CCA Mock Test Questions with Verified Answers Latest updated 2023, Exams of Nursing

Download CCA Mock Test Questions with Verified Answers Latest updated 2023 and more Exams Nursing in PDF only on Docsity! CCA Mock Test Questions with Verified Answers Latest updated 2023 1. 45385, 99156, 99157 - Correct Answers 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. 2. breast - Correct Answers The diagnosis is as follows: "Carcinoma of axillary lymph nodes and lungs, metastatic from breast." Given this which are the primary cancer site(s)? 3. 33430 - Correct Answers Patient has a year history of mitral valve regurgitation and now presents for a mitral valve replacement with bypass. (Code for physician using CPT procedure codes only.) 4. improve your department's processes - Correct Answers You are conducting an educational session on benchmarking. You tell your audience that the key to benchmarking is to use the comparison to 5. feedback on specific instances when improved documentation would improve coding - Correct Answers 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, F02.80 - Correct Answers A patient is diagnosed with early onset Alzheimer's disease with dementia. 7. 90471, 90698 8. (If immunization is the only service that the patient receives, then two codes are used to report the service: the immunization administration code is first and then the code for the vaccine/toxoid.) - Correct Answers An 19. are always present on admission and represent circumstances regarding the health care encounter or factors influencing health status that do not represent a current disease or injury. - Correct Answers Some ICD-10- CM codes are exempt from POA reporting because they 20. Medicare Administrative Contractor (MAC) - Correct Answers CMS delegates its daily operations of the Medicare and Medicaid programs to 21. principal diagnosis - Correct Answers Which diagnosis should be listed first when sequencing inpatient codes using the UHDDS? 22. N40.0, 53852 - Correct Answers Male patient has been diagnosed with benign prostatic hypertrophy and undergoes a transurethral destruction of the prostate by radiofrequency thermotherapy. (Code ICD-10-CM for diagnoses and CPT for procedures.) 23. doctor's admitting progress note - Correct Answers As part of a concurrent record review, you need to locate the initial plan of action based on the attending physician's initial assessment of the patient. You can expect to find this documentation either within the body of the history and physical or in the 24. 63005 - Correct Answers Lumbar laminectomy (one segment) for decompression of spinal cord. (Code CPT for procedures.) 25. recovery audit contractors (RACs) - Correct Answers The _______________ are the organizations that contract with Medicare to perform reviews of medical records with the corresponding Medicare claims to detect and correct improper payments. 26. 38745 - Correct Answers Patient has breast carcinoma and is now undergoing complete axillary lymphadenectomy. (Code for physician using CPT procedure codes only.) 27. all answers apply: 28. changes in the services offered by a facility, changes in DRG weights, and accuracy of coding - Correct Answers Which of the following could influence a facility's case mix? 29. D17.1 - Correct Answers Excision 2 cm subcutaneous soft tissue lipoma of the back. (Code for diagnoses using ICD-10-CM. Code for procedure using CPT.) 30. 30 days - Correct Answers The Joint Commission requires that all medical records be completed within ___________ following patient discharge. 31. 25251 - Correct Answers Provide the CPT code for a patient that had a complicated removal of a wrist prosthesis. 32. they should both be coded, acute sequenced first - Correct Answers If the same condition is described as both acute and chronic and separate subentries exist in the ICD- 10-CM alphabetic index at the same indentation level 33. D12.2, D12.3, 45384, 45385-59 - Correct Answers 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 were removed by snare technique. 44. 2.965807 - Correct Answers Based on the sample MS- DRG report above, what is the case-mix index for this facility? 45. G56.01, 64721 - Correct Answers Patient with carpal tunnel comes in for an open carpal tunnel release, right hand. (Code ICD-9-CM for diagnoses and CPT for procedures.) 46. the secondary neoplasm is coded as the principal diagnosis, and the primary neoplasm is coded as an additional diagnosis. 47. (When a patient is admitted because of a primary neoplasm with metastasis and treatment is directed toward the secondary site only, the secondary neoplasm is designated as the principal diagnosis even though the primary malignancy is still present.") - Correct Answers When a patient is admitted because of a primary neoplasm with metastasis and treatment is directed toward the secondary neoplasm only 48. 100% 49. (ex: Employee number 425: 120 + (35 × 0.75) + (16 × 0.5) = 154.25 50. 154.25/5 = 30.85 average work units per day) - Correct Answers The performance standard for coders is 28-33 workload units per day. Workload units are calculated as follows: 51. One week's productivity information is shown in the table above. What percentage of the coders is meeting the productivity standards? 52. advance beneficiary notice - Correct Answers A document that acknowledges patient responsibility for payment if Medicare denies the claim is a(n) 53. 58558 54. (Code 58558 for the hysteroscopy procedure with D&C and polypectomy. No indication of endometrial sampling or endometrial ablation.) - Correct Answers Hysteroscopy with D&C and polypectomy. (Code CPT for procedures.) 55. 29881-LT 56. (If debridement or shaving of articular cartilage and menisectomy are performed in the same compartment of the knee, then code only 29881.) - Correct Answers Patient has tear of the medial meniscus with loose bodies in the medial compartment of the left knee that was repaired by arthroscopic medial meniscectomy, shaving and trimming of meniscal rim, resection of synovium, and removal of the loose bodies. (Code using CPT procedure codes.) 