Code 22840 as an additional add on code for the Harrington rod.) ANS>Patient undergoes a posteriorL1-L5 spinal fusion for scoliosis with placement of a Harrington rod. Code using CPT.
- R10. ANS>Using the ICD-10-CM code structure, which of the following would be used for "right upper quadrant abdominal tenderness"?
