AAPC CPC Chapter 4 Exam 2025–2026 Accurate
Real Exam Questions and Verified Correct
Answers JUST RELEASED
B - answer>>>What does MRSA stand for?
A) Mild Resistance Streptococcus Aureus
B) Methicillin Resistant Staphylococcus Aureus
C) Methicillin Resistant Streptococcus Aureus
D) Moderate Resistance Susceptible Aureus
B - answer>>>If a diabetic patient uses insulin, and the type of diabetes is not documented, what
type of diabetes would be coded according to ICD-10-CM guidelines?
A) Secondary diabetes
B) Type 2
C) Type 1
D) The use of insulin does not specify that a patient is a certain type of diabetes
A - answer>>>Patient with postoperative anemia due to acute blood loss during the surgery needs
a blood transfusion. What ICD-10-CM code is reported?
A) D62
B) D53.0
C) D50.0
D) D64.9
I10 - answer>>>CASE 9
Follow-up Visit: The patient has some memory problems. She is hard of hearing. She is legally
blind. Her pharmacist and her family are very worried about her memory issues. She lives at
home, family takes care of laying out her medications and helping with the chores, but she does
take care of her own home to best of her ability.
Exam: Pleasant elderly woman in no acute distress. She has postop changes of her eyes. TMs are
dull. Pharynx is clear. Neck is supple without adenopathy. Lungs are clear. Good air movement.
Heart is regular. She had a slight murmur. Abdomen is soft. Moderately obese. Non-tender.
Extremities; no clubbing or edema. Foot exam shows some bunion deformity but otherwise
healthy. Light touch is preserved. There is no ankle edema or stasis change. Examination of the
,upper arms reveal good range of motion. There is significant pain in her shoulder with rotational
movements. It is localized mostly over the deltoid. There is no other deformity. There is a very
slight left shoulder discomfort and slight right hip discomfort.
Impression:
1. Dementia
2. Right shoulder pain.
3. Benign hypertensive cardiovascular disease.
4. Type 2 diabetes good control. Most recent AlC done today 5.9%. Liver test normal. Cholesterol
199, LDL a little high at 115.
Plans:
1. I offered her and her family neuropsychological evaluation to evaluate for dementia. Her
system complex is consistent with dementia, whether it be from small vascular disease or
Alzheimer's is unknown. At this point, they would much rather initiate treatment than go through
an exhaustive neuropsychological test.
2. For the shoulder we decided on right deltoid bursa aspiration injection. She has had injection
for bursitis in the past and prefers to go this route. She will ice and rest the shoulder after
injection.
3. Follow up in 3 months.
Pr
I48.91 (atrial fibrillation, unspecified), Z79.01 (long-term use of anticoagulants), Z51.81
(therapeutic drug monitoring) - answer>>>CASE 7
PROGRESS NOTE
This patient is a 50 year-old female who began developing bleeding, bright red blood per rectum,
approximately two weeks ago. She is referred by her family physician. She states that after a
bowel movement she noticed blood in the toilet. She denied any prior history of bleeding or pain
with defecation. She states that she has had an external hemorrhoid that did bleed at times but
that is not where this bleeding is coming from. She is presently concerned because a close friend
of hers was recently diagnosed with rectal carcinoma requiring chemotherapy that was missed by
her primary doctor. She is here today for evaluation for a colonoscopy.
Physical examination, she appears to be a well appearing 50 year-old, white female. Abdomen is
soft, non-tender, non-distended.
ASSESSMENT: 50 year-old female with rectal bleeding
PLAN: We'll schedule the patient for an outpatient colonoscopy. The patient was made aware of
all the risks involved with the procedure and was willing to proceed.
What diagnosis code(s) are reported?
, Dx #1: K62.5
CASE 8
Subjective: Here to follow up on her atrial fibrillation. No new problems. Feeling well. Medications
are per medication sheet. These were reconstituted with the medications that she was discharged
home on.
0bjective: Blood pressure is 110/64. Pulse is regular at 72. Neck is supple. Chest is clear. Cardiac
normal sinus rhythm.
Assessment: Atrial fibrillation, currently stable
Plan:
1. Prothrombin time to monitor long term use of anticoagulant.
2. Follow up with me in one month or sooner as needed if she has any other problems in the
meantime. Will also check a creatinine and potassium today.
Dx #1:
Dx #2:
Dx #3:
H26.9 (Other Catarac, unspecified), H52.4 (Presbyopia) - answer>>>CASE 6
PREOPERATIVE DIAGNOSIS: Cataract, left eye
POSTOPERATIVE DIAGNOSIS: Cataract eye Presbyopia
PROCEDURE: 1 Cataract extraction with IOL implant 2 Correction of presbyopia with lens
implantation
PROCEDURE DETAIL: The patient was brought to the operating room under neuroleptic anesthesia
monitoring. A topical anesthetic was placed within the operative eye and the patient was prepped
and draped in usual manner for sterile ophthalmic surgery. A lid speculum was inserted into the
right infrapalpebral space. A 6-0 silk suture was placed through the episclera at 12 o'clock. A
subconjunctival injection of non-preserved lidocaine was given. A peritomy was fashioned from
11 o'clock to 1 o'clock with Westcott scissors. Hemostasis was achieved with the wet-field
cautery. A 3-mm incision was made in the cornea and dissected anteriorly with a crescent blade
The anterior chamber was entered at 12 o'clock and 2 o'clock with a Supersharp blade. Non-
preserved lidocaine was instilled into the anterior chamber. Viscoelastic was instilled in the
anterior chamber and using a bent 25-guage needle, a 360-degree anterior capsulotomy was
performed using Utrata forceps. The capsulotomy was measured and found to be 5.5 mm in
diameter. Using an irrigating cannula, the lens nucleus was hydrodissected and loosened. Using
Real Exam Questions and Verified Correct
Answers JUST RELEASED
B - answer>>>What does MRSA stand for?
