AAPC CPC- Certified Professional Coder EXAM 2026-
2027 LATEST VERSION QUESTIONS AND VERIFIED
CORRECT ANSWERS JUST RELEASED
In order to use the critical care codes, which statement is TRUE?
A. Critical care services can be provided in an internist's office
B. Critical care services provided for more than 15 minutes but less than 30 minutes
should be billed with 99291 and modifier 52.
C. Time spent reviewing laboratory test results or discussing the critically ill patient's care
with other medical staff in the unit or at the nursing station on the floor cannot be
included in the determination of critical care time.
D. Critical care services are never reported with endotracheal intubation (31500)
E. Physician can provide services to another patient during the same time providing
critical care services to a critically ill patient - answer>>>E. Physician can provide services
to another patient during the same times providing critical care services to a critically ill
patient
Critical care services can be provided at any site. If the patient is critically ill, the services
provided can be coded with critical care regardless of where the services take place. A
minimum of 30 minutes of critical care must be performed in order to report 99291. If less
than 30 minutes, select the appropriate E/M code based on the three key components.
Time spent reviewing results and discussing the critically ill patient with medical staff is
included in the critical care time. Endotracheal intubation, code 31500, can be reported
with critical care services. The subsection guidelines for critical care services in the CPT®
codebook does give what services cannot be billed with critical care. A physician providing
critical care services must devote full attention to the critically ill patient and cannot
provide services to any other patient during the same period of time.
What is the patient's right when it involves making changes in the personal medical
record?
A. Patient must work through an attorney to revise any portion of the personal medical
information.
,-
B. They should be able to obtain copies of the medical record and request corrections of
errors and mistakes.
C. It is a violation of federal health care law to revise a patient medical record.
D. Revision of the patient medical record depends solely on the facility's compliance
program policy. - answer>>>b.. They should be able to obtain copies of the medical record
and request corrections of errors and mistakes
Which statement regarding an ICD-10-CM coding conventions is TRUE?
A. If the same condition is described as both acute and chronic and separate subentries
exist in the Alphabetic Index at the same indentation level, code only the acute condition.
B. Sequela (Late effect) codes are reported for a current acute phase of the injury or
illness
C. An ICD-10-CM code is still valid even if it has not been coded to the full number of
characters required for that code.
D. Signs and symptoms that are integral to the disease process should not be assigned as
additional codes, unless otherwise instructed. - answer>>>d. signs and symptoms that are
integral of the disease process should not be assigned additional codes, unless otherwise
instructed.
Which modifier is appended to a CPT®, for which the provider had a patient sign an
Advance Beneficiary Notice (ABN) form because there is a possibility the service may be
denied because the patient's diagnosis might not meet medical necessity for the covered
service?
A. GJ
B. GA
C. GB
D. GY - answer>>>b. GA
An Advance Beneficiary Notice (ABN) is a waiver of liability. When a patient has been
informed a service that is otherwise covered by Medicare but might not be covered in a
particular instance an ABN is signed by the patient prior to receiving the service. To
,inform Medicare the ABN has been signed, append modifier GA. If an ABN is signed, the
claim is the patient's responsibility if the claim is denied. This modifier is listed in the
HCPCS Level II codebook.
15-year-old male is seen by the pediatrician in his office for having excessive thirst and
frequent urination. A urine dip is performed showing +3 sugar and with some ketones.
Glucometer reading is done showing a blood sugar range of 500-600. Physician sends the
patient with his father to the hospital for emergency admission and insulin drip. The
pediatrician meets the patient at the hospital and performs a medically appropriate
history andexam continuing treatment for the patient. How should the pediatrician code
the E/M service for this visit?
A. Office visit E/M code only
B. Initial Hospital Inpatient E/M code and Office Visit E/M code with modifier 25
C. Initial Hospital Inpatient E/M code only
D. Subsequent Hospital Inpatient E/M code - answer>>>b. Initial hospital inpatient E/M
code and office visit E/M coe with modifier 25
According to CPT® subsection guidelines for Initial Hospital Care: When the patient is
admitted to the hospital as an inpatient or to observation status in the course of an
encounter in another site of service (eg, hospital emergency department, office, nursing
facility), the services in the initial site may be separately reported. Modifier 25 may be
added to the other evaluation and management service to indicate a significant,
separately identifiable service by the same physician or other qualified health care
professional was performed on the same date.
