AAPC CPC EXAMS PRACTICE B ACTUAL TEST Questions with
Correct Answers (Grade A+)
Question 1: Which statement is TRUE when reporting pregnancy codes (O00- O9A):
A. These codes can be used on the maternal and baby records.
B. These codes have sequencing priority over codes from other chapters.
C. Code Z33.1 should always be reported with these codes.
D. The seventh character assigned to these codes only indicate a complication during the pregnancy.
Answer: B: These codes have sequencing priority over codes from other chapters
Question 2: Which statement is TRUE about reporting codes for diabetes mellitus?
A. If the type of diabetes mellitus is not documented in the medical record the default type is E11.- Type 2
diabetes mellitus.
B. When a patient uses insulin, Type 1 is always reported.
C. The age of the patient is a sole determining factor to report Type 1. D. When assigning codes for diabetes
and its associated condition(s), the code(s) from category E08-E13 are not reported as a primary code.
Answer: a. if the type of diabetes mellitus is not documented in the medical record, the default type is E11:
type 2 diabetes mellitus
Question 3: Which statement is TRUE for reporting external cause codes of morbidity (V00-Y99)?
A. All external cause codes do not require a seventh character.
B. Only report one external cause code to fully explain each cause.
C. Report code Y92.9 if the place of occurrence is not stated.
D. External cause codes should never be sequenced as a first-listed or primary code
Answer: d. external cause codes should never be sequenced as a first-listed or primary code
Question 4: What is NOT included in CPT® surgical package?
A. Typical postoperative follow-up care
B. One related Evaluation and Management service on the same date of the procedure
C. Returning to the operating room the next day for a complication resulting from the initial procedure
D. Evaluating the patient in the post-anesthesia recovery area
Answer: c. returning to the operating room the next day for a complication resulting from the initial
procedure
Question 5: What is the term used for inflammation of the bone and bone marrow?
A. Chondromatosis
B. Osteochondritis
C. Costochondritis
D. Osteomyelitis
Answer: d. osteomyelitis
Page 1
,Question 6: The root word trich/o means:
A. Hair
B. Sebum
C. Eyelid
D. Trachea
Answer: a. hair
Question 7: Complete this series: Frontal lobe, Parietal lobe, Temporal lobe, ____________.
A. Medulla lobe
B. Occipital lobe
C. Middle lobe
D. Inferior lobe
Answer: d. occipital lobe
Question 8: A patient is having pyeloplasty performed to treat an uretero- pelvic junction obstruction.
What is being performed?
A. Surgical repair of the bladder
B. Removal of the kidney
C. Cutting into the ureter
D. Surgical reconstruction of the renal pelvis
Answer: d. surgical reconstruction of the renal pelvis
Question 9: A patient that has cirrhosis of the liver just had an endoscopy performed showing
hemorrhagic esophageal varices. The ICD-10- CM codes are reported:
A. I85.01, K74.69
B. I85.11, K74.60
C. K74.60, I85.11
D. I85.00, K74.69
Answer: In the ICD-10-CM Alphabetic Index look for Varix/esophagus/in/cirrhosis of liver/bleeding
referring you to code I85.11. This eliminates multiple choices A and D. In the Tabular List you will see an
instructional note above codes I85.10 and I85.11 to Code first underlying disease. For the scenario, cirrhosis
of liver (K74.60) is coded first then the esophageal varices with bleeding is coded as a secondary code.
Eliminating multiple choice B. correct answer is C. K74.60, I85.11
Question 10: Which statement is TRUE about Z codes:
A. Z codes are never reported as a primary code.
B. Z codes are only reported with injury codes.
C. Z codes may be used either as a primary code or a secondary code.
D. Z codes are always reported as a secondary code.
Answer: c. Z codes may be used wither as a primary code or a secondary code
Page 2
,Question 11: Guidelines from which of the following code sets are included as part of the code set
requirements under HIPAA?
