AAPC CPC Exam LATEST EXAM PACK
2026 Question and Answer | Previously
Tested Papers with Verified Solutions
• Who is responsible for enforcing the HIPAA security rule -✓✓Office of Civil Rights
(OCR)
• ABN -✓✓Advance Beneficiary Notice
• According to the OIG, internal monitoring and auditing should be performed by what
means? -✓✓Periodic audits
• What does the abbreviation MAC stand for? -✓✓Medicare Administrative Contractor
• How many lobes make up the RIGHT lung? -✓✓the right has 3 lobes
the left has 2 lobes
• Condition in which the endometrial tissue is found outside of the uterus. -
✓✓Endometriosis
• A thin membrane lining the chambers of the heart and valves is called the: -
✓✓endocardium
• PHI -✓✓Protected Health Information
• What is the TRUE statement in reporting pressure ulcers? -✓✓Two codes are
assigned when a patient is admitted with a pressure ulcer that evolves to another stage
during the admission.
• The acronym MMRV stands for what? -✓✓measles, mumps, rubella, and varicella
• Which of the following is not part of the small intestine?
a. duodenum
b. ileum
c. jejunum
d. cecum -✓✓d. cecum
• Healthcare providers are responsible for developing ______________ policies and
procedures regarding privacy in their practices.
a. Patient hotline
b. Work around procedures
c. Fees
,d. Notices of Privacy Practices -✓✓Notices of Privacy Practices
• A part of the male genital system sitting below the urinary bladder and surrounding the
urethra is called the:
a. testis
b. scrotum
c. prostate
d. epididymis -✓✓c. Prostate
• What is the Rinne test?
a. Test using music as the focal point
b. test for hearing loss using a vibrating tuning fork placed at the center of the head
c. test using a 2-syllable word with equal stress on each syllable
d. test measuring hearing using bone conduction and air conduction -✓✓d. test
measuring hearing using bone conduction and air conduction
• What is the difference between entropion and ectropion?
A. Entropion is the inward turning of the eyelid and ectropion is the outward turning of
the eyelid.
B. Entropion is facial droop and ectropion is a facial spasm.
C. Entropion is the outward turning of the hands and ectropion is the inward turning of
the hands.
D. Entropion inward turning of the feet and ectropion is the outward turning of the feet
due to muscle disorder. -✓✓a. entropion is the inward turning of the eyelid and
ectropion is the outward turning of the eyelid.
• An arteriovenous anastomosis is used to increase blood flow in hemodialysis. Which
one of the following describes a direct arteriovenous anastomosis?
A. Insertion of a cannula
B. A section of artery and a neighboring vein are joined
C. A donor's vein is used to connect an artery and a vein
D. Radical hysterectomy not otherwise specified
E. A synthetic vein is used to connect an artery and a vein -✓✓b. a section of the artery
and a neighboring vein are joined
• Ventral, umbilical, spigelian and incisional are types of:
A. Surgical approaches
B. Hernias
C. Organs found in the digestive system
D. Cardiac catheterizations -✓✓b. hernias
• When a patient is having a tenotomy performed on the abductor hallucis muscle,
where is this muscle located?
A. Foot
B. Upper Arm
C. Upper Leg
,D. Hand -✓✓a. foot
• Which statement is TRUE when reporting pregnancy codes (O00-O9A):
A. These codes can be used on the maternal and baby records.
B. These codes have sequencing priority over codes from other chapters.
C. Code Z33.1 should always be reported with these codes.
D. The seventh character assigned to these codes only indicate a complication during
the pregnancy. -✓✓B: These codes have sequencing priority over codes from other
chapters
• Which statement is TRUE about reporting codes for diabetes mellitus?
A. If the type of diabetes mellitus is not documented in the medical record the default
type is E11.- Type 2 diabetes mellitus.
B. When a patient uses insulin, Type 1 is always reported.
C. The age of the patient is a sole determining factor to report Type 1
. D. When assigning codes for diabetes and its associated condition(s), the code(s) from
category E08-E13 are not reported as a primary code. -✓✓a. if the type of diabetes
mellitus is not documented in the medical record, the default type is E11: type 2
diabetes mellitus
• Which statement is TRUE for reporting external cause codes of morbidity (V00-Y99)?
A. All external cause codes do not require a seventh character.
B. Only report one external cause code to fully explain each cause.
C. Report code Y92.9 if the place of occurrence is not stated.
D. External cause codes should never be sequenced as a first-listed or primary code -
✓✓d. external cause codes should never be sequenced as a first-listed or primary code
• What is NOT included in CPT® surgical package?
A. Typical postoperative follow-up care
B. One related Evaluation and Management service on the same date of the procedure
C. Returning to the operating room the next day for a complication resulting from the
initial procedure
D. Evaluating the patient in the post-anesthesia recovery area -✓✓c. returning to the
operating room the next day for a complication resulting from the initial procedure
• What is the term used for inflammation of the bone and bone marrow?
