2020 Corrections - Certified Coding Associate (CCA) Exam Preparation, Seventh Edition AHIMA Product - AC400319 - Exam

Sep 26, 2026

2020 Corrections provides question-and-answer exam practice for the Certified Coding Associate (CCA) using ICD-10-PCS, ICD-10-CM, and CPT code selection and sequencing. It includes scenarios covering cardiac pacemaker insertion and battery replacement, urinary tract infection due to E. coli, nuclear medicine PET and SPECT imaging code ranges, and additional coding for anemia, hemophilia-related factors, transfusion administration, and COPD exacerbation with respiratory insufficiency. Each item states the selected option and explains relevant coding logic and indexing guidance.

LanguageEnglish

CategoryExam

FormatPDF

Pages8

Reading Time20 min

AccessFree to download

Exam 1

ICD-10-PCS pacemaker insertion and battery replacement

Exam 2

ICD-10-CM urinary tract infection due to E. coli

Exam 3

CPT for whole-body PET scan

CPT for SPECT bone scan imaging

ICD-10-CM/PCS coding scenario with hemophilia and transfusion

COPD exacerbation with acute respiratory insufficiency

Ventilator-dependent patient coding scenario

2020 Corrections Certified Coding Associate (CCA) Exam Preparation, Seventh Edition AHIMA Product \# AC400319 Exam 1 6. Identify the ICD-10-PCS code(s) for insertion of dual chamber cardiac pacemaker battery via an incision in the subcutaneous tissue of the chest wall, and percutaneous transvenous insertion of right atrial and left ventricular leads. a. 0JH606Z, 02H73JZ, 02HL3JZ b. 0WH80YZ, 02H63JZ, 02HK3JZ c. 0WH80YZ, 02H73JZ, 02HL3JZ d. 0JH606Z, 02H63JZ, 02HK3JZ Answer is d. ICD-10-PCS classifies cardiac pacemakers as Devices, character 6. Root operations of Insertion, removal, and revision always involve a device, such as a pacemaker. In coding initial insertion of a dual chamber permanent pacemaker, three codes are required—one for the pacemaker (0JH606Z) and one for each lead (02H63JZ, 02HK3JZ) (Schraffenberger 2019, 68–70) . 7. Identify the correct ICD-10-PCS code(s) for replacement of an old dual pacemaker battery with a new dual pacemaker battery in the subcutaneous tissue of the chest wall via incisional approach. a. 0JPT0PZ, 0JH606Z b. 0JH606Z c. 0JWT0PZ d. 0JPT3PZ, 0JH634Z Answer is a. When a pacemaker is replaced with another pacemaker, both the removal of the old device and the insertion of the new pacemaker are coded (0JPT0PZ, 0JH606Z) . Per ICD-10-PCS Reference Manual, 2.55, “A procedure to remove a device is coded to Removal if it is not an integral part of another root operation.” It is not coded to the root operation Change because this involved cutting the skin. Change is only used for External approaches (CMS 2020) . Exam 2 14. Identify the correct ICD-10-CM diagnosis code(s) and proper sequencing for urinary tract infection due to E. coli. a. N39 .0 b. N39 .0, B96 .20 c. B96 .20 d. B96 .23, N39 .0 Answer is b. The connecting term “due to” connects the organism E. coli to the urinary tract infection. The instructional note “Use additional code”(B95–B97) is found in the Tabular List of ICD-10-CM under Code N39 .0. This notation indicates that use of an additional code may provide a more complete picture of the diagnosis or procedure. The additional code should always be assigned if the health record provides supportive documentation. Infection, urinary (tract) Tabular List—use additional code to identify organism. Infection, Escherichia coli. Index: Infection, Escherichia (E. ) coli, as cause of disease classified elsewhere B96 . 20 (Schraffenberger 2019, 20, 28-30) . Exam 3 7. Identify the CPT procedure code(s) for whole-body PET scan. a. 78813 b. 78816 c. 78806 d. 78804 Answer is a. Index Nuclear Medicine, Positron Emission Tomography (PET), resulting in code range 78811–78816. Review of the available codes indicates that 78813 is the correct code (AMA 2020, 518) . 9. Identify the CPT procedure code(s) for a SPECT bone scan, planar, whole body, single day imaging. a. 78710 b. 78803 c. 78607 d. 78802 Answer is d. Index SPECT, resulting in code range 78800-78832. The acronym SPECT stand for single photon emission computed tomography and is a more sophisticated form of CT scanning. Unlike basic x-ray CT scanning, SPECT involves injected radionuclides and is considered a form of nuclear medicine. It is being supplanted to some extent now by PET (positron emission tomography) scanning, which is capable of better resolution and sensitivity (AHIMA 2016, 468) (AMA 2020, 517) . 22. An 8-year-old male hemophiliac is admitted with acute blood loss anemia due to uncontrolled bleeding. He is given clotting factor and six units of whole blood administered in a peripheral vein. Which of the following diagnosis and procedure ICD- 10-CM/PCS codes would be correct? a. D66, 30233V1, 30233H1 b. D62, D66, 30233V1, 30233H1 c. D66, D62, 30233V1, 30233H1 d. D62, 30233V1, 30233H1 Answer is b. The anemia code D62 would be coded as the principal diagnosis. In accordance with the UHDDS definition for principal diagnosis, the anemia (not the hemophilia), i

FAQs

How are dual chamber permanent pacemaker insertions coded in ICD-10-PCS according to the document?

The document states that three codes are required: one for the pacemaker device insertion (e.g., 0JH606Z) and one for each lead (e.g., 02H63JZ and 02HK3JZ).

What coding rule is applied when replacing an old dual pacemaker battery with a new battery?

When a pacemaker is replaced with another pacemaker, both the removal of the old device and the insertion of the new pacemaker are coded together (e.g., removal code plus 0JH606Z for the new device).

Which CPT code does the document select for a whole-body PET scan and how is the code determined?

The document answers 78813, determined by referencing the CPT Nuclear Medicine index for Positron Emission Tomography (PET) and confirming the correct code within the 78811–78816 range.

Sep 26, 2026

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