AAPC CPC FINAL EXAM PRACTICE 2024
2025 COMPREHENSIVE MEDICAL CODING
STUDY GUIDE PRACTICE QUESTIONS
DETAILED RATIONALES and EXAM PREP
type of print indicates new additions and revisions in the CPT® code book
each year?
a. Bold print
b. Italic print
c. Red print
d. Green print - CORRECT ANSWER-d. Green print
What type of CPT® code is "modifier 51 exempt" even though there is no
modifier 51 exempt symbol next to it?
a. Surgery codes
b. Bilateral procedures
c. Mandated services
d. Add-on codes - CORRECT ANSWER-d. Add-on codes
What term best describes a mass of hypertrophic scar tissue?
a. Dermatofibroma
,b. Congenital nevus
c. Pilonidal cyst
d. Keloid - CORRECT ANSWER-d. Keloid
In ICD-10-CM, what type of burn is considered corrosion?
a. Burn from a hot appliance
b. Burn from a chemical
c. Burn from a fire
d. Sunburn - CORRECT ANSWER-b. Burn from a chemical
Patient has a suspicious lesion of the right axilla. The area was infiltrated
with local anesthetic prepped and draped in a sterile fashion. With the use
of a scalpel the 0.3 cm lesion that included the margins was excised and
closed with 5.0 Prolene suture. Pathology report indicated this was a
seborrheic keratosis. What CPT® and ICD-10-CM codes are reported?
a. 11400, L82.1
b. 11106, L82.1
c. 11106, L82.0
d. 11400, L82.0 - CORRECT ANSWER-a. 11400, L82.1
PREOPERATIVE & POSTOPERATIVE DIAGNOSES:
2. Back pain.
3. Neck pain
,NAME OF PROCEDURE:
1. Right breast reduction of 1950 g.
2. Right free-nipple graft.
3. Left breast reduction of 1915 g.
4. Left free-nipple graft.
DESCRIPTION OF PROCEDURE: On each side the free-nipple grafts were
harvested. They were marked to be side specific and were stored on the
back table in moistened lap sponges. I amputated the inferior portion of the
breast from the right side. I then moved to the left and again amputated the
inferior portion of the breast. The nipple-areolar complexes were de-
epithelialized using the scalpel. The free-nipple grafts were then retrieved
from the back table. They were each defatted using scissors and were placed
in an on-lay fashion on the appropriate side, and each was inset using 5-0
plain sutures. Closure was done. What CPT® code is reported?
a. 19325
b. 19318-50
c. 19318
d. 19325-50 - CORRECT ANSWER-b. 19318-50
Patient has returned to the operating room for aspiration of a seroma that
developed from a genitourinary surgical procedure performed two days
ago. A 16-gauge needle is used to aspirate 600 cc of non-cloudy
serosanguinous fluid. What codes are reported?
a. 10180-58, N99.820
b. 10160-78, N99.842
c. 10140-58, N99.89
, d. 10140-78, S20.20XS - CORRECT ANSWER-b. 10160-78, N99.842
___________ fixation with pins, screws, plates, or wires is placed directly
on or in the bone to immobilize a fractured bone and to maintain alignment
while it heals.
a. Manipulation
b. Reduction
c. Internal
d. Casting - CORRECT ANSWER-c. Internal
A 49-year-old presents with an abscess of the right thumb. The physician
incises the abscess and purulent sanguineous fluid is drained. The wound is
packed with iodoform packing. What CPT® code is reported?
a. 10060-F5
b. 10061-F5
c. 26010-F5
d. 26011-F5 - CORRECT ANSWER-c. 26010-F5
An 85-year-old has developed a lump in her right groin. An incision over
the lesion was made and tissue was dissected through the skin and
subcutaneous tissue going deep through the femoral fascia. Sharp
dissection of the mass was performed, freeing it from surrounding
structures. The 3 cm mass was isolated and excised. The incision was
closed, the area was cleaned and dried, and a dressing applied. What CPT®
code is reported?
