AAPC CPC EXAMS Practice B
Comprehensive Review Detailed Questions
and Answers Verified Solutions Latest Update
2026/2027
Question:
While playing softball a 12-year-old boy sustains a blowout fracture. What is the anatomical
location of a blowout fracture?
A. Orbit
B. Clavicle
C. Patella
D. Femur
Answer:
a. orbit
A blowout fracture is a fracture of the walls or floor of the orbit. The orbit is the cavity or socket of
the skull which the eye and its appendages are situated. In the ICD-10-CM Alphabetic Index look
for Fracture, traumatic/orbit/floor (blowout).
Question:
The root metr/o means:
A. Menstruation
B. Breast
C. Mammary gland
D. Uterus
Answer:
D. Uterus
: hint
The root word metr/o or metr/i means uterus. In the ICD-10-CM Alphabetic Index look for a main
term that starts with metro. You will see the main term Metrorrhexis - see Rupture, uterus.
Question:
,According to the CPT® Appendix L, when performing a selective vascular catheterization, which
vessels would you pass through to place the catheter into the right middle cerebral artery?
A. Innominate, right common carotid, right exteranl carotid
B. Innominate, right subclavian & axillary
C. Left common carotid, left internal carotid
D. Innominate, the right common, and internal carotid
Answer:
d. innominate, the right common, and internal carotid
Question:
Which one of the following statements regarding advanced beneficiary notices (ABN) is TRUE?
A. ABN must specify only the CPT® code that Medicare is expected
to deny.
B. Generic ABN which states that a Medicare denial of payment is
possible, or the internist is unaware whether Medicare will deny payment or not is acceptable.
C. An ABN must be completed before delivery of items or services
are provided.
D. An ABN must be obtained from a patient even in a medical
emergency when the services to be provided are not covered.
Answer:
c. An ABN must be completed before delivery of items or
services are provided
An ABN must include the service that may be denied, an estimated cost of the patient's
responsibility if Medicare denies the service and the response for the potential denial. Generic
ABNs are not allowed. Signing of the ABN cannot be obtained during a medical emergency. The
patient must be stable. The ABN must be signed prior to providing the service.
Question:
Which service is covered by Medicare Part B?
A. Inpatient chemotherapy
B. Minor surgery performed in a physician's office
C. Routine dental care
D. Assisted living facility
Answer:
,b. Minor surgery performed in a
physician's office
Services performed by physicians are covered by Medicare Part B. Inpatient services are covered
by Part A. Medicare does not cover routine dental care.
Question:
When coding for a patient who has had a primary malignancy of the thyroid cartilage that was
completely excised a year ago, which one of the following statements is TRUE?
A. When the cancer is surgically removed with no further treatment
provided and there is no evidence of any existing primary malignancy, code Z85.850.
B. When further treatment is provided and there is evidence of an
existing metastasis, code first Z85.850 and then C32.9.
C. Any mention of extension, invasion, or metastasis to another site
is coded as a D49.1, Z85.850.
D. When the cancer is surgically removed but the patient is receiving
chemotherapy treatment report Z85.850.
Answer:
a. when the
cancer is surgically removed with no further treatment provided and there is no evidence of any
existing primary malignancy, code Z85.850
ICD-10-CM guidelines (Section I.C.2.d.) indicated, when the patient has excised or eradicated the
malignancy and there is no further treatment directed to that site and there is no evidence of any
existing primary malignancy, a code from category Z85, Personal history of malignant neoplasm,
should be used to indicate the site of the former malignancy. Look in the ICD-10-CM Alphabetic
Index, for History/personal (of)/malignant neoplasm (of)/thyroid. Note: If a malignant cancer is
removed but the patient is still receiving further treatment for that site, such as chemotherapy or
radiation, you report the malignant neoplasm code not the personal history code.
Question:
In order to use the critical care codes, which statement is TRUE?
A. Critical care services can be provided in an internist's office
B. Critical care services provided for more than 15 minutes but less
than 30 minutes should be billed with 99291 and modifier 52.
C. Time spent reviewing laboratory test results or discussing the
critically ill patient's care with other medical staff in the unit or at
the nursing station on the floor cannot be included in the determination of critical care time.
D. Critical care services are never reported with endotracheal
intubation (31500)
, E. Physician can provide services to another patient during the same time providing critical care
services to a critically ill patient
Answer:
E. Physician can provide services to another patient during the same times providing critical care
services to a critically ill patient
Critical care services can be provided at any site. If the patient is critically ill, the services provided
can be coded with critical care regardless of where the services take place. A minimum of 30
minutes of critical care must be performed in order to report 99291. If less than 30 minutes, select
the appropriate E/M code based on the three key components. Time spent reviewing results and
discussing the critically ill patient with medical staff is included in the critical care time.
Endotracheal intubation, code 31500, can be reported with critical care services. The subsection
guidelines for critical care services in the CPT® codebook does give what services cannot be billed
with critical care. A physician providing critical care services must devote full attention to the
critically ill patient and cannot provide services to any other patient during the same period of time.
Question:
What is the patient's right when it involves making changes in the personal medical record?
A. Patient must work through an attorney to revise any portion of
the personal medical information.
B. They should be able to obtain copies of the medical record and
request corrections of errors and mistakes.
C. It is a violation of federal health care law to revise a patient
medical record.
D. Revision of the patient medical record depends solely on the
facility's compliance program policy.
Answer:
b.. They should be able to obtain copies of the medical record and request corrections of errors and
mistakes
Question:
Which statement regarding an ICD-10-CM coding conventions is TRUE?
A. If the same condition is described as both acute and chronic and
separate subentries exist in the Alphabetic Index at the same indentation level, code only the acute
condition.
