CPC NEWEST 2026/2027 EXAM WITH QUESTIONS AND CORRECT
ANSWERS ALREADY GRADED A+ AND 100% GUARANTEE PASS
The Privacy Rule generally requires covered entities to take reasonable steps to limit the use or
disclosure of, and requests for, protected health information to the minimum necessary to
accomplish the intended purpose. The minimum necessary standard does not apply to the following:
- ANSWER - Disclosures to or requests by a health care provider for treatment purposes.
- Disclosures to the individual who is the subject of the information.
- Uses or disclosures made pursuant to an individual's authorization.
- Uses or disclosures required for compliance with the Health Insurance Portability and
Accountability Act (HIPAA) Administrative Simplification Rules.· Disclosures to the Department of
Health & Human Services (HHS) when disclosure of information is required under the Privacy Rule for
enforcement purposes.
- Uses or disclosures that are required by other law.
Which part of the brain controls blood pressure, heart rate and respiration?
a.Cerebrum
b.Cerebellum
c.Cortex
d.Medulla - ANSWER d.Medulla
Myasthenia gravis (MG) - ANSWER - Chronic autoimmune disorder in which antibodies destroy the
communication between nerves and muscle, resulting in weakness of the skeletal muscles.
- Affects the voluntary muscles of the body, especially those that control the eyes, mouth, throat and
limbs.
- Affects the neuromuscular junction
Adrenomegaly is defined as:
a. Infection of the adrenal gland
b. A tumor of the adrenal gland
c. Enlargement of the adrenal gland
d. Any disease of the adrenal gland - ANSWER c. Enlargement of the adrenal gland
A thin membrane lining the chambers of the heart and valves is called the:
,a.Endocardium
b.Pericardium
c.Epicardium
d.Myocardium - ANSWER a.Endocardium
Excessive potassium in the blood is referred to as:
a.Hypoproteinemia
b.Hyperkalemia
c.Hypernatremia
d.Hematuria - ANSWER b.Hyperkalemia
A patient is seen in the ED for severe abdominal pain and urinary frequency. After examination and
urinalysis, the patient is diagnosed with a urinary tract infection (UTI).What ICD-10-CM code(s) is/are
reported?
• R10.0, R35.0
• R10.0, R35.0, N39.0
• R10.0, N39.0
•N39.0 (correct ANSWER, your response)Feedback:Refer to ICD-10-CM guideline I.B.5. The
abdominal pain and urinary frequency are not reported because they are symptoms of the UTI. Look
in the ICD-10-CM Alphabetic Index for Infection, infected, infective/urinary (tract) which directs
thecoder to N39.0. Verification in the Tabular List confirms code selection. - ANSWER •N39.0
Refer to ICD-10-CM guideline I.B.5. The abdominal pain and urinary frequency are not reported
because they are symptoms of the UTI. Look in the ICD-10-CM Alphabetic Index for Infection,
infected, infective/urinary (tract) which directs the coder to N39.0. Verification in the Tabular List
confirms code selection.
A 20-year-old comes into the emergency department (ED) with symptoms of a severe headache,
vomiting, stiff neck, and fever. The ED physician suspects meningitis and performs a lumbar
puncture. The ED physician reviews the results and the patient is admitted in the hospital for
meningitis which is suspected to be bacterial.
Which ICD-10-CM code(s) is/are reported by the ED physician?
a.G00.9
b.G00.9, R51.9, R11.10, M43.6, R50.9
c.G03.9, R51.9, R11.10, M43.6, R50.9
d.G03.9 - ANSWER d.G03.9
,suspected to be bacteria= unspecified
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
d.N95.9, G47.00, K30 - ANSWER b.G47.00, K30
Impending Menopause = not happen yet = no menopause -> symptom codes only
What is the ICD-10-CM code for an initial encounter for a closed fracture of the right wrist?
a.S62.101A
b.S62.102A
c.S12.9XXA
d.M80.031A - ANSWER a.S62.101A
Which diagnosis code(s) below reports pain in the left and right ears?
a. H92.01, H92.02
b. H92.03 - ANSWER b. H92.03
If no bilateral code is provided and the condition is bilateral, assign separate codes for both the left
and right side. There is a bilateral code provided for pain in the left and right ears H92.03. You would
not report two separate codes.
A patient is admitted to the hospital with pneumonia. Testing indicates the patient's pneumonia is
due to Staphylococcus aureaus and is methicillin resistant (MRSA). Applying the coding concept from
ICD-10-CM guideline I.C.1.e.1.a, what ICD-10-CM code(s) is/are reported? - ANSWER J15.212
When a combination code exists for MRSA and the infection, only the combination code should be
reported. Pneumonia due to Methicillin-resistant Staphylococcus aureus is reported with J15.212.
A patient with a Pancoast's tumor in the left lung arrives at the oncologist office for chemotherapy.
