CCA EXAM NEWEST ACTUAL EXAM CCA EXAM

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CCA EXAM NEWEST ACTUAL EXAM| CCA EXAM

REVIEW QUESTIONS AND CORRECT ANSWERS

(VERIFIED ANSWERS) ALREADY GRADED A+|| NEW!!

CMS delegates its daily operations of the Medicare and Medicaid

programs to:

• the office of Inspector General
• the PRO in each state
• the National Center for Vital and Health Statistics
• Medicare administrative contractor (MAC) - ANSWER - Medicare

administrative contractor (MAC)

Which diagnosis should be listed first when sequencing inpatient codes using the UHDDS? (Uniform Hospital Discharge Data Set) - ANSWER

• Principal diagnosis

Male patient has been diagnosed with benign prostatic hypertrophy & undergoes a transurethral destruction of the prostate by radiofrequency thermotherapy. (Code ICD-10-CM for diagnosis & CPT for procedure) - ANSWER - N40.0-Benign prostatic hyperplasia without lower urinary tract symptoms 53852-Transurethral destruction of prostate tissue, by radiofrequency thermotherapy

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pg. 2 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

• doctor's admitting progress note
• nurse's admit note
• review of systems
• discharge summary - ANSWER - doctor's admitting progress note

What legal term is used in describing sexual harassment in reference to unwelcome sexual advances, request for sexual favors, & verbal or physical conduct of a sexual nature made in return for job benefits? - ANSWER - Quid Pro Quo

CPT code(s) for a laparoscopic takedown of the splenic flexure & a partial colectomy with anastomosis? - ANSWER - 44204-Colectomy, partial, with anastomosis.44213-Laparoscopy, surgical, mobilization (take-down) of splenic flexure performed in conjunction with partial colectomy

_______ is a system for documenting the extent or spread of cancer? - ANSWER - Staging

Which of these conditions are always considered "present on admission"

(POA)?

a) Congenital conditions 2 / 4

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b) Possible, probable, or suspected conditions

c) Acute conditions

d) Z codes - ANSWER - Congenital conditions

Patient came to the hospital ambulatory surgical center for repair of incisional inguinal hernia. This is the second time the patient has developed this problem. The hernia was repaired with Gore-Tex graft.Choose the appropriate ICD-10-CM and CPT codes? - ANSWER - K40.91-Inguinal hernia, without obstruction or gangrene, recurrent.49565-Repair recurrent incisional or ventral hernia, reducible (flatens out when you lie down or press it) 49568-Implantation of mesh or other prosthesis for incisional or ventral hernia repair or mesh for closure of debridement for necrotizing soft tissue infection.

Robert Thompson was seen in the outpatient department with a chronic cough and the record states, "rule out lung cancer." What should be coded as the patient's diagnosis? - ANSWER - Chronic cough

A patient presents with dermatitis due to prescription topical antibiotic cream used as directed by physician - ANSWER - L25.1-Unspecified contact dermatitis due to drugs in contact with skin.T49.0X5A-Adverse effect of local antifungal, anti-infective & anti- inflamatory drugs.

When coding multiple wound repairs in CPT. - ANSWER - all wound repairs are coded with the most complex reported first 3 / 4

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pg. 4 Provide the CPT code for anesthesia services for the transvenous insertion of a pacemaker. - ANSWER - 00530 Anesthesia for permanent transvenous pacemaker insertion

Patient was seen for excision of two interdigital neuroma from the left foot. (a painful growth in the forefoot). - ANSWER - 28080 x 2 Excision, interdigital (Morton) neuroma, single, each

You would expect to find documentation regarding the assessment of an

obstetric patient's lochia, fundus, and perineum on the:

• prenatal record
• labor record
• delivery room record
• postpartum record - ANSWER - d. postpartum record

Which of the following diagnoses or procedures would prevent the normal delivery code, 650, from being assigned?

• occiput presentation
• single liveborn
• episiotomy
• low forceps - ANSWER - low forceps

When a patient is admitted because of a primary neoplasm with metastasis & treatment is directed toward the secondary neoplasm only how should it be coded? - ANSWER - The secondary neoplasm is coded

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