AAPC CPC Module Exam 2026: 28 Practice Questions and
Correct Answers
Question 1.
What is not a common reason Medicare may deny a procedure or service?:
A) Patient's condition
B) Frequently proposed
C) Covered service
D) Experimental
Correct Answer: C
Question 2.
Under the Privacy Rule, the minimum necessary standard does NOT apply to what type of
disclosures?:
A) Uses or disclosures to drug companies.
B) Disclosures to or requests by family members.
C) Disclosures to the individual who is the subject of the information.
D) Uses or disclosures to insurance companies.
Correct Answer: C
Question 3.
Which is not one of the seven key components of an internal compliance plan?:
A) Develop open lines of communication.
B) Conduct training but not perform education on practice standards and procedures.
C) Enforce disciplinary standards through well-publicized guidelines.
D) Conduct internal monitoring and auditing through the performance of periodic audits.
Correct Answer: B
Question 4.
The ____describes whether specific medical items, services, treatment procedures or
technologies are considered medically necessary under Medicare:
A) National Coverage Determinations Manual
B) Internet Only Manual
C) Medicare Severity-Diagnosis Related Groups (MS-DRG)
D) Medicare Physician Fee Schedule
Correct Answer: A
Question 5.
According to the AAPC Code of Ethics, which term is NOT listed as an ethical principle of
professional conduct?:
A) Integrity
B) Efficiency
C) Responsibility
D) Commitment
Correct Answer: B
Question 6.
According to AAPC's Code of Ethics, an AAPC member shall use only ____ and ____ means in
all professional dealings:
A) private and professional
, B) legal and ethical
C) legal and profitable
D) efficient and inexpensive
Correct Answer: B
Question 7.
What is the definition of medical coding?:
A) Translating documentation into numerical/alphanumerical codes used to obtain
reimbursement.
B) Deciphering explanation of benefits provided by an insurance carrier.
C) Translating documentation into software compatible notes.
D) Translating the services a provider performs into documentation.
Correct Answer: A
Question 8.
If an NCD does not exist for a particular service/procedure performed on a Medicare patient,
who determines coverage?:
A) Medicare Administrative Contractor (MAC)
B) The physician providing the service
C) Current Procedural Terminology (CPT®) guidelines
D) Centers for Medicare & Medicaid Services (CMS)
Correct Answer: A
Question 9.
Many coding professionals go on to find work as:
A) Accountants
B) Medical Assistants
C) Financial Planners
D) Consultants
Correct Answer: D
Question 10.
LCDs only have jurisdiction in their ____:
A) Locality
B) Region
C) District
D) State
Correct Answer: B
Question 11.
A covered entity does NOT include:
A) Health plans
B) Patients
C) Healthcare providers
D) Clearinghouses
Correct Answer: B
Correct Answers
Question 1.
What is not a common reason Medicare may deny a procedure or service?:
A) Patient's condition
B) Frequently proposed
C) Covered service
D) Experimental
Correct Answer: C
Question 2.
Under the Privacy Rule, the minimum necessary standard does NOT apply to what type of
disclosures?:
A) Uses or disclosures to drug companies.
B) Disclosures to or requests by family members.
C) Disclosures to the individual who is the subject of the information.
D) Uses or disclosures to insurance companies.
Correct Answer: C
Question 3.
Which is not one of the seven key components of an internal compliance plan?:
A) Develop open lines of communication.
B) Conduct training but not perform education on practice standards and procedures.
C) Enforce disciplinary standards through well-publicized guidelines.
D) Conduct internal monitoring and auditing through the performance of periodic audits.
Correct Answer: B
Question 4.
The ____describes whether specific medical items, services, treatment procedures or
technologies are considered medically necessary under Medicare:
A) National Coverage Determinations Manual
B) Internet Only Manual
C) Medicare Severity-Diagnosis Related Groups (MS-DRG)
D) Medicare Physician Fee Schedule
Correct Answer: A
Question 5.
According to the AAPC Code of Ethics, which term is NOT listed as an ethical principle of
professional conduct?:
A) Integrity
B) Efficiency
C) Responsibility
D) Commitment
Correct Answer: B
Question 6.
According to AAPC's Code of Ethics, an AAPC member shall use only ____ and ____ means in
all professional dealings:
A) private and professional
, B) legal and ethical
C) legal and profitable
D) efficient and inexpensive
Correct Answer: B
Question 7.
What is the definition of medical coding?:
A) Translating documentation into numerical/alphanumerical codes used to obtain
reimbursement.
B) Deciphering explanation of benefits provided by an insurance carrier.
C) Translating documentation into software compatible notes.
D) Translating the services a provider performs into documentation.
Correct Answer: A
Question 8.
If an NCD does not exist for a particular service/procedure performed on a Medicare patient,
who determines coverage?:
A) Medicare Administrative Contractor (MAC)
B) The physician providing the service
C) Current Procedural Terminology (CPT®) guidelines
D) Centers for Medicare & Medicaid Services (CMS)
Correct Answer: A
Question 9.
Many coding professionals go on to find work as:
A) Accountants
B) Medical Assistants
C) Financial Planners
D) Consultants
Correct Answer: D
Question 10.
LCDs only have jurisdiction in their ____:
A) Locality
B) Region
C) District
D) State
Correct Answer: B
Question 11.
A covered entity does NOT include:
A) Health plans
B) Patients
C) Healthcare providers
D) Clearinghouses
Correct Answer: B
