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AAPC CPC FINAL EXAM REAL EXAM LATEST VERSIONS EACH VERSION
CONTAINS 145 QUESTIONS AND CORRECT ANSWERS (VERIFIED
ANSWERS) 2025/2026 |A+GRADE
A 63-year-old gentleman comes into the ED complaining of the urge to urinate but has
been unable to empty his bladder. The provider decides to place a Foley catheter to relieve
the urine retention due to prostate hypertrophy. What is the code selection for the
procedure and diagnosis codes?
a. 51701, N40.1, R33.9 b. 51702, N40.1, R33.8 c. 51701, R33.8, N40.1 d. 51702, R33.9,
N40.1 - ......ANSWER........b. 51702, N40.1, R33.8
A 65-year-old patient is complaining of difficulty breathing. Patient is scheduled for a
diagnostic VATS (Video-assisted thoracoscopic surgery). Under general anesthesia he was
placed in left lateral decubitus position and a thoracoscope was inserted through a port
site. The VATS exploration immediately revealed a mass of the right upper lobe. A biopsy
was performed and sent to pathology. Results from pathology revealed small cell
carcinoma. The decision was made to perform VATS and remove the upper lobe of the right
lung. What CPT® code(s) is (are) reported?
a. 32480 b. 32663 c. 32663, 32607-51 d. 32671, 32609-51 - ......ANSWER........b. 32663
A 65-year-old was admitted in the hospital two days ago and is being examined today by
his primary care physician, who has been seeing him since he has been admitted. Primary
care physician is checking for any improvements or if the condition is worsening. CHIEF
COMPLAINT: CHF
INTERVAL HISTORY: CHF symptoms worsened since yesterday. Now has some resting
dyspnea. HTN remains poorly controlled. Also, I'm concerned about his CKD, which has
worsened, most likely due to cardio-renal syndrome.
IMPRESSION:
1. Severe exacerbation of CHF
2. Poorly controlled HTN
3. Worsening ARF due to cardio-renal syndrome
,2 of 30
PLAN:
1. Increase BUMEX to 2 mg IV Q6.
2. Give 500 mg IV DIURIL times one.
3. Re-check usual labs in a.m. Total time: 20 minutes. What E/M category is used for
this visit?
a. Initial Hospital or Observation b. Established Patient Office/Outpatient c. Subsequent
Hospital or Observation d. Inpatient Consultation - ......ANSWER........c. Subsequent
Hospital or Observation Visit (99231-33233)
A baby was born with a ventricular septal defect (VSD). The provider performed a right
heart catheterization and transcatheter closure with implant by percutaneous approach.
What CPT® and ICD-10-CM codes are reported?
a. 93581, Q21.0 b. 93593, 93581-59, Q21.0 c. 93593, Q20.4 d. 93593, 93581-59, Q21.9
- ......ANSWER........a. 93581, Q21.0
A condition where the thyroid is overactive is called:
a. Thyrotoxicosis b. Panhypopituitarism c. Ketosis d. Thyroiditis - ......ANSWER........a.
Thyrotoxicosis
A couple with the inability to conceive has fertility testing. The semen specimen is tested
for volume, count, motility and a differential is calculated. The findings indicate infertility
due to oligospermia. What CPT® and ICD-10-CM codes are reported?
a. 89320, N46.11 b. 89264, N46.11 c. 89257, Z31.41 d. 89310, 89320, Z31.41
- ......ANSWER........a. 89320, N46.11
A female patient has osteoarthritis localized in the left hip joint due to senile osteoporosis.
What ICD-10-CM codes are reported?
a. M16.7, M16.12, M81.0 b. M16.12, M81.8 c. M16.7, M81.0 d. M16.12, M81.6
- ......ANSWER........c. M16.7, M81.0
A final diagnosis for a patient in the ER is COPD with acute bronchitis due to echovirus.
