CPC PRACTICE EXAM QUESTIONS WITH COMPLETE AND
ACCURATE ANSWERS.
1) Category III codes are temporary codes for emerging technology, services and
_ _ _ _ _ _ _ _ _ _ _
procedures. If a category II code exists, it should be used instead of an "unlisted
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _
procedure" code in category I_ _ _ _
A. True _
B. False -- Correct Answer ✔✔ A. True
_ _ _ _ _ _
2) An ABN must be signed when?
_ _ _ _ _
A. Once the insurance company had denied payment
_ _ _ _ _ _ _
B. Before the service or procedure is provided to the patient
_ _ _ _ _ _ _ _ _ _
C. After services are rendered, but before the claim is filled
_ _ _ _ _ _ _ _ _ _
D. Once the denied claim has been appealed at the highest level -- Correct
_ _ _ _ _ _ _ _ _ _ _ _ _
Answer ✔✔ B. Before the services or procedure is provided to the patient
_ _ _ _ _ _ _ _ _ _ _ _
3) Which of the following statements is not true regarding Medicare part A?
_ _ _ _ _ _ _ _ _ _ _
A. It helps cover home health care charges
_ _ _ _ _ _ _
B. It helps covers skilled nursing facility charges
_ _ _ _ _ _ _
C. It helps cover hospice charges
_ _ _ _ _
D. It helps cover outpatient charges -- Correct Answer ✔✔ D. It helps cover
_ _ _ _ _ _ _ _ _ _ _ _ _
outpatient charges _
4) Which of the following is not one of the three components of HIPAA that is enforced
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _
by the office for civil rights?
_ _ _ _ _ _ _
A. Protecting the privacy of individually identified health information
_ _ _ _ _ _ _
B. Setting national standards for the security of electronically protected health
_ _ _ _ _ _ _ _ _ _
information
C. Protecting identifiable information being used to analyze patient safety events
_ _ _ _ _ _ _ _ _ _
and improved patient safety
_ _ _ _
, D. Setting national standards regarding the transmission and use of protected
_ _ _ _ _ _ _ _ _ _
health information -- Correct Answer ✔✔ D. Setting national standards
_ _ _ _ _ _ _ _ _ _
regarding the transmission and use of protected health information _ _ _ _ _ _ _ _
5) What is the correct ICD-10-CM codes for malignant hypertension with stage 3
_ _ _ _ _ _ _ _ _ _ _ _
kidney disease? _
A. I10, N18.30 _
B. I12.9
C. I10
D. I12.9, N18.30 -- Correct Answer ✔✔ D. I12.9, N18.30
_ _ _ _ _ _ _ _
6) Which of the following is on the right side of the human body?
_ _ _ _ _ _ _ _ _ _ _ _
A. Appendix
B. Sigmoid colon _
C. Descending colon _
D. Rectum -- Correct Answer ✔✔ A. Appendix _ _ _ _ _ _
7) The midsagittal plane refers to what portion of the body?
_ _ _ _ _ _ _ _ _
A. Top
B. Middle
C. Bottom
D. Back -- Correct Answer ✔✔ B. Middle _ _ _ _ _ _
8) One of the six major scapulohumeral muscles:
_ _ _ _ _ _
a. temporalis
b. trapezius
c. teres
d. trigone -- Correct Answer ✔✔ C. Teres _ _ _ _ _ _
9) cpt codes 22840-22848 are modifier -62 exempt:
_ _ _ _ _ _
A. True _
B. False -- Correct Answer ✔✔ A. True _ _ _ _ _ _
10) Wound exploration codes include the following services
_ _ _ _ _ _
A. Exploration and repair _ _
, B. Exploration, including enlargement, removal of foreign bodies, repair
_ _ _ _ _ _ _
C. Exploration, including enlargement, repair and necessary grafting
_ _ _ _ _ _
D. Exploration, including enlargement, debridement, removal of foreign bodies ,
_ _ _ _ _ _ _ _ _
minor vessel ligation and repair -- Correct Answer ✔✔ D. Exploration,
_ _ _ _ _ _ _ _ _ _ _
including enlargement, debridement, removal of foreign bodies, minor vessel
_ _ _ _ _ _ _ _ _
ligation and repair _ _
11) The full description of CPT code 24925 is:
_ _ _ _ _ _ _
A. Secondary closure or scar revision _ _ _ _
B. Amputation, secondary closure or scar revision _ _ _ _ _
C. Amputation, arm through humerus; secondary closure or scar revision
_ _ _ _ _ _ _ _
D. Amputation, arm through humerus; with primary closure, secondary closure
_ _ _ _ _ _ _ _ _
or scar revision -- Correct Answer ✔✔ C. Amputation, arm through
_ _ _ _ _ _ _ _ _ _ _
humorous ; secondary closure or scar revision
_ _ _ _ _ _
12) What does the term "medical necessity" mean?