CKD is a disease of which system?
A. Circulatory
B. Genitourinary
C. Digestive
D. Musculoskeletal - answer>>>b. genitourinary
CKD is the abbreviation for Chronic Kidney Disease. The abbreviation is found in the ICD-
10-CM Tabular List for category code N18 which falls under the Genitourinary System.
A person who has nephritis has inflammation in what location?
, -
A. Gallbladder
B. Nerve
C. Uterus
D. Kidney - answer>>>d. kidney
What is ascites?
A. Fluid in the abdomen
B. Enlarged liver and spleen
C. Abdominal malignancy
D. Abdominal tenderness - answer>>>a. fluid int he abdomen
In ascites, fluid collects in the peritoneal cavity of the abdomen. Ascites is typically caused
by cirrhosis, malignancy, or heart failure. It is usually managed medically but may be
treated with paracentesis. Look in the ICD-10-CM Alphabetic Index for Ascites (abdominal)
referring you to code R18.8. In the Tabular List under category code R18 the includes note
indicates: Fluid in peritoneal cavity.
Which one of the following is a disorder in causing paralysis of the facial nerve?
A. Exotropia
B. Tarsal tunnel syndrome
C. Brachial plexus lesions
D. Bell's palsy - answer>>>d. Bell's palsy
Complete this series: Pulmonary, Aortic, Mitral, and ________are valves of the heart.
A. Tricuspid
B. Superior Vena Cava
C. Carotid
D. Atrium - answer>>>a. Tricuspid
Tricuspid is the first heart valve that blood encounters as it enters into the heart. Superior
Vena Cava is a vein that returns blood to the heart from the head, neck and both upper
extremities. Carotid is a major artery located in the front of the neck. Atrium is one of the
2027 LATEST VERSION QUESTIONS AND VERIFIED
CORRECT ANSWERS JUST RELEASED
In order to use the critical care codes, which statement is TRUE?
A. Critical care services can be provided in an internist's office
B. Critical care services provided for more than 15 minutes but less than 30 minutes
should be billed with 99291 and modifier 52.
C. Time spent reviewing laboratory test results or discussing the critically ill patient's care
with other medical staff in the unit or at the nursing station on the floor cannot be
included in the determination of critical care time.
D. Critical care services are never reported with endotracheal intubation (31500)
E. Physician can provide services to another patient during the same time providing
critical care services to a critically ill patient - answer>>>E. Physician can provide services
to another patient during the same times providing critical care services to a critically ill
patient
Critical care services can be provided at any site. If the patient is critically ill, the services
provided can be coded with critical care regardless of where the services take place. A
minimum of 30 minutes of critical care must be performed in order to report 99291. If less
than 30 minutes, select the appropriate E/M code based on the three key components.
Time spent reviewing results and discussing the critically ill patient with medical staff is
included in the critical care time. Endotracheal intubation, code 31500, can be reported
with critical care services. The subsection guidelines for critical care services in the CPT®
codebook does give what services cannot be billed with critical care. A physician providing
critical care services must devote full attention to the critically ill patient and cannot
provide services to any other patient during the same period of time.
What is the patient's right when it involves making changes in the personal medical
record?
A. Patient must work through an attorney to revise any portion of the personal medical
information.
,-
B. They should be able to obtain copies of the medical record and request corrections of
errors and mistakes.
C. It is a violation of federal health care law to revise a patient medical record.
D. Revision of the patient medical record depends solely on the facility's compliance
program policy. - answer>>>b.. They should be able to obtain copies of the medical record
and request corrections of errors and mistakes
Which statement regarding an ICD-10-CM coding conventions is TRUE?
A. If the same condition is described as both acute and chronic and separate subentries
exist in the Alphabetic Index at the same indentation level, code only the acute condition.
