CCA Mock Examination 60 Questions

61 Questions | Total Attempts: 2121

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CCA Quizzes & Trivia

A mock examination is designed to give you a clear view of what to expect when the final exam is upon us. How ready do you think you are when it comes to actually sitting for the mock exam? Take up the CCA mock examination quiz below with 60 questions and find out.


Questions and Answers
  • 1. 
    The physician's office note states: "counseling visit, 15 minutes counseling in follow-up with a patient newly diagnosed with diabetes." If the physician reports code 99214, which piece of documentation is missing to substantiate this code?
    • A. 

      Chief complaint

    • B. 

      History

    • C. 

      Exam

    • D. 

      Total length of visit

  • 2. 
    A marked loss of bone density and increase in bone porosity is
    • A. 

      Lumbago

    • B. 

      Osteoarthritis

    • C. 

      Spondylitis

    • D. 

      Osteoporosis

  • 3. 
    In order to correctly code a hernia repair, the coder needs to know all of the following except:
    • A. 

      Type of hernia

    • B. 

      Whether the hernia is strangulated or incarcerated

    • C. 

      Age of the patient

    • D. 

      Whether the patient is obese or not

  • 4. 
    Hysteroscopy with D&C and polypectomy. Provide the appropriate CPT code(s). 58100 Endometrial sampling (biopsy) with or without endocervical sampling (biopsy), without cervical dilation, any method (separate procedure) 58120 Dilation and curettae, diagnostic and/or therapeutic (nonobstetrical) 58555 Hysteroscopy, diagnostic (separate procedure) 58558 Hysteroscopy, surgical; with sampling (biopsy) of endometrium and/or polypectomy, with or without D&C 58563 Hysteroscopy, surgical: with endometrial ablation (eg, endometrial resection, electrosurgical ablation, thermoablation)
    • A. 

      58563

    • B. 

      58558

    • C. 

      58120, 58100, 58555

    • D. 

      58558, 58120

  • 5. 
    The blood disorder in which red blood cells lack of the normal ability to produce hemoglobin is called
    • A. 

      Aplastic anemia

    • B. 

      Hemolytic anemia

    • C. 

      Pernicious anemia

    • D. 

      Thalassemia

  • 6. 
    Newborn infant born with cleft palate 749.20 Cleft palate with cleft lip, unspecified V30.00 Single liveborn, born in hospital, without mention of c-section 27.54 Repair of cleft lip 27.62 Correction of cleft palate
    • A. 

      749.20; 27.54; 27.62

    • B. 

      749.20

    • C. 

      V30.00; 749.20

    • D. 

      V30.00

  • 7. 
    If any part of a combination code was not "present on admission" (POA) assign the POA  indicator of:
    • A. 

      "Y"

    • B. 

      "U"

    • C. 

      "W"

    • D. 

      "N"

  • 8. 
    ???????? Lumbar laminectomy (one segment) for decompression of spinal cord. Provide appropriate CPT code(s). 62263 Percutaneous lysis of epidural adhesions using solution injection (eg, hypertonic saline, enzyme) or mechanical means (eg, catheter) including radiologic localization (including contrast when administered), multiple adhesiolysis sessions; 2 or more days 63005 Laminectomy, with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or diskectomy (eg, spinal stenosis), one or two vertebral segments; lumbar except for spondylolisthesis 63030 Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial  facetectomy, foraminotomy, and/or excision of herniated intervertebral disk including open and endoscopically-assisted approaches; one interspace, lumbar 63170 Laminectomy with myelotomy (eg, Bischof or DREZ type), cervical, thoracic or thoracolumbar
    • A. 

      63005

    • B. 

      62263

    • C. 

      63170

    • D. 

