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Free CCA Exam Practice Test: 100 Questions to Check Your Skills

Quick, free quiz with instant results and review of CCA exam questions.

Editorial: Review CompletedCreated By: Dustin HanksUpdated Aug 28, 2025
Difficulty: Moderate
2-5mins
Learning OutcomesCheat Sheet
Paper art quiz on golden yellow background CCA exam 100 questions coding standards health records data content

This free CCA exam practice test helps you check your coding knowledge and exam readiness with 100 realistic questions. Get instant scoring, review answers, and focus your study where it counts. Preparing for other roles too? Try our ccma practice test, ekg practice test, or cna test questions.

In ICD-10-CM, which symbol indicates that additional characters are required to complete the code to the highest level of specificity?
Placeholder X
Dash -
Seven-character extension
Placeholder † (the placeholder X character)
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The Present on Admission (POA) indicator is required for most inpatient diagnosis codes under the IPPS.
True
False
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HIPAA permits uses and disclosures of protected health information (PHI) for treatment, payment, and healthcare operations without patient authorization.
True
False
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An Advance Beneficiary Notice (ABN) is required for services that Medicare always covers without limitations.
True
False - Explanation: ABNs are used when a service may not be covered; not for services Medicare always covers.
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In ICD-10-CM, initial encounter for traumatic fractures is indicated by which 7th character?
D
G
S
A - Explanation: 7th character A designates initial encounter for active treatment of an injury.
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National Correct Coding Initiative (NCCI) edits help prevent improper coding of services that should not be reported together.
True - Explanation: NCCI bundles mutually exclusive or component services to prevent unbundling.
False
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A Notice of Privacy Practices (NPP) must be posted prominently and made available to patients by covered providers.
True - Explanation: HIPAA requires providers to post and distribute the NPP.
False
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Which ICD-10-PCS root operation describes cutting out or off, without replacement, a portion of a body part?
Detachment
Excision - Explanation: Excision removes a portion of a body part, while Resection removes all of a body part.
Resection
Extraction
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Under 2021 E/M outpatient guidelines, which component primarily determines the level of service when time is not used?
Number of diagnoses only
Medical decision making - Explanation: For office/outpatient E/M in 2021+, level selection is based on MDM or total time.
Counseling only
History and exam combined
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Which CPT modifier indicates a distinct procedural service performed by the same physician on the same day?
-25
-26
-59 - Explanation: Modifier 59 denotes a distinct procedural service; modifier 25 is for a significant, separately identifiable E/M service.
-51
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The Uniform Hospital Discharge Data Set (UHDDS) defines the principal diagnosis for outpatients.
True
False - Explanation: UHDDS defines principal diagnosis for inpatients; outpatients use first-listed diagnosis.
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Which system standardizes clinical problem terminology for use in EHR problem lists?
ICD-10-PCS
RxNorm
SNOMED CT - Explanation: SNOMED CT provides standardized clinical terminology for problems and findings.
LOINC
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Which ICD-10-PCS character position represents the root operation?
7th
1st
3rd - Explanation: In PCS, the 3rd character is the root operation.
2nd
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MS-DRGs group inpatient stays based solely on outpatient CPT procedure codes.
False - Explanation: MS-DRGs are based on ICD-10-CM diagnoses, ICD-10-PCS procedures, age, sex, discharge status, and CC/MCCs.
True
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A covered entity must provide an accounting of disclosures for treatment, payment, and healthcare operations when requested by the patient.
True
False - Explanation: Accounting of disclosures generally excludes TPO disclosures.
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Which data set is primarily used for Medicare home health claims and quality measurement?
HEDIS
UHDDS
OASIS - Explanation: OASIS captures standardized data for home health assessment and quality.
MDS 3.0
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Which HCPCS Level II modifier indicates an ambulance service furnished by an ambulance provider?
QN
GA
KX
GY
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Which ICD-10-CM guideline applies to reporting SDOH using Z-codes documented by non-physician clinicians?
Z-codes for SDOH may be coded when documented by any clinician legally permitted to document in the record - Explanation: Recent guidance permits coding SDOH Z-codes from documentation by care team members.
SDOH codes are for inpatient use only
SDOH codes require patient signature
Only physicians can document SDOH
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Which ICD-10-CM guideline applies when coding sepsis due to a documented organism?
Code sepsis first, then the organism - Explanation: The sepsis code is primary, followed by an additional code to identify the organism.
Code severe sepsis automatically
Sequence the organism code first
Use only the organism code
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Which ICD-10-CM convention applies when the code title includes 'in diseases classified elsewhere'?
Sequence external cause first
Use only this code and no others
Code requires an underlying condition code first - Explanation: 'In diseases classified elsewhere' codes are secondary and must be used with an underlying condition.
Use the code as principal diagnosis
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Study Outcomes

  1. Understand Core CCA Concepts -

    Recognize the primary topics covered in the cca practice exam, including coding standards, data content, and AHIMA requirements to build a solid foundation.

  2. Apply Coding Standards and Guidelines -

    Utilize ICD-10-CM and CPT conventions accurately when responding to cca practice test questions to ensure precise classification of diagnoses and procedures.

  3. Analyze Health Record Documentation -

    Evaluate clinical records for completeness and compliance, strengthening your ability to extract accurate coding information under exam conditions.

  4. Identify Common Coding Pitfalls -

    Pinpoint typical errors and misconceptions in coding scenarios, allowing you to avoid mistakes and improve accuracy on the cca exam practice test.

  5. Assess Skill Gaps and Track Progress -

    Interpret instant quiz feedback to measure your strengths, pinpoint areas needing improvement, and create a targeted study plan ahead of test day.

Cheat Sheet

  1. ICD-10-CM Official Guidelines -

    Master the ICD-10-CM coding conventions by reviewing the official guidelines from the CDC and AHIMA (2023). Focus on chapter-specific rules, such as the "late effect" codes in Chapter 19, and practice with sample entries to solidify your understanding. A useful mnemonic is "USE" (Use Additional Codes, Sequencing, Excludes) to recall sequencing rules during your cca practice exam.

  2. CPT® Evaluation & Management (E/M) Levels -

    Understand the five key components - history, exam, medical decision making, time, and counseling - to accurately assign E/M codes per AMA CPT® (2022). Practice distinguishing between straightforward and complex decision making using chart examples to sharpen your cca exam practice test skills. Remember the formula: TotalTime = Face-to-Face Time + Non-Face-to-Face Time for time-based codes.

  3. SOAP Documentation Framework -

    Apply the SOAP (Subjective, Objective, Assessment, Plan) note style to ensure clear clinical record abstraction according to AHIMA best practices. Use the phrase "Some Octopuses Are Pink" to recall each section and verify completeness. Consistent SOAP notes improve data content accuracy and boost your confidence on the cca practice questions.

  4. Six Cs of Medical Documentation -

    Adhere to the Six Cs (Clear, Complete, Concise, Chronological, Consistent, Confidential) outlined by the American Health Information Management Association (2021). Regularly audit sample records to spot missing elements and reinforce these principles for your cca exam prep. A quick self-check: "3 Cs ensure quality, 3 Cs ensure compliance."

  5. Data Quality Dimensions -

    Review accuracy, completeness, reliability, relevance, and timeliness as defined by HIMSS (2022) to evaluate health record content. Practice with mock data sets to identify discrepancies and apply correction workflows for your cca practice test. Keeping a checklist of these five dimensions helps you quickly spot errors under timed conditions.

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