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.c Craniotomyc withc elevationc ofc bonec flap;c forc subduralc implantationc ofc anc electrodec array,c forc lon
g-
termc seizurec monitoring;c forc removalc ofc epiduralc orc subduralc electrodec array,c withoutc excisionc ofc c
erebralc tissuec (separatec procedure)
B.c Craniotomyc withc elevationc ofc bonec flap;c forc removalc ofc epiduralc orc subduralc electrodec array,c wit
houtc excisionc ofc cerebralc tissuec (separatec procedure)
C.c Forc removalc ofc epiduralc orc subduralc electrodec array,c withoutc excisionc ofc cerebralc tissuec (separate
procedure)
D.c Forc excisionc ofc epileptogenicc focusc withoutc electrocorticographyc duringc surgery;c forc removalc ofc e
piduralc orc subduralc electrodec array,c withoutc excisionc ofc cerebralc tissuec (separatec procedure)c -
CORRECTc ANSWERc -
B.c Craniotomyc withc elevationc ofc bonec flap;c forc removalc ofc epiduralc orc subduralc electrodec array,c wit
houtc excisionc ofc cerebralc tissuec (separatec procedure)
Inc thec CPT®c codebookc thec descriptionc forc codec 61535c isc indentedc whichc meansc thec descriptionc fro
mc 61533c upc toc thec semicolonc isc thec beginningc ofc thec fullc descriptionc forc 61535.
Whichc Zc codec categoryc canc ONLYc bec reportedc asc ac firstc listedc diagnosisc code?
A.c Z67
B.c Z69
C.c Z58
D.c Z03c -c CORRECTc ANSWERc -D.c Z03
Thec Officialc ICD-10-
CMc Codingc Guidelinesc providesc ac listc ofc Zc codec categoriesc andc Zc codesc thatc canc onlyc bec reporte
d
asc ac firstc listedc diagnosisc code.c Thec listc canc bec foundc inc thec ICD-10-
CMc codebookc referringc toc guidelinec I.C.21.c.16.
Thec patientc hasc ac historyc ofc symptomaticc HIVc andc hasc beenc treatedc forc anc HIVc relatedc illness.c Wh
i
chc ICD-10-CMc codec isc 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.c Craniotomyc withc elevationc ofc bonec flap;c forc subduralc implantationc ofc anc electrodec array,c forc lon
g-
termc seizurec monitoring;c forc removalc ofc epiduralc orc subduralc electrodec array,c withoutc excisionc ofc c
erebralc tissuec (separatec procedure)
B.c Craniotomyc withc elevationc ofc bonec flap;c forc removalc ofc epiduralc orc subduralc electrodec array,c wit
houtc excisionc ofc cerebralc tissuec (separatec procedure)
C.c Forc removalc ofc epiduralc orc subduralc electrodec array,c withoutc excisionc ofc cerebralc tissuec (separate
procedure)
D.c Forc excisionc ofc epileptogenicc focusc withoutc electrocorticographyc duringc surgery;c forc removalc ofc e
piduralc orc subduralc electrodec array,c withoutc excisionc ofc cerebralc tissuec (separatec procedure)c -
CORRECTc ANSWERc -
B.c Craniotomyc withc elevationc ofc bonec flap;c forc removalc ofc epiduralc orc subduralc electrodec array,c wit
houtc excisionc ofc cerebralc tissuec (separatec procedure)
Inc thec CPT®c codebookc thec descriptionc forc codec 61535c isc indentedc whichc meansc thec descriptionc fro
mc 61533c upc toc thec semicolonc isc thec beginningc ofc thec fullc descriptionc forc 61535.
Whichc Zc codec categoryc canc ONLYc bec reportedc asc ac firstc listedc diagnosisc code?
A.c Z67
B.c Z69
C.c Z58
D.c Z03c -c CORRECTc ANSWERc -D.c Z03
Thec Officialc ICD-10-
CMc Codingc Guidelinesc providesc ac listc ofc Zc codec categoriesc andc Zc codesc thatc canc onlyc bec reporte
d
asc ac firstc listedc diagnosisc code.c Thec listc canc bec foundc inc thec ICD-10-
CMc codebookc referringc toc guidelinec I.C.21.c.16.
Thec patientc hasc ac historyc ofc symptomaticc HIVc andc hasc beenc treatedc forc anc HIVc relatedc illness.c Wh
i
chc ICD-10-CMc codec isc reported?
