190+ Free CCA Practice Questions
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Key Facts: CCA Exam
105
Exam Questions
AHIMA
2h
Exam Time
AHIMA
300
Passing Score
AHIMA
$199/$299
Member/Non-Member Fee
AHIMA
62%
2025 First-Time Pass Rate
AHIMA
6
Content Domains
AHIMA Content Outline
The AHIMA CCA exam has 105 total questions in 2 hours: 90 scored and 15 pretest. The passing score is 300 on AHIMA scoring. Current fees are $199 for AHIMA members and $299 for non-members. AHIMA reports a 2025 first-time CCA pass rate of 62%. CCA testing is delivered at Pearson VUE test centers, and exams on or after May 1, 2026 require 2026 code books.
Sample CCA Practice Questions
Try these sample questions to test your CCA exam readiness. Each question includes a detailed explanation. Start the interactive quiz above for the full 190+ question experience with AI tutoring.
1A patient is diagnosed with type 2 diabetes mellitus with diabetic nephropathy. Which ICD-10-CM code(s) should be assigned?
2According to ICD-10-CM Official Guidelines, what is the correct 7th character for the initial encounter of a closed fracture being treated by a physician?
3A 45-year-old patient is admitted with pneumonia due to Methicillin-resistant Staphylococcus aureus (MRSA). What is the correct ICD-10-CM code assignment?
4When coding a malignant neoplasm of the descending colon with metastasis to the liver, which codes should be assigned?
5A patient is admitted for acute respiratory failure due to acute exacerbation of COPD. How should this be coded?
6Which ICD-10-CM code should be assigned for a sequela (late effect) of a cerebrovascular accident with hemiplegia affecting the right dominant side?
7What CPT code is assigned for a diagnostic colonoscopy with biopsy of a single lesion in the sigmoid colon?
8A patient undergoes an appendectomy for a ruptured appendix with peritonitis. Which CPT code should be assigned?
9Which E/M code level would be appropriate for an established patient office visit that requires a medically appropriate history and examination, and straightforward medical decision making?
10A patient receives a comprehensive metabolic panel (CMP). Which CPT code should be assigned?
About the CCA Exam
The CCA is AHIMA entry-level medical coding certification. It validates foundational coding and health information knowledge across clinical classification systems, reimbursement methodologies, health records, compliance, information technologies, and confidentiality and privacy.
Questions
105 scored questions
Time Limit
2 hours
Passing Score
300 (scaled)
Exam Fee
$199 member / $299 non-member (AHIMA / Pearson VUE)
CCA Exam Content Outline
Clinical Classification Systems
Healthcare data interpretation, clinical vocabularies, abstraction, reference materials, inpatient/outpatient/physician coding guidelines, code assignment, sequencing, E/M level selection, and modifiers.
Reimbursement Methodologies
Code sequencing for reimbursement, payer guidelines, DRG and APC methodologies, NCCI edits, LCD/NCD medical necessity, claim forms, denial processing, HCC/risk adjustment, and bundling rules.
Health Records and Data Content
Record retrieval, quantitative and qualitative record analysis, abstraction, patient-specific documentation requests, master patient index use, health data standards, coding data reports, and record components.
Compliance
Discrepancy identification, documentation-supported coding, ethical coding, physician queries, fee/charge ticket and chargemaster updates, provider education, and audit preparation.
Information Technologies
EHR navigation, encoder and grouping software, practice management and HIM systems, computer-assisted coding, and validation of CAC-assigned codes.
Confidentiality and Privacy
HIPAA and state privacy rules, staff education, privacy issue recognition and reporting, secure work environment, passcodes/passwords, and minimum necessary access.
How to Pass the CCA Exam
What You Need to Know
- Passing score: 300 (scaled)
- Exam length: 105 questions
- Time limit: 2 hours
- Exam fee: $199 member / $299 non-member
Keys to Passing
- Complete 500+ practice questions
- Score 80%+ consistently before scheduling
- Focus on highest-weighted sections
- Use our AI tutor for tough concepts
CCA Study Tips from Top Performers
Frequently Asked Questions
How many questions are on the CCA exam?
AHIMA lists 105 total CCA questions: 90 scored questions and 15 pretest questions. Candidates have 2 hours to complete the exam.
What score do I need to pass the CCA exam?
The AHIMA CCA passing score is 300. AHIMA reports exam scores on a 100-400 scale, and a score of 300 or greater is a pass.
How much does the CCA exam cost?
The CCA exam costs $199 for AHIMA members and $299 for non-members. Retake fees are the same as the current exam fee.
Is the CCA exam available online through OnVUE?
No. Pearson VUE lists CCA as available in person at Pearson VUE Authorized Test Centers. AHIMA OnVUE remote testing is listed for CHDA, CHPS, and CDIP, not CCA.
What is the latest CCA pass rate?
AHIMA lists the 2025 CCA first-time pass rate as 62%, with 2,101 first-time testers. AHIMA also lists 67% for 2024 and 70% for 2023.