Applying the coding concept from ICD-10-CM guidelines I.C.2.e.2. What ICD-10-CM code(s) should be
reported? Note: Use the ICD-10-CM Alphabetic Index instead of the Table of Neoplasms to locate the
code for a Pancoast's tumor. - ANSWER Z51.11, C34.12
, If the reason for the encounter is solely chemotherapy, a diagnosis for chemotherapy administration
should be listed first, and a diagnosis for the malignancy requiring the chemotherapy is reported
secondarily. Look in the ICD-10-CM Alphabetic for Chemotherapy (session) (for)/neoplasm or
Encounter (with health service) (for)/ chemotherapy for neoplasm (Z51.11). A Pancoast's tumor is a
rapid growing tumor in the apex of the lung. The apex of the lung is in the upper lobe for Pancoast's
Tumor. Look for Tumor/Pancoast's - see Pancoast's syndrome. Look for Pancoast's syndrome or
tumor C34.1-. Add 2 as the 4th character for left lung. The correct codes and sequencing are Z51.11
and C34.12.
Mrs. Fryer visits her nephrologist for an erythropoietin (EPO) injection for her anemia. She has Stage
3 chronic kidney disease, which is the cause of the anemia. Applying the coding concept from ICD-
10-CM guideline I.A.13., what ICD-10-CM code(s) should be reported for the EPO injection? -
ANSWER N18.30, D63.1
Anemia/in (due to) (with)/chronic kidney disease D63.1. See the Code first note instructing to report
the CKD (N18-) code first. Look in the ICD 10-CM Alphabetic Index for Disease/kidney/chronic/stage 3
(moderate) N18.30. Verification in the Tabular List verifies correct sequencing as N18.30, D63.1.
Name an example of when a problem caused by diabetes is NOT sequenced after the code for
diabetes. Refer to ICD-10-CM guideline I.C.4.a.5.a. - ANSWER When a patient's insulin pump
malfunctions.
A patient with a four-year history of eating disorders is seen in the physician's office due to significant
weight loss over the past three months. She went from 82 pounds down to 53 pounds due to
restricting her food intake. She is diagnosed with anorexia nervosa. Select the diagnosis code(s). -
ANSWER F50.01 (anorexia nervosa, restricting type)
Mr. Timmins fell off a roof and suffered a spinal injury. As a result of the injury, he has been suffering
from chronic pain in his lower back for several years. Today, he presents for insertion of a
neurostimulator for pain control. Applying the coding concept from ICD-10-CM guideline I.C.6.b.1.a
and I.C.6.b.1.b.ii, what ICD-10-CM codes should be reported for the pain? Do not code the external
cause codes (discussed later in the curriculum). - ANSWER G89.21 (chronic pain due to trauma),
M54.50
When a patient is admitted for the insertion of a neurostimulator for pain control, assign the
appropriate pain code as the first listed diagnosis.
ANSWERS ALREADY GRADED A+ AND 100% GUARANTEE PASS
The Privacy Rule generally requires covered entities to take reasonable steps to limit the use or
disclosure of, and requests for, protected health information to the minimum necessary to
accomplish the intended purpose. The minimum necessary standard does not apply to the following:
- ANSWER - Disclosures to or requests by a health care provider for treatment purposes.
- Disclosures to the individual who is the subject of the information.
- Uses or disclosures made pursuant to an individual's authorization.
- Uses or disclosures required for compliance with the Health Insurance Portability and
Accountability Act (HIPAA) Administrative Simplification Rules.· Disclosures to the Department of
Health & Human Services (HHS) when disclosure of information is required under the Privacy Rule for
enforcement purposes.
- Uses or disclosures that are required by other law.
Which part of the brain controls blood pressure, heart rate and respiration?
a.Cerebrum
b.Cerebellum
c.Cortex
d.Medulla - ANSWER d.Medulla
Myasthenia gravis (MG) - ANSWER - Chronic autoimmune disorder in which antibodies destroy the
communication between nerves and muscle, resulting in weakness of the skeletal muscles.
- Affects the voluntary muscles of the body, especially those that control the eyes, mouth, throat and
limbs.
- Affects the neuromuscular junction
Adrenomegaly is defined as:
a. Infection of the adrenal gland
b. A tumor of the adrenal gland
c. Enlargement of the adrenal gland
d. Any disease of the adrenal gland - ANSWER c. Enlargement of the adrenal gland
A thin membrane lining the chambers of the heart and valves is called the:
,a.Endocardium
b.Pericardium
c.Epicardium
d.Myocardium - ANSWER a.Endocardium
Excessive potassium in the blood is referred to as:
a.Hypoproteinemia
b.Hyperkalemia
c.Hypernatremia
d.Hematuria - ANSWER b.Hyperkalemia
A patient is seen in the ED for severe abdominal pain and urinary frequency. After examination and
urinalysis, the patient is diagnosed with a urinary tract infection (UTI).What ICD-10-CM code(s) is/are
reported?
