AAPC CPC FINAL EXAM LATEST REAL EXAM 200+ QUESTIONS AND
CORREC ANSWERS WITH RATIONALES | ALREADY GRADED A+
DETAILED
(VERIFIED ANSWERS)
1. 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: c. CMS-1500
2. 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: a. CPT, HCPCS Level II and ICD-10-C
3. In what year was HITECH enacted as part of the American
Recovery and Reinvestment Act?
a. 2010
b. 2009
c. 2000
d. 2007: b. 2009
4. 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: c. Fraudulent claims
5. Which CMS product describes whether specific medical items,
services, treat- ment procedures or technologies are considered
medically necessary under Medicare?
, AAPC CPC FINAL EXAM LATEST REAL EXAM 200+ QUESTIONS AND
CORREC ANSWERS WITH RATIONALES | ALREADY GRADED A+
DETAILED
(VERIFIED ANSWERS)
a. Medicare Claims Processing Manual
b. National Coverage Determinations Manual
c. Relative Value Files
d. Medicare Physician Fee Schedule Final Rule: b. National Coverage Determination
Manual
6. 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: b. Concussion
7. 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: a. Mucosa, submucosa, muscle, serosa
8. 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
bacteri- um: a. A chronic condition characterized by red, dry, elevated lesions, covered by silvery
scales
9. A form of milk produced the first few days after giving birth is:
, AAPC CPC FINAL EXAM LATEST REAL EXAM 200+ QUESTIONS AND
CORREC ANSWERS WITH RATIONALES | ALREADY GRADED A+
DETAILED
(VERIFIED ANSWERS)
a. Prolactin
b. Colostrum
c. Lactose
d. Chorion: b. Colostrum
10. A condition where the thyroid is overactive is called:
a. Thyrotoxicosis
b. Panhypopituitarism
c. Ketosis
d. Thyroiditis: a. Thyrotoxicosis
11. What do the instructions and conventions of the
classification take prece- dence over?
a. CPT
b. Documentation
c. Official Coding Guidelines
d. Nothing. They are only used in the event of no other instruction.: c.
Oflcial Coding Guidelines
12. 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: d. The residual condition is coded first, and the
code(s)for the cause of the late ettect are coded as secondary
, AAPC CPC FINAL EXAM LATEST REAL EXAM 200+ QUESTIONS AND
CORREC ANSWERS WITH RATIONALES | ALREADY GRADED A+
DETAILED
(VERIFIED ANSWERS)
13. Using the ICD-10-CM Alphabetic Index, which main term below
has an in- structional 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: b. Fibrosarcoma
14. A 50-year-old female presents to her provider with
symptoms of insom- nia 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
c. N95.9, G47.00, K30
d. N95.9: b. G47.00, K30
Rationale: ICD-10-CM guideline I.B.11 states to reference the ICD-10-CM Alphabetic Index to determine if the
condition has a subentry for impending or threatened and also reference main term entries for
Impending and Threatened. If the subterms are listed, assign the given code. If the subterms are not
listed, code the existing underlying condition(s) and not the condition described as impending or
threatened. Look in the Alphabetic Index for Impending. There is not a subterm for menopause;
therefore, the symptoms are coded. Look for Insomnia (organic) which directs the coder to G47.00. Next,
look for Upset/stomach which directs the coder to K30. Verify code selection in the Tabular List.
15. What is the ICD-10-CM code for a laceration on the left shoulder,
subsequent
encounter?
a. S51.009D
CORREC ANSWERS WITH RATIONALES | ALREADY GRADED A+
DETAILED
(VERIFIED ANSWERS)
1. 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: c. CMS-1500
2. 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: a. CPT, HCPCS Level II and ICD-10-C
3. In what year was HITECH enacted as part of the American
Recovery and Reinvestment Act?
a. 2010
b. 2009
c. 2000
d. 2007: b. 2009
4. 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: c. Fraudulent claims
5. Which CMS product describes whether specific medical items,
services, treat- ment procedures or technologies are considered
medically necessary under Medicare?
, AAPC CPC FINAL EXAM LATEST REAL EXAM 200+ QUESTIONS AND
CORREC ANSWERS WITH RATIONALES | ALREADY GRADED A+
DETAILED
(VERIFIED ANSWERS)
a. Medicare Claims Processing Manual
b. National Coverage Determinations Manual
c. Relative Value Files
d. Medicare Physician Fee Schedule Final Rule: b. National Coverage Determination
Manual
6. 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: b. Concussion
7. 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: a. Mucosa, submucosa, muscle, serosa
8. 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
bacteri- um: a. A chronic condition characterized by red, dry, elevated lesions, covered by silvery
scales
9. A form of milk produced the first few days after giving birth is:
, AAPC CPC FINAL EXAM LATEST REAL EXAM 200+ QUESTIONS AND
CORREC ANSWERS WITH RATIONALES | ALREADY GRADED A+
DETAILED
(VERIFIED ANSWERS)
a. Prolactin
b. Colostrum
c. Lactose
d. Chorion: b. Colostrum
10. A condition where the thyroid is overactive is called:
a. Thyrotoxicosis
b. Panhypopituitarism
c. Ketosis
d. Thyroiditis: a. Thyrotoxicosis
11. What do the instructions and conventions of the
classification take prece- dence over?
a. CPT
b. Documentation
c. Official Coding Guidelines
d. Nothing. They are only used in the event of no other instruction.: c.
Oflcial Coding Guidelines
12. 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: d. The residual condition is coded first, and the
code(s)for the cause of the late ettect are coded as secondary
, AAPC CPC FINAL EXAM LATEST REAL EXAM 200+ QUESTIONS AND
CORREC ANSWERS WITH RATIONALES | ALREADY GRADED A+
DETAILED
(VERIFIED ANSWERS)
13. Using the ICD-10-CM Alphabetic Index, which main term below
has an in- structional 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: b. Fibrosarcoma
14. A 50-year-old female presents to her provider with
symptoms of insom- nia 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
c. N95.9, G47.00, K30
d. N95.9: b. G47.00, K30
Rationale: ICD-10-CM guideline I.B.11 states to reference the ICD-10-CM Alphabetic Index to determine if the
condition has a subentry for impending or threatened and also reference main term entries for
Impending and Threatened. If the subterms are listed, assign the given code. If the subterms are not
listed, code the existing underlying condition(s) and not the condition described as impending or
threatened. Look in the Alphabetic Index for Impending. There is not a subterm for menopause;
therefore, the symptoms are coded. Look for Insomnia (organic) which directs the coder to G47.00. Next,
look for Upset/stomach which directs the coder to K30. Verify code selection in the Tabular List.
15. What is the ICD-10-CM code for a laceration on the left shoulder,
subsequent
encounter?
a. S51.009D