57. was an obstetric admission with a normal delivery and no complications. - Correct Answers A final progress note is appropriate as a discharge summary for a hospitalization in which the patient 58. 99203-32 . (Code 99203 for the office visit of a new patient requiring a detailed history, detailed exam, and medical decision-making of low complexity. Add modifier - 32 for the mandated service because a third-party payer (insurance company) mandated it.) - Correct Answers A patient was sent to the surgeon's office as requested by the patient because the insurance company requires a second opinion regarding surgery. The patient has been complaining of lower back pain for over a year due to a herniated disk. The patient presents to the surgeon's office where a detailed history and physical examination was performed. Medical records from the primary care physician and the physical therapist were reviewed along with the tests performed in the office. Low medical 70. Z12.2 - Correct Answers The patient presents for a screening examination for lung cancer. 71. K80.10, I66.9, Z53.09 72. (The INCLUDES notation beneath I66 informs you that cerebral thrombosis is reported with a code from this code category.) - Correct Answers Patient is admitted for elective cholecystectomy for treatment of chronic cholecystitis with cholelithiasis. Prior to administration of general anesthesia, patient suffers cerebral thrombosis. Surgery is subsequently canceled. Code and sequence the coding from the following codes. 73. integrity - Correct Answers Ensuring that data have been modified or accessed only by individuals who are authorized to do so is a function of data 74. low forceps - Correct Answers Which of the following diagnoses or procedures would prevent the normal delivery code O80 Normal Delivery, from being assigned? 75. P70.1 - Correct Answers A newborn has hypoglycemia with mother diagnosed with type 2 diabetes mellitus 2 years ago. 76. inpatient reporting of diagnosis codes - Correct Answers Present on Admission (POA) indicators apply to 77. 99291, 99292 - Correct Answers Patient arrives in the emergency room via a medical helicopter. The patient has sustained multiple life-threatening injuries due to a multiple car accident. The patient goes into cardiac arrest upon arrival. An hour and 30 minutes of critical care time is spent trying to stabilize the patient. 78. natural language processing - Correct Answers You have been hired to work with a computer-assisted coding initiative. The technology that you will be working with is 79. syncope due to Contac pills and a 3-martini lunch - Correct Answers Which of the following is classified as a poisoning in ICD-10-CM? 80. Q05.0 - Correct Answers A patient presents with cervical spina bifida with hydrocephalus. 81. nonunion 82. ( - Correct Answers Which of the following are considered sequela regardless of time? 83. R87.810 - Correct Answers A woman has a Pap smear that detected cervical high-risk human papillomavirus (HPV). The DNA test was positive. 84. 59510 - Correct Answers Cesarean delivery with antepartum and postpartum care. (Code CPT for procedures.) 85. 60520 86. (Code 60520 for the total thymectomy via transcervical approach. No mention of excision of cyst, thyroidectomy, or adrenalectomy.) - Correct Answers Total transcervical thymectomy. (Code CPT for procedures.) 87. hospital inpatient procedure - Correct Answers Which of the following would NOT require HCPCS/CPT codes? 88. firewalls - Correct Answers Security devices that form barriers between routers of a public network and a private network to protect access by unauthorized users are called emergency department with lacerations on the left arm. Two lacerations, one 7 cm and one 9 cm, were closed with layered sutures. 100. 49501 - Correct Answers A 4-year-old had a repair of an incarcerated inguinal hernia. This is the first time this child has been treated for this condition. 101. H26.9, 66984-LT 102. (Subconjuctival injections are included in 66984.) - Correct Answers Phacoemulsification of left cataract with IOL implant and subconjunctival injection. (Code ICD-10- CM for diagnosis and CPT for procedures.) 103. a decrease in serum cholesterol and prolactin 104. (Related to diagnosing hypothyroidism: increase in serum cholesterol and prolactin ; elevated liver enzymes and creatine; and an increase in TSH) - Correct Answers Which of the following is NOT related to diagnosing hypothyroidism? 105. 34203 - Correct Answers The patient had a thrombectomy, without catheter, of the peroneal artery, by leg incision. 106. I47.9, F54 107. (see CODE FIRST notation beneath F54.) - Correct Answers A patient is diagnosed with psychogenic paroxysmal tachycardia. 108. 11043 - Correct Answers Patient presents with a diabetic ulcer measuring 18 sq cm that needs to be debrided. The patient was taken to the operating room where debridement of the muscle took place. 109. 22800, 22840 110. (Code 22800 for the posterior arthrodesis due to scoliosis. Code 22840 as an additional add on code for the Harrington rod.) - Correct Answers Patient undergoes a posterior L1-L5 spinal fusion for scoliosis with placement of a Harrington rod. Code using CPT. 111. R10.811 - Correct Answers Using the ICD-10-CM code structure, which of the following would be used for "right upper quadrant abdominal tenderness"? 112. CMS, October 1 - Correct Answers The _______ has the duty to adjust the MS-DRGs if necessary at the beginning of every fiscal year beginning _____________. 113. 77263 - Correct Answers A patient with lung cancer and bone metastasis is seen for complex treatment planning by a radiation oncologist. 114. CPT/HCPCS codes - Correct Answers The APC payment system is based on what coding system(s)? 115. compression fracture of the vertebrae as a result of bone metastasis - Correct Answers Which of the following scenarios identifies a pathologic fracture? 116. DAVID 117. (developed syncope after taking Contac pills with a double scotch) - Correct Answers Four people were seen in your emergency department yesterday. Which one will be coded as a poisoning? 118. decreased leukocyte count