B. Sequela (Late effect) codes are reported for a current acute phase of the injury or
illness
C. An ICD-10-CM code is still valid even if it has not been coded to the full number of
characters required for that code.
D. Signs and symptoms that are integral to the disease process should not be assigned as
additional codes, unless otherwise instructed. - answer>>>d. signs and symptoms that are
integral of the disease process should not be assigned additional codes, unless otherwise
instructed.
Which modifier is appended to a CPT®, for which the provider had a patient sign an
Advance Beneficiary Notice (ABN) form because there is a possibility the service may be
denied because the patient's diagnosis might not meet medical necessity for the covered
service?
A. GJ
B. GA
C. GB
D. GY - answer>>>b. GA
An Advance Beneficiary Notice (ABN) is a waiver of liability. When a patient has been
informed a service that is otherwise covered by Medicare but might not be covered in a
particular instance an ABN is signed by the patient prior to receiving the service. To
,inform Medicare the ABN has been signed, append modifier GA. If an ABN is signed, the
claim is the patient's responsibility if the claim is denied. This modifier is listed in the
HCPCS Level II codebook.
15-year-old male is seen by the pediatrician in his office for having excessive thirst and
frequent urination. A urine dip is performed showing +3 sugar and with some ketones.
Glucometer reading is done showing a blood sugar range of 500-600. Physician sends the
patient with his father to the hospital for emergency admission and insulin drip. The
pediatrician meets the patient at the hospital and performs a medically appropriate
history andexam continuing treatment for the patient. How should the pediatrician code
the E/M service for this visit?
A. Office visit E/M code only
B. Initial Hospital Inpatient E/M code and Office Visit E/M code with modifier 25
C. Initial Hospital Inpatient E/M code only
D. Subsequent Hospital Inpatient E/M code - answer>>>b. Initial hospital inpatient E/M
code and office visit E/M coe with modifier 25
According to CPT® subsection guidelines for Initial Hospital Care: When the patient is
admitted to the hospital as an inpatient or to observation status in the course of an
encounter in another site of service (eg, hospital emergency department, office, nursing
facility), the services in the initial site may be separately reported. Modifier 25 may be
added to the other evaluation and management service to indicate a significant,
separately identifiable service by the same physician or other qualified health care
professional was performed on the same date.
CKD is a disease of which system?
A. Circulatory
B. Genitourinary
C. Digestive
D. Musculoskeletal - answer>>>b. genitourinary
CKD is the abbreviation for Chronic Kidney Disease. The abbreviation is found in the ICD-
10-CM Tabular List for category code N18 which falls under the Genitourinary System.
A person who has nephritis has inflammation in what location?
, -
A. Gallbladder
B. Nerve
C. Uterus
D. Kidney - answer>>>d. kidney
What is ascites?
A. Fluid in the abdomen
B. Enlarged liver and spleen
C. Abdominal malignancy
D. Abdominal tenderness - answer>>>a. fluid int he abdomen
In ascites, fluid collects in the peritoneal cavity of the abdomen. Ascites is typically caused
by cirrhosis, malignancy, or heart failure. It is usually managed medically but may be
treated with paracentesis. Look in the ICD-10-CM Alphabetic Index for Ascites (abdominal)
referring you to code R18.8. In the Tabular List under category code R18 the includes note
indicates: Fluid in peritoneal cavity.
Which one of the following is a disorder in causing paralysis of the facial nerve?
A. Exotropia
B. Tarsal tunnel syndrome
C. Brachial plexus lesions
D. Bell's palsy - answer>>>d. Bell's palsy
Complete this series: Pulmonary, Aortic, Mitral, and ________are valves of the heart.
A. Tricuspid
B. Superior Vena Cava
C. Carotid
D. Atrium - answer>>>a. Tricuspid
Tricuspid is the first heart valve that blood encounters as it enters into the heart. Superior
Vena Cava is a vein that returns blood to the heart from the head, neck and both upper
extremities. Carotid is a major artery located in the front of the neck. Atrium is one of the