_ _ _ _ _ _
A. Without treatment the patient will suffer permanent disability or death
_ _ _ _ _ _ _ _ _
B. The service requires medical treatment
_ _ _ _ _
C. The condition of the patient justifies the service provided
_ _ _ _ _ _ _ _
D. The care provided med quality standards -- Correct Answer ✔✔ C. The
_ _ _ _ _ _ _ _ _ _ _ _
condition of the patient justifies the service provided
_ _ _ _ _ _ _
13) Which of the following statements is false?
_ _ _ _ _ _ _
A. External cause codes or morbidity codes are in the range V00-Y99
_ _ _ _ _ _ _ _ _ _
B. You may assign as many external cause codes as necessary a
_ _ _ _ _ _ _ _ _ _
C. External cause codes are used only in the initial encounter
_ _ _ _ _ _ _ _ _ _
D. External cause codes can never be a principle diagnosis -- Correct Answer
_ _ _ _ _ _ _ _ _ _ _ _
✔✔ C. External cause codes are used only in the initial encounter
_ _ _ _ _ _ _ _ _ _ _
14) Which of the following codes allow the use of modifier 51?
_ _ _ _ _ _ _ _ _ _
A. 20975
B. 93600
, C. 93616
D. 45392 -- Correct Answer ✔✔ D. 45392
_ _ _ _ _ _
15) The suffix -ectomy means:
_ _ _
A. To cut _
B. Surgical removal _ _
C. A permanent opening
_ _ _
D. Surgical repair -- Correct Answer ✔✔ B. Surgical removal
_ _ _ _ _ _ _ _
16) The acronym MMRV stands for:
_ _ _ _
A. Measles, mumps and rubella vaccine _ _ _ _
B. Measles, mumps, and rosella vaccine _ _ _ _
C. Measles, mumps, rubella and varicella _ _ _ _ _
D. Measles, mumps, rosella and varicella -- Correct Answer ✔✔ C. Measles,
_ _ _ _ _ _ _ _ _ _ _
mumps, rubella, and varicella _ _ _
17) Which of the following describes the removal of fluid from a body cavity?
_ _ _ _ _ _ _ _ _ _ _ _
A. Arthrocentesis
B. Amniocentesis _
C. Pericardiocentesis _
D. Paracentesis -- Correct Answer ✔✔ D. Paracentesis _ _ _ _ _ _
18) In the medical term myopathy, the suffix -patchy means disease. What is diseased?
_ _ _ _ _ _ _ _ _ _ _ _
A. Mind
B. Muscle
C. Eye
D. Nervous system -- Correct Answer ✔✔ B. Muscle
_ _ _ _ _ _ _
19) Which of the following is not part of the small intestine?
_ _ _ _ _ _ _ _ _ _
A. Duodenum
B. Ileum
C. Jejunum
D. Cecum -- Correct Answer ✔✔ D. Cecum
_ _ _ _ _ _
20) Lucy was standing on a chair in her apartment's kitchen trying to change a light bulb
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
when she slipped and fell. She struck the glass top stove, which shattered. She
_ _ _ _ _ _ _ _ _ _ _ _ _ _
ACCURATE ANSWERS.