A. CPT® Category III codes
B. ICD-10-CM
C. HCPCS Level II
D. ADA Dental Codes
Answer: ICD-10-CM guidelines are the only guidelines specifically mentioned in HIPAA. While HIPAA
requires the use of the other code sets listed, there is no specific mention of the other guidelines in the law.
This information 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
complement 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 III 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 Accountability Act (HIPAA).
Question 12: 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.
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 assigned
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.
Question 13: Local Coverage Determinations (LCD) are published to give providers information on
which of the following?
A. Information on modifier use with procedure codes
B. CPT® codes that are bundled
C. Fee schedule information listed by CPT® code
D. Reasonable and necessary conditions of coverage for an item or service
Answer: d. Reasonable and necessary conditions of coverage for an item or service
Page 3
, Question 14: Which place of service code is reported on the physician's claim for a surgical procedure
performed in an ASC?
A. 21
B. 22
C. 24
D. 11
Answer: place of service codes are two digit numerical codes that define the location where the services are
performed and reported on the CMS-1500 form. A complete chart of place -of- service codes are located in
the front of the CPT book C. 24
Question 15: If a ST elevation myocardial infarction (STEMI) converts to a non ST elevation
myocardial infarction (NSTEMI) due to thrombolytic therapy, how is it reported, according to
ICD-10-CM guidelines?
A. As unspecified AMI
B. As a subendocardial AMI
C. As STEMI
D. As a NSTEMI
Answer: C. as STEMI ICD-10-CM guidelines (Section I.C.9.e.1) indicate: If STEMI converts to NSTEMI
due to thrombolytic therapy, it is still coded as STEMI
Question 16: When a person has labyrinthitis what has the inflammation?
A. Inner ear
B. Brain
C. Conjunctiva
D. Spine
Answer: a. inner ear
Question 17: An angiogram is a study to look inside:
A. Female Reproductive System
B. Urinary System
C. Blood Vessels
D. Breasts
Answer: c. blood vessels
Page 4
Correct Answers (Grade A+)
Question 1: Which statement is TRUE when reporting pregnancy codes (O00- O9A):
A. These codes can be used on the maternal and baby records.
B. These codes have sequencing priority over codes from other chapters.
C. Code Z33.1 should always be reported with these codes.
D. The seventh character assigned to these codes only indicate a complication during the pregnancy.
Answer: B: These codes have sequencing priority over codes from other chapters
Question 2: Which statement is TRUE about reporting codes for diabetes mellitus?
A. If the type of diabetes mellitus is not documented in the medical record the default type is E11.- Type 2
diabetes mellitus.
B. When a patient uses insulin, Type 1 is always reported.
C. The age of the patient is a sole determining factor to report Type 1. D. When assigning codes for diabetes
and its associated condition(s), the code(s) from category E08-E13 are not reported as a primary code.
Answer: a. if the type of diabetes mellitus is not documented in the medical record, the default type is E11:
type 2 diabetes mellitus
Question 3: Which statement is TRUE for reporting external cause codes of morbidity (V00-Y99)?
A. All external cause codes do not require a seventh character.
B. Only report one external cause code to fully explain each cause.
C. Report code Y92.9 if the place of occurrence is not stated.
D. External cause codes should never be sequenced as a first-listed or primary code
Answer: d. external cause codes should never be sequenced as a first-listed or primary code
Question 4: What is NOT included in CPT® surgical package?
A. Typical postoperative follow-up care
B. One related Evaluation and Management service on the same date of the procedure
C. Returning to the operating room the next day for a complication resulting from the initial procedure
D. Evaluating the patient in the post-anesthesia recovery area
Answer: c. returning to the operating room the next day for a complication resulting from the initial
procedure
Question 5: What is the term used for inflammation of the bone and bone marrow?
