AAPC - Medical Coding| State Board
Exam 2025| Approved 100%- Multiple
Q&A
Many coding professionals go on to find work as: Consultant
What is the primary purpose of HCPCS Level II codes?
To identify products, supplies, and services not included in CPT codes, especially for
Medicare and Medicaid
In coding, what is the significance of “Global Period”?
The time frame during which postoperative follow-up care is included in the surgical fee
without additional billing
How is the “seventh character” in ICD-10-CM used in trauma coding?
To indicate the episode of care, such as initial encounter, subsequent encounter, or sequela
What is the difference between CPT Category I and CPT Category III codes?
Category I codes are for established medical services; Category III codes are for emerging
technologies and services
When should a CPT “unlisted procedure” code be used?
When there is no specific CPT code available for the performed procedure
1
, What is the function of the National Correct Coding Initiative (NCCI)?
To prevent improper coding and unbundling of services in Medicare claims
How should multiple modifiers be reported in a CPT code?
List them sequentially with the most critical modifier first
What is the purpose of modifier 25?
To indicate a significant, separately identifiable evaluation and management (E/M) service
on the same day as a procedure
What is the significance of the “allowed charge” in reimbursement?
It represents the maximum payment amount agreed upon by the insurer and the provider
What is the purpose of the “place of service” codes?
To identify the setting where services were rendered, such as outpatient or inpatient
How should a coder handle a diagnosis that states "suspected" or "possible"?
Only code confirmed diagnoses; otherwise, code signs or symptoms
What does an “ABN” form entail, and when is it used?
2
Exam 2025| Approved 100%- Multiple
Q&A
Many coding professionals go on to find work as: Consultant
What is the primary purpose of HCPCS Level II codes?
To identify products, supplies, and services not included in CPT codes, especially for
Medicare and Medicaid
In coding, what is the significance of “Global Period”?
The time frame during which postoperative follow-up care is included in the surgical fee
without additional billing
How is the “seventh character” in ICD-10-CM used in trauma coding?
To indicate the episode of care, such as initial encounter, subsequent encounter, or sequela
What is the difference between CPT Category I and CPT Category III codes?
Category I codes are for established medical services; Category III codes are for emerging
technologies and services
When should a CPT “unlisted procedure” code be used?
When there is no specific CPT code available for the performed procedure
1
, What is the function of the National Correct Coding Initiative (NCCI)?
To prevent improper coding and unbundling of services in Medicare claims
How should multiple modifiers be reported in a CPT code?
List them sequentially with the most critical modifier first
What is the purpose of modifier 25?
To indicate a significant, separately identifiable evaluation and management (E/M) service
on the same day as a procedure
What is the significance of the “allowed charge” in reimbursement?
It represents the maximum payment amount agreed upon by the insurer and the provider
What is the purpose of the “place of service” codes?
To identify the setting where services were rendered, such as outpatient or inpatient
How should a coder handle a diagnosis that states "suspected" or "possible"?
Only code confirmed diagnoses; otherwise, code signs or symptoms
What does an “ABN” form entail, and when is it used?
2