A. Chondromatosis
B. Osteochondritis
C. Costochondritis
D. Osteomyelitis -✓✓d. osteomyelitis
• The root word trich/o means:
A. Hair
B. Sebum
C. Eyelid
, D. Trachea -✓✓a. hair
• Complete this series: Frontal lobe, Parietal lobe, Temporal lobe, ____________.
A. Medulla lobe
B. Occipital lobe
C. Middle lobe
D. Inferior lobe -✓✓d. occipital lobe
• A patient is having pyeloplasty performed to treat an uretero-pelvic junction
obstruction. What is being performed?
A. Surgical repair of the bladder
B. Removal of the kidney
C. Cutting into the ureter
D. Surgical reconstruction of the renal pelvis -✓✓d. surgical reconstruction of the renal
pelvis
• A patient that has cirrhosis of the liver just had an endoscopy performed showing
hemorrhagic esophageal varices. The ICD-10-CM codes are reported:
A. I85.01, K74.69
B. I85.11, K74.60
C. K74.60, I85.11
D. I85.00, K74.69 -✓✓In the ICD-10-CM Alphabetic Index look for
Varix/esophagus/in/cirrhosis of liver/bleeding referring you to code I85.11. This
eliminates multiple choices A and D. In the Tabular List you will see an instructional
note above codes I85.10 and I85.11 to Code first underlying disease. For the scenario,
cirrhosis of liver (K74.60) is coded first then the esophageal varices with bleeding is
coded as a secondary code. Eliminating multiple choice B.
correct answer is C. K74.60, I85.11
• Which statement is TRUE about Z codes:
A. Z codes are never reported as a primary code.
B. Z codes are only reported with injury codes.
C. Z codes may be used either as a primary code or a secondary code.
D. Z codes are always reported as a secondary code. -✓✓c. Z codes may be used
wither as a primary code or a secondary code
• Guidelines from which of the following code sets are included as part of the code set
requirements under HIPAA?
A. CPT® Category III codes
B. ICD-10-CM
C. HCPCS Level II
D. ADA Dental Codes -✓✓ICD-10-CM guidelines are the only guidelines specifically
mentioned in HIPAA. While HIPAA requires the use of the other code sets listed, there
is no specific mention of the other guidelines in the law. This information is found in the
ICD-10-CM Official Guidelines for Coding and Reported in you ICD-10-CM codebook:
These guidelines are a set of rules that have been developed to accompany and
2026 Question and Answer | Previously
Tested Papers with Verified Solutions
• Who is responsible for enforcing the HIPAA security rule -✓✓Office of Civil Rights
(OCR)
• ABN -✓✓Advance Beneficiary Notice
• According to the OIG, internal monitoring and auditing should be performed by what
means? -✓✓Periodic audits
• What does the abbreviation MAC stand for? -✓✓Medicare Administrative Contractor
• How many lobes make up the RIGHT lung? -✓✓the right has 3 lobes
the left has 2 lobes
• Condition in which the endometrial tissue is found outside of the uterus. -
✓✓Endometriosis
• A thin membrane lining the chambers of the heart and valves is called the: -
✓✓endocardium
• PHI -✓✓Protected Health Information
• What is the TRUE statement in reporting pressure ulcers? -✓✓Two codes are
assigned when a patient is admitted with a pressure ulcer that evolves to another stage
during the admission.
• The acronym MMRV stands for what? -✓✓measles, mumps, rubella, and varicella
• Which of the following is not part of the small intestine?
a. duodenum
b. ileum
c. jejunum
d. cecum -✓✓d. cecum
• Healthcare providers are responsible for developing ______________ policies and
procedures regarding privacy in their practices.
a. Patient hotline
b. Work around procedures
c. Fees
,d. Notices of Privacy Practices -✓✓Notices of Privacy Practices
• A part of the male genital system sitting below the urinary bladder and surrounding the
urethra is called the:
a. testis
b. scrotum
c. prostate
d. epididymis -✓✓c. Prostate
• What is the Rinne test?
a. Test using music as the focal point
b. test for hearing loss using a vibrating tuning fork placed at the center of the head
c. test using a 2-syllable word with equal stress on each syllable
d. test measuring hearing using bone conduction and air conduction -✓✓d. test
measuring hearing using bone conduction and air conduction
• What is the difference between entropion and ectropion?
A. Entropion is the inward turning of the eyelid and ectropion is the outward turning of
the eyelid.
B. Entropion is facial droop and ectropion is a facial spasm.
C. Entropion is the outward turning of the hands and ectropion is the inward turning of
the hands.
D. Entropion inward turning of the feet and ectropion is the outward turning of the feet
due to muscle disorder. -✓✓a. entropion is the inward turning of the eyelid and
ectropion is the outward turning of the eyelid.