1) Category III codes are temporary codes for emerging technology, services and
_ _ _ _ _ _ _ _ _ _ _
procedures. If a category II code exists, it should be used instead of an "unlisted
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _
procedure" code in category I_ _ _ _
A. True _
B. False -- Correct Answer ✔✔ A. True
_ _ _ _ _ _
2) An ABN must be signed when?
_ _ _ _ _
A. Once the insurance company had denied payment
_ _ _ _ _ _ _
B. Before the service or procedure is provided to the patient
_ _ _ _ _ _ _ _ _ _
C. After services are rendered, but before the claim is filled
_ _ _ _ _ _ _ _ _ _
D. Once the denied claim has been appealed at the highest level -- Correct
_ _ _ _ _ _ _ _ _ _ _ _ _
Answer ✔✔ B. Before the services or procedure is provided to the patient
_ _ _ _ _ _ _ _ _ _ _ _
3) Which of the following statements is not true regarding Medicare part A?
_ _ _ _ _ _ _ _ _ _ _
A. It helps cover home health care charges
_ _ _ _ _ _ _
B. It helps covers skilled nursing facility charges
_ _ _ _ _ _ _
C. It helps cover hospice charges
_ _ _ _ _
D. It helps cover outpatient charges -- Correct Answer ✔✔ D. It helps cover
_ _ _ _ _ _ _ _ _ _ _ _ _
outpatient charges _
4) Which of the following is not one of the three components of HIPAA that is enforced
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _
by the office for civil rights?
_ _ _ _ _ _ _
A. Protecting the privacy of individually identified health information
_ _ _ _ _ _ _
B. Setting national standards for the security of electronically protected health
_ _ _ _ _ _ _ _ _ _
information
C. Protecting identifiable information being used to analyze patient safety events
_ _ _ _ _ _ _ _ _ _
and improved patient safety
_ _ _ _
, D. Setting national standards regarding the transmission and use of protected
_ _ _ _ _ _ _ _ _ _
health information -- Correct Answer ✔✔ D. Setting national standards
_ _ _ _ _ _ _ _ _ _
regarding the transmission and use of protected health information _ _ _ _ _ _ _ _
5) What is the correct ICD-10-CM codes for malignant hypertension with stage 3
_ _ _ _ _ _ _ _ _ _ _ _
kidney disease? _
A. I10, N18.30 _
B. I12.9
C. I10
D. I12.9, N18.30 -- Correct Answer ✔✔ D. I12.9, N18.30
_ _ _ _ _ _ _ _
6) Which of the following is on the right side of the human body?
_ _ _ _ _ _ _ _ _ _ _ _
A. Appendix
B. Sigmoid colon _
C. Descending colon _
D. Rectum -- Correct Answer ✔✔ A. Appendix _ _ _ _ _ _
7) The midsagittal plane refers to what portion of the body?
_ _ _ _ _ _ _ _ _
A. Top
B. Middle
C. Bottom
D. Back -- Correct Answer ✔✔ B. Middle _ _ _ _ _ _
8) One of the six major scapulohumeral muscles:
_ _ _ _ _ _
a. temporalis
b. trapezius
c. teres
d. trigone -- Correct Answer ✔✔ C. Teres _ _ _ _ _ _
9) cpt codes 22840-22848 are modifier -62 exempt:
_ _ _ _ _ _
A. True _
B. False -- Correct Answer ✔✔ A. True _ _ _ _ _ _
10) Wound exploration codes include the following services
_ _ _ _ _ _
A. Exploration and repair _ _
, B. Exploration, including enlargement, removal of foreign bodies, repair
_ _ _ _ _ _ _
C. Exploration, including enlargement, repair and necessary grafting
_ _ _ _ _ _
D. Exploration, including enlargement, debridement, removal of foreign bodies ,
_ _ _ _ _ _ _ _ _
minor vessel ligation and repair -- Correct Answer ✔✔ D. Exploration,
_ _ _ _ _ _ _ _ _ _ _
including enlargement, debridement, removal of foreign bodies, minor vessel
_ _ _ _ _ _ _ _ _
ligation and repair _ _
11) The full description of CPT code 24925 is:
_ _ _ _ _ _ _
A. Secondary closure or scar revision _ _ _ _
B. Amputation, secondary closure or scar revision _ _ _ _ _
C. Amputation, arm through humerus; secondary closure or scar revision
_ _ _ _ _ _ _ _
D. Amputation, arm through humerus; with primary closure, secondary closure
_ _ _ _ _ _ _ _ _
or scar revision -- Correct Answer ✔✔ C. Amputation, arm through
_ _ _ _ _ _ _ _ _ _ _
humorous ; secondary closure or scar revision
_ _ _ _ _ _
12) What does the term "medical necessity" mean?
