AAPC CPC FINAL EXAM
PRACTICE EXAM NEWEST
2026 ACTUAL EXAM
(2025-2026)
Question and Answers
Expert Verified
(With A+ Grades Guarantee)
,What form is used to submit a provider's charge to the c. CMS-1500
insurance carrier?
a. UB-04
b. Provider reimbursement form
c. CMS-1500
d. ABN
Which coding manuals do outpatient coders focus on a. CPT, HCPCS Level II and ICD-10-CM
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
In what year was HITECH enacted as part of the American b. 2009
Recovery and Reinvestment Act?
a. 2010
b. 2009
c. 2000
d. 2007
Voluntary compliance programs also provide benefits by c. Fraudulent claims
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
Which CMS product describes whether specific medical b. National Coverage Determinations Manual
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
Which condition results from an injury to the head? The b. Concussion
symptoms include headache, dizziness and vomiting.
a. Meningitis
b. Concussion
c. Epilepsy
d. Parkinson's disease
In order, starting with the innermost layer, what are the four a. Mucosa, submucosa, muscle, serosa
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
Which one of the following best describes psoriasis? a. A chronic condition characterized by red, dry, elevated lesions, covered by silvery
scales
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 form of milk produced the first few days after giving birth b. Colostrum
is:
a. Prolactin
b. Colostrum
c. Lactose
d. Chorion
A condition where the thyroid is overactive is called: a. Thyrotoxicosis
a. Thyrotoxicosis
b. Panhypopituitarism
c. Ketosis
d. Thyroiditis
What do the instructions and conventions of the c. Official Coding Guidelines
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.
What is the sequencing order when coding a sequela (late d. The residual condition is coded first, and the code(s)for the cause of the late
effect)? effect are coded as secondary
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
Using the ICD-10-CM Alphabetic Index, which main term b. Fibrosarcoma
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
A 50-year-old female presents to her provider with b. G47.00, K30
symptoms of insomnia and upset stomach. The provider
suspects she is premenopausal. She is diagnosed with Rationale: ICD-10-CM guideline I.B.11 states to reference the ICD-10-CM
impending menopause. What diagnosis code(s) should be Alphabetic Index to determine if the condition has a subentry for impending or
reported? 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
a. E28.319 the existing underlying condition(s) and not the condition described as impending or
b. G47.00, K30 threatened. Look in the Alphabetic Index for Impending. There is not a subterm for
c. N95.9, G47.00, K30 menopause; therefore, the symptoms are coded. Look for Insomnia (organic) which
d. N95.9 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 d. S41.012D
shoulder, subsequent encounter?
a. S51.009D
b. S46.001D
c. S51.801D
d. S41.012D
PRACTICE EXAM NEWEST
2026 ACTUAL EXAM
(2025-2026)
Question and Answers
Expert Verified
(With A+ Grades Guarantee)
,What form is used to submit a provider's charge to the c. CMS-1500
insurance carrier?
a. UB-04
b. Provider reimbursement form
c. CMS-1500
d. ABN
Which coding manuals do outpatient coders focus on a. CPT, HCPCS Level II and ICD-10-CM
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
In what year was HITECH enacted as part of the American b. 2009
Recovery and Reinvestment Act?
a. 2010
b. 2009
c. 2000
d. 2007
Voluntary compliance programs also provide benefits by c. Fraudulent claims
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
Which CMS product describes whether specific medical b. National Coverage Determinations Manual
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
Which condition results from an injury to the head? The b. Concussion
symptoms include headache, dizziness and vomiting.
a. Meningitis
b. Concussion
c. Epilepsy
d. Parkinson's disease
In order, starting with the innermost layer, what are the four a. Mucosa, submucosa, muscle, serosa
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
Which one of the following best describes psoriasis? a. A chronic condition characterized by red, dry, elevated lesions, covered by silvery
scales
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 form of milk produced the first few days after giving birth b. Colostrum
is:
a. Prolactin
b. Colostrum
c. Lactose
d. Chorion
A condition where the thyroid is overactive is called: a. Thyrotoxicosis
a. Thyrotoxicosis
b. Panhypopituitarism
c. Ketosis
d. Thyroiditis
What do the instructions and conventions of the c. Official Coding Guidelines
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.
What is the sequencing order when coding a sequela (late d. The residual condition is coded first, and the code(s)for the cause of the late
effect)? effect are coded as secondary
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
Using the ICD-10-CM Alphabetic Index, which main term b. Fibrosarcoma
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
A 50-year-old female presents to her provider with b. G47.00, K30
symptoms of insomnia and upset stomach. The provider
suspects she is premenopausal. She is diagnosed with Rationale: ICD-10-CM guideline I.B.11 states to reference the ICD-10-CM
impending menopause. What diagnosis code(s) should be Alphabetic Index to determine if the condition has a subentry for impending or
reported? 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
a. E28.319 the existing underlying condition(s) and not the condition described as impending or
b. G47.00, K30 threatened. Look in the Alphabetic Index for Impending. There is not a subterm for
c. N95.9, G47.00, K30 menopause; therefore, the symptoms are coded. Look for Insomnia (organic) which
d. N95.9 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 d. S41.012D
shoulder, subsequent encounter?
a. S51.009D
b. S46.001D
c. S51.801D
d. S41.012D
