AAPC CPC ACTUAL FINAL EXAM |COMPLETE QUESTIONS WITH
EXPERT SOLUTIONS | 2026 LATEST UPDATED | GET A+
What form is used to submit a provider's charge to the insurance carrier?
a. UB-04
b. Provider reimbursement form
c. CMS-1500
d. ABN - (answer)c. CMS-1500
Which coding manuals do outpatient coders focus on learning?
a. CPT, HCPCS Level II and ICD-10-CM
b. CPT and ICD-10-CM
c. ICD-10-CM and ICD-10-PCS
d. CPT, HCPCS Level II, ICD-10-CM, ICD-10-PCS - (answer)a. CPT, HCPCS Level II and
ICD-10-CM
In what year was HITECH enacted as part of the American Recovery and Reinvestment Act?
a. 2010
b. 2009
c. 2000
d. 2007 - (answer)b. 2009
Voluntary compliance programs also provide benefits by not only helping to prevent erroneous or
____, but also by showing that the provider practice is making additional good faith efforts to
submit claims appropriately.
,a. Over utilized codes
b. Duplicative claims
c. Fraudulent claims
d. Mistaken principals - (answer)c. Fraudulent claims
Which CMS product describes whether specific medical items, services, treatment procedures or
technologies are considered medically necessary under Medicare?
a. Medicare Claims Processing Manual
b. National Coverage Determinations Manual
c. Relative Value Files
d. Medicare Physician Fee Schedule Final Rule - (answer)b. National Coverage Determinations
Manual
Which condition results from an injury to the head? The symptoms include headache, dizziness
and vomiting.
a. Meningitis
b. Concussion
c. Epilepsy
d. Parkinson's disease - (answer)b. Concussion
In order, starting with the innermost layer, what are the four walls of the digestive tract?
a. Mucosa, submucosa, muscle, serosa
b. Serosa, mucosa, submucosa, muscle
c. Mucosa, submucosa, serosa, muscle
,d. Muscle, submucosa, mucosa, serosa - (answer)a. Mucosa, submucosa, muscle, serosa
Which one of the following best describes psoriasis?
a. A chronic condition characterized by red, dry, elevated lesions, covered by silvery scales
b. An inflammatory condition characterized by redness pustular and vesicular lesions, crusts, and
scales
c. An allergic reaction characterized by wheals and generally accompanied by pruritus
d. A contagious infection of skin generally caused by staphylococcus bacterium - (answer)a. A
chronic condition characterized by red, dry, elevated lesions, covered by silvery scales
A form of milk produced the first few days after giving birth is:
a. Prolactin
b. Colostrum
c. Lactose
d. Chorion - (answer)b. Colostrum
A condition where the thyroid is overactive is called:
a. Thyrotoxicosis
b. Panhypopituitarism
c. Ketosis
d. Thyroiditis - (answer)a. Thyrotoxicosis
What do the instructions and conventions of the classification take precedence over?
a. CPT
, b. Documentation
c. Official Coding Guidelines
d. Nothing. They are only used in the event of no other instruction. - (answer)c. Official Coding
Guidelines
What is the sequencing order when coding a sequela (late effect)?
a. They symptom is coded first followed by the residual condition and the late effect code
b. The cause of the late effect is coded first and the residual condition is coded second
c. The cause of the late effect is coded first; the residual condition is second followed by the
symptoms
d. The residual condition is coded first, and the code(s)for the cause of the late effect are coded
as secondary - (answer)d. The residual condition is coded first, and the code(s)for the cause of
the late effect are coded as secondary
Using the ICD-10-CM Alphabetic Index, which main term below has an instructional note
indicating another main term may also be referenced that may provide additional Alphabetic
Index entries that may be useful?
a. Diabetes
b. Fibrosarcoma
c. Appendicitis
d. Symptoms - (answer)b. Fibrosarcoma
A 50-year-old female presents to her provider with symptoms of insomnia and upset stomach.