_ _ _ _ _ _
A. Without treatment the patient will suffer permanent disability or death
_ _ _ _ _ _ _ _ _
B. The service requires medical treatment
_ _ _ _ _
C. The condition of the patient justifies the service provided
_ _ _ _ _ _ _ _
D. The care provided med quality standards -- Correct Answer ✔✔ C. The
_ _ _ _ _ _ _ _ _ _ _ _
condition of the patient justifies the service provided
_ _ _ _ _ _ _
13) Which of the following statements is false?
_ _ _ _ _ _ _
A. External cause codes or morbidity codes are in the range V00-Y99
_ _ _ _ _ _ _ _ _ _
B. You may assign as many external cause codes as necessary a
_ _ _ _ _ _ _ _ _ _
C. External cause codes are used only in the initial encounter
_ _ _ _ _ _ _ _ _ _
D. External cause codes can never be a principle diagnosis -- Correct Answer
_ _ _ _ _ _ _ _ _ _ _ _
✔✔ C. External cause codes are used only in the initial encounter
_ _ _ _ _ _ _ _ _ _ _
14) Which of the following codes allow the use of modifier 51?
_ _ _ _ _ _ _ _ _ _
A. 20975
B. 93600
, C. 93616
D. 45392 -- Correct Answer ✔✔ D. 45392
_ _ _ _ _ _
15) The suffix -ectomy means:
_ _ _
A. To cut _
B. Surgical removal _ _
C. A permanent opening
_ _ _
D. Surgical repair -- Correct Answer ✔✔ B. Surgical removal
_ _ _ _ _ _ _ _
16) The acronym MMRV stands for:
_ _ _ _
A. Measles, mumps and rubella vaccine _ _ _ _
B. Measles, mumps, and rosella vaccine _ _ _ _
C. Measles, mumps, rubella and varicella _ _ _ _ _
D. Measles, mumps, rosella and varicella -- Correct Answer ✔✔ C. Measles,
_ _ _ _ _ _ _ _ _ _ _
mumps, rubella, and varicella _ _ _
17) Which of the following describes the removal of fluid from a body cavity?
_ _ _ _ _ _ _ _ _ _ _ _
A. Arthrocentesis
B. Amniocentesis _
C. Pericardiocentesis _
D. Paracentesis -- Correct Answer ✔✔ D. Paracentesis _ _ _ _ _ _
18) In the medical term myopathy, the suffix -patchy means disease. What is diseased?
_ _ _ _ _ _ _ _ _ _ _ _
A. Mind
B. Muscle
C. Eye
D. Nervous system -- Correct Answer ✔✔ B. Muscle
_ _ _ _ _ _ _
19) Which of the following is not part of the small intestine?
_ _ _ _ _ _ _ _ _ _
A. Duodenum
B. Ileum
C. Jejunum
D. Cecum -- Correct Answer ✔✔ D. Cecum
_ _ _ _ _ _
20) Lucy was standing on a chair in her apartment's kitchen trying to change a light bulb
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
when she slipped and fell. She struck the glass top stove, which shattered. She
_ _ _ _ _ _ _ _ _ _ _ _ _ _