      63030

  • 9. 
    Chip is an unfortunate 35 year old who has been previously diagnosed with lung cancer. He has been receiving chemotherapy and radiation. He develops seizures and is admitted. Work up revealed metastasis of the lung cancer to the brain. Provide appropriate ICD-9-CM diagnosis codes. V10.11   Personal history of malignant neoplasm of the bronchus and lung V10.85   Personal history of malignant neoplasm of the brain 162.9     Malignant neoplasm of the bronchus/lung, unspecified site 191.9     Malignant neoplasm of the brain, unspecified 197.0     Secondary malignant neoplasm of the lung 198.3     Secondary malignant neoplasm of the brain and spinal cord 780.39   Other convulsions (seizures, not otherwise specified)
    • A. 

      780.39, 191.9, 197.0, V10.11

    • B. 

      780.39, 198.3, 162.9

    • C. 

      780.39, V10.11, V10.85

    • D. 

      198.3, 162.9, 780.39

  • 10. 
    Urinary frequency, urgency, nocturia, incontinence and hesitancy are all symptoms of:
    • A. 

      BPH

    • B. 

      End stage kidney disease

    • C. 

      Salpingitis

    • D. 

      Genital prolapse

  • 11. 
    What is the correct sequencing of the codes for a patient who is six weeks post mastectomy for carcinoma of the breast and is admitted for chemotherapy? 174.9  Malignant neoplasm of the female breast, unspecified site V10.3  Personal history of malignant neoplasm of breast V58.11 Encounter for antineoplastic chemotherapy V67.00  Follow-up examination following surgery, unspecified
    • A. 

      V58.11, 174.9

    • B. 

      V58.11, V10.3

    • C. 

      V67.00, V58.11

    • D. 

      V10.3

  • 12. 
    The physician listed the discharge diagnoses as congestive heart failure with acute pulmonary edema
    • A. 

      The CHF only

    • B. 

      The edema only

    • C. 

      Both the CHF and the edema, sequence the CHF first

    • D. 

      Both the CHF and the edema, sequence the edema first

  • 13. 
    The practice of using a code that results in a higher payment to the provider than the code that more accuratelyu reflects the service provided is known as:
    • A. 

      Unbundling

    • B. 

      Upcoding

    • C. 

      Optimizing

    • D. 

      Downcoding

  • 14. 
    Male patient has been diagnosed with benign prostatic hypertrophy and undergoes a transurethral destruction of the prostate by radiofrequency thermotherapy. Provide appropriate ICD-9-CM and CPT codes. 600.00 Hypertrophy (benign of prostate) without urinary obstruction and other lower urinary tract symptoms (LUTS) 52601 Transurethral electrosurgical resection of prostate including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, and internal urethrotomy are included) 52648 Laser vaporization of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, internal urethrotomy and transuteral transection of the prostate are including if performed.) 53850 Transurethral destruction of prostate tissue; by microwave thermotherapy 53852 Transurethral destruction of prostate tissue; by radiofrequency thermotherapy
    • A. 

      600.00, 52648

    • B. 

      600.00, 53852

    • C. 

      600.00, 52601

    • D. 

      600.00, 53850

  • 15. 
    The process of attaching a HCPCS code to a procedure so that the code will automatically be included on the patient's bill is known as:
    • A. 

      Grouping

    • B. 

      Hard coding

    • C. 

      Soft coding

    • D. 

      Downcoding

  • 16. 
    The patient sees a PAR provider and has a procedure performed after meeting the annual deductible. If the Medicare-approved amount is $200, how much is the patient's out-of-pocket expense?
    • A. 

      $0

    • B. 

      $20

    • C. 

      $40

    • D. 

      $100

  • 17. 
    Patient has bilateral inguinal hernias, the left is indirect and the right is direct. He has repair of both hernias with mesh prosthesis. Provide appropriate ICD-9-CM diagnosis and procedure codes. 550.90  Inguinal without mention of obstruction or gangrene, unilateral or unspecified (not specified as recurrent) 550.91  Inguinal hernia, without mention of obstruction or gangrene, unilateral or unspecified, recurrent 550.92  Inguinal hernia, without mention of obstruction or gangrene, bilateral (not specified as recurrent) 53.01  Other and open unilateral repair of direct inguinal hernia 53.16  Other and open bilateral repair of inguinal hernia, one direct and one indirect, with graft or prosthesis 
    • A. 

