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AAPC CPB EXAM PRACTICE QUESTIONS
AND VERIFIED SOLUTIONS 2026-27
Incorrect entry of the patient demographics can have an effect on many areas of
the practice. What documents are necessary to verify demographics?
I. Photo Identification
II. Insurance card
III. Credit card information
IV. Social Security card
V. Patient completed demographic form
A. I and V
B. II and IV
C. II, IV and V
D. I, II, and V - correct-answer - D. I, II, and V
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CMS has a standard enrollment form in which the provider agrees to:
I. Submit claims to Medicare
II. Have authorization from the Medicare beneficiary to file claims
III. Retain all source documentation and medical records
IV. Submit claims within 60 days of the date of service
V. Submit all claims with a group NPI number
VI. Research and correct claim discrepancies.
A. I, II, and IV
B. II, IV, and V
C. I, III, IV, and VI
D. I, II, III, and VI - correct-answer - D. I, II, III, and VI
Ms. Turner had surgery one month ago for hernia repair. She is still in the post-
operative period and comes in today to the see the same physician that
performed the hernia repair surgery about a lump that she noticed on her
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tailbone. The physician performs an examination and the diagnosis is that she has
a pilonidal cyst which is unrelated to the surgery. Can the physician bill an E/M
service for today's visit during the post-operative period?
A. Yes, the E/M service can be reported with modifier 24 to indicate it is unrelated
to the surgery.
B. No, because the examination falls in the post-operative period of the original
procedure.
C. No, report code 99024 instead of the E/M service for all services provided in
the post-operative period.
D. Yes, the E/M can be reported with modifier 25 to indicate a separate
procedure or service was performed. - correct-answer - A. Yes, the E/M service
can be reported with modifier 24 to indicate it is unrelated to the surgery.
When you respond to a patient with "How may I help you, Mrs. Jones?", the use
of the patient's name:
A. Is too familiar
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B. Violates HIPAA
C. Indicates to the caller you are interested and listening
D. Is too formal for an existing patient - correct-answer - C. Indicates to the caller
you are interested and listening
A dermatologist performed an excision of a squamous cell carcinoma from the
patients forehead with a 1.2 cm excised diameter. The excision site required an
intermediate wound closure measuring 1.8 cm. What is/are the correct code(s)?
A. 11642
B. 11442
C. 11642, 12051-51
D. 11442, 12051-51 - correct-answer - C. 11642, 12051-51
55-year-old female presents to the office with ongoing history of type I diabetes
which has been controlled with insulin. During the exam the physician notes that
gangrene has set in due to the diabetic peripheral angiopathy on her left great
AAPC CPB EXAM PRACTICE QUESTIONS
AND VERIFIED SOLUTIONS 2026-27
Incorrect entry of the patient demographics can have an effect on many areas of
the practice. What documents are necessary to verify demographics?
I. Photo Identification
II. Insurance card
III. Credit card information
IV. Social Security card
V. Patient completed demographic form
A. I and V
B. II and IV
C. II, IV and V
D. I, II, and V - correct-answer - D. I, II, and V
,2|Page
CMS has a standard enrollment form in which the provider agrees to:
I. Submit claims to Medicare
II. Have authorization from the Medicare beneficiary to file claims
III. Retain all source documentation and medical records
IV. Submit claims within 60 days of the date of service
V. Submit all claims with a group NPI number
VI. Research and correct claim discrepancies.
A. I, II, and IV
B. II, IV, and V
C. I, III, IV, and VI
D. I, II, III, and VI - correct-answer - D. I, II, III, and VI
Ms. Turner had surgery one month ago for hernia repair. She is still in the post-
operative period and comes in today to the see the same physician that
performed the hernia repair surgery about a lump that she noticed on her
,3|Page
tailbone. The physician performs an examination and the diagnosis is that she has
a pilonidal cyst which is unrelated to the surgery. Can the physician bill an E/M
service for today's visit during the post-operative period?
A. Yes, the E/M service can be reported with modifier 24 to indicate it is unrelated
to the surgery.
B. No, because the examination falls in the post-operative period of the original
procedure.
C. No, report code 99024 instead of the E/M service for all services provided in
the post-operative period.
D. Yes, the E/M can be reported with modifier 25 to indicate a separate
procedure or service was performed. - correct-answer - A. Yes, the E/M service
can be reported with modifier 24 to indicate it is unrelated to the surgery.
When you respond to a patient with "How may I help you, Mrs. Jones?", the use
of the patient's name:
A. Is too familiar
, 4|Page
B. Violates HIPAA
C. Indicates to the caller you are interested and listening
D. Is too formal for an existing patient - correct-answer - C. Indicates to the caller
you are interested and listening
A dermatologist performed an excision of a squamous cell carcinoma from the
patients forehead with a 1.2 cm excised diameter. The excision site required an
intermediate wound closure measuring 1.8 cm. What is/are the correct code(s)?
A. 11642
B. 11442
C. 11642, 12051-51
D. 11442, 12051-51 - correct-answer - C. 11642, 12051-51
55-year-old female presents to the office with ongoing history of type I diabetes
which has been controlled with insulin. During the exam the physician notes that
gangrene has set in due to the diabetic peripheral angiopathy on her left great
