1|Page
AAPC CPC CERTIFICATION FINAL EXAM 1 ||
2025 ACTUAL EXAM ALL QUESTIONS AND 100%
CORRECT ANSWERS GRADE A+|| LATEST AND
COMPLETE UPDATED VERSION 2025||
GUARANTEED PASS!!!
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
A 45-year-old mother of three children is having surgery to correct an anterior
vaginal wall prolapse with an incomplete uterine prolapse. What ICD-10-CM code
is reported?
a. N81.3
b. N81.10
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c. N81.4
d. N81.2 ANSWER- d. N81.2
An X-ray is performed for pain in the left little finger. This is the initial encounter
for this visit. The X-ray report shows a fractured distal phalanx that is dislocated.
What ICD-10-CM code(s) is/are reported?
a. S62.637A, S63.257A
b. S62.637A
c. S62.637B, S63.257B
d. S62.635A ANSWER- b. S62.637A
A 16-year-old male is brought to the ED by his mother. He was riding his bicycle
in the park when he fell off the bike. The patient's right arm is painful to touch,
discolored, and swollen. The X-ray shows a closed fracture of the ulna. What ICD-
10-CM codes are reported?
a. S52.209A, V18.4XXA, Y92.830
b. S52.201A, V19.9XXA, Y92.830
c. S52.201A, V18.0XXA, Y92.830
d. S52.201A, V18.4XXA, Y92.831 ANSWER- c. S52.201A, V18.0XXA,
Y92.830
The patient is admitted for radiation therapy for metastatic bone cancer, unknown
primary. She developed severe vomiting secondary to the radiation. What ICD-10-
CM code(s) is/are reported?
a. C79.51, C80.1
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b. C79.51, C80.1, R11.10, Z51.0
c. Z51.0, C79.51, C80.1, R11.10
d. R11.10 ANSWER- c. Z51.0, C79.51, C80.1, R11.10
Which statement is TRUE regarding the instruction for use of the CPT® code
book?
a. Select the name of the procedure or service that most closely approximated the
procedure or service performed
b. Use an unlisted code when modifying a procedure
c. Parenthetical instructions define each code listed in the code book
d. Select the name of the procedure or service that accurately identifies the service
performed ANSWER- d. Select the name of the procedure or service that
accurately identifies the service performed
Which HCPCS level II codes are not reported for Medicare, but used by
commercial health plan Blue Cross Blue Shield (BCBS) to report drugs, services,
and supplies for which there are no national codes?
a. S codes
b. J codes
c. A codes
d. G codes ANSWER- a. S codes
What is the correct CPT® code for a complicated nephrolithotomy on a patient
with a congenital kidney abnormality?
a. 50065
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b. 50075
c. 50070
d. 50060 ANSWER- c. 50070
What type of print indicates new additions and revisions in the CPT® code book
each year?
a. Bold print
b. Italic print
c. Red print
d. Green print ANSWER- d. Green print
What type of CPT® code is "modifier 51 exempt" even though there is no modifier
51 exempt symbol next to it?
a. Surgery codes
b. Bilateral procedures
c. Mandated services
d. Add-on codes ANSWER- d. Add-on codes
What term best describes a mass of hypertrophic scar tissue?
a. Dermatofibroma
b. Congenital nevus
c. Pilonidal cyst
d. Keloid ANSWER- d. Keloid
AAPC CPC CERTIFICATION FINAL EXAM 1 ||
2025 ACTUAL EXAM ALL QUESTIONS AND 100%
CORRECT ANSWERS GRADE A+|| LATEST AND
COMPLETE UPDATED VERSION 2025||
GUARANTEED PASS!!!
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
A 45-year-old mother of three children is having surgery to correct an anterior
vaginal wall prolapse with an incomplete uterine prolapse. What ICD-10-CM code
is reported?
a. N81.3
b. N81.10
,2|Page
c. N81.4
d. N81.2 ANSWER- d. N81.2
An X-ray is performed for pain in the left little finger. This is the initial encounter
for this visit. The X-ray report shows a fractured distal phalanx that is dislocated.
What ICD-10-CM code(s) is/are reported?
a. S62.637A, S63.257A
b. S62.637A
c. S62.637B, S63.257B
d. S62.635A ANSWER- b. S62.637A
A 16-year-old male is brought to the ED by his mother. He was riding his bicycle
in the park when he fell off the bike. The patient's right arm is painful to touch,
discolored, and swollen. The X-ray shows a closed fracture of the ulna. What ICD-
10-CM codes are reported?
a. S52.209A, V18.4XXA, Y92.830
b. S52.201A, V19.9XXA, Y92.830
c. S52.201A, V18.0XXA, Y92.830
d. S52.201A, V18.4XXA, Y92.831 ANSWER- c. S52.201A, V18.0XXA,
Y92.830
The patient is admitted for radiation therapy for metastatic bone cancer, unknown
primary. She developed severe vomiting secondary to the radiation. What ICD-10-
CM code(s) is/are reported?
a. C79.51, C80.1
,3|Page
b. C79.51, C80.1, R11.10, Z51.0
c. Z51.0, C79.51, C80.1, R11.10
d. R11.10 ANSWER- c. Z51.0, C79.51, C80.1, R11.10
Which statement is TRUE regarding the instruction for use of the CPT® code
book?
a. Select the name of the procedure or service that most closely approximated the
procedure or service performed
b. Use an unlisted code when modifying a procedure
c. Parenthetical instructions define each code listed in the code book
d. Select the name of the procedure or service that accurately identifies the service
performed ANSWER- d. Select the name of the procedure or service that
accurately identifies the service performed
Which HCPCS level II codes are not reported for Medicare, but used by
commercial health plan Blue Cross Blue Shield (BCBS) to report drugs, services,
and supplies for which there are no national codes?
a. S codes
b. J codes
c. A codes
d. G codes ANSWER- a. S codes
What is the correct CPT® code for a complicated nephrolithotomy on a patient
with a congenital kidney abnormality?
a. 50065
, 4|Page
b. 50075
c. 50070
d. 50060 ANSWER- c. 50070
What type of print indicates new additions and revisions in the CPT® code book
each year?
a. Bold print
b. Italic print
c. Red print
d. Green print ANSWER- d. Green print
What type of CPT® code is "modifier 51 exempt" even though there is no modifier
51 exempt symbol next to it?
a. Surgery codes
b. Bilateral procedures
c. Mandated services
d. Add-on codes ANSWER- d. Add-on codes
What term best describes a mass of hypertrophic scar tissue?
a. Dermatofibroma
b. Congenital nevus
c. Pilonidal cyst
d. Keloid ANSWER- d. Keloid
