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AAPC - Final Exam
65 year-old was admitted in the hospital two days ago and is being examined today by his
primary care physician, who has been seeing him since he has been admitted. Primary care
physician is checking for any improvements or if the condition is worsening.
CHIEF COMPLAINT: CHF
INTERVAL HISTORY: CHF symptoms worsened since yesterday.
Now has some resting dyspnea. HTN remains poorly controlled with systolic pressure running in
the 160s. Also, I'm concerned about his CKD, which has worsened, most likely due to
cardio-renal syndrome.
REVIEW OF SYSTEMS: Positive for orthopnea and one episode of PND. Negative for flank
pain, obstructive symptoms or documented exposure to nephrotoxins.
PHYSICAL EXAMINATION:
GENERAL: Mild respiratory distress at rest
VITAL SIGNS: BP 168/84, HR 58, temperature 98.1.
LUNGS: Worsening bibasilar crackles
CARDIOVASCULAR: RRR, no MRGs.
EXTREMITIES: Show worsening lower extremity edema.
LABS: BU - ANS-
A 1 year post-thyroidectomy patient who had thyroid cancer is coming in for area imaging of the
neck and chest to evaluate for metastases. What CPT® code(s) is/are reported for the nuclear
medicine exam?
a. 78013
b. 78015, 78020
c. 78014
d. 78015 - ANS-
A 16 year-old female was hit by a car while crossing a two-lane highway. She was taken to the
hospital by ambulance. She was found to have an open wound of the left lower thigh, just above
the knee and a displaced fracture of the left femoral neck. She was taken to the operating room
within four hours of her injury. She was given general endotracheal anesthesia and was prepped
and draped in sterile fashion. Debridement including excision of devitalized skin and muscle
was performed on the lateral thigh. The area was approximately 15 sq cm. After debridement
and thorough copious irrigation, the wound was closed with layer sutures and a dressing was
applied and then covered with adhesive plastic. The patient was then prepped and draped for
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the fracture and turned on her right side. We all rescrubbed. An 8 inch incision was made over
the left hip and the head of the femur was exposed. Multiple fragments from the neck an - ANS-
A 27 year-old girl has been on the lung transplant list for months and today she will be receiving
a LT and RT lung from an individual involved in an MVA. This person was DOA at the hospital
and is an organ donor. The donor pneumonectomy was performed by physician A, the
backbench work by physician B and the transplant of both lungs into the prepped and waiting
patient by physician C.
What is the correct coding for the removal (physician A), preparation (physician B) and insertion
(physician C) of the lungs?
a. 32850, 32855, 32851
b. 32850, 32856, 32851 x 2
c. 32850, 32856, 32853
d. 32850, 32855 x 2, 32850-50 - ANS-
A 32 year-old ETOH dependent female is in a partial hospitalization program and has been
seeing an addictive disease specialist (psychotherapist) in a chemical dependency program.
Her employer is aware of her problem. She was referred to the group through their Employee
Assistance Program. As long as she is in compliance they will support her efforts. Recently, she
has arrived late at the meetings. The provider met with the patient and discussed the
importance of her treatment, compliance with the program and avoidance of situations in which
she may use alcohol. She denies contact with her previous associates and assures the provider
she has had no alcohol intake since beginning the substance abuse treatment program. They
will continue to reinforce her progress and successful sobriety. Time of the session was 45
minutes. What CPT® and ICD-10-CM codes are reported?
a. 90832, F10.220
b. 90832, F10.20
c. 90834, F10.20 - ANS-
A 32 year-old male was seen in the ASC for removal of two lipomas. One was located on his
back and the other was located on the right forearm. Both involved subcutaneous tissue. What
ICD-10-CM code(s) is/are reported?
a. D17.1, D17.23
b. D17.21, D17.1
c. D17.30
d. D17.39 - ANS-b. D17.21, D17.1
A 40 year-old presents with vaginal bleeding for several weeks unrelated to her menstrual cycle.
The gynecologist orders an ultrasound to obtain more information for a diagnosis. What
diagnosis code is appropriate for this encounter?
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a. N92.1
b. N92.4
c. N92.6
d. N93.9 - ANS-
A 42 year-old patient was undergoing anesthesia in an ASC and began having complications
prior to the administration of anesthesia. The surgeon immediately discontinued the planned
surgery. If the insurance company requires a reported modifier, what modifier best describes the
extenuating circumstances?
a. 53
b. 23
c. 73
d. 74 - ANS-
A 43 year-old female presents to the provider for a diabetic ulcer of the right ankle. What
ICD-10-CM codes are reported?
a. L97.319
b. L97.319, E11.9
c. L97.319, E11.622
d. E11.622, L97.319 - ANS-d. E11.622, L97.319
A 43 year-old patient with a severe systemic disease is having surgery to remove an
integumentary mass from his neck. What CPT® code and modifier are reported for the
anesthesia service?
a. 00300-P2
b. 00300-P3
c. 00322-P3
d. 00350-P3 - ANS-
A 45 year-old presents with acute pericarditis. The surgeon makes a small incision between two
ribs and enters the thoracic cavity. An endoscope is introduced and the pericardial sac is
examined by direct visualization. Using an instrument introduced through the endoscope, the
surgeon creates an opening in the pericardial sac for drainage purposes. What CPT® code is
reported?
a. 32659
b. 32662
c. 32658
d. 32661 - ANS-
AAPC - Final Examhttps://www.stuvia.com/user/allatopnotch
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2026-09-08https://www.stuvia.com/user/allatopnotch
https://www.stuvia.com/user/allatopnotch
AAPC - Final Exam
65 year-old was admitted in the hospital two days ago and is being examined today by his
primary care physician, who has been seeing him since he has been admitted. Primary care
physician is checking for any improvements or if the condition is worsening.
