2019 AAPC CPC FINAL PRACTICE TEST
QUESTIONS AND ANSWERS
A covered entity does NOT include
km km km km km
a. Healthcare providers
km km km
b. Health plans
km km km
c. Patients
km km
d. Clearinghouses - ans-c. Patients
km km km km km
What does MAC stands for?km km km km
a. Medicare Administrative Contractor
km km km km
b. Medicare Advisory Contractor
km km km km
c. Medicaid Administrative Contractor
km km km km
d. Medicaid Alert Contractor - ans-a. Medicare Administrative Contractor
km km km km km km km km km
When are providers responsible for obtaining an ABN for a service NOT considered medicall
km km km km km km km km km km km km km
y necessary?
km
a. After providing a service or item to a beneficiary.
km km km km km km km km km km
b. Prior to providing a service or item to a beneficiary.
km km km km km km km km km km km
c. After a denial has been received from Medicare.
km km km km km km km km km
d. During a procedure or service. - ans-b. Prior to providing a service or item to a beneficiary
km km km km km km km km km km km km km km km km km km
AAPC credentialed coders have proven mastery of what information?
km km km km km km km km
a. Code sets
km km km
b. Evaluation and management principles
km km km km km
c. Documentation guidelines
km km km
d. All of the above - ans-d. All of the above
km km km km km km km km km km km
Local Coverage Determinations are administered by whom?
km km km km km km
a. LMRPs
km km
b. NCDs
km km
c. State Law
km km km
d. Each regional MAC - ans-d. Each regional MAC
km km km km km km km km km
Rationale: Each Medicare Administrative Contractor (MAC) is then responsible for interpretin
km km km km km km km km km km
g national policies into regional policies
km km km km km
Which of the following best describes constituent components of the human lymphatic syste
km km km km km km km km km km km km
m?
a. Lymph nodes, lymphatic vessels, spleen, thoracic duct
km km km km km km km km
b. Lymph nodes, lymphatic vessels, thymus gland, pancreas
km km km km km km km km
c. Lymph nodes, lymphatic vessels, tonsils, liver
km km km km km km km
d. Lymph nodes, lymphatic vessels, bone marrow, kidneys - ans-
km km km km km km km km km km
a. Lymph nodes, lymphatic vessels, spleen, thoracic duct
km km km km km km km
The term hemic specifically refers to what bodily fluid?
km km km km km km km km
a. Bile interstitial fluid
km km km km
b. Interstitial fluid
km km km
c. Blood
km km
d. Lymph - ans-c. Blood
km km km km km
,Which part of the brain controls blood pressure, heart rate and respiration?
km km km km km km km km km km km
a. Cerebellum
km km
b. Cerebrum
km km
c. Cortex
km km
d. Medulla - ans-d. Medulla
km km km km km
The radiology term fluoroscopy is described as:
km km km km km km
a. Use of high-frequency sound waves to image anatomic structures
km km km km km km km km km km
b. An X-ray procedure allowing the visualization of internal organs in motion
km km km km km km km km km km km km
c. Technique using magnetism, radio waves and a computer to produce images
km km km km km km km km km km km km
d. A scan using an X-ray beam rotating around the patient - ans-b. An X-
km km km km km km km km km km km km km km km
ray procedure allowing the visualization of internal organs in motion
km km km km km km km km km
Which of the following characterizes the disorder dystonia?
km km km km km km km
a. Difficulty swallowing
km km km
b. Slowness of motion
km km km km
c. Abnormal muscle tone causing abnormal postures and muscle spasm
km km km km km km km km km km
d. Impairment of speech - ans-
km km km km km km
c. Abnormal muscle tone causing abnormal postures and muscle spasm
km km km km km km km km km
In the ICD-10-CM Alphabetic Index what is the code next to the main term called?
km km km km km km km km km km km km km km
a. Category Code
km km km
b. Default Code
km km km
c. Unspecified Code
km km km
d. Subcategory Code - ans-b. Default Code
km km km km km km km
What is the ICD-10-CM code for eyestrain?
km km km km km km
a. H53.10
km km
b. H53.10, H53.10
km km km
c. H57.811, H57.812
km km km
d. H57.813 - ans-a. H53.10
km km km km km
What is the ICD-10-CM code for fatigue?
km km km km km km
a. R29.898
km km
b. F45.8
km km
c. F48.8
km km
d. R53.83 - ans-d. R53.83
km km km km km
A patient sees his primary care provider for chest pain and regurgitation. The provider's diagn
km km km km km km km km km km km km km km
osis for the patient is gastroesophageal reflux. What diagnosis code(s) should be reported?