How is this diagnosis coded?
a. J44.9, J40 b. J44.9, J20.7 c. J44.0, J20.7 d. J40, J20.9 - ......ANSWER........c. J44.0, J20.7
A form of milk produced the first few days after giving birth is:
, 3 of 30
a. Prolactin b. Colostrum c. Lactose d. Chorion - ......ANSWER........b. Colostrum
A parent brings her child to the ED. She thinks she swallowed a small toy figure. A radiology
exam from the nose to the rectum is performed. The foreign body is not located. What
CPT® code(s) is/are reported for the radiology services?
a. 43235, 44363 b. 76010 c. 70160, 70370, 71045, 74240, 74248 d. 70160, 70370, 71045,
43235, 44363 - ......ANSWER........b. 76010
A patient has a fine needle aspiration with the specimen sent to cytopathology for
examination. Once the specimen is reviewed, it is found to be inadequate to perform the
test. A new specimen must be obtained which is then examined and a diagnosis is
confirmed. What modifier is appropriate to indicate that two specimens were examined?
a. no modifier b. 77 c. 91 d. 76 - ......ANSWER........a. no modifier
Rationale: The first test cannot be billed if there is not a sufficient specimen to perform the
examination.
A patient is prescribed anticonvulsant medication for her seizures. She returns to her
doctor three days later with nausea and rash from taking the anticonvulsant medication.
The provider notes that this is a drug reaction to an anticonvulsant and changes the
medication. What ICD-10-CM codes are reported?
a. L27.0, R11.0, T42.75XA b. L27.0, R11.2, T42.71XA c. R20, R11.2, T42.71XA d. R21, R11.0,
T42.75XA - ......ANSWER........a. L27.0, R11.0, T42.75XA
A patient is seen for hypertension. Her provider has her on prescriptions, but her blood
pressure is not yet at goal. The patient does not exhibit any symptoms. When referring to
the number and complexity of problems addressed, what type of problem is this
considered?
a. Chronic illness with severe exacerbation , progression, or side effects of treatment b.
Stable, chronic illness c. Acute or chronic illness or injury that poses a threat to life or
bodily functions d. Chronic illness with exacerbation, progression, or side effects of
treatment - ......ANSWER........d. Chronic illness with exacerbation, progression, or side
effects of treatment
Rational: HTN is a chronic illness, not yet within goal BP so not stable
AAPC CPC FINAL EXAM REAL EXAM LATEST VERSIONS EACH VERSION
CONTAINS 145 QUESTIONS AND CORRECT ANSWERS (VERIFIED
ANSWERS) 2025/2026 |A+GRADE
A 63-year-old gentleman comes into the ED complaining of the urge to urinate but has
been unable to empty his bladder. The provider decides to place a Foley catheter to relieve
the urine retention due to prostate hypertrophy. What is the code selection for the
procedure and diagnosis codes?
a. 51701, N40.1, R33.9 b. 51702, N40.1, R33.8 c. 51701, R33.8, N40.1 d. 51702, R33.9,
N40.1 - ......ANSWER........b. 51702, N40.1, R33.8
A 65-year-old patient is complaining of difficulty breathing. Patient is scheduled for a
diagnostic VATS (Video-assisted thoracoscopic surgery). Under general anesthesia he was
placed in left lateral decubitus position and a thoracoscope was inserted through a port
site. The VATS exploration immediately revealed a mass of the right upper lobe. A biopsy
was performed and sent to pathology. Results from pathology revealed small cell
carcinoma. The decision was made to perform VATS and remove the upper lobe of the right
lung. What CPT® code(s) is (are) reported?
a. 32480 b. 32663 c. 32663, 32607-51 d. 32671, 32609-51 - ......ANSWER........b. 32663
A 65-year-old was admitted in the hospital two days ago and is being examined today by
his primary care physician, who has been seeing him since he has been admitted. Primary
care physician is checking for any improvements or if the condition is worsening. CHIEF
COMPLAINT: CHF
INTERVAL HISTORY: CHF symptoms worsened since yesterday. Now has some resting
dyspnea. HTN remains poorly controlled. Also, I'm concerned about his CKD, which has
worsened, most likely due to cardio-renal syndrome.
