AAPC CERTIFIED PROFESSIONAL
CODER (CPC) ADVANCED PRACTICE
EXAM 2026
1. A patient undergoes a percutaneous needle core biopsy of the liver under ultrasound
guidance. Which CPT codes should be reported?
A. 47000
B. 47001, 76942
C. 47100, 76942
D. 47000, 76942
Answer: D
Conceptual Explanation: CPT 47000 is for a percutaneous needle core biopsy of the liver.
CPT 76942 is the code for the ultrasonic guidance for needle placement. CPT 47001 is an
add-on code for a biopsy done at the time of another major procedure.
2. According to the CPT coding guidelines for Evaluation and Management (E/M), which of
the following is NOT a component of Medical Decision Making (MDM)?
A. The number and complexity of problems addressed
,B. The amount and/or complexity of data to be reviewed and analyzed
C. The time spent by the physician in direct contact with the patient
D. The risk of complications and/or morbidity or mortality of patient management
Answer: C
Conceptual Explanation: MDM is defined by the number/complexity of problems, data
review, and risk. Time is a separate way to level E/M services, but it is not a sub-
component of the MDM calculation itself.
3. A 45-year-old male is diagnosed with an acute myocardial infarction of the anterolateral
wall. What is the correct ICD-10-CM code?
A. I21.09
B. I21.3
C. I21.4
D. I22.0
Answer: A
Conceptual Explanation: Code I21.09 is for ST elevation (STEMI) myocardial infarction
involving other coronary artery of anterior wall (including anterolateral). I21.3 is for
unspecified site, and I22.0 is for a subsequent MI.
, 4. Which modifier is used to indicate that a procedure or service was distinct or independent
from other non-E/M services performed on the same day?
A. 25
B. 51
C. 57
D. 59
Answer: D
Conceptual Explanation: Modifier 59 is used to identify procedures/services, other than
E/M services, that are not normally reported together, but are appropriate under the
circumstances.
5. A patient has a traumatic rupture of the Achilles tendon. The surgeon performs a primary
repair. What is the CPT code?
A. 27654
B. 27652
C. 27650
D. 27658
Answer: C
Conceptual Explanation: CPT 27650 represents the primary repair of a ruptured Achilles
tendon without a graft. 27652 involves a graft, and 27654 is for a secondary repair.
CODER (CPC) ADVANCED PRACTICE
EXAM 2026
1. A patient undergoes a percutaneous needle core biopsy of the liver under ultrasound
guidance. Which CPT codes should be reported?
A. 47000
B. 47001, 76942
C. 47100, 76942
D. 47000, 76942
Answer: D
Conceptual Explanation: CPT 47000 is for a percutaneous needle core biopsy of the liver.
CPT 76942 is the code for the ultrasonic guidance for needle placement. CPT 47001 is an
add-on code for a biopsy done at the time of another major procedure.
2. According to the CPT coding guidelines for Evaluation and Management (E/M), which of
the following is NOT a component of Medical Decision Making (MDM)?
A. The number and complexity of problems addressed
,B. The amount and/or complexity of data to be reviewed and analyzed
C. The time spent by the physician in direct contact with the patient
D. The risk of complications and/or morbidity or mortality of patient management
Answer: C
Conceptual Explanation: MDM is defined by the number/complexity of problems, data
review, and risk. Time is a separate way to level E/M services, but it is not a sub-
component of the MDM calculation itself.
3. A 45-year-old male is diagnosed with an acute myocardial infarction of the anterolateral
wall. What is the correct ICD-10-CM code?
A. I21.09
B. I21.3
C. I21.4
D. I22.0
Answer: A
Conceptual Explanation: Code I21.09 is for ST elevation (STEMI) myocardial infarction
involving other coronary artery of anterior wall (including anterolateral). I21.3 is for
unspecified site, and I22.0 is for a subsequent MI.
, 4. Which modifier is used to indicate that a procedure or service was distinct or independent
from other non-E/M services performed on the same day?
A. 25
B. 51
C. 57
D. 59
Answer: D
Conceptual Explanation: Modifier 59 is used to identify procedures/services, other than
E/M services, that are not normally reported together, but are appropriate under the
circumstances.
5. A patient has a traumatic rupture of the Achilles tendon. The surgeon performs a primary
repair. What is the CPT code?
A. 27654
B. 27652
C. 27650
D. 27658
Answer: C
Conceptual Explanation: CPT 27650 represents the primary repair of a ruptured Achilles
tendon without a graft. 27652 involves a graft, and 27654 is for a secondary repair.
