AAPC CPC EOC EXAM 2026 TEST QUESTIONS AND
ANSWERS SURE A+
✔✔The patient is a 50-year-old gentleman who presented to the emergency room with
signs and symptoms of acute appendicitis with possible rupture. He has been brought to
the operating room. An infraumbilical incision was made which a 5-mm VersaStep™
trocar was inserted. A 5-mm 0- degree laparoscope was introduced. A second 5-mm
trocar was placed suprapubically and a 12-mm trocar in the left lower quadrant. A
window was made in the mesoappendix using blunt dissection with no rupture noted.
The base of the appendix was then divided and placed into an Endo-catch bag and the
12-mm defect was brought out. Select the appropriate code for this procedure:
A. 44970
B. 44950
C. 44960
D. 44979 - ✔✔A. 44970
✔✔A 45-year-old male is going to donate his kidney to his son. Operating ports where
placed in standard position and the scope was inserted. Dissection of the renal artery
and vein was performed isolating the kidney. The kidney was suspended only by the
renal artery and vein as well as the ureter. A stapler was used to divide the vein just
above the aorta and three clips across the ureter, extracting the kidney. This was placed
on ice and sent to the recipient room. The correct CPT® code is:
A. 50543
B. 50547
C. 50300
D. 50320 - ✔✔B. 50547
✔✔A 67-year-old female having urinary incontinence with intrinsic sphincter deficiency
is having a cystoscopy performed with a placement of a sling. An incision was made
over the mid urethra dissected laterally to urethropelvic ligament. Cystoscopy revealed
no penetration of the bladder. The edges of the sling were weaved around the junction
of the urethra and brought up to the suprapubic incision. A hemostat was then placed
between the sling and the urethra, ensuring no tension. What CPT® code(s) is (are)
reported?
A. 57288
B. 57287
C. 57288, 52000-51
D. 51992, 52000-51 - ✔✔A. 57288
✔✔A 16-day-old male baby is in the OR for a repeat circumcision due to redundant
foreskin that caused circumferential scarring from the original circumcision. Anesthetic
was injected and an incision was made at base of the foreskin. Foreskin was pulled
back and the excess foreskin was taken off and the two raw skin surfaces were sutured
together to create a circumferential anastomosis. Select the appropriate code for this
surgery:
,A. 54150
B. 54160
C. 54163
D. 54164 - ✔✔C. 54163
✔✔5 year-old female has a history of post void dribbling. She was found to have
extensive labial adhesions, which have been unresponsive to topical medical
management. She is brought to the operating suite in a supine position. Under general
anesthesia the labia majora is retracted and the granulating chronic adhesions were
incised midline both anteriorly and posteriorly. The adherent granulation tissue was
excised on either side. What code should be used for this procedure?
A. 58660
B. 58740
C. 57061
D. 56441 - ✔✔D. 56441
✔✔The patient is a 64 year-old female who is undergoing a removal of a previously
implanted Medtronic pain pump and catheter due to a possible infection. The back was
incised; dissection was carried down to the previously placed catheter. There was
evidence of infection with some fat necrosis in which cultures were taken. The
intrathecal portion of the catheter was removed. Next the pump pocket was incised and
the pump was dissected from the anterior fascia. A 7-mm Blake drain was placed in the
pump pocket through a stab incision and secured to the skin with interrupted Prolene.
The pump pocket was copiously irrigated with saline and closed in two layers. What are
the CPT® and ICD-10-CM codes for this procedure?
A. 62365, 62350-51, T85.898A, Z46.2
B. 62360, 62355-51, T85.79XA
C. 62365, 62355-51, T85.79XA
D. 36590, I97.42, T85.898A - ✔✔C. 62365, 62355-51, T85.79XA
✔✔The patient is a 73 year-old gentleman who was noted to have progressive gait
instability over the past several months. Magnetic resonance imaging demonstrated a
ventriculomegaly. It was recommended that the patient proceed forward with right
frontal ventriculoperitoneal shunt placement with Codman® programmable valve. What
is the correct code for this surgery?
A. 62220
B. 62223
C. 62190
D. 62192 - ✔✔B. 62223
✔✔What is the CPT® code for the decompression of the median nerve found in the
space in the wrist on the palmar side?