km km km km km km km km km km km km
a. K21.9
km km
b. K21.9, R07.9, K21.9
km km km km
c. R07.9, R11.10
km km km
d. R07.9, R11.10, K21.9 - ans-a. K21.9
km km km km km km km
A 45 year-
km km
old female with malignant Mullerian duct cancer is receiving her first treatment of chemothera
km km km km km km km km km km km km km
py. What diagnosis codes are reported?
km km km km km
a. C79.82, Z51.11
km km km
b. C57.7, Z51.11
km km km
c. Z51.11, D28.7
km km km
d. Z51.11, C57.7 - ans-d. Z51.11, C57.7
km km km km km km km
, According to ICD-10- km km
CM guidelines, when a patient is seen for management of anemia due to malignancy, how is i
km km km km km km km km km km km km km km km km
t reported?
km
a. Anemia is the only condition reported.
km km km km km km km
b. The malignancy is the only condition reported.
km km km km km km km km
c. Anemia is reported first, followed by the code for the malignancy.
km km km km km km km km km km km km
d. The malignancy is reported first, followed by the code for the anemia. - ans-
km km km km km km km km km km km km km km km
d. The malignancy is reported first, followed by the code for the anemia.
km km km km km km km km km km km km
What ICD-10-CM code is reported for a patient who is a habitual abuser of cannabis?
km km km km km km km km km km km km km km
a. F12.159
km km
b. F12.129
km km
c. F12.121
km km
d. F12.10 - ans-d. F12.10
km km km km km
A patient presents to the ED with weakness on the left side and aphasia. Tests are ordered a
km km km km km km km km km km km km km km km km km
nd the patient is admitted with a cerebrovascular accident (CVA). What ICD-10-
km km km km km km km km km km km
CM code(s) is/are reported?
km km km
a. I67.89
km km
b. R53.1, R47.01
km km km
c. I63.50
km km
d. I63.9 - ans-d.
km km km km
A patient is admitted after being found unresponsive at home. The patient had right-
km km km km km km km km km km km km km
sided hemiplegia and aphasia from a previous CVA. The provider documents a current cereb
km km km km km km km km km km km km km
ral infarction due to occlusion of the right middle cerebral artery as the final diagnosis and the
km km km km km km km km km km km km km km km km km
patient is transferred for rehabilitation. What ICD-10-CM code(s) is/are reported?
km km km km km km km km km
a. I67.89, I69.959, I69.920
km km km km
b. I65.319
km km
c. I67.89, I69.954, R47.01
km km km km
d. I63.511, I69.351, I69.320 - ans-d. I63.511, I69.351, I69.320
km km km km km km km km km
Response Feedback: Rationale: Refer to ICD-10-CM guideline I.C.9.d.2. Look in the ICD-10-
km km km km km km km km km km km
CM Alphabetic Index for Infarct, infarction/cerebral/due to/occlusion NEC/
km km km km km km km
cerebral arteries directing you to code I63.5-. Report I63.511 Cerebral infarct due to unspecifi
km km km km km km km km km km km km km
ed occlusion or stenosis of right middle cerebral artery. This patient has a history of CVA with
km km km km km km km km km km km km km km km km km
right-sided hemiplegia and aphasia. Look in the Alphabetic Index for Sequelae (of)/
km km km km km km km km km km km
infarction/cerebral/hemiplegia which directs the coder to I69.35-. Also look for Sequelae/ km km km km km km km km km km
infarction/cerebral/
aphasia I69.320. Verify in the Tabular List I69.351 Hemiplegia and hemiparesis following cer
km km km km km km km km km km km km
ebral infarction affecting right dominant side.Per ICD-10-
km km km km km km
CM guideline I.C.9.d.1 because the right side was affected and we do not know the dominant
km km km km km km km km km km km km km km km km
side, the default for dominance is right
km km km km km km
Four years post hepatic transplant, the patient is diagnosed with combined hepatocellular car
km km km km km km km km km km km km
cinoma and cholangiocarcinoma of the liver. What ICD-10-CM codes are reported?
km km km km km km km km km km
a. T86.49, C80.2, C22.0, C22.1, Z94.4
km km km km km km
b. C80.2, C22.0
km km km
c. C80.2, C22.0, C22.1, Z94.4
km km km km km
d. T86.49, C80.2, C22.0 - ans-d. T86.49, C80.2, C22.0
km km km km km km km km km
What is NOT an example of active treatment for pathological fractures?
