AAPC CPC PRACTICE EXAM D QUESTIONS
WITH CORRECT ANSWERS 2026/2027
Which one of the following is an example of fraud?
A. Reporting the code for ultrasound guidance when used to perform a liver biopsy
B. Reporting a biopsy and excision performed on the same skin lesion during the same encounter
C. Failing to append modifier 26 on an X-
ray that is performed and interpreted in the physician's office
D. Reporting a lab panel with an additional lab test that is not included in the lab panel -
CORRECT ANSWER -
B. Reporting a biopsy and excision performed on the same skin lesion during the same encounter
Answer B is the only example of unbundling of CPT® which would result in a fraudulent claim. Acc
ording to National Correct Coding Initiative (NCCI) and CPT® coding guidelines, a biopsy performed
on the same lesion as an excision during the same encounter is an incidental service and is not r
eported separately. If ultrasound guidance is performed for a liver biopsy, it is billable. X-
rays performed in a physician's office do not require modifier 26, because the physician owns the
equipment and performs the interpretation, he bills the global service. Lab panels can be reported
with additional lab tests that are not listed in a lab panel.
Which place of service code is reported for fracture care performed by an orthopedic physician in
the ED?
A. 11
B. 20
C. 22
D. 23 - CORRECT ANSWER -D. 23
Place of service codes are reported on the claim form to identify the site of the service provided.
In this case, the services are rendered in the ED which is reported with place of service (POS) 23.
The place of service codes can be found in the CPT® codebook.
, What is the full CPT® code description for 61535?
A.x Craniotomyx withx elevationx ofx bonex flap;x forx subduralx implantationx ofx anx electrodex array,x forx l
on
g-
termx seizurex monitoring;x forx removalx ofx epiduralx orx subduralx electrodex array,x withoutx excisionx of
xc
B. x Craniotomyx withx elevationx ofx bonex flap;x forx removalx ofx epiduralx orx subduralx electrodex array,x
erebral x tissuex (separatex procedure)
wit
houtx excisionx ofx cerebralx tissuex (separatex procedure)
C.x Forx removalx ofx epiduralx orx subduralx electrodex array,x withoutx excisionx ofx cerebralx tissuex (separa
te
procedure)
D.x Forx excisionx ofx epileptogenicx focusx withoutx electrocorticographyx duringx surgery;x forx removalx ofx
e
piduralx orx subduralx electrodex array,x withoutx excisionx ofx cerebralx tissuex (separatex procedure)x -
CORRECTx ANSWERx -
B.x Craniotomyx withx elevationx ofx bonex flap;x forx removalx ofx epiduralx orx subduralx electrodex array,x w
it
houtx excisionx ofx cerebralx tissuex (separatex procedure)
Inx thex CPT®x codebookx thex descriptionx forx codex 61535x isx indentedx whichx meansx thex descriptionx f
ro
mx 61533x upx tox thex semicolonx isx thex beginningx ofx thex fullx descriptionx forx 61535.
Whichx Zx codex categoryx canx ONLYx bex reportedx asx ax firstx listedx diagnosisx code
?
A.x Z67
B.x Z69
C.x Z58
D.x Z03x -x CORRECTx ANSWERx -D.x Z03
Thex Officialx ICD-10-
CMx Codingx Guidelinesx providesx ax listx ofx Zx codex categoriesx andx Zx codesx thatx canx onlyx bex report
ed
asx ax firstx listedx diagnosisx code.x Thex listx canx bex foundx inx thex ICD-10-
CMx codebookx referringx tox guidelinex I.C.21.c.16.
Thex patientx hasx ax historyx ofx symptomaticx HIVx andx hasx beenx treatedx forx anx HIVx relatedx illness.x
Whi
chx ICD-10-CMx codex isx reported?
WITH CORRECT ANSWERS 2026/2027
Which one of the following is an example of fraud?
A. Reporting the code for ultrasound guidance when used to perform a liver biopsy
B. Reporting a biopsy and excision performed on the same skin lesion during the same encounter
C. Failing to append modifier 26 on an X-
ray that is performed and interpreted in the physician's office
D. Reporting a lab panel with an additional lab test that is not included in the lab panel -
CORRECT ANSWER -
B. Reporting a biopsy and excision performed on the same skin lesion during the same encounter
Answer B is the only example of unbundling of CPT® which would result in a fraudulent claim. Acc
ording to National Correct Coding Initiative (NCCI) and CPT® coding guidelines, a biopsy performed
on the same lesion as an excision during the same encounter is an incidental service and is not r
eported separately. If ultrasound guidance is performed for a liver biopsy, it is billable. X-
rays performed in a physician's office do not require modifier 26, because the physician owns the
equipment and performs the interpretation, he bills the global service. Lab panels can be reported
with additional lab tests that are not listed in a lab panel.
Which place of service code is reported for fracture care performed by an orthopedic physician in
the ED?
A. 11
B. 20
C. 22
D. 23 - CORRECT ANSWER -D. 23
Place of service codes are reported on the claim form to identify the site of the service provided.
In this case, the services are rendered in the ED which is reported with place of service (POS) 23.
The place of service codes can be found in the CPT® codebook.
, What is the full CPT® code description for 61535?
A.x Craniotomyx withx elevationx ofx bonex flap;x forx subduralx implantationx ofx anx electrodex array,x forx l
on
g-
termx seizurex monitoring;x forx removalx ofx epiduralx orx subduralx electrodex array,x withoutx excisionx of
xc
B. x Craniotomyx withx elevationx ofx bonex flap;x forx removalx ofx epiduralx orx subduralx electrodex array,x
erebral x tissuex (separatex procedure)
wit
houtx excisionx ofx cerebralx tissuex (separatex procedure)
C.x Forx removalx ofx epiduralx orx subduralx electrodex array,x withoutx excisionx ofx cerebralx tissuex (separa
te
procedure)
D.x Forx excisionx ofx epileptogenicx focusx withoutx electrocorticographyx duringx surgery;x forx removalx ofx
e
piduralx orx subduralx electrodex array,x withoutx excisionx ofx cerebralx tissuex (separatex procedure)x -
CORRECTx ANSWERx -
B.x Craniotomyx withx elevationx ofx bonex flap;x forx removalx ofx epiduralx orx subduralx electrodex array,x w
it
houtx excisionx ofx cerebralx tissuex (separatex procedure)
Inx thex CPT®x codebookx thex descriptionx forx codex 61535x isx indentedx whichx meansx thex descriptionx f
ro
mx 61533x upx tox thex semicolonx isx thex beginningx ofx thex fullx descriptionx forx 61535.
Whichx Zx codex categoryx canx ONLYx bex reportedx asx ax firstx listedx diagnosisx code
?
A.x Z67
B.x Z69
C.x Z58
D.x Z03x -x CORRECTx ANSWERx -D.x Z03
Thex Officialx ICD-10-
CMx Codingx Guidelinesx providesx ax listx ofx Zx codex categoriesx andx Zx codesx thatx canx onlyx bex report
ed
asx ax firstx listedx diagnosisx code.x Thex listx canx bex foundx inx thex ICD-10-
CMx codebookx referringx tox guidelinex I.C.21.c.16.
Thex patientx hasx ax historyx ofx symptomaticx HIVx andx hasx beenx treatedx forx anx HIVx relatedx illness.x
Whi
chx ICD-10-CMx codex isx reported?