A. 64704
B. 64713
C. 64721
,D. 64719 - ✔✔C. 64721
✔✔A 2-year-old male has a chalazion on both upper and lower lid of the right eye. He
was placed under general anesthesia. With a #11 blade the chalazion was incised and
a small curette was then used to retrieve any granulomatous material on both lids. What
CPT® code should be used for this procedure?
A. 67801
B. 67805
C. 67800
D. 67808 - ✔✔D. 67808
✔✔An 80-year-old patient is returning to the gynecologist's office for pessary cleaning.
Patient offers no complaints. The nurse removes and cleans the pessary, vagina is
swabbed with betadine, and pessary replaced. For F/U in 4 months. What CPT® and
ICD-10-CM codes are reported for this service?
A. 99201, Z46.89
B. 99211, Z46.89
C. 99202, Z46.9
D. 99212, Z46.9 - ✔✔B. 99211, Z46.89
✔✔Patient was in the ER complaining of constipation with nausea and vomiting when
taking Zovirax for his herpes zoster and Percocet for pain. His primary care physician
came to the ER and admitted him to the hospital for intravenous therapy and
management of this problem. His physician documented a detailed history,
comprehensive examination and a medical decision making of moderate complexity.
Which E/M service is reported?
A. 99285
B. 99284
C. 99221
D. 99222 - ✔✔C. 99221
✔✔A 20-day-old infant was seen in the ER by the neonatologist admitting the baby to
NICU for cyanosis and rapid breathing. The neonatologist performed intubation,
ventilation management and a complete echocardiogram in the NICU and provided a
report for the echocardiography which did indicate congenital heart disease. Select the
correct codes for the physician service.
A. 99468-25, 93303-26
B. 99471-25, 31500, 94002, 93303-26
C. 99460-25, 31500, 94002, 93303-26
D. 99291-25, 93303-26 - ✔✔A. 99468-25, 93303-26
✔✔A 42-year-old with renal pelvis cancer receives general anesthesia for a
laparoscopic radical nephrectomy. The patient has controlled type 2 diabetes otherwise
no other co-morbidities. What is the correct CPT® and ICD-10-CM code for the
anesthesia services?
, A. 00860-P1, C64.9, E11.9
B. 00840-P3, C65.9, E11.9
C. 00862-P2, C65.9, E11.9
D. 00868-P2, C79.02, E11.9 - ✔✔C. 00862-P2, C65.9, E11.9
✔✔A healthy 32-year-old with a closed distal radius fracture received monitored
anesthesia care for an ORIF of the distal radius. What is the code for the anesthesia
service?
A. 01830-P1
B. 01860-QS-P1
C. 01830-QS-P1
D. 01860-QS-G9-P1 - ✔✔C. 01830-QS-P1
✔✔A 10-month-old child is taken to the operating room for removal of a laryngeal mass.
What is (are) the appropriate anesthesia code(s) to report?
A. 00320
B. 00326
C. 00320, 99100
D. 00326, 99100 - ✔✔B. 00326
✔✔A catheter is placed in the left common femoral artery which was directed into the
right the external iliac (antegrade). Dye was injected and a right lower extremity
angiogram was performed which revealed patency of the common femoral and
profunda femoris. The catheter was then manipulated into the superficial femoral artery
(retrograde) in which a lower extremity angiogram was performed which revealed
occlusion from the popliteal to the tibioperoneal artery. What are the procedure codes
that describe this procedure?
A. 36217, 75736-26
B. 36247, 75716-26
C. 36217, 75756-26
D. 36247, 75710-26 - ✔✔D. 36247, 75710-26
✔✔56-year-old female is having a bilateral mammogram with computer aid detection
conducted as a screening because the patient has a family history of breast cancer.
She does not presently have signs or symptoms of breast disease. What radiological
services are reported?
A. 77065 x 2
B. 77065, 77066
C. 77067
D. 77066 - ✔✔C. 77067
✔✔A 63-year-old patient with bilateral ureteral obstruction presents to an outpatient
facility for placement of a right and left ureteral stent along with an interpretation of a
retrograde pyelogram. What codes should be reported?
