AAPC CERTIFIED PROFESSIONAL
CODER (CPC) ADVANCED PRACTICE
EXAM 2026/2027
1. A patient is diagnosed with Stage 3 pressure ulcer of the right buttock and Stage 4 pressure
ulcer of the left buttock. How should this be coded in ICD-10-CM?
A. L89.309
B. L89.314, L89.323
C. L89.313, L89.324
D. L89.313, L89.329
Answer: C
Conceptual Explanation: According to ICD-10-CM guidelines, when a patient has multiple
pressure ulcers at different stages, each site and stage should be coded. L89.313 represents
Stage 3 of the right buttock and L89.324 represents Stage 4 of the left buttock.
2. Which modifier is used to indicate that a procedure was discontinued due to a threat to the
patient’s well-being after administration of anesthesia?
A. -52
,B. -73
C. -53
D. -74
Answer: C
Conceptual Explanation: Modifier -53 is used for discontinued procedures due to risk to
the patient. Modifiers -73 and -74 are specific to hospital outpatient facilities.
3. A physician performs an expanded problem-focused history, expanded problem-focused
exam, and low complexity medical decision making. Under 2024+ E/M guidelines for Office
Visits, what is the primary factor for code selection?
A. History and Exam
B. Total Time or Medical Decision Making (MDM)
C. Nature of Presenting Problem
D. Counseling and Coordination of Care
Answer: B
Conceptual Explanation: Current E/M guidelines for office/outpatient visits (99202-
99215) base code selection on either the level of Medical Decision Making or the total time
spent on the date of the encounter.
4. Which of the following describes a ‘sequela’?
A. The residual effect after the acute phase of an illness or injury has terminated
, B. A condition that occurs simultaneously with another
C. The primary cause of an acute condition
D. A complication that occurs during a surgical procedure
Answer: A
Conceptual Explanation: A sequela (late effect) is the residual effect (condition produced)
after the acute phase of an illness or injury has ended.
5. A patient undergoes a laparoscopic total cholecystectomy with exploration of the common
bile duct. What is the correct CPT code?
A. 47564
B. 47563
C. 47562
D. 47610
Answer: A
Conceptual Explanation: CPT 47564 represents laparoscopic cholecystectomy with
exploration of the common bile duct. 47562 is without ductal exploration, and 47563 is
with cholangiography.
6. Which ICD-10-CM code is used for Type 2 diabetes with mild nonproliferative retinopathy
with macular edema?
A. E11.3211
CODER (CPC) ADVANCED PRACTICE
EXAM 2026/2027
1. A patient is diagnosed with Stage 3 pressure ulcer of the right buttock and Stage 4 pressure
ulcer of the left buttock. How should this be coded in ICD-10-CM?
A. L89.309
B. L89.314, L89.323
C. L89.313, L89.324
D. L89.313, L89.329
Answer: C
Conceptual Explanation: According to ICD-10-CM guidelines, when a patient has multiple
pressure ulcers at different stages, each site and stage should be coded. L89.313 represents
Stage 3 of the right buttock and L89.324 represents Stage 4 of the left buttock.
2. Which modifier is used to indicate that a procedure was discontinued due to a threat to the
patient’s well-being after administration of anesthesia?
A. -52
,B. -73
C. -53
D. -74
Answer: C
Conceptual Explanation: Modifier -53 is used for discontinued procedures due to risk to
the patient. Modifiers -73 and -74 are specific to hospital outpatient facilities.
3. A physician performs an expanded problem-focused history, expanded problem-focused
exam, and low complexity medical decision making. Under 2024+ E/M guidelines for Office
Visits, what is the primary factor for code selection?
A. History and Exam
B. Total Time or Medical Decision Making (MDM)
C. Nature of Presenting Problem
D. Counseling and Coordination of Care
Answer: B
Conceptual Explanation: Current E/M guidelines for office/outpatient visits (99202-
99215) base code selection on either the level of Medical Decision Making or the total time
spent on the date of the encounter.
4. Which of the following describes a ‘sequela’?
A. The residual effect after the acute phase of an illness or injury has terminated
, B. A condition that occurs simultaneously with another
C. The primary cause of an acute condition
D. A complication that occurs during a surgical procedure
Answer: A
Conceptual Explanation: A sequela (late effect) is the residual effect (condition produced)
after the acute phase of an illness or injury has ended.
5. A patient undergoes a laparoscopic total cholecystectomy with exploration of the common
bile duct. What is the correct CPT code?
A. 47564
B. 47563
C. 47562
D. 47610
Answer: A
Conceptual Explanation: CPT 47564 represents laparoscopic cholecystectomy with
exploration of the common bile duct. 47562 is without ductal exploration, and 47563 is
with cholangiography.
6. Which ICD-10-CM code is used for Type 2 diabetes with mild nonproliferative retinopathy
with macular edema?
A. E11.3211
