AAPC CPC 2026 FINAL REAL EXAM QUESTIONS
AND CORRECT DETAILED VERIFIED
ANSWERS
The Medicare program is made up of several parts. Which part is affected by the Centers for
Medicare & Medicaid Services - Hierarchical Condition Categories (CMS-HCC)?
A) Part A
B) Part B
C) Part C
D) Part D - ANSWER>>Part C
Which of the following is a BENEFIT of electronic transactions?
Security of claims
Timely submission of claims
Payment of claims
None of the above - ANSWER>>Timely submission of claims
The AAPC offers over 500 local chapters across the country for the purpose of
Membership Dues
Continuing education and networking
Regulations and bylaws
Financial management - ANSWER>>Continuing education and networking
The OIG recommends that provider practices enforce disciplinary actions through well
publicized compliance guidelines to ensure actions that are
Documented
Consistent and appropriate
Followed - ANSWER>>Consistent and appropriate
What form is used to submit a provider's charge to the insurance carrier?
UB-04
,CMS-1500
Provider reimbursement form
ABN - ANSWER>>CMS-1500
What are chemicals which relay, amplify and modulate signals between a neuron and
another cell?
Neurotransmitters - ANSWER>>Neurotransmitters
Which gland is located on the superior surface of the kidney?
Thymus Gland
Adrenal Gland
Thyroid Gland
Parathyroid Gland - ANSWER>>Adrenal Gland
The meaning of the root myring/o is:
tympanic membrane (eardrum)
cornea of eye
breast, mammary glands
membranes covering the brain - ANSWER>>tympanic membrane (eardrum)
The word describing the presence of blood in the pleural cavity is:
Angioplasty
Cytopenia
Endocardium
Hemothorax - ANSWER>>Hemothorax
In the ICD-10-CM Alphabetic Index what is the code next to the main term called?
"Unspecified" codes
"Other" codes
Combination Code
Default Code - ANSWER>>Default Code
, A 6-year-old patient is seen in the office for acute otitis media, coded as H66.90. This is an
example of what ICD-10-CM convention?
NOS
NEC
7th Character
"and" - ANSWER>>NOS
According to the Tabular List in the ICD-10-CM code book, category code H80 Otosclerosis,
includes what other disorder?
Otospongiosis - ANSWER>>Otospongiosis
A patient was seen in the provider's office and diagnosed with influenza with pneumonia. The
provider selected J18.9. Refer to the Tabular List to verify code J18.9. Is it correct to report
code J18.9? Why?
J11.01
J11.02
J11.10
No, there is a combination code J11.00 includes influenza with pneumonia. - ANSWER>>No,
there is a combination code J11.00 includes influenza with pneumonia.
When it is documented that the patient is both using tobacco and has a dependence on
tobacco, how is this reported in ICD-10-CM?
A) The dependence on tobacco is the only code reported based on the hierarchy in the ICD-
10-CM guidelines.
B) The use of tobacco and the dependence on tobacco are both reported.
C) The use of tobacco is reported with a code for history of tobacco use to report the
dependence on tobacco.
D) The use of tobacco is the only code reported because it is considered acute. - ANSWER>>A)
The dependence on tobacco is the only code reported based on the hierarchy in the ICD-10-
CM guidelines.
In which circumstances would an external cause code be reported?
AND CORRECT DETAILED VERIFIED
ANSWERS
The Medicare program is made up of several parts. Which part is affected by the Centers for
Medicare & Medicaid Services - Hierarchical Condition Categories (CMS-HCC)?
A) Part A
B) Part B
C) Part C
D) Part D - ANSWER>>Part C
Which of the following is a BENEFIT of electronic transactions?
Security of claims
Timely submission of claims
Payment of claims
None of the above - ANSWER>>Timely submission of claims
The AAPC offers over 500 local chapters across the country for the purpose of
Membership Dues
Continuing education and networking
Regulations and bylaws
Financial management - ANSWER>>Continuing education and networking
The OIG recommends that provider practices enforce disciplinary actions through well
publicized compliance guidelines to ensure actions that are
Documented
Consistent and appropriate
Followed - ANSWER>>Consistent and appropriate
What form is used to submit a provider's charge to the insurance carrier?
UB-04
,CMS-1500
Provider reimbursement form
ABN - ANSWER>>CMS-1500
What are chemicals which relay, amplify and modulate signals between a neuron and
another cell?
Neurotransmitters - ANSWER>>Neurotransmitters
Which gland is located on the superior surface of the kidney?
Thymus Gland
Adrenal Gland
Thyroid Gland
Parathyroid Gland - ANSWER>>Adrenal Gland
The meaning of the root myring/o is:
tympanic membrane (eardrum)
cornea of eye
breast, mammary glands
membranes covering the brain - ANSWER>>tympanic membrane (eardrum)
The word describing the presence of blood in the pleural cavity is:
Angioplasty
Cytopenia
Endocardium
Hemothorax - ANSWER>>Hemothorax
In the ICD-10-CM Alphabetic Index what is the code next to the main term called?
"Unspecified" codes
"Other" codes
Combination Code
Default Code - ANSWER>>Default Code
, A 6-year-old patient is seen in the office for acute otitis media, coded as H66.90. This is an
example of what ICD-10-CM convention?
NOS
NEC
7th Character
"and" - ANSWER>>NOS
According to the Tabular List in the ICD-10-CM code book, category code H80 Otosclerosis,
includes what other disorder?
Otospongiosis - ANSWER>>Otospongiosis
A patient was seen in the provider's office and diagnosed with influenza with pneumonia. The
provider selected J18.9. Refer to the Tabular List to verify code J18.9. Is it correct to report
code J18.9? Why?
J11.01
J11.02
J11.10
No, there is a combination code J11.00 includes influenza with pneumonia. - ANSWER>>No,
there is a combination code J11.00 includes influenza with pneumonia.
When it is documented that the patient is both using tobacco and has a dependence on
tobacco, how is this reported in ICD-10-CM?
A) The dependence on tobacco is the only code reported based on the hierarchy in the ICD-
10-CM guidelines.
B) The use of tobacco and the dependence on tobacco are both reported.
C) The use of tobacco is reported with a code for history of tobacco use to report the
dependence on tobacco.
D) The use of tobacco is the only code reported because it is considered acute. - ANSWER>>A)
The dependence on tobacco is the only code reported based on the hierarchy in the ICD-10-
CM guidelines.
In which circumstances would an external cause code be reported?
