AAPC CPC FINAL EXAM PRACTICE
EXAM NEWEST 2024-2025 ACTUAL
EXAM 140 QUESTIONS WITH
CORRECT VERIFIED AND WELL
ANALYZED ANSWERS GRADED A+
What form is used to submit a provider's charge to the insurance
carrier?
a. UB-04
b. Provider reimbursement form
c. CMS-1500
d. ABN
c. CMS-1500
Which coding manuals do outpatient coders focus on learning?
a. CPT, HCPCS Level II and ICD-10-CM
b. CPT and ICD-10-CM
c. ICD-10-CM and ICD-10-PCS
d. CPT, HCPCS Level II, ICD-10-CM, ICD-10-PCS
a. CPT, HCPCS Level II and ICD-10-CM
In what year was HITECH enacted as part of the American Recovery
and Reinvestment Act?
a. 2010
b. 2009
c. 2000
d. 2007
,b. 2009
Voluntary compliance programs also provide benefits by not only
helping to prevent erroneous or ____, but also by showing that the
provider practice is making additional good faith efforts to submit
claims appropriately.
a. Over utilized codes
b. Duplicative claims
c. Fraudulent claims
d. Mistaken principals
c. Fraudulent claims
Which CMS product describes whether specific medical items,
services, treatment procedures or technologies are considered
medically necessary under Medicare?
a. Medicare Claims Processing Manual
b. National Coverage Determinations Manual
c. Relative Value Files
d. Medicare Physician Fee Schedule Final Rule
b. National Coverage Determinations Manual
Which condition results from an injury to the head? The symptoms
include headache, dizziness and vomiting.
a. Meningitis
b. Concussion
c. Epilepsy
d. Parkinson's disease
b. Concussion
In order, starting with the innermost layer, what are the four walls of
the digestive tract?
a. Mucosa, submucosa, muscle, serosa
b. Serosa, mucosa, submucosa, muscle
c. Mucosa, submucosa, serosa, muscle
d. Muscle, submucosa, mucosa, serosa
a. Mucosa, submucosa, muscle, serosa
Which one of the following best describes psoriasis?
a. A chronic condition characterized by red, dry, elevated lesions,
covered by silvery scales
,b. An inflammatory condition characterized by redness pustular and
vesicular lesions, crusts, and scales
c. An allergic reaction characterized by wheals and generally
accompanied by pruritus
d. A contagious infection of skin generally caused by staphylococcus
bacterium
a. A chronic condition characterized by red, dry, elevated lesions,
covered by silvery scales
A form of milk produced the first few days after giving birth is:
a. Prolactin
b. Colostrum
c. Lactose
d. Chorion
b. Colostrum
A condition where the thyroid is overactive is called:
a. Thyrotoxicosis
b. Panhypopituitarism
c. Ketosis
d. Thyroiditis
a. Thyrotoxicosis
What do the instructions and conventions of the classification take
precedence over?
a. CPT
b. Documentation
c. Official Coding Guidelines
d. Nothing. They are only used in the event of no other instruction.
c. Official Coding Guidelines
What is the sequencing order when coding a sequela (late effect)?
a. They symptom is coded first followed by the residual condition and
the late effect code
b. The cause of the late effect is coded first and the residual condition
is coded second
c. The cause of the late effect is coded first; the residual condition is
second followed by the symptoms
d. The residual condition is coded first, and the code(s)for the cause
of the late effect are coded as secondary
, d. The residual condition is coded first, and the code(s)for the cause
of the late effect are coded as secondary
Using the ICD-10-CM Alphabetic Index, which main term below has an
instructional note indicating another main term may also be
referenced that may provide additional Alphabetic Index entries that
may be useful?
a. Diabetes
b. Fibrosarcoma
c. Appendicitis
d. Symptoms
b. Fibrosarcoma
A 50-year-old female presents to her provider with symptoms of
insomnia and upset stomach. The provider suspects she is
premenopausal. She is diagnosed with impending menopause. What
diagnosis code(s) should be reported?
a. E28.319
b. G47.00, K30
c. N95.9, G47.00, K30
d. N95.9
b. G47.00, K30
Rationale: ICD-10-CM guideline I.B.11 states to reference the ICD-10-
CM Alphabetic Index to determine if the condition has a subentry for
impending or threatened and also reference main term entries for
Impending and Threatened. If the subterms are listed, assign the
given code. If the subterms are not listed, code the existing
underlying condition(s) and not the condition described as impending
or threatened. Look in the Alphabetic Index for Impending. There is
not a subterm for menopause; therefore, the symptoms are coded.
Look for Insomnia (organic) which directs the coder to G47.00. Next,
look for Upset/stomach which directs the coder to K30. Verify code
selection in the Tabular List.