A. 52332, 74425
ANSWERS SURE A+
✔✔The patient is a 50-year-old gentleman who presented to the emergency room with
signs and symptoms of acute appendicitis with possible rupture. He has been brought to
the operating room. An infraumbilical incision was made which a 5-mm VersaStep™
trocar was inserted. A 5-mm 0- degree laparoscope was introduced. A second 5-mm
trocar was placed suprapubically and a 12-mm trocar in the left lower quadrant. A
window was made in the mesoappendix using blunt dissection with no rupture noted.
The base of the appendix was then divided and placed into an Endo-catch bag and the
12-mm defect was brought out. Select the appropriate code for this procedure:
A. 44970
B. 44950
C. 44960
D. 44979 - ✔✔A. 44970
✔✔A 45-year-old male is going to donate his kidney to his son. Operating ports where
placed in standard position and the scope was inserted. Dissection of the renal artery
and vein was performed isolating the kidney. The kidney was suspended only by the
renal artery and vein as well as the ureter. A stapler was used to divide the vein just
above the aorta and three clips across the ureter, extracting the kidney. This was placed
on ice and sent to the recipient room. The correct CPT® code is:
A. 50543
B. 50547
C. 50300
D. 50320 - ✔✔B. 50547
✔✔A 67-year-old female having urinary incontinence with intrinsic sphincter deficiency
is having a cystoscopy performed with a placement of a sling. An incision was made
over the mid urethra dissected laterally to urethropelvic ligament. Cystoscopy revealed
no penetration of the bladder. The edges of the sling were weaved around the junction
of the urethra and brought up to the suprapubic incision. A hemostat was then placed
between the sling and the urethra, ensuring no tension. What CPT® code(s) is (are)
reported?
A. 57288
B. 57287
C. 57288, 52000-51
D. 51992, 52000-51 - ✔✔A. 57288
✔✔A 16-day-old male baby is in the OR for a repeat circumcision due to redundant
foreskin that caused circumferential scarring from the original circumcision. Anesthetic
was injected and an incision was made at base of the foreskin. Foreskin was pulled
back and the excess foreskin was taken off and the two raw skin surfaces were sutured
together to create a circumferential anastomosis. Select the appropriate code for this
surgery:
,A. 54150
B. 54160
C. 54163
D. 54164 - ✔✔C. 54163
✔✔5 year-old female has a history of post void dribbling. She was found to have
extensive labial adhesions, which have been unresponsive to topical medical
management. She is brought to the operating suite in a supine position. Under general
anesthesia the labia majora is retracted and the granulating chronic adhesions were
incised midline both anteriorly and posteriorly. The adherent granulation tissue was
excised on either side. What code should be used for this procedure?
A. 58660
B. 58740
C. 57061
D. 56441 - ✔✔D. 56441
✔✔The patient is a 64 year-old female who is undergoing a removal of a previously
implanted Medtronic pain pump and catheter due to a possible infection. The back was
incised; dissection was carried down to the previously placed catheter. There was
evidence of infection with some fat necrosis in which cultures were taken. The
intrathecal portion of the catheter was removed. Next the pump pocket was incised and
the pump was dissected from the anterior fascia. A 7-mm Blake drain was placed in the
pump pocket through a stab incision and secured to the skin with interrupted Prolene.
The pump pocket was copiously irrigated with saline and closed in two layers. What are
the CPT® and ICD-10-CM codes for this procedure?
A. 62365, 62350-51, T85.898A, Z46.2
B. 62360, 62355-51, T85.79XA
C. 62365, 62355-51, T85.79XA
D. 36590, I97.42, T85.898A - ✔✔C. 62365, 62355-51, T85.79XA
✔✔The patient is a 73 year-old gentleman who was noted to have progressive gait
instability over the past several months. Magnetic resonance imaging demonstrated a
ventriculomegaly. It was recommended that the patient proceed forward with right
frontal ventriculoperitoneal shunt placement with Codman® programmable valve. What
is the correct code for this surgery?
A. 62220
B. 62223
C. 62190
D. 62192 - ✔✔B. 62223
✔✔What is the CPT® code for the decompression of the median nerve found in the
space in the wrist on the palmar side?
