CCA Practice Test 2026 — Free CCA Exam Prep Questions
AHIMA's CCA exam is the entry-level coding credential for people starting careers in hospital and physician-office coding. Our practice questions follow AHIMA's six CCA domains, covering ICD-10-CM, ICD-10-PCS and CPT conventions, MS-DRG and APC basics, claims and denials, record analysis, compliance and privacy.
A hospital coder is assigned to code a current inpatient stay and recognizes the patient as a friend. The record shows the friend also had a behavioral health visit last year. What should the coder do?
CCA format, scoring & key facts
Computer-based at Pearson VUE test centers.
Facts last verified Oct 5, 2026. Source: www.ahima.org/media/0yedmbmf/certified-coding-associate-exam-content-outline.pdf. Always confirm details with AHIMA before your exam.
When can you take the CCA?
Plan backwards from your exam date
What the CCA covers
Every PrepBanq CCA test mirrors the official domain weights.
Domain distribution
% of the exam| Content domain | Weight | ≈ Questions on exam | Our practice questions |
|---|---|---|---|
Clinical Classification SystemsInterpreting documentation and applying ICD-10-CM, ICD-10-PCS and CPT conventions and guidelines to assign and sequence codes by setting (30–34%). | 32% | ~29 | 9 questions → |
Reimbursement MethodologiesMS-DRGs, APCs, NCCI edits, LCD/NCD medical necessity, claim forms and denial management (21–25%). | 23% | ~21 | 6 questions → |
Health Records and Data ContentRecord retrieval and assembly, quantitative and qualitative analysis, abstraction, master patient index and data reports (13–17%). | 15% | ~14 | 4 questions → |
ComplianceValidating codes against documentation, ethical coding, physician queries, coding updates and audit preparation (12–16%). | 14% | ~13 | 3 questions → |
Information TechnologiesEHR navigation, encoders and groupers, practice management/HIM systems and computer-assisted coding (6–10%). | 8% | ~7 | 1 questions → |
Confidentiality & PrivacyHIPAA confidentiality, minimum necessary access, authorized release, security, retention and destruction of records (6–10%). | 8% | ~7 | 2 questions → |
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CCA FAQ
How many questions are on the CCA?
The CCA has 105 questions (90 of them scored) and you have 2 hours to finish. Question types: Multiple choice (90 scored and 15 unscored pretest items).
How long is the CCA exam?
Testing time for the CCA is 2 hours.
What is on the CCA?
The CCA covers Clinical Classification Systems (about 32%), Reimbursement Methodologies (about 23%), Health Records and Data Content (about 15%), Compliance (about 14%), Information Technologies (about 8%), Confidentiality & Privacy (about 8%).
Who administers the CCA?
The Certified Coding Associate (CCA) Exam is administered by AHIMA. Delivery: Computer-based at Pearson VUE test centers.
Is there a free CCA practice test?
Yes. PrepBanq has 3 free CCA practice tests with 25 exam-style questions in the real CCA formats, and every answer is explained. No credit card is needed.
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