AAPC CPC ACTUAL FINAL EXAM
LATEST VERSION 2024-2025 WITH
QUESTIONS AND WELL VERIFIED
CORRECT ANSWERS [GRADED A+]
The patient is a 17-year-old male who was struck on the elbow by another player's
stick while playing hockey. He is found to have a fracture of the olecranon process.
The fracture could be seen at the base of the olecranon process. We irrigated the
site thoroughly and reduced the fracture fragments without difficulty. Extending
the elbow, we inserted two smooth K-wires across the fracture site. Through a drill
hole in the proximal ulnar shaft, we threaded an 18-gauge wire through it and
wrapped it around the K-wires in a figure-of-eight manner to further stabilize the
fixation. Wires were then twisted and placed into soft tissues. The K-wires in the
olecranon were advanced slightly after being bent and cut. Sterile dressing was
applied and the patient was placed in a splint. What CPT® code is reported?
a. 24675-RT
b. 24586-RT
c. 24685-RT
d. 24635-RT - ANSWER-c. 24685-RT
,A final diagnosis for a patient in the ER is COPD with acute bronchitis due to
echovirus. How is this diagnosis coded?
a. J44.9, J40
b. J44.9, J20.7
c. J44.0, J20.7
d. J40, J20.9 - ANSWER-c. J44.0, J20.7
A 40-year-old presents with vaginal bleeding for several weeks. The gynecologist
orders an ultrasound to obtain more information for a diagnosis. What diagnosis
code is appropriate for this encounter?
a. N92.4
b. N92.6
c. N92.5
d. N93.9 - ANSWER-d. N93.9
Rationale: The bleeding is unrelated to the patient's menstrual cycle and there is no
indication of menopause. Look in the ICD-10-CM Alphabetic Index for
Bleeding/vagina, vaginal (abnormal) directing you to N93.9.
Patient presents with no menses and positive pregnancy test but ultrasound finds
no uterine contents. Embryo has implanted on left ovary and this is treated with
laparoscopic oophorectomy. What are the CPT® and ICD-10-CM codes reported
for this procedure? Do not code the ultrasound.
a. 59150, O00.90
b. 59151, O00.202
,c. 59121, O00.102
d. 58661, O00.00 - ANSWER-b. 59151, O00.202
What ICD-10-CM codes are reported for an encounter for full-term uncomplicated
delivery of a single live birth at 41 weeks of pregnancy?
a. O80, Z37.0, Z3A.41
b. 08O, Z37.1, Z3A.41
c. O82, Z37.1, Z3A.41
d. O82, Z37.0, Z3A.41 - ANSWER-a. O80, Z37.0, Z3A.41
A woman with abdominal pain and bleeding has a diagnosis of multiple fibroid
tumors and undergoes laparoscopic resection without hysterectomy. After the
abdomen is entered and inspected it is found she has 5 separate intramural fibroid
tumors. The fibroid tumors are successfully removed, with a total weight of 300
grams. Pathology confirms leiomyoma (myomas or fibroids). What are the CPT®
and ICD-10-CM codes reported for this service?
a. 58545, D25.1
b. 58146, D25.9
c. 58140, D25.9
d. 58546, D25.1 - ANSWER-d. 58546, D25.1
When coding for surgery performed on the Skull Base (61580-61598) what term
describes the method used to gain exposure to the lesion?
a. Repair procedure
b. Radical procedure
, c. Definitive procedure
d. Approach procedure - ANSWER-d. Approach procedure
A patient with a neoplasm of the spinal meninges has a programmable pump
implanted for chemotherapy administration. What CPT® and ICD-10-CM codes
are reported?
a. 96522, C41.2
b. 62360, C41.2
c. 62361, C70.1
d. 62362, C70.1 - ANSWER-d. 62362, C70.1
Where in the respiratory system is the carina located?
a. Left bronchus
b. Sphenoid sinus
c. Tracheal bifurcation
d. Inferior turbinate - ANSWER-c. Tracheal bifurcation
Which CMS product describes whether specific medical items, services, treatment
procedures or technologies are considered medically necessary under Medicare?
a. Medicare Claims Processing Manual
b. National Coverage Determinations Manual
c. Relative Value Files
d. Medicare Physician Fee Schedule Final Rule - ANSWER-b. National Coverage
Determinations Manual
LATEST VERSION 2024-2025 WITH
QUESTIONS AND WELL VERIFIED
CORRECT ANSWERS [GRADED A+]
The patient is a 17-year-old male who was struck on the elbow by another player's
stick while playing hockey. He is found to have a fracture of the olecranon process.