B. Sequela (Late effect) codes are reported for a current acute phase
of the injury or illness
Comprehensive Review Detailed Questions
and Answers Verified Solutions Latest Update
2026/2027
Question:
While playing softball a 12-year-old boy sustains a blowout fracture. What is the anatomical
location of a blowout fracture?
A. Orbit
B. Clavicle
C. Patella
D. Femur
Answer:
a. orbit
A blowout fracture is a fracture of the walls or floor of the orbit. The orbit is the cavity or socket of
the skull which the eye and its appendages are situated. In the ICD-10-CM Alphabetic Index look
for Fracture, traumatic/orbit/floor (blowout).
Question:
The root metr/o means:
A. Menstruation
B. Breast
C. Mammary gland
D. Uterus
Answer:
D. Uterus
: hint
The root word metr/o or metr/i means uterus. In the ICD-10-CM Alphabetic Index look for a main
term that starts with metro. You will see the main term Metrorrhexis - see Rupture, uterus.
Question:
,According to the CPT® Appendix L, when performing a selective vascular catheterization, which
vessels would you pass through to place the catheter into the right middle cerebral artery?
A. Innominate, right common carotid, right exteranl carotid
B. Innominate, right subclavian & axillary
C. Left common carotid, left internal carotid
D. Innominate, the right common, and internal carotid
Answer:
d. innominate, the right common, and internal carotid
Question:
Which one of the following statements regarding advanced beneficiary notices (ABN) is TRUE?
A. ABN must specify only the CPT® code that Medicare is expected
to deny.
B. Generic ABN which states that a Medicare denial of payment is
possible, or the internist is unaware whether Medicare will deny payment or not is acceptable.
C. An ABN must be completed before delivery of items or services
are provided.
D. An ABN must be obtained from a patient even in a medical
emergency when the services to be provided are not covered.
Answer:
c. An ABN must be completed before delivery of items or
services are provided
An ABN must include the service that may be denied, an estimated cost of the patient's
responsibility if Medicare denies the service and the response for the potential denial. Generic
ABNs are not allowed. Signing of the ABN cannot be obtained during a medical emergency. The
patient must be stable. The ABN must be signed prior to providing the service.
Question:
Which service is covered by Medicare Part B?
A. Inpatient chemotherapy
B. Minor surgery performed in a physician's office
C. Routine dental care
D. Assisted living facility
Answer:
,b. Minor surgery performed in a
physician's office
Services performed by physicians are covered by Medicare Part B. Inpatient services are covered
by Part A. Medicare does not cover routine dental care.
Question:
When coding for a patient who has had a primary malignancy of the thyroid cartilage that was
completely excised a year ago, which one of the following statements is TRUE?
A. When the cancer is surgically removed with no further treatment
provided and there is no evidence of any existing primary malignancy, code Z85.850.
B. When further treatment is provided and there is evidence of an
existing metastasis, code first Z85.850 and then C32.9.
C. Any mention of extension, invasion, or metastasis to another site
is coded as a D49.1, Z85.850.
D. When the cancer is surgically removed but the patient is receiving
chemotherapy treatment report Z85.850.
Answer:
a. when the
cancer is surgically removed with no further treatment provided and there is no evidence of any
existing primary malignancy, code Z85.850
ICD-10-CM guidelines (Section I.C.2.d.) indicated, when the patient has excised or eradicated the
malignancy and there is no further treatment directed to that site and there is no evidence of any
existing primary malignancy, a code from category Z85, Personal history of malignant neoplasm,
should be used to indicate the site of the former malignancy. Look in the ICD-10-CM Alphabetic
Index, for History/personal (of)/malignant neoplasm (of)/thyroid. Note: If a malignant cancer is
removed but the patient is still receiving further treatment for that site, such as chemotherapy or
radiation, you report the malignant neoplasm code not the personal history code.
Question:
In order to use the critical care codes, which statement is TRUE?
A. Critical care services can be provided in an internist's office
B. Critical care services provided for more than 15 minutes but less
than 30 minutes should be billed with 99291 and modifier 52.
C. Time spent reviewing laboratory test results or discussing the
critically ill patient's care with other medical staff in the unit or at
the nursing station on the floor cannot be included in the determination of critical care time.
D. Critical care services are never reported with endotracheal
intubation (31500)
, E. Physician can provide services to another patient during the same time providing critical care
services to a critically ill patient
Answer:
E. Physician can provide services to another patient during the same times providing critical care
services to a critically ill patient
Critical care services can be provided at any site. If the patient is critically ill, the services provided
can be coded with critical care regardless of where the services take place. A minimum of 30
minutes of critical care must be performed in order to report 99291. If less than 30 minutes, select
the appropriate E/M code based on the three key components. Time spent reviewing results and
discussing the critically ill patient with medical staff is included in the critical care time.
Endotracheal intubation, code 31500, can be reported with critical care services. The subsection
guidelines for critical care services in the CPT® codebook does give what services cannot be billed
with critical care. A physician providing critical care services must devote full attention to the
critically ill patient and cannot provide services to any other patient during the same period of time.
Question:
What is the patient's right when it involves making changes in the personal medical record?
A. Patient must work through an attorney to revise any portion of
the personal medical information.
B. They should be able to obtain copies of the medical record and
request corrections of errors and mistakes.
C. It is a violation of federal health care law to revise a patient
medical record.
D. Revision of the patient medical record depends solely on the
facility's compliance program policy.
Answer:
b.. They should be able to obtain copies of the medical record and request corrections of errors and
mistakes
Question:
Which statement regarding an ICD-10-CM coding conventions is TRUE?
A. If the same condition is described as both acute and chronic and
separate subentries exist in the Alphabetic Index at the same indentation level, code only the acute
condition.
B. Sequela (Late effect) codes are reported for a current acute phase
of the injury or illness
