CCA Practice Exam – Flashcards
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a significant procedure may not
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be coded in addition to the principal diagnosis
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a diagnosis cannot be coded if
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there is no documentation in the report
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the use of the fifth digit is required only when
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none of the above
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when codes are listed in slanted brackets in the alphabetical index it indicates that
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both codes must be listed in the specified order
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on the CMS form physicians will not be reimbursed if
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six ICD-9 s are listed
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review of systems would be located in which medical report
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history and physical
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CMS means
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center for medicare and medicaid services
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DMEPOS is
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durable medical equipment prosthetics orthotics and supplies
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abuse is
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downcoding
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an EOB
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All of the above
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presence of possib.e lung cancer as evidenced by presence of masses
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radiology
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this 19-year-old male received repair of his right cheek right ear and back of his neck the 2.3 laceration his neck required repair of the subcutaneous tissues whereas the laceration to his cheek which was 2cm and the ear which was 1 cm required repair of the subcutaneous and superficial fascia
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12032, 12004
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family history is a standard element in what type of medical report
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history and physical exam
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if 22-year-old patient sees another physician to obtain a second opinion consult about possible surgery and the history is detailed the exam is comprehensive and the medical decision making is moderate what is the code for this visit
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99244
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IPA is
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all of the above
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JCAHO
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is joint commission on accreditation of hospital organizations
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manipulation
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all of the above
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this 67-year-old female is diagnosed with renal failure and hypertension
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403.91
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medigap
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insurance coverage to cover the costs of deductibles
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UHDDS
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uniform hospital discharged data set
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OPPS
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both B and C
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percutaneous skeletal fixation is
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none of the above
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SOAP
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both A and B
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staff model HMO is
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a group of physicians who are employees of an organization that provide health care
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PID
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caused by gonorrhea and chlamydial infection
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synapse
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the space between two neurons
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sympathetic nerves
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are autonomic
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appendicular skeleton
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includes the arms
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accommodation is
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ophthalmic adjustment
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TURP
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is transurethral resection of prostate
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which of the following is not a part of the heart
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carotid
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pleural effusion is
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often characterized by empyema
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grading of neoplasms is
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useful in determining prognosis for patient
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tomography is
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a series of pictures
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arthrocentesis
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Surgical puncture of a joint to removal of fluid
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postural problems do not include
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spondylosis
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part of the small intestine do not include
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cecum
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planes of the body do not include
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caudal
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which of the following is not an endocrine gland
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spleen
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cellulitis is characterized by
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inflammation of the skin
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gouty arthritis
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caused by a buildup of uric acid
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ovarian cysts do not include
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neuroblastoma
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rhabdomyoma is coded as
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either a benign or malignant neoplasm of the connective tissue
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fluorescein angiography is not used to detect
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retinal detachment
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what type of error is in the following billing scenario?
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upcoding
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what type of billing error is in the following billing scenario? this 29-day-old female infant is seen by the pediatrician for one hour and 15 minutes for the first time in critical care. these services are coded as 99293
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age
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what type of error is in the following billing scenario? this 29-year-old male patient is diagnosed with glomerulonephritis due to diphtheria which is coded as 580.81
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insufficient diagnosis
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what type of error is in the following billing scenario? this 59-year-old male has been diagnosed with heart disease and malignant hypertension this is coded as 402.00
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this question is deleted
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what type of error is in the following scenario? this 49-year-old male patient is coded as 31200 for the procedure and 786.50 for diagnosis
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linkage
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what type of error is in the following billing scenario? this 24-year-old male patient receives services coded as 59100
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gender
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mohs' surgery is performed in a 55-year-old patient what modifier would be used
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5 8
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a 33-year-old female patient has ORIF for a fracture while visiting out of state when she returns to her home state she visits her physician the correct modifier would be
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55
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which of the following is not a combination vaccine code
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90732
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clinical pathology consultation is not
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reporting of results without interpretative judgement
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vaginal delivery after a previous cesarean delivery is coded as
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59612
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procedures associated with central venous access catheters so not include
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implatation
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fractures/dislocations are coded as
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fractures
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a procedure that arthrodesis may be performed in conjunction with is
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all of the above
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critical care visits are not based on
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visit
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if a seven-year-old patient had a well check two days ago and returns with complaints of severe headache with a history and exam that were expanded problem focused and medical decision making that is straightforward this would be coded as
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99213
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patient received closed treatment of a compound fracture of the shaft of the radius with manipulation what are the proper codes
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813.21, 25505
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which of the following is not a type of salmonella
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lymphadenitis
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co-morbidities are not considered in selecting an E/M code
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unless their presence significantly increases the complexity of the medical decision
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when multiple procedures are performed
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proper anesthesia code is the code for the most complex procedure
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which of the following is not a type of ectopic pregnancy
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peroneal
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patient has an incomtetent cervix that resulted in an incomplete spontaneous abortion
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634.71, 654.53
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this 29-year-old patient received second stage mohs' surgery for seven specimens which included immunohistochemisry
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17305, 17310x2, 88342 -(17315 would be the proper updated code as 17305 has been deleted
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this 56-year-female is diagnosed with diabetic maculae
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250.50, 362.01
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in the icd-9 book destruction is not
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shaving
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the extension of the foot downward is
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plantar flexion
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what is the basic unit for an APC visit
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outpatient visit
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an authorization for release of information would not include
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patient's previous hospitalization
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this 28-year-old male is diagnosed with prostatocystitis due to staphylococcus
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601.3, 041.1 (041.19 would be the proper updated code)
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guarantor
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The person responsible for payment of services
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an eponym is
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a person's name
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palliative means
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relieving but not curing
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in vitro means
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experiments conducted outside of an organism
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side effects of radiotherapy do not include
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incontinence
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OD means
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right ear
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medical necessity
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provides linkage between CPT and ICD-9 codes
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this 34-year-old woman with a history of multiparity presents today for sterilization
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V25.2, V61.5
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a CVA is not caused by
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septicemia
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this 51-year-old male who has ESRD had Gortex graft arteriovenous fistula inserted
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585.6, 36830
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what is a Fowler-Stephens procedure
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orchiopexy
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this 2-year-old male received a 20 sq.cm graft to his right leg after having been burned three months ago when a pot of hot water fell in him
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15220, 1500
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this 31-year-old male has an open rotator cuff repair
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23410
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what is not a type of presenting problem for E/M codes
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detailed
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wadge ovary specimen was submitted for microscopic pathology which included special staining
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88305, 88312
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this 56-year-old patient is having surgical complications from his colostomy which is malfunctioning
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569.62