km km km km km km km km km km
a. Surgical treatment
km km km
b. Emergency department encounter
km km km km
QUESTIONS AND ANSWERS
A covered entity does NOT include
km km km km km
a. Healthcare providers
km km km
b. Health plans
km km km
c. Patients
km km
d. Clearinghouses - ans-c. Patients
km km km km km
What does MAC stands for?km km km km
a. Medicare Administrative Contractor
km km km km
b. Medicare Advisory Contractor
km km km km
c. Medicaid Administrative Contractor
km km km km
d. Medicaid Alert Contractor - ans-a. Medicare Administrative Contractor
km km km km km km km km km
When are providers responsible for obtaining an ABN for a service NOT considered medicall
km km km km km km km km km km km km km
y necessary?
km
a. After providing a service or item to a beneficiary.
km km km km km km km km km km
b. Prior to providing a service or item to a beneficiary.
km km km km km km km km km km km
c. After a denial has been received from Medicare.
km km km km km km km km km
d. During a procedure or service. - ans-b. Prior to providing a service or item to a beneficiary
km km km km km km km km km km km km km km km km km km
AAPC credentialed coders have proven mastery of what information?
km km km km km km km km
a. Code sets
km km km
b. Evaluation and management principles
km km km km km
c. Documentation guidelines
km km km
d. All of the above - ans-d. All of the above
km km km km km km km km km km km
Local Coverage Determinations are administered by whom?
km km km km km km
a. LMRPs
km km
b. NCDs
km km
c. State Law
km km km
d. Each regional MAC - ans-d. Each regional MAC
km km km km km km km km km
Rationale: Each Medicare Administrative Contractor (MAC) is then responsible for interpretin
km km km km km km km km km km
g national policies into regional policies
km km km km km
Which of the following best describes constituent components of the human lymphatic syste
km km km km km km km km km km km km
m?
a. Lymph nodes, lymphatic vessels, spleen, thoracic duct
km km km km km km km km
b. Lymph nodes, lymphatic vessels, thymus gland, pancreas
km km km km km km km km
c. Lymph nodes, lymphatic vessels, tonsils, liver
km km km km km km km
d. Lymph nodes, lymphatic vessels, bone marrow, kidneys - ans-
km km km km km km km km km km
a. Lymph nodes, lymphatic vessels, spleen, thoracic duct
km km km km km km km
The term hemic specifically refers to what bodily fluid?
km km km km km km km km
a. Bile interstitial fluid
km km km km
b. Interstitial fluid
km km km
c. Blood
km km
d. Lymph - ans-c. Blood
km km km km km
,Which part of the brain controls blood pressure, heart rate and respiration?
km km km km km km km km km km km
a. Cerebellum
km km
b. Cerebrum
km km
c. Cortex
km km
d. Medulla - ans-d. Medulla
km km km km km
The radiology term fluoroscopy is described as:
km km km km km km
a. Use of high-frequency sound waves to image anatomic structures
km km km km km km km km km km
b. An X-ray procedure allowing the visualization of internal organs in motion
km km km km km km km km km km km km
c. Technique using magnetism, radio waves and a computer to produce images
km km km km km km km km km km km km
d. A scan using an X-ray beam rotating around the patient - ans-b. An X-
km km km km km km km km km km km km km km km
ray procedure allowing the visualization of internal organs in motion
km km km km km km km km km
Which of the following characterizes the disorder dystonia?
km km km km km km km
a. Difficulty swallowing
km km km
b. Slowness of motion
km km km km
c. Abnormal muscle tone causing abnormal postures and muscle spasm
km km km km km km km km km km
d. Impairment of speech - ans-
km km km km km km
c. Abnormal muscle tone causing abnormal postures and muscle spasm
km km km km km km km km km
In the ICD-10-CM Alphabetic Index what is the code next to the main term called?
km km km km km km km km km km km km km km
a. Category Code
km km km
b. Default Code
km km km
c. Unspecified Code
km km km
d. Subcategory Code - ans-b. Default Code
km km km km km km km
What is the ICD-10-CM code for eyestrain?
km km km km km km
a. H53.10
km km
b. H53.10, H53.10
km km km
c. H57.811, H57.812
km km km
d. H57.813 - ans-a. H53.10
km km km km km
What is the ICD-10-CM code for fatigue?
km km km km km km
a. R29.898
km km
b. F45.8
km km
c. F48.8
km km
d. R53.83 - ans-d. R53.83
km km km km km
A patient sees his primary care provider for chest pain and regurgitation. The provider's diagn
km km km km km km km km km km km km km km
osis for the patient is gastroesophageal reflux. What diagnosis code(s) should be reported?