The fracture could be seen at the base of the olecranon process. We irrigated the
site thoroughly and reduced the fracture fragments without difficulty. Extending
the elbow, we inserted two smooth K-wires across the fracture site. Through a drill
hole in the proximal ulnar shaft, we threaded an 18-gauge wire through it and
wrapped it around the K-wires in a figure-of-eight manner to further stabilize the
fixation. Wires were then twisted and placed into soft tissues. The K-wires in the
olecranon were advanced slightly after being bent and cut. Sterile dressing was
applied and the patient was placed in a splint. What CPT® code is reported?
a. 24675-RT
b. 24586-RT
c. 24685-RT
d. 24635-RT - ANSWER-c. 24685-RT
,A final diagnosis for a patient in the ER is COPD with acute bronchitis due to
echovirus. How is this diagnosis coded?
a. J44.9, J40
b. J44.9, J20.7
c. J44.0, J20.7
d. J40, J20.9 - ANSWER-c. J44.0, J20.7
A 40-year-old presents with vaginal bleeding for several weeks. The gynecologist
orders an ultrasound to obtain more information for a diagnosis. What diagnosis
code is appropriate for this encounter?
a. N92.4
b. N92.6
c. N92.5
d. N93.9 - ANSWER-d. N93.9
Rationale: The bleeding is unrelated to the patient's menstrual cycle and there is no
indication of menopause. Look in the ICD-10-CM Alphabetic Index for
Bleeding/vagina, vaginal (abnormal) directing you to N93.9.
Patient presents with no menses and positive pregnancy test but ultrasound finds
no uterine contents. Embryo has implanted on left ovary and this is treated with
laparoscopic oophorectomy. What are the CPT® and ICD-10-CM codes reported
for this procedure? Do not code the ultrasound.
a. 59150, O00.90
b. 59151, O00.202
,c. 59121, O00.102
d. 58661, O00.00 - ANSWER-b. 59151, O00.202
What ICD-10-CM codes are reported for an encounter for full-term uncomplicated
delivery of a single live birth at 41 weeks of pregnancy?
a. O80, Z37.0, Z3A.41
b. 08O, Z37.1, Z3A.41
c. O82, Z37.1, Z3A.41
d. O82, Z37.0, Z3A.41 - ANSWER-a. O80, Z37.0, Z3A.41
A woman with abdominal pain and bleeding has a diagnosis of multiple fibroid
tumors and undergoes laparoscopic resection without hysterectomy. After the
abdomen is entered and inspected it is found she has 5 separate intramural fibroid
tumors. The fibroid tumors are successfully removed, with a total weight of 300
grams. Pathology confirms leiomyoma (myomas or fibroids). What are the CPT®
and ICD-10-CM codes reported for this service?
a. 58545, D25.1
b. 58146, D25.9
c. 58140, D25.9
d. 58546, D25.1 - ANSWER-d. 58546, D25.1
When coding for surgery performed on the Skull Base (61580-61598) what term
describes the method used to gain exposure to the lesion?
a. Repair procedure
b. Radical procedure
, c. Definitive procedure
d. Approach procedure - ANSWER-d. Approach procedure
A patient with a neoplasm of the spinal meninges has a programmable pump
implanted for chemotherapy administration. What CPT® and ICD-10-CM codes
are reported?
a. 96522, C41.2
b. 62360, C41.2
c. 62361, C70.1
d. 62362, C70.1 - ANSWER-d. 62362, C70.1
Where in the respiratory system is the carina located?
a. Left bronchus
b. Sphenoid sinus
c. Tracheal bifurcation
d. Inferior turbinate - ANSWER-c. Tracheal bifurcation
Which CMS product describes whether specific medical items, services, treatment
procedures or technologies are considered medically necessary under Medicare?
a. Medicare Claims Processing Manual
b. National Coverage Determinations Manual
c. Relative Value Files
d. Medicare Physician Fee Schedule Final Rule - ANSWER-b. National Coverage
Determinations Manual