A) Mild Resistance Streptococcus Aureus
B) Methicillin Resistant Staphylococcus Aureus
C) Methicillin Resistant Streptococcus Aureus
D) Moderate Resistance Susceptible Aureus
B - answer>>>If a diabetic patient uses insulin, and the type of diabetes is not documented, what
type of diabetes would be coded according to ICD-10-CM guidelines?
A) Secondary diabetes
B) Type 2
C) Type 1
D) The use of insulin does not specify that a patient is a certain type of diabetes
A - answer>>>Patient with postoperative anemia due to acute blood loss during the surgery needs
a blood transfusion. What ICD-10-CM code is reported?
A) D62
B) D53.0
C) D50.0
D) D64.9
I10 - answer>>>CASE 9
Follow-up Visit: The patient has some memory problems. She is hard of hearing. She is legally
blind. Her pharmacist and her family are very worried about her memory issues. She lives at
home, family takes care of laying out her medications and helping with the chores, but she does
take care of her own home to best of her ability.
Exam: Pleasant elderly woman in no acute distress. She has postop changes of her eyes. TMs are
dull. Pharynx is clear. Neck is supple without adenopathy. Lungs are clear. Good air movement.
Heart is regular. She had a slight murmur. Abdomen is soft. Moderately obese. Non-tender.
Extremities; no clubbing or edema. Foot exam shows some bunion deformity but otherwise
healthy. Light touch is preserved. There is no ankle edema or stasis change. Examination of the
,upper arms reveal good range of motion. There is significant pain in her shoulder with rotational
movements. It is localized mostly over the deltoid. There is no other deformity. There is a very
slight left shoulder discomfort and slight right hip discomfort.
Impression:
1. Dementia
2. Right shoulder pain.
3. Benign hypertensive cardiovascular disease.
4. Type 2 diabetes good control. Most recent AlC done today 5.9%. Liver test normal. Cholesterol
199, LDL a little high at 115.
Plans:
1. I offered her and her family neuropsychological evaluation to evaluate for dementia. Her
system complex is consistent with dementia, whether it be from small vascular disease or
Alzheimer's is unknown. At this point, they would much rather initiate treatment than go through
an exhaustive neuropsychological test.
2. For the shoulder we decided on right deltoid bursa aspiration injection. She has had injection
for bursitis in the past and prefers to go this route. She will ice and rest the shoulder after
injection.
3. Follow up in 3 months.
Pr
I48.91 (atrial fibrillation, unspecified), Z79.01 (long-term use of anticoagulants), Z51.81
(therapeutic drug monitoring) - answer>>>CASE 7
PROGRESS NOTE
This patient is a 50 year-old female who began developing bleeding, bright red blood per rectum,
approximately two weeks ago. She is referred by her family physician. She states that after a
bowel movement she noticed blood in the toilet. She denied any prior history of bleeding or pain
with defecation. She states that she has had an external hemorrhoid that did bleed at times but
that is not where this bleeding is coming from. She is presently concerned because a close friend
of hers was recently diagnosed with rectal carcinoma requiring chemotherapy that was missed by
her primary doctor. She is here today for evaluation for a colonoscopy.
Physical examination, she appears to be a well appearing 50 year-old, white female. Abdomen is
soft, non-tender, non-distended.
ASSESSMENT: 50 year-old female with rectal bleeding
PLAN: We'll schedule the patient for an outpatient colonoscopy. The patient was made aware of
all the risks involved with the procedure and was willing to proceed.
What diagnosis code(s) are reported?
, Dx #1: K62.5
CASE 8
Subjective: Here to follow up on her atrial fibrillation. No new problems. Feeling well. Medications
are per medication sheet. These were reconstituted with the medications that she was discharged
home on.
0bjective: Blood pressure is 110/64. Pulse is regular at 72. Neck is supple. Chest is clear. Cardiac
normal sinus rhythm.
Assessment: Atrial fibrillation, currently stable
Plan:
1. Prothrombin time to monitor long term use of anticoagulant.
2. Follow up with me in one month or sooner as needed if she has any other problems in the
meantime. Will also check a creatinine and potassium today.
Dx #1:
Dx #2:
Dx #3:
H26.9 (Other Catarac, unspecified), H52.4 (Presbyopia) - answer>>>CASE 6
PREOPERATIVE DIAGNOSIS: Cataract, left eye
POSTOPERATIVE DIAGNOSIS: Cataract eye Presbyopia
PROCEDURE: 1 Cataract extraction with IOL implant 2 Correction of presbyopia with lens
implantation
PROCEDURE DETAIL: The patient was brought to the operating room under neuroleptic anesthesia
monitoring. A topical anesthetic was placed within the operative eye and the patient was prepped
and draped in usual manner for sterile ophthalmic surgery. A lid speculum was inserted into the
right infrapalpebral space. A 6-0 silk suture was placed through the episclera at 12 o'clock. A
subconjunctival injection of non-preserved lidocaine was given. A peritomy was fashioned from
11 o'clock to 1 o'clock with Westcott scissors. Hemostasis was achieved with the wet-field
cautery. A 3-mm incision was made in the cornea and dissected anteriorly with a crescent blade
The anterior chamber was entered at 12 o'clock and 2 o'clock with a Supersharp blade. Non-
preserved lidocaine was instilled into the anterior chamber. Viscoelastic was instilled in the
anterior chamber and using a bent 25-guage needle, a 360-degree anterior capsulotomy was
performed using Utrata forceps. The capsulotomy was measured and found to be 5.5 mm in
diameter. Using an irrigating cannula, the lens nucleus was hydrodissected and loosened. Using
