AAPC CPC FINAL EXAM Questions and
correct answers 2024-2025
What form is used to submit a provider's charge to the insurance carrier?
a. UB-04
b. Provider reimbursement form
c. CMS-1500
d. ABN - answer-c. CMS-1500
Which coding manuals do outpatient coders focus on learning?
a. CPT, HCPCS Level II and ICD-10-CM
b. CPT and ICD-10-CM
c. ICD-10-CM and ICD-10-PCS
d. CPT, HCPCS Level II, ICD-10-CM, ICD-10-PCS - answer-a. CPT, HCPCS Level II and
ICD-10-CM
In what year was HITECH enacted as part of the American Recovery and
Reinvestment Act?
a. 2010
b. 2009
c. 2000
d. 2007 - answer-b. 2009
,Voluntary compliance programs also provide benefits by not only helping to
prevent erroneous or ____, but also by showing that the provider practice is
making additional good faith efforts to submit claims appropriately.
a. Over utilized codes
b. Duplicative claims
c. Fraudulent claims
d. Mistaken principals - answer-c. Fraudulent claims
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
Which condition results from an injury to the head? The symptoms include
headache, dizziness and vomiting.
a. Meningitis
b. Concussion
c. Epilepsy
d. Parkinson's disease - answer-b. Concussion
,In order, starting with the innermost layer, what are the four walls of the
digestive tract?
a. Mucosa, submucosa, muscle, serosa
b. Serosa, mucosa, submucosa, muscle
c. Mucosa, submucosa, serosa, muscle
d. Muscle, submucosa, mucosa, serosa - answer-a. Mucosa, submucosa, muscle,
serosa
Which one of the following best describes psoriasis?
a. A chronic condition characterized by red, dry, elevated lesions, covered by
silvery scales
b. An inflammatory condition characterized by redness pustular and vesicular
lesions, crusts, and scales
c. An allergic reaction characterized by wheals and generally accompanied by
pruritus
d. A contagious infection of skin generally caused by staphylococcus bacterium -
answer-a. A chronic condition characterized by red, dry, elevated lesions, covered
by silvery scales
A form of milk produced the first few days after giving birth is:
a. Prolactin
b. Colostrum
, c. Lactose
d. Chorion - answer-b. Colostrum
A condition where the thyroid is overactive is called:
a. Thyrotoxicosis
b. Panhypopituitarism
c. Ketosis
d. Thyroiditis - answer-a. Thyrotoxicosis
What do the instructions and conventions of the classification take precedence
over?
a. CPT
b. Documentation
c. Official Coding Guidelines
d. Nothing. They are only used in the event of no other instruction. - answer-c.
Official Coding Guidelines
What is the sequencing order when coding a sequela (late effect)?
a. They symptom is coded first followed by the residual condition and the late
effect code
b. The cause of the late effect is coded first and the residual condition is coded
second
correct answers 2024-2025
What form is used to submit a provider's charge to the insurance carrier?
a. UB-04
b. Provider reimbursement form
c. CMS-1500
d. ABN - answer-c. CMS-1500
Which coding manuals do outpatient coders focus on learning?
a. CPT, HCPCS Level II and ICD-10-CM
b. CPT and ICD-10-CM
c. ICD-10-CM and ICD-10-PCS
d. CPT, HCPCS Level II, ICD-10-CM, ICD-10-PCS - answer-a. CPT, HCPCS Level II and
ICD-10-CM
In what year was HITECH enacted as part of the American Recovery and
Reinvestment Act?
a. 2010
b. 2009
c. 2000
d. 2007 - answer-b. 2009
,Voluntary compliance programs also provide benefits by not only helping to
prevent erroneous or ____, but also by showing that the provider practice is
making additional good faith efforts to submit claims appropriately.
a. Over utilized codes
b. Duplicative claims
c. Fraudulent claims
d. Mistaken principals - answer-c. Fraudulent claims
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
Which condition results from an injury to the head? The symptoms include
headache, dizziness and vomiting.
a. Meningitis
b. Concussion
c. Epilepsy
d. Parkinson's disease - answer-b. Concussion
,In order, starting with the innermost layer, what are the four walls of the
digestive tract?
a. Mucosa, submucosa, muscle, serosa
b. Serosa, mucosa, submucosa, muscle
c. Mucosa, submucosa, serosa, muscle
d. Muscle, submucosa, mucosa, serosa - answer-a. Mucosa, submucosa, muscle,
serosa
Which one of the following best describes psoriasis?
a. A chronic condition characterized by red, dry, elevated lesions, covered by
silvery scales
b. An inflammatory condition characterized by redness pustular and vesicular
lesions, crusts, and scales
c. An allergic reaction characterized by wheals and generally accompanied by
pruritus
d. A contagious infection of skin generally caused by staphylococcus bacterium -
answer-a. A chronic condition characterized by red, dry, elevated lesions, covered
by silvery scales
A form of milk produced the first few days after giving birth is:
a. Prolactin
b. Colostrum
, c. Lactose
d. Chorion - answer-b. Colostrum
A condition where the thyroid is overactive is called:
a. Thyrotoxicosis
b. Panhypopituitarism
c. Ketosis
d. Thyroiditis - answer-a. Thyrotoxicosis
What do the instructions and conventions of the classification take precedence
over?
a. CPT
b. Documentation
c. Official Coding Guidelines
d. Nothing. They are only used in the event of no other instruction. - answer-c.
Official Coding Guidelines
What is the sequencing order when coding a sequela (late effect)?
a. They symptom is coded first followed by the residual condition and the late
effect code
b. The cause of the late effect is coded first and the residual condition is coded
second
