AAPC CPC FINAL EXAM PREPARATION REAL
EXAM 3 LATEST VERSIONS QUESTIONS
AND CORRECT ANSWERS ||BRAND NEW!!
Version 1 (Questions 1-50)
1. A 75-year-old patient with a history of COPD presents
with an acute exacerbation. The physician performs a
comprehensive history, comprehensive exam, and high-
complexity medical decision making. What is the correct
level of E/M service for a new patient?
A. 99202
B. 99204
C. 99215
D. 99205
Correct Answer: D. 99205
Rationale: For new patients, E/M levels are 99201-99205. A
comprehensive history and exam with high-complexity MDM
map to level 5 (99205). 99215 is for established patients.
2. During a colonoscopy, the physician removes a 2.5 cm
polyp in the ascending colon using a snare technique. What
is the correct CPT code?
,A. 45380
B. 45385
C. 45384
D. 45388
Correct Answer: B. 45385
Rationale: Code 45385 describes colonoscopy with removal of
a tumor or polyp by snare technique. 45380 is for biopsy,
45384 is for hot biopsy forceps, and 45388 is for ablation.
3. What modifier is used to indicate that a procedure was
performed bilaterally?
A. Modifier 50
B. Modifier 51
C. Modifier 59
D. Modifier RT
Correct Answer: A. Modifier 50
Rationale: Modifier 50 is specifically for bilateral procedures
performed during the same operative session. Modifier 51 is
for multiple procedures, 59 is for distinct procedural service,
and RT/LT are for right/left side.
4. A patient is seen for a routine prenatal visit. The
patient is at 28 weeks gestation with a normal,
uncomplicated pregnancy. What is the appropriate ICD-
10-CM code?
,A. Z34.01
B. O09.90
C. Z34.00
D. O09.891
Correct Answer: A. Z34.01
Rationale: Z34.01 is for supervision of normal first pregnancy,
first trimester. Since the patient is at 28 weeks (third
trimester) and the question states routine prenatal visit,
Z34.01 is the most appropriate code for a normal pregnancy.
5. A patient falls from a ladder and sustains a closed,
displaced fracture of the left tibial shaft. The physician
performs an open reduction with internal fixation (ORIF)
using a plate and screws. What is the correct CPT code?
A. 27756
B. 27758
C. 27759
D. 27506
Correct Answer: C. 27759
Rationale: 27759 describes ORIF of a tibial shaft fracture
with plate/screws. 27756 is for percutaneous fixation, 27758
is for ORIF without plate/screws, and 27506 is for the
femur.
, 6. According to the ICD-10-CM Official Guidelines, what
is the correct coding for sepsis due to a central line
infection?
A. A41.9, T80.211A
B. T80.211A, A41.9
C. R65.20, A41.9
D. A41.9, R65.20
Correct Answer: A. A41.9, T80.211A
Rationale: The sepsis code (A41.9) is sequenced first, followed
by the code for the central line infection (T80.211A) to
identify the cause. Severe sepsis would require a code for the
organ dysfunction.
7. A patient undergoes a total knee arthroplasty. The
surgeon uses a prosthesis. What is the correct CPT code?
A. 27447
B. 27445
C. 27440
D. 27446
Correct Answer: A. 27447
Rationale: 27447 is the correct code for total knee
arthroplasty. 27445 is for a hemiarthroplasty
(unicompartmental), 27440 is for arthroplasty with
osteotomy, and 27446 is for arthroplasty with patellectomy.
EXAM 3 LATEST VERSIONS QUESTIONS
AND CORRECT ANSWERS ||BRAND NEW!!
Version 1 (Questions 1-50)
1. A 75-year-old patient with a history of COPD presents
with an acute exacerbation. The physician performs a
comprehensive history, comprehensive exam, and high-
complexity medical decision making. What is the correct
level of E/M service for a new patient?
A. 99202
B. 99204
C. 99215
D. 99205
Correct Answer: D. 99205
Rationale: For new patients, E/M levels are 99201-99205. A
comprehensive history and exam with high-complexity MDM
map to level 5 (99205). 99215 is for established patients.
2. During a colonoscopy, the physician removes a 2.5 cm
polyp in the ascending colon using a snare technique. What
is the correct CPT code?
,A. 45380
B. 45385
C. 45384
D. 45388
Correct Answer: B. 45385
Rationale: Code 45385 describes colonoscopy with removal of
a tumor or polyp by snare technique. 45380 is for biopsy,
45384 is for hot biopsy forceps, and 45388 is for ablation.
3. What modifier is used to indicate that a procedure was
performed bilaterally?
A. Modifier 50
B. Modifier 51
C. Modifier 59
D. Modifier RT
Correct Answer: A. Modifier 50
Rationale: Modifier 50 is specifically for bilateral procedures
performed during the same operative session. Modifier 51 is
for multiple procedures, 59 is for distinct procedural service,
and RT/LT are for right/left side.
4. A patient is seen for a routine prenatal visit. The
patient is at 28 weeks gestation with a normal,
uncomplicated pregnancy. What is the appropriate ICD-
10-CM code?
,A. Z34.01
B. O09.90
C. Z34.00
D. O09.891
Correct Answer: A. Z34.01
Rationale: Z34.01 is for supervision of normal first pregnancy,
first trimester. Since the patient is at 28 weeks (third
trimester) and the question states routine prenatal visit,
Z34.01 is the most appropriate code for a normal pregnancy.
5. A patient falls from a ladder and sustains a closed,
displaced fracture of the left tibial shaft. The physician
performs an open reduction with internal fixation (ORIF)
using a plate and screws. What is the correct CPT code?
A. 27756
B. 27758
C. 27759
D. 27506
Correct Answer: C. 27759
Rationale: 27759 describes ORIF of a tibial shaft fracture
with plate/screws. 27756 is for percutaneous fixation, 27758
is for ORIF without plate/screws, and 27506 is for the
femur.
, 6. According to the ICD-10-CM Official Guidelines, what
is the correct coding for sepsis due to a central line
infection?
A. A41.9, T80.211A
B. T80.211A, A41.9
C. R65.20, A41.9
D. A41.9, R65.20
Correct Answer: A. A41.9, T80.211A
Rationale: The sepsis code (A41.9) is sequenced first, followed
by the code for the central line infection (T80.211A) to
identify the cause. Severe sepsis would require a code for the
organ dysfunction.
7. A patient undergoes a total knee arthroplasty. The
surgeon uses a prosthesis. What is the correct CPT code?
A. 27447
B. 27445
C. 27440
D. 27446
Correct Answer: A. 27447
Rationale: 27447 is the correct code for total knee
arthroplasty. 27445 is for a hemiarthroplasty
(unicompartmental), 27440 is for arthroplasty with
osteotomy, and 27446 is for arthroplasty with patellectomy.
