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COC Final Exam Study Questions (Set 5) – 100 Questions with Answers | Medical Coding | Outpatient, Surgery, OB/GYN, Radiology | AAPC Certification

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This document includes 100 detailed and exam-relevant questions and answers from Set 5 of the Certified Outpatient Coder (COC) final exam, designed for the 2025/2026 academic year. It is structured to reflect the format and complexity of the official AAPC COC exam, offering practice for both foundational knowledge and scenario-based applications. The questions cover a wide spectrum of topics in outpatient medical coding, including but not limited to CPT®, ICD-10-CM, and ICD-10-PCS code assignment, healthcare compliance, documentation standards, and procedural billing across specialties. Clinical scenarios test knowledge in ambulatory surgery, radiology, OB/GYN, ENT, cardiology, orthopedics, and psychiatry, with accurate answers and codes provided for each case. This study set is ideal for: Students enrolled in Medical Billing and Coding, Health Information Management (HIM), Health Informatics, or Healthcare Administration programs Candidates preparing for COC, CPC (Certified Professional Coder), or CCS-P (Certified Coding Specialist – Physician-based) certifications through AAPC or AHIMA Medical coding professionals seeking to refresh or advance their skills in outpatient and hospital-based coding Instructors providing preparatory materials for university or certification-based training Institutions that may benefit from this resource include: AAPC-accredited coding programs Technical colleges and community colleges with healthcare coding certificates Universities offering Health Information Technology (HIT) or Health Sciences programs Keywords: COC exam, outpatient coding, CPT coding practice, ICD-10-CM questions, ICD-10-PCS answers, AAPC coding prep, HCPCS codes, coding certification, Set 5 COC, medical coding 2025, healthcare compliance, OB/GYN coding, surgery coding, radiology coding, CPC exam prep, CCS-P practice, university coding material

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October 22, 2025
Number of pages
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Written in
2025/2026
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COC 2020 - FINAL EXAM STUDY
QUESTIONS (SET 5) 2025/2026 EXAM
QUESTIONS AND ANSWERS | 100%
PASS




After suffering a fracture of the ankle three months ago, a 69 year-old

patient presented with what was found to be a malunion fracture. She was

treated with additional surgery and discharged. Which injury diagnosis

code(s) is/are assigned? - 🧠 ANSWER ✔✔S82.899P


All codes in ICD-10-PCS have how many characters? - 🧠 ANSWER ✔✔7


All entries in the medical record must be: - 🧠 ANSWER ✔✔Signed and

dated by the author with a method to establish the author's identity.

All payers employ the same rules concerning coding and reimbursement. -

🧠 ANSWER ✔✔B. False Rationale: PPOs, HM Os, Medicaid,

,TRICARE/CHAMPUS, Workers Compensation, and many private insurers

employ their own rules regarding coding and reimbursement. Additional

restrictions may apply when participating in a network.

All the following are examples of outpatient facilities except: - 🧠 ANSWER

✔✔Answer: OPPS Rationale: OPPS stands for Outpatient Prospective

Payment System. This is a payment system and not a type of facility such

as CORF, CAH, ASC are.


Ambulatory surgical centers include: - 🧠 ANSWER ✔✔Answer: An

independent ASC Rationale: Independent ASCs offer ambulatory surgical

services or same-day surgeries to patients who only require services with

immediate postoperative care. When the ASC is owned by the hospital, it is

generally considered to be an extension of the physical hospital and the

same as any other outpatient department. In general, an independent ASC

must be financially independent from the hospital, not be included on the

hospital's cost reports.


Amputation: - 🧠 ANSWER ✔✔the surgical removal of all or part of a limb or

extremity such as an arm, leg, foot, hand, toe, or finger.

, An 18 day-old infant develops bradycardia. What ICD-10-CM code is

reported? - 🧠 ANSWER ✔✔P29.12


An 18 month-old male with bilateral chronic serous otitis media and

hypertrophy of the adenoids presents to the hospital surgery department

and undergoes an initial adenoidectomy and insertion of ventilation tubes in

both ears under general anesthesia. What is the correct code selection for

the procedure and diagnoses? - 🧠 ANSWER ✔✔42830, 69436-50, H65.23,

J35.2

An 18 year-old male with complaints of right knee pain, swelling and a pop-

like feeling after falling on the sidewalk is seen in the emergency

department. It is decided that the patient needs to have an arthrogram of

the knee. The patient goes to the outpatient radiology department. Once

back in the X-ray room, the patient was placed in supine position with his

right knee flexed over a pillow. After the knee was prepped and draped,

topical anesthesia was applied. A 20-gauge needle was then inserted into

the femoropatellar space of the knee. Air and single contrast media were

injected and the patient was instructed to move his knee in order to provide

even coating. Multiple arthrographic views were taken. Closed dislocation

of the knee was the diagnosis. What are the correct procedure and


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STATEMENT. ALL RIGHTS RESERVED
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