AAPC CPC PRACTICE EXAM B 2026/2027 ACTUAL QUESTIONS WITH
VERIFIED ANSWERS.
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.
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)B. ICD-10-CM
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).
Which health plan does NOT fall under HIPAA?
VERIFIED ANSWERS.
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.
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)B. ICD-10-CM
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).
Which health plan does NOT fall under HIPAA?
