CCA Exam Prep Questions and Answers 100% Correct
Which of the following organizations is responsible for updating the procedure classification of ICD-10-PCS? ✔✔Centers for Medicare and Medicaid Services (CMS) is responsible for updating ICD-10-PCS
Coding accuracy is anticipated to improve due to which ICD-10-CM enhancement?✔✔Expanding codes to capture more detail in several sections such as injury, diabetes, and postoperative complications
Which character in an ICD-10-CM diagnosis code provides information regarding encounter of care? ✔✔Seventh character provides information about encounter of care, such as intial encounter, subsequent encounter, or sequelae
What does the fourth character of an ICD-10-CM diagnosis code capture? ✔✔Fourth character capture etiology, fifth capture anatomic site, and sixth capture severity
ICD-10-CM codes must be a minimum of how many characters ✔✔At least three characters with a decimal point used after the 3rd character 1 / 4
To which of the following do notes appearing under a 3-character code apply? ✔✔When a note appears under a 3-character code, it applies to all codes within that category
Which volume of ICD-10-CM contains the Tabular and Alphabetic Index of procedures?✔✔None since the development of ICD-10-PCS
Identify the correct diagnosis code for lipoma of the face: ✔✔Lipoma, face = D17.0
Identify the correct diagnosis code(s) for adenoma of left adrenal cortex with Conn's syndrome: ✔✔Adenoma, adrenal (cortex) = D35.02 Syndrome, Conn = E26.01
Which of the following is a standard terminology used to code medical procedures and services?✔✔CPT is a comprehensive descriptive listing of terms an codes for reporting diagnostic and therapeutic procedures and medical services.
Identify the appropriate ICD-10-CM diagnosis code for right cerebral contusion with 15 minute loss of consciousness, initial encounter for care: ✔✔Contusion, cerebral - see Contusion, brain. 2 / 4
Add 6th character "1" for loss of consciousness of 30 minutes for less, 7th character for initial encounter = S06.311A
If a patient has en 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? ✔✔Diameter of the lesion as well as the most narrow margins required to adequately excise the lesion described in the operative report
According to CPT, a repair of a laceration that includes retention sutures would be considered what type of closure? ✔✔Complex closures include the repair of wounds requiring more that layered closure, namely, scar revision, debridement, extensive undermining, stents, or retention sutures.
Patient is admitted with spotting, had been treated two weeks previously for miscarriage with sepsis. Sepsis resolved, she is afebrile at this time, treated with an aspiration D&C, and POC are found. Which of the following should be the PD? ✔✔Miscarriage: Retained POC following an abortion (Subsequent admissions for retained POC following any type of abortion are assigned the appropriate code from category O03 [spont. abn.] or O07.4 [failed attempted term. of pg. w/o comp.] and Z33.2 [encounter for elect. term of pg]. This advice is appropriate even when the patient was discharged prev. with discharge diagnosis of complete ab.
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An 80-year-old female is admitted with fever, lethargy, hypotension, tachycardia, oliguria, elevated WBC, and more than 100K organisms of E. coli per cc of urine. Attending physician documents "urosepsis". How should coder proceed to code? ✔✔Since urosepsis is nonspecific and not codable in ICD-10-CM, it cannot be considered synonymous with sepsis, and therefore the physician should be queried.
65yo patient with history of lung cancer is admitted to healthcare facility with ataxia, syncope, and a fractured arm as a result from falling. Pt undergoes closed reduction of fracture in the ED and undergoes complete workup for metastatic carcinoma of the brain. Pt is found to have metastatic carcinoma of the lung to brain and undergoes radiation therapy to brain. Which of the following would be the PD in this case? ✔✔If a tx is directed at the malignancy, designate the malignancy as the PD with the only exception to this guideline being if the pt admission or encounter is solely for the administration of chemo, immunotherapy, or radiation, then assign the appropriate Z51.- code as the first-listed or PD an the diagnosis or problem for which the service is being performed as a secondary diagnosis.
Pt was admitted for abdominal pain with diarrhea and was diagnosed with infectious gastroenteritis. Pt also has angina and COPD. Which of the following would be the correct coding and sequencing for this case? ✔✔Infectious gastroenteritis; COPD; angina
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