AAPC CPC FINAL EXAM 2025 QUESTIONS WITH FULL
ANSWER KEY & RATIONALE
When coding in operative report what action would NOT be recommended? - ANSWER-Coding from
the header with out reading the body of the report
If an NCD doesn't exist for a particular service/procedure performed on a Medicare patient who
determines coverage? - ANSWER-Medicare administrative contractor (MAC)
MAC stands for what!? - ANSWER-Medicare administrative contractor
What is the definition of coding? - ANSWER-Translating documentation into numerical/alphabetical
codes used to obtain reimbursement.
How many components should be included in an effective compliance plan? - ANSWER-7
Which of the following is NOT a function of the skin? - ANSWER-Acts as a gland by synthesizing
vitamin A.
What is affected by myasthenia gravis? - ANSWER-Neuromuscular junction
The term "episiotomy" Best describes a procedure of what type? - ANSWER-An incision made into the
perineum to enlarge the passage for the fetus during delivery
A patient is diagnosed with inflammation of the testes and epididymis. The medical term for this
condition is: - ANSWER-Orchiepididymitis
A condition where the thyroid is overactive is called: - ANSWER-Thyrotoxicosis
What does ICD 10 CM stand for? - ANSWER-International classification of diseases - 10th revised -
clinical modification
What is the sequencing order when coding a sequela (late effect)? - ANSWER-The residual condition is
coded first, in the code(s) for the cause of the late effect are coded as secondary
What is the ICD 10 CM code for hives? - ANSWER-L50.9
20-year-old comes into the ED with symptoms of a severe headache, vomiting, stiff neck, and fever.
The ED physician suspects that the meningitis is bacterial and performs a lumber puncture. The ED
physician reviews the results in the patient is admitted in the hospital for meningitis. The ED physician
suspects that the meningitis is bacterial. Which ICD 10 CM code is reported by the ED physician? -
ANSWER-G03.9
45 year old female with malignant Mullerian duct cancer is receiving her first treatment of
chemotherapy. What diagnosis codes are reported? - ANSWER-Z51.11, C57.7
The patient is a 12 month old with a history of muscle weakness. Unfortunately his etiology is
unknown and to help delineate the diagnosis neurology has consulted us to obtain a right biceps
muscle biopsy. What diagnosis code is reported? - ANSWER-M62.81
The provider orders the following serum blood tests as part of a pre-employment physical exam. The
patient goes to the local hospital for the following tests: CBC automated and automated differential
, WBC count (85025), comprehensive metabolic panel (80053), and a thyroid stimulating hormone
assay (84443), all part of the general health panel. A drug screen for multiple drug classes was also
collected (80100). What diagnosis code is reported? - ANSWER-Z02.1
What ICD 10 CM code is reported for a patient who is a habitual abuser of cannabis? - ANSWER-
F12.10
What codes, according to ICD 10 CM sequencing guidelines, describe a patient that has heart disease
due to malignant hypertension with left heart failure? - ANSWER-I11.0, 150.1
A 45-year-old male patient has developed in ulcer on his upper back. He has had diabetes for many
years and is on insulin. The physician determines that the ulcer is due to his diabetes. What ICD 10 CM
code are reported? - ANSWER-E11.622, L98.429, Z79.4
What does the root word cool/o stand for? - ANSWER-Vagina
What does the abbreviation CKD stand for? - ANSWER-Chronic kidney disease
The patient is in for in initial replacement of a leaking dialysis catheter. What ICD 10 CM code is
reported? - ANSWER-T82.43XA
What is/are the external cause code(s) for a passenger involved in a MVA that lost control on the
highway and hit a guardrail? - ANSWER-Y92.411
A patient was admitted three weeks following a normal vaginal delivery with a postpartum breast
abscess. What ICD 10 code should be reported? - ANSWER-O91.12
A 28-year-old male was rushed to the ED after being found unconscious. Information from family
members indicated that the patient had left a suicide note and taking a large amount of LSD (a
hallucinogenic). What ICD 10 CM codes are reported? - ANSWER-T40.8X2A, R40.20
A 63-year-old fractured her scaphoid bone in her right wrist three months ago in an accident. She now
presents with a non-union of the scaphoid bone. What ICD 10 CM code is reported? - ANSWER-
S62.001K
What three components are considered when relative value units are established? - ANSWER-
Physician work, practice expense, malpractice insurance
What is the correct HCPCS Level II code for a removable metatarsal foot arch support which is pre-
molded? - ANSWER-L3050
What is another term for hives? - ANSWER-Urticaria
The patient has a suspicious lesion of the left Jolle line. Clinical diagnosis of this lesion is unknown but
due to the appearance malignancy is a realistic concern. The lesion was excised into the suspicious
that measuring .8 cm and margins of .1 cm on each side. Hemostasis was achieved using light
pressure. The wound was closed in layers using 5.0 Monocryl and 6.0 Prolene. Pathology revealed a
benign nevus with clear margins. What CPT and ICD 10 CM codes are reported? - ANSWER-12051,
11441-51, D23.39
44-year-old male with biplanar deformity acquired limb length discrepancies in tibial nonunion has
undergone deformity correction. He now requires exchange of an external fixation strut 45 days
postoperatively. The intraoperative mounting parameter deformity parameters and initial strut
settings are inserted into the computer prior to Jim's discharge and a daily schedule is generated for
him to perform the gradual deformity correction necessary. What CPT code should reported? -
ANSWER-20697
ANSWER KEY & RATIONALE
When coding in operative report what action would NOT be recommended? - ANSWER-Coding from
the header with out reading the body of the report
If an NCD doesn't exist for a particular service/procedure performed on a Medicare patient who
determines coverage? - ANSWER-Medicare administrative contractor (MAC)
MAC stands for what!? - ANSWER-Medicare administrative contractor
What is the definition of coding? - ANSWER-Translating documentation into numerical/alphabetical
codes used to obtain reimbursement.