CHIEF COMPLAINT: CHF
INTERVAL HISTORY: CHF symptoms worsened since yesterday.
Now has some resting dyspnea. HTN remains poorly controlled with systolic pressure running in
the 160s. Also, I'm concerned about his CKD, which has worsened, most likely due to
cardio-renal syndrome.
REVIEW OF SYSTEMS: Positive for orthopnea and one episode of PND. Negative for flank
pain, obstructive symptoms or documented exposure to nephrotoxins.
PHYSICAL EXAMINATION:
GENERAL: Mild respiratory distress at rest
VITAL SIGNS: BP 168/84, HR 58, temperature 98.1.
LUNGS: Worsening bibasilar crackles
CARDIOVASCULAR: RRR, no MRGs.
EXTREMITIES: Show worsening lower extremity edema.
LABS: BU - ANS-
A 1 year post-thyroidectomy patient who had thyroid cancer is coming in for area imaging of the
neck and chest to evaluate for metastases. What CPT® code(s) is/are reported for the nuclear
medicine exam?
a. 78013
b. 78015, 78020
c. 78014
d. 78015 - ANS-
A 16 year-old female was hit by a car while crossing a two-lane highway. She was taken to the
hospital by ambulance. She was found to have an open wound of the left lower thigh, just above
the knee and a displaced fracture of the left femoral neck. She was taken to the operating room
within four hours of her injury. She was given general endotracheal anesthesia and was prepped
and draped in sterile fashion. Debridement including excision of devitalized skin and muscle
was performed on the lateral thigh. The area was approximately 15 sq cm. After debridement
and thorough copious irrigation, the wound was closed with layer sutures and a dressing was
applied and then covered with adhesive plastic. The patient was then prepped and draped for
AAPC - Final Examhttps://www.stuvia.com/user/allatopnotch
https://www.stuvia.com/user/allatopnotch https://www.stuvia.com/user/allatopnotch
,https://www.stuvia.com/user/allatopnotch
2026-09-08https://www.stuvia.com/user/allatopnotch
https://www.stuvia.com/user/allatopnotch
the fracture and turned on her right side. We all rescrubbed. An 8 inch incision was made over
the left hip and the head of the femur was exposed. Multiple fragments from the neck an - ANS-
A 27 year-old girl has been on the lung transplant list for months and today she will be receiving
a LT and RT lung from an individual involved in an MVA. This person was DOA at the hospital
and is an organ donor. The donor pneumonectomy was performed by physician A, the
backbench work by physician B and the transplant of both lungs into the prepped and waiting
patient by physician C.
What is the correct coding for the removal (physician A), preparation (physician B) and insertion
(physician C) of the lungs?
a. 32850, 32855, 32851
b. 32850, 32856, 32851 x 2
c. 32850, 32856, 32853
d. 32850, 32855 x 2, 32850-50 - ANS-
A 32 year-old ETOH dependent female is in a partial hospitalization program and has been
seeing an addictive disease specialist (psychotherapist) in a chemical dependency program.
Her employer is aware of her problem. She was referred to the group through their Employee
Assistance Program. As long as she is in compliance they will support her efforts. Recently, she
has arrived late at the meetings. The provider met with the patient and discussed the
importance of her treatment, compliance with the program and avoidance of situations in which
she may use alcohol. She denies contact with her previous associates and assures the provider
she has had no alcohol intake since beginning the substance abuse treatment program. They
will continue to reinforce her progress and successful sobriety. Time of the session was 45
minutes. What CPT® and ICD-10-CM codes are reported?
a. 90832, F10.220
b. 90832, F10.20
c. 90834, F10.20 - ANS-
A 32 year-old male was seen in the ASC for removal of two lipomas. One was located on his
back and the other was located on the right forearm. Both involved subcutaneous tissue. What
ICD-10-CM code(s) is/are reported?
a. D17.1, D17.23
b. D17.21, D17.1
c. D17.30
d. D17.39 - ANS-b. D17.21, D17.1
A 40 year-old presents with vaginal bleeding for several weeks unrelated to her menstrual cycle.
The gynecologist orders an ultrasound to obtain more information for a diagnosis. What
diagnosis code is appropriate for this encounter?
AAPC - Final Examhttps://www.stuvia.com/user/allatopnotch
https://www.stuvia.com/user/allatopnotch https://www.stuvia.com/user/allatopnotch
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2026-09-08https://www.stuvia.com/user/allatopnotch
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a. N92.1
b. N92.4
c. N92.6
d. N93.9 - ANS-
A 42 year-old patient was undergoing anesthesia in an ASC and began having complications
prior to the administration of anesthesia. The surgeon immediately discontinued the planned
surgery. If the insurance company requires a reported modifier, what modifier best describes the
extenuating circumstances?
a. 53
b. 23
c. 73
d. 74 - ANS-
A 43 year-old female presents to the provider for a diabetic ulcer of the right ankle. What
ICD-10-CM codes are reported?
a. L97.319
b. L97.319, E11.9
c. L97.319, E11.622
d. E11.622, L97.319 - ANS-d. E11.622, L97.319
A 43 year-old patient with a severe systemic disease is having surgery to remove an
integumentary mass from his neck. What CPT® code and modifier are reported for the
anesthesia service?
a. 00300-P2
b. 00300-P3
c. 00322-P3
d. 00350-P3 - ANS-
A 45 year-old presents with acute pericarditis. The surgeon makes a small incision between two
ribs and enters the thoracic cavity. An endoscope is introduced and the pericardial sac is
examined by direct visualization. Using an instrument introduced through the endoscope, the
surgeon creates an opening in the pericardial sac for drainage purposes. What CPT® code is
reported?
a. 32659
b. 32662
c. 32658
d. 32661 - ANS-
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