A. 64704
B. 64713
C. 64721
,D. 64719 - ✔✔C. 64721
✔✔A 2-year-old male has a chalazion on both upper and lower lid of the right eye. He
was placed under general anesthesia. With a #11 blade the chalazion was incised and
a small curette was then used to retrieve any granulomatous material on both lids. What
CPT® code should be used for this procedure?
A. 67801
B. 67805
C. 67800
D. 67808 - ✔✔D. 67808
✔✔An 80-year-old patient is returning to the gynecologist's office for pessary cleaning.
Patient offers no complaints. The nurse removes and cleans the pessary, vagina is
swabbed with betadine, and pessary replaced. For F/U in 4 months. What CPT® and
ICD-10-CM codes are reported for this service?
A. 99201, Z46.89
B. 99211, Z46.89
C. 99202, Z46.9
D. 99212, Z46.9 - ✔✔B. 99211, Z46.89
✔✔Patient was in the ER complaining of constipation with nausea and vomiting when
taking Zovirax for his herpes zoster and Percocet for pain. His primary care physician
came to the ER and admitted him to the hospital for intravenous therapy and
management of this problem. His physician documented a detailed history,
comprehensive examination and a medical decision making of moderate complexity.
Which E/M service is reported?
A. 99285
B. 99284
C. 99221
D. 99222 - ✔✔C. 99221
✔✔A 20-day-old infant was seen in the ER by the neonatologist admitting the baby to
NICU for cyanosis and rapid breathing. The neonatologist performed intubation,
ventilation management and a complete echocardiogram in the NICU and provided a
report for the echocardiography which did indicate congenital heart disease. Select the
correct codes for the physician service.
A. 99468-25, 93303-26
B. 99471-25, 31500, 94002, 93303-26
C. 99460-25, 31500, 94002, 93303-26
D. 99291-25, 93303-26 - ✔✔A. 99468-25, 93303-26
✔✔A 42-year-old with renal pelvis cancer receives general anesthesia for a
laparoscopic radical nephrectomy. The patient has controlled type 2 diabetes otherwise
no other co-morbidities. What is the correct CPT® and ICD-10-CM code for the
anesthesia services?
, A. 00860-P1, C64.9, E11.9
B. 00840-P3, C65.9, E11.9
C. 00862-P2, C65.9, E11.9
D. 00868-P2, C79.02, E11.9 - ✔✔C. 00862-P2, C65.9, E11.9
✔✔A healthy 32-year-old with a closed distal radius fracture received monitored
anesthesia care for an ORIF of the distal radius. What is the code for the anesthesia
service?
A. 01830-P1
B. 01860-QS-P1
C. 01830-QS-P1
D. 01860-QS-G9-P1 - ✔✔C. 01830-QS-P1
✔✔A 10-month-old child is taken to the operating room for removal of a laryngeal mass.
What is (are) the appropriate anesthesia code(s) to report?
A. 00320
B. 00326
C. 00320, 99100
D. 00326, 99100 - ✔✔B. 00326
✔✔A catheter is placed in the left common femoral artery which was directed into the
right the external iliac (antegrade). Dye was injected and a right lower extremity
angiogram was performed which revealed patency of the common femoral and
profunda femoris. The catheter was then manipulated into the superficial femoral artery
(retrograde) in which a lower extremity angiogram was performed which revealed
occlusion from the popliteal to the tibioperoneal artery. What are the procedure codes
that describe this procedure?
A. 36217, 75736-26
B. 36247, 75716-26
C. 36217, 75756-26
D. 36247, 75710-26 - ✔✔D. 36247, 75710-26
✔✔56-year-old female is having a bilateral mammogram with computer aid detection
conducted as a screening because the patient has a family history of breast cancer.
She does not presently have signs or symptoms of breast disease. What radiological
services are reported?
A. 77065 x 2
B. 77065, 77066
C. 77067
D. 77066 - ✔✔C. 77067
✔✔A 63-year-old patient with bilateral ureteral obstruction presents to an outpatient
facility for placement of a right and left ureteral stent along with an interpretation of a
retrograde pyelogram. What codes should be reported?
A. 52332, 74425