2025 COMPREHENSIVE MEDICAL CODING
STUDY GUIDE PRACTICE QUESTIONS
DETAILED RATIONALES and EXAM PREP
type of print indicates new additions and revisions in the CPT® code book
each year?
a. Bold print
b. Italic print
c. Red print
d. Green print - CORRECT ANSWER-d. Green print
What type of CPT® code is "modifier 51 exempt" even though there is no
modifier 51 exempt symbol next to it?
a. Surgery codes
b. Bilateral procedures
c. Mandated services
d. Add-on codes - CORRECT ANSWER-d. Add-on codes
What term best describes a mass of hypertrophic scar tissue?
a. Dermatofibroma
,b. Congenital nevus
c. Pilonidal cyst
d. Keloid - CORRECT ANSWER-d. Keloid
In ICD-10-CM, what type of burn is considered corrosion?
a. Burn from a hot appliance
b. Burn from a chemical
c. Burn from a fire
d. Sunburn - CORRECT ANSWER-b. Burn from a chemical
Patient has a suspicious lesion of the right axilla. The area was infiltrated
with local anesthetic prepped and draped in a sterile fashion. With the use
of a scalpel the 0.3 cm lesion that included the margins was excised and
closed with 5.0 Prolene suture. Pathology report indicated this was a
seborrheic keratosis. What CPT® and ICD-10-CM codes are reported?
a. 11400, L82.1
b. 11106, L82.1
c. 11106, L82.0
d. 11400, L82.0 - CORRECT ANSWER-a. 11400, L82.1
PREOPERATIVE & POSTOPERATIVE DIAGNOSES:
2. Back pain.
3. Neck pain
,NAME OF PROCEDURE:
1. Right breast reduction of 1950 g.
2. Right free-nipple graft.
3. Left breast reduction of 1915 g.
4. Left free-nipple graft.
DESCRIPTION OF PROCEDURE: On each side the free-nipple grafts were
harvested. They were marked to be side specific and were stored on the
back table in moistened lap sponges. I amputated the inferior portion of the
breast from the right side. I then moved to the left and again amputated the
inferior portion of the breast. The nipple-areolar complexes were de-
epithelialized using the scalpel. The free-nipple grafts were then retrieved
from the back table. They were each defatted using scissors and were placed
in an on-lay fashion on the appropriate side, and each was inset using 5-0
plain sutures. Closure was done. What CPT® code is reported?
a. 19325
b. 19318-50
c. 19318
d. 19325-50 - CORRECT ANSWER-b. 19318-50
Patient has returned to the operating room for aspiration of a seroma that
developed from a genitourinary surgical procedure performed two days
ago. A 16-gauge needle is used to aspirate 600 cc of non-cloudy
serosanguinous fluid. What codes are reported?
a. 10180-58, N99.820
b. 10160-78, N99.842
c. 10140-58, N99.89
, d. 10140-78, S20.20XS - CORRECT ANSWER-b. 10160-78, N99.842
___________ fixation with pins, screws, plates, or wires is placed directly
on or in the bone to immobilize a fractured bone and to maintain alignment
while it heals.
a. Manipulation
b. Reduction
c. Internal
d. Casting - CORRECT ANSWER-c. Internal
A 49-year-old presents with an abscess of the right thumb. The physician
incises the abscess and purulent sanguineous fluid is drained. The wound is
packed with iodoform packing. What CPT® code is reported?
a. 10060-F5
b. 10061-F5
c. 26010-F5
d. 26011-F5 - CORRECT ANSWER-c. 26010-F5
An 85-year-old has developed a lump in her right groin. An incision over
the lesion was made and tissue was dissected through the skin and
subcutaneous tissue going deep through the femoral fascia. Sharp
dissection of the mass was performed, freeing it from surrounding
structures. The 3 cm mass was isolated and excised. The incision was
closed, the area was cleaned and dried, and a dressing applied. What CPT®
code is reported?
