AAPC CPC FINAL EXAM QUESTIONS &
ANSWERS 2025/2026
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. -
Correct 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 - Correct 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 - Correct 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
c. N95.9, G47.00, K30
d. N95.9 - Correct Answer>>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.
,What is the ICD-10-CM code for a laceration on the left shoulder,
subsequent encounter?
a. S51.009D
b. S46.001D
c. S51.801D
d. S41.012D - Correct Answer>>d. S41.012D
According to ICD-10-CM guidelines, when a patient is seen for
management of anemia due to malignancy, how is it reported?
a. Anemia is reported first, followed by the code for the malignancy
b. The malignancy is the only condition reported
c. Anemia is the only condition reported
d. The malignancy is reported first, followed by the code for the anemia
- Correct Answer>>d. The malignancy is reported first, followed by
the code for the anemia
A 23-year-old patient presents to the emergency department (ED) with
a cut on his leg. He is a confirmed AIDS patient as documented in the
record. What ICD-10-CM codes should be reported?
a. S81.819a, Z71.7
b. S81.819a, Z11.4
c. S81.819A, B20
d. S819A, R75 - Correct Answer>>c. S81.819A, B20
, A 50-year-old patient has a mass removed from his chest. The surgeon
sends it to pathology. The pathology report indicates the mass is a
benign tumor. What ICD-10-CM code is reported?
a. D49.2
b. C49.3
c. C79.89
d. D36.7 - Correct Answer>>d. D36.7
Mrs. Johnson is here today to receive an intercostal nerve block to
mitigate the debilitating pain of her malignancy. Her cancer has
metastasized to her bones in her thoracic spine. What ICD10-CM codes
are reported?
a. M54.6, C79.51, C80.1
b. C79.51, G89.3, M54.6, C80.1
c. G89.3, C79.51, C80.1
d. C79.51, G89.3, C80.1 - Correct Answer>>c. G89.3, C79.51,
C80.1
After referral from the ED, a patient sees an ophthalmologist to
examine an old injury with a retained magnetic iron metal foreign body
in his posterior wall within the right eye. There is concern for an
infection. What ICD-10-CM codes are reported?
a. H44.741, Z18.11
b. H44.641, Z18.11
c. S05.51XD, Z18.11
d. S05.51XA, Z18.11 - Correct Answer>>b. H44.641, Z18.11
ANSWERS 2025/2026
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. -
Correct 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 - Correct 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 - Correct 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
c. N95.9, G47.00, K30
d. N95.9 - Correct Answer>>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.
,What is the ICD-10-CM code for a laceration on the left shoulder,
subsequent encounter?
a. S51.009D
b. S46.001D
c. S51.801D
d. S41.012D - Correct Answer>>d. S41.012D
According to ICD-10-CM guidelines, when a patient is seen for
management of anemia due to malignancy, how is it reported?
a. Anemia is reported first, followed by the code for the malignancy
b. The malignancy is the only condition reported
c. Anemia is the only condition reported
d. The malignancy is reported first, followed by the code for the anemia
- Correct Answer>>d. The malignancy is reported first, followed by
the code for the anemia
A 23-year-old patient presents to the emergency department (ED) with
a cut on his leg. He is a confirmed AIDS patient as documented in the
record. What ICD-10-CM codes should be reported?
a. S81.819a, Z71.7
b. S81.819a, Z11.4
c. S81.819A, B20
d. S819A, R75 - Correct Answer>>c. S81.819A, B20
, A 50-year-old patient has a mass removed from his chest. The surgeon
sends it to pathology. The pathology report indicates the mass is a
benign tumor. What ICD-10-CM code is reported?
a. D49.2
b. C49.3
c. C79.89
d. D36.7 - Correct Answer>>d. D36.7
Mrs. Johnson is here today to receive an intercostal nerve block to
mitigate the debilitating pain of her malignancy. Her cancer has
metastasized to her bones in her thoracic spine. What ICD10-CM codes
are reported?
a. M54.6, C79.51, C80.1
b. C79.51, G89.3, M54.6, C80.1
c. G89.3, C79.51, C80.1
d. C79.51, G89.3, C80.1 - Correct Answer>>c. G89.3, C79.51,
C80.1
After referral from the ED, a patient sees an ophthalmologist to
examine an old injury with a retained magnetic iron metal foreign body
in his posterior wall within the right eye. There is concern for an
infection. What ICD-10-CM codes are reported?
a. H44.741, Z18.11
b. H44.641, Z18.11
c. S05.51XD, Z18.11
d. S05.51XA, Z18.11 - Correct Answer>>b. H44.641, Z18.11