• An arteriovenous anastomosis is used to increase blood flow in hemodialysis. Which
one of the following describes a direct arteriovenous anastomosis?
A. Insertion of a cannula
B. A section of artery and a neighboring vein are joined
C. A donor's vein is used to connect an artery and a vein
D. Radical hysterectomy not otherwise specified
E. A synthetic vein is used to connect an artery and a vein -✓✓b. a section of the artery
and a neighboring vein are joined
• Ventral, umbilical, spigelian and incisional are types of:
A. Surgical approaches
B. Hernias
C. Organs found in the digestive system
D. Cardiac catheterizations -✓✓b. hernias
• When a patient is having a tenotomy performed on the abductor hallucis muscle,
where is this muscle located?
A. Foot
B. Upper Arm
C. Upper Leg
,D. Hand -✓✓a. foot
• Which statement is TRUE when reporting pregnancy codes (O00-O9A):
A. These codes can be used on the maternal and baby records.
B. These codes have sequencing priority over codes from other chapters.
C. Code Z33.1 should always be reported with these codes.
D. The seventh character assigned to these codes only indicate a complication during
the pregnancy. -✓✓B: These codes have sequencing priority over codes from other
chapters
• Which statement is TRUE about reporting codes for diabetes mellitus?
A. If the type of diabetes mellitus is not documented in the medical record the default
type is E11.- Type 2 diabetes mellitus.
B. When a patient uses insulin, Type 1 is always reported.
C. The age of the patient is a sole determining factor to report Type 1
. D. When assigning codes for diabetes and its associated condition(s), the code(s) from
category E08-E13 are not reported as a primary code. -✓✓a. if the type of diabetes
mellitus is not documented in the medical record, the default type is E11: type 2
diabetes mellitus
• Which statement is TRUE for reporting external cause codes of morbidity (V00-Y99)?
A. All external cause codes do not require a seventh character.
B. Only report one external cause code to fully explain each cause.
C. Report code Y92.9 if the place of occurrence is not stated.
D. External cause codes should never be sequenced as a first-listed or primary code -
✓✓d. external cause codes should never be sequenced as a first-listed or primary code
• What is NOT included in CPT® surgical package?
A. Typical postoperative follow-up care
B. One related Evaluation and Management service on the same date of the procedure
C. Returning to the operating room the next day for a complication resulting from the
initial procedure
D. Evaluating the patient in the post-anesthesia recovery area -✓✓c. returning to the
operating room the next day for a complication resulting from the initial procedure
• What is the term used for inflammation of the bone and bone marrow?
A. Chondromatosis
B. Osteochondritis
C. Costochondritis
D. Osteomyelitis -✓✓d. osteomyelitis
• The root word trich/o means:
A. Hair
B. Sebum
C. Eyelid
, D. Trachea -✓✓a. hair
• Complete this series: Frontal lobe, Parietal lobe, Temporal lobe, ____________.
A. Medulla lobe
B. Occipital lobe
C. Middle lobe
D. Inferior lobe -✓✓d. occipital lobe
• A patient is having pyeloplasty performed to treat an uretero-pelvic junction
obstruction. What is being performed?
A. Surgical repair of the bladder
B. Removal of the kidney
C. Cutting into the ureter
D. Surgical reconstruction of the renal pelvis -✓✓d. surgical reconstruction of the renal
pelvis
• A patient that has cirrhosis of the liver just had an endoscopy performed showing
hemorrhagic esophageal varices. The ICD-10-CM codes are reported:
A. I85.01, K74.69
B. I85.11, K74.60
C. K74.60, I85.11
D. I85.00, K74.69 -✓✓In the ICD-10-CM Alphabetic Index look for
Varix/esophagus/in/cirrhosis of liver/bleeding referring you to code I85.11. This
eliminates multiple choices A and D. In the Tabular List you will see an instructional
note above codes I85.10 and I85.11 to Code first underlying disease. For the scenario,
cirrhosis of liver (K74.60) is coded first then the esophageal varices with bleeding is
coded as a secondary code. Eliminating multiple choice B.
correct answer is C. K74.60, I85.11
• Which statement is TRUE about Z codes:
A. Z codes are never reported as a primary code.
B. Z codes are only reported with injury codes.
C. Z codes may be used either as a primary code or a secondary code.
D. Z codes are always reported as a secondary code. -✓✓c. Z codes may be used
wither as a primary code or a secondary code
• Guidelines from which of the following code sets are included as part of the code set
requirements under HIPAA?
A. CPT® Category III codes
B. ICD-10-CM
C. HCPCS Level II
D. ADA Dental Codes -✓✓ICD-10-CM guidelines are the only guidelines specifically
mentioned in HIPAA. While HIPAA requires the use of the other code sets listed, there
is no specific mention of the other guidelines in the law. This information is found in the
ICD-10-CM Official Guidelines for Coding and Reported in you ICD-10-CM codebook:
These guidelines are a set of rules that have been developed to accompany and