How many components should be included in an effective compliance plan? - ANSWER-7
Which of the following is NOT a function of the skin? - ANSWER-Acts as a gland by synthesizing
vitamin A.
What is affected by myasthenia gravis? - ANSWER-Neuromuscular junction
The term "episiotomy" Best describes a procedure of what type? - ANSWER-An incision made into the
perineum to enlarge the passage for the fetus during delivery
A patient is diagnosed with inflammation of the testes and epididymis. The medical term for this
condition is: - ANSWER-Orchiepididymitis
A condition where the thyroid is overactive is called: - ANSWER-Thyrotoxicosis
What does ICD 10 CM stand for? - ANSWER-International classification of diseases - 10th revised -
clinical modification
What is the sequencing order when coding a sequela (late effect)? - ANSWER-The residual condition is
coded first, in the code(s) for the cause of the late effect are coded as secondary
What is the ICD 10 CM code for hives? - ANSWER-L50.9
20-year-old comes into the ED with symptoms of a severe headache, vomiting, stiff neck, and fever.
The ED physician suspects that the meningitis is bacterial and performs a lumber puncture. The ED
physician reviews the results in the patient is admitted in the hospital for meningitis. The ED physician
suspects that the meningitis is bacterial. Which ICD 10 CM code is reported by the ED physician? -
ANSWER-G03.9
45 year old female with malignant Mullerian duct cancer is receiving her first treatment of
chemotherapy. What diagnosis codes are reported? - ANSWER-Z51.11, C57.7
The patient is a 12 month old with a history of muscle weakness. Unfortunately his etiology is
unknown and to help delineate the diagnosis neurology has consulted us to obtain a right biceps
muscle biopsy. What diagnosis code is reported? - ANSWER-M62.81
The provider orders the following serum blood tests as part of a pre-employment physical exam. The
patient goes to the local hospital for the following tests: CBC automated and automated differential
, WBC count (85025), comprehensive metabolic panel (80053), and a thyroid stimulating hormone
assay (84443), all part of the general health panel. A drug screen for multiple drug classes was also
collected (80100). What diagnosis code is reported? - ANSWER-Z02.1
What ICD 10 CM code is reported for a patient who is a habitual abuser of cannabis? - ANSWER-
F12.10
What codes, according to ICD 10 CM sequencing guidelines, describe a patient that has heart disease
due to malignant hypertension with left heart failure? - ANSWER-I11.0, 150.1
A 45-year-old male patient has developed in ulcer on his upper back. He has had diabetes for many
years and is on insulin. The physician determines that the ulcer is due to his diabetes. What ICD 10 CM
code are reported? - ANSWER-E11.622, L98.429, Z79.4
What does the root word cool/o stand for? - ANSWER-Vagina
What does the abbreviation CKD stand for? - ANSWER-Chronic kidney disease
The patient is in for in initial replacement of a leaking dialysis catheter. What ICD 10 CM code is
reported? - ANSWER-T82.43XA
What is/are the external cause code(s) for a passenger involved in a MVA that lost control on the
highway and hit a guardrail? - ANSWER-Y92.411
A patient was admitted three weeks following a normal vaginal delivery with a postpartum breast
abscess. What ICD 10 code should be reported? - ANSWER-O91.12
A 28-year-old male was rushed to the ED after being found unconscious. Information from family
members indicated that the patient had left a suicide note and taking a large amount of LSD (a
hallucinogenic). What ICD 10 CM codes are reported? - ANSWER-T40.8X2A, R40.20
A 63-year-old fractured her scaphoid bone in her right wrist three months ago in an accident. She now
presents with a non-union of the scaphoid bone. What ICD 10 CM code is reported? - ANSWER-
S62.001K
What three components are considered when relative value units are established? - ANSWER-
Physician work, practice expense, malpractice insurance
What is the correct HCPCS Level II code for a removable metatarsal foot arch support which is pre-
molded? - ANSWER-L3050
What is another term for hives? - ANSWER-Urticaria
The patient has a suspicious lesion of the left Jolle line. Clinical diagnosis of this lesion is unknown but
due to the appearance malignancy is a realistic concern. The lesion was excised into the suspicious
that measuring .8 cm and margins of .1 cm on each side. Hemostasis was achieved using light
pressure. The wound was closed in layers using 5.0 Monocryl and 6.0 Prolene. Pathology revealed a
benign nevus with clear margins. What CPT and ICD 10 CM codes are reported? - ANSWER-12051,
11441-51, D23.39
44-year-old male with biplanar deformity acquired limb length discrepancies in tibial nonunion has
undergone deformity correction. He now requires exchange of an external fixation strut 45 days
postoperatively. The intraoperative mounting parameter deformity parameters and initial strut
settings are inserted into the computer prior to Jim's discharge and a daily schedule is generated for
him to perform the gradual deformity correction necessary. What CPT code should reported? -
ANSWER-20697
