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AAPC CPB - PRACTICE EXAM C|
COMPREHENSIVE Q&A 2026-27
A biller notices there is a large amount of Medigap claims where Medicare has
paid the claim but Medicaid has not processed or paid the claim. After research,
the biller discovers the IDs for the Medigap coverage is not formatted correctly on
the CMS 1500 claim form. Which of the following format is correct for the
Medigap insurer ID in Item 9a?
A. 675974608
B. AETNA675974608
C. MG675974608
D. Item 9a is left blank - correct-answer - C. MG675974608
When item 18 on a CMS-1500 claim form has dates of service for inpatient care,
what is entered in item 32?
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A. Physician's name and office address who saw the patient in the hospital.
B. Patient's name and address.
C. Name and address of the facility that provided the service
D. You can leave block Item 32 blank because block Item 33 has the required
information. - correct-answer - C. Name and address of the facility that provided
the service
According to CPT® subsection guidelines for Excision-Malignant Lesions, when
there is a removal of a 3 cm malignant lesion on the arm and the defect area is
repaired with an intermediate layer closure, how is it reported?
A. 11603, 12032-51
B. 11603
C. 12032
D. 11603, 12002-51 - correct-answer - A. 11603, 12032-51
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On the UB-04 claim form the type of bill (TOB) is reported with four digits. Which
digit classifies the type of care provided?
A. Digit 1
B. Digit 2
C. Digit 3
D. Digit 4 - correct-answer - C. Digit 3
The CPT® or HCPCS Level II code reported on a UB-04 is translated to what type of
code by Medicare to reimburse for outpatient facility services?
A. Ambulatory Payment Classification (APC)
B. National Drug Code (NDC)
C. International Classification of Diseases, 10th Revision, Procedural Coding
System (ICD-10-PCS)
D. Both B and C - correct-answer - A. Ambulatory Payment Classification (APC)
AAPC CPB - PRACTICE EXAM C|
COMPREHENSIVE Q&A 2026-27
A biller notices there is a large amount of Medigap claims where Medicare has
paid the claim but Medicaid has not processed or paid the claim. After research,
the biller discovers the IDs for the Medigap coverage is not formatted correctly on
the CMS 1500 claim form. Which of the following format is correct for the
Medigap insurer ID in Item 9a?
A. 675974608
B. AETNA675974608
C. MG675974608
D. Item 9a is left blank - correct-answer - C. MG675974608
When item 18 on a CMS-1500 claim form has dates of service for inpatient care,
what is entered in item 32?
,2|Page
A. Physician's name and office address who saw the patient in the hospital.
B. Patient's name and address.
C. Name and address of the facility that provided the service
D. You can leave block Item 32 blank because block Item 33 has the required
information. - correct-answer - C. Name and address of the facility that provided
the service
According to CPT® subsection guidelines for Excision-Malignant Lesions, when
there is a removal of a 3 cm malignant lesion on the arm and the defect area is
repaired with an intermediate layer closure, how is it reported?
A. 11603, 12032-51
B. 11603
C. 12032
D. 11603, 12002-51 - correct-answer - A. 11603, 12032-51
, 3|Page
On the UB-04 claim form the type of bill (TOB) is reported with four digits. Which
digit classifies the type of care provided?
A. Digit 1
B. Digit 2
C. Digit 3
D. Digit 4 - correct-answer - C. Digit 3
The CPT® or HCPCS Level II code reported on a UB-04 is translated to what type of
code by Medicare to reimburse for outpatient facility services?
A. Ambulatory Payment Classification (APC)
B. National Drug Code (NDC)
C. International Classification of Diseases, 10th Revision, Procedural Coding
System (ICD-10-PCS)
D. Both B and C - correct-answer - A. Ambulatory Payment Classification (APC)