IMPRESSION:
1. Severe exacerbation of CHF
2. Poorly controlled HTN
3. Worsening ARF due to cardio-renal syndrome
,2 of 30
PLAN:
1. Increase BUMEX to 2 mg IV Q6.
2. Give 500 mg IV DIURIL times one.
3. Re-check usual labs in a.m. Total time: 20 minutes. What E/M category is used for
this visit?
a. Initial Hospital or Observation b. Established Patient Office/Outpatient c. Subsequent
Hospital or Observation d. Inpatient Consultation - ......ANSWER........c. Subsequent
Hospital or Observation Visit (99231-33233)
A baby was born with a ventricular septal defect (VSD). The provider performed a right
heart catheterization and transcatheter closure with implant by percutaneous approach.
What CPT® and ICD-10-CM codes are reported?
a. 93581, Q21.0 b. 93593, 93581-59, Q21.0 c. 93593, Q20.4 d. 93593, 93581-59, Q21.9
- ......ANSWER........a. 93581, Q21.0
A condition where the thyroid is overactive is called:
a. Thyrotoxicosis b. Panhypopituitarism c. Ketosis d. Thyroiditis - ......ANSWER........a.
Thyrotoxicosis
A couple with the inability to conceive has fertility testing. The semen specimen is tested
for volume, count, motility and a differential is calculated. The findings indicate infertility
due to oligospermia. What CPT® and ICD-10-CM codes are reported?
a. 89320, N46.11 b. 89264, N46.11 c. 89257, Z31.41 d. 89310, 89320, Z31.41
- ......ANSWER........a. 89320, N46.11
A female patient has osteoarthritis localized in the left hip joint due to senile osteoporosis.
What ICD-10-CM codes are reported?
a. M16.7, M16.12, M81.0 b. M16.12, M81.8 c. M16.7, M81.0 d. M16.12, M81.6
- ......ANSWER........c. M16.7, M81.0
A final diagnosis for a patient in the ER is COPD with acute bronchitis due to echovirus.
How is this diagnosis coded?
a. J44.9, J40 b. J44.9, J20.7 c. J44.0, J20.7 d. J40, J20.9 - ......ANSWER........c. J44.0, J20.7
A form of milk produced the first few days after giving birth is:
, 3 of 30
a. Prolactin b. Colostrum c. Lactose d. Chorion - ......ANSWER........b. Colostrum
A parent brings her child to the ED. She thinks she swallowed a small toy figure. A radiology
exam from the nose to the rectum is performed. The foreign body is not located. What
CPT® code(s) is/are reported for the radiology services?
a. 43235, 44363 b. 76010 c. 70160, 70370, 71045, 74240, 74248 d. 70160, 70370, 71045,
43235, 44363 - ......ANSWER........b. 76010
A patient has a fine needle aspiration with the specimen sent to cytopathology for
examination. Once the specimen is reviewed, it is found to be inadequate to perform the
test. A new specimen must be obtained which is then examined and a diagnosis is
confirmed. What modifier is appropriate to indicate that two specimens were examined?
a. no modifier b. 77 c. 91 d. 76 - ......ANSWER........a. no modifier
Rationale: The first test cannot be billed if there is not a sufficient specimen to perform the
examination.
A patient is prescribed anticonvulsant medication for her seizures. She returns to her
doctor three days later with nausea and rash from taking the anticonvulsant medication.
The provider notes that this is a drug reaction to an anticonvulsant and changes the
medication. What ICD-10-CM codes are reported?
a. L27.0, R11.0, T42.75XA b. L27.0, R11.2, T42.71XA c. R20, R11.2, T42.71XA d. R21, R11.0,
T42.75XA - ......ANSWER........a. L27.0, R11.0, T42.75XA
A patient is seen for hypertension. Her provider has her on prescriptions, but her blood
pressure is not yet at goal. The patient does not exhibit any symptoms. When referring to
the number and complexity of problems addressed, what type of problem is this
considered?
a. Chronic illness with severe exacerbation , progression, or side effects of treatment b.
Stable, chronic illness c. Acute or chronic illness or injury that poses a threat to life or
bodily functions d. Chronic illness with exacerbation, progression, or side effects of
treatment - ......ANSWER........d. Chronic illness with exacerbation, progression, or side
effects of treatment
Rational: HTN is a chronic illness, not yet within goal BP so not stable
