AAPC CPC PRACTICE EXAM B: QUESTIONS
WTH CORRECT ANSWERS 2026/2027
Which statement is an example in which a diabetes-
related problem exists and the code for diabetes is NEVER sequenced first?
A. If the patient has an underdose of insulin due to an insulin pump malfunction.
B. If the patient is being treated for secondary diabetes.
C. If the patient is being treated for Type 2 diabetes and uses insulin.
D. If the patient is diabetic with an associated condition. - CORRECT ANSWER -
A. If the patient has an underdose of insulin due to an insulin pump malfunction.
The ICD-10-
CM guidelines (Section I.C.4.a.5): An underdose of insulin due to an insulin pump failure should be ass
igned T85.6-, as the principal or first listed code, followed by code T38.3X6-
. Additional codes for the type of diabetes mellitus should also be assigned.
Guidelines from which of the following code sets are included as part of the code set requirements u
nder HIPAA?
A. CPT® Category III codes
B. ICD-10-CM
C. HCPCS Level II
D. ADA Dental Codes - CORRECT ANSWER -B. ICD-10-CM
ICD-10-
CM guidelines are the only guidelines specifically mentioned in HIPAA. While HIPAA requires the use o
f the other code sets listed, there is no specific mention of the other guidelines in the law. This infor
mation is found in the ICD-10-CM Official Guidelines for Coding and Reported in you ICD-10-
CM codebook: These guidelines are a set of rules that have been developed to accompany and compl
ement the official conventions and instructions provided within the ICD-10-
CM itself. These guidelines are based on the coding and sequencing instructions in Volumes I, II and II
I of ICD-10-CM, but provide additional instruction. Adherence to these guidelines when assigning ICD-
10-
CM diagnosis and procedure codes is required under the Health Insurance Portability and Accountabili
ty Act (HIPAA).
WTH CORRECT ANSWERS 2026/2027
Which statement is an example in which a diabetes-
related problem exists and the code for diabetes is NEVER sequenced first?
A. If the patient has an underdose of insulin due to an insulin pump malfunction.
B. If the patient is being treated for secondary diabetes.
C. If the patient is being treated for Type 2 diabetes and uses insulin.
D. If the patient is diabetic with an associated condition. - CORRECT ANSWER -
A. If the patient has an underdose of insulin due to an insulin pump malfunction.
The ICD-10-
CM guidelines (Section I.C.4.a.5): An underdose of insulin due to an insulin pump failure should be ass
igned T85.6-, as the principal or first listed code, followed by code T38.3X6-
. Additional codes for the type of diabetes mellitus should also be assigned.
Guidelines from which of the following code sets are included as part of the code set requirements u
nder HIPAA?
A. CPT® Category III codes
B. ICD-10-CM
C. HCPCS Level II
D. ADA Dental Codes - CORRECT ANSWER -B. ICD-10-CM
ICD-10-
CM guidelines are the only guidelines specifically mentioned in HIPAA. While HIPAA requires the use o
f the other code sets listed, there is no specific mention of the other guidelines in the law. This infor
mation is found in the ICD-10-CM Official Guidelines for Coding and Reported in you ICD-10-
CM codebook: These guidelines are a set of rules that have been developed to accompany and compl
ement the official conventions and instructions provided within the ICD-10-
CM itself. These guidelines are based on the coding and sequencing instructions in Volumes I, II and II
I of ICD-10-CM, but provide additional instruction. Adherence to these guidelines when assigning ICD-
10-
CM diagnosis and procedure codes is required under the Health Insurance Portability and Accountabili
ty Act (HIPAA).