A. Chondromatosis
B. Osteochondritis
C. Costochondritis
D. Osteomyelitis
Answer: d. osteomyelitis
Page 1
,Question 6: The root word trich/o means:
A. Hair
B. Sebum
C. Eyelid
D. Trachea
Answer: a. hair
Question 7: Complete this series: Frontal lobe, Parietal lobe, Temporal lobe, ____________.
A. Medulla lobe
B. Occipital lobe
C. Middle lobe
D. Inferior lobe
Answer: d. occipital lobe
Question 8: A patient is having pyeloplasty performed to treat an uretero- pelvic junction obstruction.
What is being performed?
A. Surgical repair of the bladder
B. Removal of the kidney
C. Cutting into the ureter
D. Surgical reconstruction of the renal pelvis
Answer: d. surgical reconstruction of the renal pelvis
Question 9: A patient that has cirrhosis of the liver just had an endoscopy performed showing
hemorrhagic esophageal varices. The ICD-10- CM codes are reported:
A. I85.01, K74.69
B. I85.11, K74.60
C. K74.60, I85.11
D. I85.00, K74.69
Answer: In the ICD-10-CM Alphabetic Index look for Varix/esophagus/in/cirrhosis of liver/bleeding
referring you to code I85.11. This eliminates multiple choices A and D. In the Tabular List you will see an
instructional note above codes I85.10 and I85.11 to Code first underlying disease. For the scenario, cirrhosis
of liver (K74.60) is coded first then the esophageal varices with bleeding is coded as a secondary code.
Eliminating multiple choice B. correct answer is C. K74.60, I85.11
Question 10: Which statement is TRUE about Z codes:
A. Z codes are never reported as a primary code.
B. Z codes are only reported with injury codes.
C. Z codes may be used either as a primary code or a secondary code.
D. Z codes are always reported as a secondary code.
Answer: c. Z codes may be used wither as a primary code or a secondary code
Page 2
,Question 11: Guidelines from which of the following code sets are included as part of the code set
requirements under HIPAA?
A. CPT® Category III codes
B. ICD-10-CM
C. HCPCS Level II
D. ADA Dental Codes
Answer: ICD-10-CM guidelines are the only guidelines specifically mentioned in HIPAA. While HIPAA
requires the use of the other code sets listed, there is no specific mention of the other guidelines in the law.
This information 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
complement 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 III 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 Accountability Act (HIPAA).
Question 12: 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.
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 assigned
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.
Question 13: Local Coverage Determinations (LCD) are published to give providers information on
which of the following?
A. Information on modifier use with procedure codes
B. CPT® codes that are bundled
C. Fee schedule information listed by CPT® code
D. Reasonable and necessary conditions of coverage for an item or service
Answer: d. Reasonable and necessary conditions of coverage for an item or service
Page 3
, Question 14: Which place of service code is reported on the physician's claim for a surgical procedure
performed in an ASC?
A. 21
B. 22
C. 24
D. 11
Answer: place of service codes are two digit numerical codes that define the location where the services are
performed and reported on the CMS-1500 form. A complete chart of place -of- service codes are located in
the front of the CPT book C. 24
Question 15: If a ST elevation myocardial infarction (STEMI) converts to a non ST elevation
myocardial infarction (NSTEMI) due to thrombolytic therapy, how is it reported, according to
ICD-10-CM guidelines?
A. As unspecified AMI
B. As a subendocardial AMI
C. As STEMI
D. As a NSTEMI
Answer: C. as STEMI ICD-10-CM guidelines (Section I.C.9.e.1) indicate: If STEMI converts to NSTEMI
due to thrombolytic therapy, it is still coded as STEMI
Question 16: When a person has labyrinthitis what has the inflammation?
A. Inner ear
B. Brain
C. Conjunctiva
D. Spine
Answer: a. inner ear
Question 17: An angiogram is a study to look inside:
A. Female Reproductive System
B. Urinary System
C. Blood Vessels
D. Breasts
Answer: c. blood vessels
Page 4