km km km km km km km km km km km km
a. K21.9
km km
b. K21.9, R07.9, K21.9
km km km km
c. R07.9, R11.10
km km km
d. R07.9, R11.10, K21.9 - ans-a. K21.9
km km km km km km km
A 45 year-
km km
old female with malignant Mullerian duct cancer is receiving her first treatment of chemothera
km km km km km km km km km km km km km
py. What diagnosis codes are reported?
km km km km km
a. C79.82, Z51.11
km km km
b. C57.7, Z51.11
km km km
c. Z51.11, D28.7
km km km
d. Z51.11, C57.7 - ans-d. Z51.11, C57.7
km km km km km km km
, According to ICD-10- km km
CM guidelines, when a patient is seen for management of anemia due to malignancy, how is i
km km km km km km km km km km km km km km km km
t reported?
km
a. Anemia is the only condition reported.
km km km km km km km
b. The malignancy is the only condition reported.
km km km km km km km km
c. Anemia is reported first, followed by the code for the malignancy.
km km km km km km km km km km km km
d. The malignancy is reported first, followed by the code for the anemia. - ans-
km km km km km km km km km km km km km km km
d. The malignancy is reported first, followed by the code for the anemia.
km km km km km km km km km km km km
What ICD-10-CM code is reported for a patient who is a habitual abuser of cannabis?
km km km km km km km km km km km km km km
a. F12.159
km km
b. F12.129
km km
c. F12.121
km km
d. F12.10 - ans-d. F12.10
km km km km km
A patient presents to the ED with weakness on the left side and aphasia. Tests are ordered a
km km km km km km km km km km km km km km km km km
nd the patient is admitted with a cerebrovascular accident (CVA). What ICD-10-
km km km km km km km km km km km
CM code(s) is/are reported?
km km km
a. I67.89
km km
b. R53.1, R47.01
km km km
c. I63.50
km km
d. I63.9 - ans-d.
km km km km
A patient is admitted after being found unresponsive at home. The patient had right-
km km km km km km km km km km km km km
sided hemiplegia and aphasia from a previous CVA. The provider documents a current cereb
km km km km km km km km km km km km km
ral infarction due to occlusion of the right middle cerebral artery as the final diagnosis and the
km km km km km km km km km km km km km km km km km
patient is transferred for rehabilitation. What ICD-10-CM code(s) is/are reported?
km km km km km km km km km
a. I67.89, I69.959, I69.920
km km km km
b. I65.319
km km
c. I67.89, I69.954, R47.01
km km km km
d. I63.511, I69.351, I69.320 - ans-d. I63.511, I69.351, I69.320
km km km km km km km km km
Response Feedback: Rationale: Refer to ICD-10-CM guideline I.C.9.d.2. Look in the ICD-10-
km km km km km km km km km km km
CM Alphabetic Index for Infarct, infarction/cerebral/due to/occlusion NEC/
km km km km km km km
cerebral arteries directing you to code I63.5-. Report I63.511 Cerebral infarct due to unspecifi
km km km km km km km km km km km km km
ed occlusion or stenosis of right middle cerebral artery. This patient has a history of CVA with
km km km km km km km km km km km km km km km km km
right-sided hemiplegia and aphasia. Look in the Alphabetic Index for Sequelae (of)/
km km km km km km km km km km km
infarction/cerebral/hemiplegia which directs the coder to I69.35-. Also look for Sequelae/ km km km km km km km km km km
infarction/cerebral/
aphasia I69.320. Verify in the Tabular List I69.351 Hemiplegia and hemiparesis following cer
km km km km km km km km km km km km
ebral infarction affecting right dominant side.Per ICD-10-
km km km km km km
CM guideline I.C.9.d.1 because the right side was affected and we do not know the dominant
km km km km km km km km km km km km km km km km
side, the default for dominance is right
km km km km km km
Four years post hepatic transplant, the patient is diagnosed with combined hepatocellular car
km km km km km km km km km km km km
cinoma and cholangiocarcinoma of the liver. What ICD-10-CM codes are reported?
km km km km km km km km km km
a. T86.49, C80.2, C22.0, C22.1, Z94.4
km km km km km km
b. C80.2, C22.0
km km km
c. C80.2, C22.0, C22.1, Z94.4
km km km km km
d. T86.49, C80.2, C22.0 - ans-d. T86.49, C80.2, C22.0
km km km km km km km km km
What is NOT an example of active treatment for pathological fractures?
km km km km km km km km km km
a. Surgical treatment
km km km
b. Emergency department encounter
km km km km
