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COC Final Exam Practice (100 Questions) – CPT, ICD-10-CM, HCPCS Coding | Surgery, Emergency, Radiology, Pathology, Medicare Rules – 2025/2026 – DeVry, Penn Foster, SNHU, Pima Medical

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This document is an extensive COC (Certified Outpatient Coder) final exam prep containing 100 exam-style practice questions with verified answers, aligned with the AAPC COC certification exam for the 2025/2026 academic year. The material tests knowledge across essential coding systems including CPT®, ICD-10-CM, and HCPCS Level II, providing both clinical case scenarios and knowledge-based questions relevant to real-world outpatient coding environments. It covers a wide scope of topics: Coding for emergency department services, ambulatory surgeries, and hospital outpatient clinics Diagnostic imaging and pathology coding based on operative and radiological reports Evaluation and management coding for Medicare and Medicaid patients Reimbursement methodologies such as OPPS, APCs, and UB-04 form logic Accurate code selection for trauma care, oncology procedures, injections and infusions, critical care, and pediatric services Compliance topics such as ABNs, modifier usage, coding guidelines, and Medicare rules This practice set is highly beneficial for students preparing for the COC exam or professionals pursuing similar credentials from AAPC, AHIMA, or healthcare institutions requiring outpatient coding proficiency. Relevant for students enrolled in: Health Information Management (HIM) Medical Billing & Coding Certificate Programs Outpatient Coding & Reimbursement Courses Allied Health Sciences, Healthcare Administration, or Nursing programs with a coding component Recommended for learners from institutions such as DeVry University, Southern New Hampshire University (SNHU), Penn Foster, Pima Medical Institute, and any accredited college offering healthcare coding certifications. Keywords: COC practice exam, outpatient coding questions, CPT coding test, ICD-10-CM exam prep, HCPCS Level II codes, radiology coding, emergency department billing, surgical coding, Medicare outpatient compliance, AAPC certification prep, UB-04 training, OPPS billing guide, facility coding rules, health information management

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COC 2020 - FINAL EXAM STUDY
QUESTIONS (SET 2) 2025 EXPERT
VERIFIED | ACE THE TEST



A 7 year-old female was seen in the ED after being bit by a dog. The child

received treatment for the bite to her left leg. She also received a rabies

vaccine because the dog was known to have rabies. What are the correct

diagnosis codes for this patient encounter? - 🧠 ANSWER ✔✔S81.852A,

Z20.3, Z23, W54.0XXA

A 7 year-old is seen in the outpatient clinic. Blisters have appeared on the

face, with some of them bursting open. After examination, the diagnosis is

impetigo. What is the correct diagnosis code for this visit? - 🧠 ANSWER

✔✔L01.00


A 7 year-old patient with asthma was experiencing acute exacerbation of

his condition. The parents rushed their son to the emergency department

,where the ED physician performed a midlevel E/M service. In addition, an

albuterol treatment was performed. When the patient was stabilized, he

was released in good condition to his parents. What modifier is appended

to the E/M service for the facility? - 🧠 ANSWER ✔✔25


A 70-year -old female patient presents with a complaint of left knee pain

with weight bearing activities. She is also developing pain at rest. She

denies any recent injury. There is pain with stair climbing and start up pain.

AP, lateral and sunrise views of the left knee are ordered and interpreted.

The diagnosis is left knee pain secondary to underlying primary

degenerative arthritis. What ICD-10-CM code(s) is/are reported? - 🧠

ANSWER ✔✔M17.12 M17.12,


A 70-year-old woman is evaluated in a clinic for symptoms of increasing

claudication. After noninvasive vascular studies were performed, the

decision was made to proceed with diagnostic angiography and possible

angioplasty of the suspected left extern al iliac artery stenosis. After normal

preparation for the angiography procedure, the left common femoral artery

is punctured and the catheter is passed proximally into the left external iliac

artery . Images were then taken and an 85 percent stenosis was noted.

The decision was made to perform angioplasty. Using the Seldinger

, technique, the angiography catheter was removed and an angioplasty

catheter with a balloon diameter of 8 mm was advanced into the left

external iliac artery and into the lesion without difficulty. After two inflations

to 8 mm, the follow-up angiography was performed and showed good flow

across the lesion. Pressures measured confirm the adequacy of - 🧠

ANSWER ✔✔37220, 75710-59, 170.212


A 71 year-old patient presents to the outpatient clinic at the local hospital

with COPD, congestive heart failure, and hypertension. After a

comprehensive evaluation, the physician adjusts to the patient's

hypertension medication due to the hypertension being uncontrolled. The

patient's other conditions were stable. The patient is to follow-up in two

weeks. What ICD-10-CM codes are reported? - 🧠 ANSWER ✔✔I11.0,

I50.9, J44.9

A 72 year-old female sustained a left radius fracture, resulting in volar

angulation, radial shortening and loss of radioulnar inclination. General

anesthetic was administered. A standard dorsal central approach to the

wrist was made. The capsule was opened in a T fashion and the malunion

site was identified. A series of osteotomes was utilized to open the fracture

site and the normal distal radial architecture was restored. The pie-plate


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