The provider suspects she is premenopausal. She is diagnosed with impending menopause. What
diagnosis code(s) should be reported?
a. E28.319
b. G47.00, K30
EXPERT SOLUTIONS | 2026 LATEST UPDATED | GET A+
What form is used to submit a provider's charge to the insurance carrier?
a. UB-04
b. Provider reimbursement form
c. CMS-1500
d. ABN - (answer)c. CMS-1500
Which coding manuals do outpatient coders focus on learning?
a. CPT, HCPCS Level II and ICD-10-CM
b. CPT and ICD-10-CM
c. ICD-10-CM and ICD-10-PCS
d. CPT, HCPCS Level II, ICD-10-CM, ICD-10-PCS - (answer)a. CPT, HCPCS Level II and
ICD-10-CM
In what year was HITECH enacted as part of the American Recovery and Reinvestment Act?
a. 2010
b. 2009
c. 2000
d. 2007 - (answer)b. 2009
Voluntary compliance programs also provide benefits by not only helping to prevent erroneous or
____, but also by showing that the provider practice is making additional good faith efforts to
submit claims appropriately.
,a. Over utilized codes
b. Duplicative claims
c. Fraudulent claims
d. Mistaken principals - (answer)c. Fraudulent claims
Which CMS product describes whether specific medical items, services, treatment procedures or
technologies are considered medically necessary under Medicare?
a. Medicare Claims Processing Manual
b. National Coverage Determinations Manual
c. Relative Value Files
d. Medicare Physician Fee Schedule Final Rule - (answer)b. National Coverage Determinations
Manual
Which condition results from an injury to the head? The symptoms include headache, dizziness
and vomiting.
a. Meningitis
b. Concussion
c. Epilepsy
d. Parkinson's disease - (answer)b. Concussion
In order, starting with the innermost layer, what are the four walls of the digestive tract?
a. Mucosa, submucosa, muscle, serosa
b. Serosa, mucosa, submucosa, muscle
c. Mucosa, submucosa, serosa, muscle
,d. Muscle, submucosa, mucosa, serosa - (answer)a. Mucosa, submucosa, muscle, serosa
Which one of the following best describes psoriasis?
a. A chronic condition characterized by red, dry, elevated lesions, covered by silvery scales
b. An inflammatory condition characterized by redness pustular and vesicular lesions, crusts, and
scales
c. An allergic reaction characterized by wheals and generally accompanied by pruritus
d. A contagious infection of skin generally caused by staphylococcus bacterium - (answer)a. A
chronic condition characterized by red, dry, elevated lesions, covered by silvery scales
A form of milk produced the first few days after giving birth is:
a. Prolactin
b. Colostrum
c. Lactose
d. Chorion - (answer)b. Colostrum
A condition where the thyroid is overactive is called:
a. Thyrotoxicosis
b. Panhypopituitarism
c. Ketosis
d. Thyroiditis - (answer)a. Thyrotoxicosis
What do the instructions and conventions of the classification take precedence over?
a. CPT
, b. Documentation
c. Official Coding Guidelines
d. Nothing. They are only used in the event of no other instruction. - (answer)c. Official Coding
Guidelines
What is the sequencing order when coding a sequela (late effect)?
a. They symptom is coded first followed by the residual condition and the late effect code
b. The cause of the late effect is coded first and the residual condition is coded second
c. The cause of the late effect is coded first; the residual condition is second followed by the
symptoms
d. The residual condition is coded first, and the code(s)for the cause of the late effect are coded
as secondary - (answer)d. The residual condition is coded first, and the code(s)for the cause of
the late effect are coded as secondary
Using the ICD-10-CM Alphabetic Index, which main term below has an instructional note
indicating another main term may also be referenced that may provide additional Alphabetic
Index entries that may be useful?
a. Diabetes
b. Fibrosarcoma
c. Appendicitis
d. Symptoms - (answer)b. Fibrosarcoma
A 50-year-old female presents to her provider with symptoms of insomnia and upset stomach.
The provider suspects she is premenopausal. She is diagnosed with impending menopause. What
diagnosis code(s) should be reported?
a. E28.319
b. G47.00, K30