      550.91, 550.92, 53.16

    • B. 

      550.90, 53.01, 53.02

    • C. 

      550.92, 53.16

    • D. 

      550.92, 53.01, 53.02

  • 18. 
    A patient is seen in the emergency department following an accident. The physician documents that the wound required multiple layers and extensive undermining.  According to CPT definitions, this type of repair would be classified as:
    • A. 

      Complex

    • B. 

      Intermediate

    • C. 

      Simple

    • D. 

      Advancement flap

  • 19. 
    The patient was admitted due to increasing severe pain in his right arm, shoulder and neck for the past 6 weeks. MRI tests showed herniation of the C5-C6 disc. Patient underwent cervical laminotomy and diskectomy C5-C6 disc. The patient is currently being treated for COPD and CAD with a history of a PTCA. Provide appropriate ICD-9-CM diagnosis and procedure codes. 722.0      Displacement of cervical intervertebral disc without myelopathy 722.71    Intervertebral disc disorder with myelopathy, cervical region 492.8     Other emphysema 496         Chronic airway obstruction, not elsewhere classified 414.01    Coronary atheroscierosis of native coronary artery 414.00     Coronary atherosclerosis of unspecified type of vessel, native or graft V45.82     Percutaneous transluminal coronary angioplasty status 80,.51      Excision of intervertebral disc 03.09     Other exploration and decompression of spinal canal (Decompression, laminotomy) 
    • A. 

      722.0, 492.8, 414.01, V45.82, 80.51

    • B. 

      722.71, 496, 414.01, V45.82, 03.09, 80.51

    • C. 

      722.71, 492.8, 414.00, 03.09, 80.51

    • D. 

      722.0, 496, 414.01, V45.82, 80.51

  • 20. 
    Pathological fracture of the femur due to metastatic bone cancer. Patient has a history of lung cancer. Only the fracture is treated. Provide the appropriate ICD-9-CM diagnostic code(s). 162.9      Primary malignancy lung and bronchus, unspecified 198.5     Secondary malignancy bone and bone marrow 733.13   Pathologic fracture neck of femur 821.00   Traumatic fracture femur, unspecified part V10.11   Personal history malignant neoplasm lung and bronchus
    • A. 

      198.5; 733.14; V10.11

    • B. 

      733.14; 198.5; V10.11

    • C. 

      821.00; 198.5; V10.11

    • D. 

      821.00; 198.5; 162.9

  • 21. 
    Total transcervical thymectomy. Provide appropriate CPT code(s). 60200     Excision of cyst or adenoma of thyroid, or transection of isthmus 60240     Thyroidectomy, total or complete 60520     Thymectomy, partial or total; transcervical approach (separate procedure) 60540     Adrenalectomy, partial or complete, or exploration of adrenal gland with or without biopsy, transabdominal, lumbar or dorsal (separate procedure)
    • A. 

      60520

    • B. 

      60540

    • C. 

      60240

    • D. 

      60200

  • 22. 
    The APC (Ambulatory Payment Classification) payment is based on what coding system(s)?
    • A. 

      AMA's CPT codes

    • B. 

      CPT and ICD-9-CM diagnosis and procedure codes

    • C. 

      ICD-9-CM diagnosis and procedure codes

    • D. 

      CPT/HCPCS codes

  • 23. 
    Which of the following could influence a facility's case mix?
    • A. 

      Changes in DRG weights

    • B. 

      Changes in the services offered by a facility

    • C. 

      Accuracy of coding

    • D. 

      All of the above

  • 24. 
    Patient (inpatient) was admitted with chestpain. Doctor ordered EKG to rule out MI
    • A. 

      A code for a myocardial infarction

    • B. 

      A code for the patient's symptoms

    • C. 

      A code for an impending myocardial infarction

    • D. 

      No code for this condition

  • 25. 
    The type of anemia caused by a failure of the bone marrow to produce red blood cells is:
    • A. 

      Acute blood loss anemia

    • B. 

      Sickle cell anemia

    • C. 

      Iron deficiency anemia

    • D. 

      Aplastic anemia

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