AAPC CPC Practice Exam D| Updated Q&A 2025| Rated 100%

AAPC CPC Practice Exam D| Updated Q&A 2025| Rated 100% Which of the following is an example of fraudulent behavior? Reporting a biopsy and excision performed on the same skin lesion during the same encounter Answer B is the only case of unbundling CPT® codes, which leads to fraudulent claims. According to National Correct Coding Initiative (NCCI) and CPT® guidelines, a biopsy done on the same lesion as an excision during the same encounter is considered incidental and should not be reported separately. If ultrasound guidance is used for a liver biopsy, it is billable. X-rays performed and interpreted by a physician in their office do not need modifier 26, as the physician owns the equipment and bills the global service. Additional lab tests can be included in a lab panel even if they are not listed in the panel. What place of service code should be used for fracture care provided by an orthopedic physician in the emergency department? 23 Place of service codes are used on claim forms to identify where services are provided. Since the services are delivered in the emergency department, place of service code 23 should be reported. You can find the place of service codes in the CPT® codebook. 2 What is the full description for CPT® code 61535? Craniotomy with elevation of bone flap; for removal of epidural or subdural electrode array, without excision of cerebral tissue (separate procedure) In the CPT® codebook, the description for code 61535 is an expansion of code 61533, starting with the description up to the semicolon, which forms the complete description for 61535. Which Z code category can only be reported as the primary diagnosis? Z03 The ICD-10-CM Coding Guidelines specify certain Z code categories that must be reported as the first listed diagnosis. You can find these guidelines under I.C.21.c.16 in the ICD-10-CM codebook. A patient has a history of symptomatic HIV and has been treated for an HIV-related illness. Which ICD-10-CM code should be reported? B20 When "history" is used in documentation, it does not always match ICD-10-CM language. A physician may document "history" of a disease, which could imply that the disease has been treated or resolved. However, in the case of symptomatic HIV, once a patient has been diagnosed 3 with symptomatic HIV, the correct code is B20, regardless of the presence of symptoms at the time. Lordosis is a disorder of which part of the body? Spine Lordosis is a spinal condition characterized by excessive inward curvature of the lumbar spine, commonly referred to as "sway back." It can be caused by factors such as obesity, tight lower back muscles, or pregnancy, and may lead to lower back pain. It is listed under M40.50 in the ICD-10-CM codebook, specifically in the chapter on diseases of the musculoskeletal system. Which anatomical sites are associated with septums? Nose, heart Septums are structures that divide a cavity or space into two parts. The nose and heart both have septums: the nasal septum divides the nostrils, and the heart has a septum dividing the left and right sides. Both the heart and the nose have a septum, defined as a wall dividing two chambers. The nasal septum separates the two nostrils. A septum also divides the ri