AAPC CPC EXAM [2026] | DETAILED ANSWER
EXPLANATIONS | UPDATED ACTUAL | VERIFIED
ANSWERS |
• If an NCD doesn't exist for a particular service/procedure performed on a
Medicare patient who determines coverage? -✓✓ANSWER: Medicare
administrative contractor (MAC)
• MAC stands for what!? -✓✓ANSWER: Medicare administrative contractor
• What is the definition of coding? -✓✓ANSWER: Translating documentation into
numerical/alphabetical codes used to obtain reimbursement.
• How many components should be included in an effective compliance plan? -
✓✓ANSWER: 7
• Which of the following is NOT a function of the skin? -✓✓ANSWER: Acts as a
gland by synthesizing vitamin A.
• What is affected by myasthenia gravis? -✓✓ANSWER: Neuromuscular junction
• The term "episiotomy" Best describes a procedure of what type? -✓✓ANSWER:
An incision made into the perineum to enlarge the passage for the fetus during
delivery
• A patient is diagnosed with inflammation of the testes and epididymis. The
medical term for this condition is: -✓✓ANSWER: Orchiepididymitis
, • A condition where the thyroid is overactive is called: -✓✓ANSWER:
Thyrotoxicosis
• What does ICD 10 CM stand for? -✓✓ANSWER: International classification of
diseases - 10th revised - clinical modification
• What is the sequencing order when coding a sequela (late effect)? -
✓✓ANSWER: The residual condition is coded first, in the code(s) for the cause of
the late effect are coded as secondary
• What is the ICD 10 CM code for hives? -✓✓ANSWER: L50.9
• 20-year-old comes into the ED with symptoms of a severe headache, vomiting,
stiff neck, and fever. The ED physician suspects that the meningitis is bacterial and
performs a lumber puncture. The ED physician reviews the results in the patient is
admitted in the hospital for meningitis. The ED physician suspects that the
meningitis is bacterial. Which ICD 10 CM code is reported by the ED physician? -
✓✓ANSWER: G03.9
• 45 year old female with malignant Mullerian duct cancer is receiving her first
treatment of chemotherapy. What diagnosis codes are reported? -✓✓ANSWER:
Z51.11, C57.7
• The patient is a 12 month old with a history of muscle weakness. Unfortunately
his etiology is unknown and to help delineate the diagnosis neurology has
consulted us to obtain a right biceps muscle biopsy. What diagnosis code is
reported? -✓✓ANSWER: M62.81
EXPLANATIONS | UPDATED ACTUAL | VERIFIED
ANSWERS |
• If an NCD doesn't exist for a particular service/procedure performed on a
Medicare patient who determines coverage? -✓✓ANSWER: Medicare
administrative contractor (MAC)
• MAC stands for what!? -✓✓ANSWER: Medicare administrative contractor
• What is the definition of coding? -✓✓ANSWER: Translating documentation into
numerical/alphabetical codes used to obtain reimbursement.
• How many components should be included in an effective compliance plan? -
✓✓ANSWER: 7
• Which of the following is NOT a function of the skin? -✓✓ANSWER: Acts as a
gland by synthesizing vitamin A.
• What is affected by myasthenia gravis? -✓✓ANSWER: Neuromuscular junction
• The term "episiotomy" Best describes a procedure of what type? -✓✓ANSWER:
An incision made into the perineum to enlarge the passage for the fetus during
delivery
• A patient is diagnosed with inflammation of the testes and epididymis. The
medical term for this condition is: -✓✓ANSWER: Orchiepididymitis
, • A condition where the thyroid is overactive is called: -✓✓ANSWER:
Thyrotoxicosis
• What does ICD 10 CM stand for? -✓✓ANSWER: International classification of
diseases - 10th revised - clinical modification
• What is the sequencing order when coding a sequela (late effect)? -
✓✓ANSWER: The residual condition is coded first, in the code(s) for the cause of
the late effect are coded as secondary
• What is the ICD 10 CM code for hives? -✓✓ANSWER: L50.9
• 20-year-old comes into the ED with symptoms of a severe headache, vomiting,
stiff neck, and fever. The ED physician suspects that the meningitis is bacterial and
performs a lumber puncture. The ED physician reviews the results in the patient is
admitted in the hospital for meningitis. The ED physician suspects that the
meningitis is bacterial. Which ICD 10 CM code is reported by the ED physician? -
✓✓ANSWER: G03.9
• 45 year old female with malignant Mullerian duct cancer is receiving her first
treatment of chemotherapy. What diagnosis codes are reported? -✓✓ANSWER:
Z51.11, C57.7
• The patient is a 12 month old with a history of muscle weakness. Unfortunately
his etiology is unknown and to help delineate the diagnosis neurology has
consulted us to obtain a right biceps muscle biopsy. What diagnosis code is
reported? -✓✓ANSWER: M62.81