What is the ICD-10-CM code for a laceration on the left shoulder,
subsequent encounter?
a. S51.009D
b. S46.001D
EXAM NEWEST 2024-2025 ACTUAL
EXAM 140 QUESTIONS WITH
CORRECT VERIFIED AND WELL
ANALYZED ANSWERS GRADED A+
What form is used to submit a provider's charge to the insurance
carrier?
a. UB-04
b. Provider reimbursement form
c. CMS-1500
d. ABN
c. CMS-1500
Which coding manuals do outpatient coders focus on learning?
a. CPT, HCPCS Level II and ICD-10-CM
b. CPT and ICD-10-CM
c. ICD-10-CM and ICD-10-PCS
d. CPT, HCPCS Level II, ICD-10-CM, ICD-10-PCS
a. CPT, HCPCS Level II and ICD-10-CM
In what year was HITECH enacted as part of the American Recovery
and Reinvestment Act?
a. 2010
b. 2009
c. 2000
d. 2007
,b. 2009
Voluntary compliance programs also provide benefits by not only
helping to prevent erroneous or ____, but also by showing that the
provider practice is making additional good faith efforts to submit
claims appropriately.
a. Over utilized codes
b. Duplicative claims
c. Fraudulent claims
d. Mistaken principals
c. Fraudulent claims
Which CMS product describes whether specific medical items,
services, treatment procedures or technologies are considered
medically necessary under Medicare?
a. Medicare Claims Processing Manual
b. National Coverage Determinations Manual
c. Relative Value Files
d. Medicare Physician Fee Schedule Final Rule
b. National Coverage Determinations Manual
Which condition results from an injury to the head? The symptoms
include headache, dizziness and vomiting.
a. Meningitis
b. Concussion
c. Epilepsy
d. Parkinson's disease
b. Concussion
In order, starting with the innermost layer, what are the four walls of
the digestive tract?
a. Mucosa, submucosa, muscle, serosa
b. Serosa, mucosa, submucosa, muscle
c. Mucosa, submucosa, serosa, muscle
d. Muscle, submucosa, mucosa, serosa
a. Mucosa, submucosa, muscle, serosa
Which one of the following best describes psoriasis?
a. A chronic condition characterized by red, dry, elevated lesions,
covered by silvery scales
,b. An inflammatory condition characterized by redness pustular and
vesicular lesions, crusts, and scales
c. An allergic reaction characterized by wheals and generally
accompanied by pruritus
d. A contagious infection of skin generally caused by staphylococcus
bacterium
a. A chronic condition characterized by red, dry, elevated lesions,
covered by silvery scales
A form of milk produced the first few days after giving birth is:
a. Prolactin
b. Colostrum
c. Lactose
d. Chorion
b. Colostrum
A condition where the thyroid is overactive is called:
a. Thyrotoxicosis
b. Panhypopituitarism
c. Ketosis
d. Thyroiditis
a. Thyrotoxicosis
What do the instructions and conventions of the classification take
precedence over?
a. CPT
b. Documentation
c. Official Coding Guidelines
d. Nothing. They are only used in the event of no other instruction.
c. Official Coding Guidelines
What is the sequencing order when coding a sequela (late effect)?
a. They symptom is coded first followed by the residual condition and
the late effect code
b. The cause of the late effect is coded first and the residual condition
is coded second
c. The cause of the late effect is coded first; the residual condition is
second followed by the symptoms
d. The residual condition is coded first, and the code(s)for the cause
of the late effect are coded as secondary
, d. The residual condition is coded first, and the code(s)for the cause
of the late effect are coded as secondary
Using the ICD-10-CM Alphabetic Index, which main term below has an
instructional note indicating another main term may also be
referenced that may provide additional Alphabetic Index entries that
may be useful?
a. Diabetes
b. Fibrosarcoma
c. Appendicitis
d. Symptoms
b. Fibrosarcoma
A 50-year-old female presents to her provider with symptoms of
insomnia and upset stomach. The provider suspects she is
premenopausal. She is diagnosed with impending menopause. What
diagnosis code(s) should be reported?
a. E28.319
b. G47.00, K30
c. N95.9, G47.00, K30
d. N95.9
b. G47.00, K30
Rationale: ICD-10-CM guideline I.B.11 states to reference the ICD-10-
CM Alphabetic Index to determine if the condition has a subentry for
impending or threatened and also reference main term entries for
Impending and Threatened. If the subterms are listed, assign the
given code. If the subterms are not listed, code the existing
underlying condition(s) and not the condition described as impending
or threatened. Look in the Alphabetic Index for Impending. There is
not a subterm for menopause; therefore, the symptoms are coded.
Look for Insomnia (organic) which directs the coder to G47.00. Next,
look for Upset/stomach which directs the coder to K30. Verify code
selection in the Tabular List.
What is the ICD-10-CM code for a laceration on the left shoulder,
subsequent encounter?
a. S51.009D
b. S46.001D