• R10.0, R35.0
• R10.0, R35.0, N39.0
• R10.0, N39.0
•N39.0 (correct ANSWER, your response)Feedback:Refer to ICD-10-CM guideline I.B.5. The
abdominal pain and urinary frequency are not reported because they are symptoms of the UTI. Look
in the ICD-10-CM Alphabetic Index for Infection, infected, infective/urinary (tract) which directs
thecoder to N39.0. Verification in the Tabular List confirms code selection. - ANSWER •N39.0
Refer to ICD-10-CM guideline I.B.5. The abdominal pain and urinary frequency are not reported
because they are symptoms of the UTI. Look in the ICD-10-CM Alphabetic Index for Infection,
infected, infective/urinary (tract) which directs the coder to N39.0. Verification in the Tabular List
confirms code selection.
A 20-year-old comes into the emergency department (ED) with symptoms of a severe headache,
vomiting, stiff neck, and fever. The ED physician suspects meningitis and performs a lumbar
puncture. The ED physician reviews the results and the patient is admitted in the hospital for
meningitis which is suspected to be bacterial.
Which ICD-10-CM code(s) is/are reported by the ED physician?
a.G00.9
b.G00.9, R51.9, R11.10, M43.6, R50.9
c.G03.9, R51.9, R11.10, M43.6, R50.9
d.G03.9 - ANSWER d.G03.9
,suspected to be bacteria= unspecified
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
d.N95.9, G47.00, K30 - ANSWER b.G47.00, K30
Impending Menopause = not happen yet = no menopause -> symptom codes only
What is the ICD-10-CM code for an initial encounter for a closed fracture of the right wrist?
a.S62.101A
b.S62.102A
c.S12.9XXA
d.M80.031A - ANSWER a.S62.101A
Which diagnosis code(s) below reports pain in the left and right ears?
a. H92.01, H92.02
b. H92.03 - ANSWER b. H92.03
If no bilateral code is provided and the condition is bilateral, assign separate codes for both the left
and right side. There is a bilateral code provided for pain in the left and right ears H92.03. You would
not report two separate codes.
A patient is admitted to the hospital with pneumonia. Testing indicates the patient's pneumonia is
due to Staphylococcus aureaus and is methicillin resistant (MRSA). Applying the coding concept from
ICD-10-CM guideline I.C.1.e.1.a, what ICD-10-CM code(s) is/are reported? - ANSWER J15.212
When a combination code exists for MRSA and the infection, only the combination code should be
reported. Pneumonia due to Methicillin-resistant Staphylococcus aureus is reported with J15.212.
A patient with a Pancoast's tumor in the left lung arrives at the oncologist office for chemotherapy.
Applying the coding concept from ICD-10-CM guidelines I.C.2.e.2. What ICD-10-CM code(s) should be
reported? Note: Use the ICD-10-CM Alphabetic Index instead of the Table of Neoplasms to locate the
code for a Pancoast's tumor. - ANSWER Z51.11, C34.12
, If the reason for the encounter is solely chemotherapy, a diagnosis for chemotherapy administration
should be listed first, and a diagnosis for the malignancy requiring the chemotherapy is reported
secondarily. Look in the ICD-10-CM Alphabetic for Chemotherapy (session) (for)/neoplasm or
Encounter (with health service) (for)/ chemotherapy for neoplasm (Z51.11). A Pancoast's tumor is a
rapid growing tumor in the apex of the lung. The apex of the lung is in the upper lobe for Pancoast's
Tumor. Look for Tumor/Pancoast's - see Pancoast's syndrome. Look for Pancoast's syndrome or
tumor C34.1-. Add 2 as the 4th character for left lung. The correct codes and sequencing are Z51.11
and C34.12.
Mrs. Fryer visits her nephrologist for an erythropoietin (EPO) injection for her anemia. She has Stage
3 chronic kidney disease, which is the cause of the anemia. Applying the coding concept from ICD-
10-CM guideline I.A.13., what ICD-10-CM code(s) should be reported for the EPO injection? -
ANSWER N18.30, D63.1
Anemia/in (due to) (with)/chronic kidney disease D63.1. See the Code first note instructing to report
the CKD (N18-) code first. Look in the ICD 10-CM Alphabetic Index for Disease/kidney/chronic/stage 3
(moderate) N18.30. Verification in the Tabular List verifies correct sequencing as N18.30, D63.1.
Name an example of when a problem caused by diabetes is NOT sequenced after the code for
diabetes. Refer to ICD-10-CM guideline I.C.4.a.5.a. - ANSWER When a patient's insulin pump
malfunctions.
A patient with a four-year history of eating disorders is seen in the physician's office due to significant
weight loss over the past three months. She went from 82 pounds down to 53 pounds due to
restricting her food intake. She is diagnosed with anorexia nervosa. Select the diagnosis code(s). -
ANSWER F50.01 (anorexia nervosa, restricting type)
Mr. Timmins fell off a roof and suffered a spinal injury. As a result of the injury, he has been suffering
from chronic pain in his lower back for several years. Today, he presents for insertion of a
neurostimulator for pain control. Applying the coding concept from ICD-10-CM guideline I.C.6.b.1.a
and I.C.6.b.1.b.ii, what ICD-10-CM codes should be reported for the pain? Do not code the external
cause codes (discussed later in the curriculum). - ANSWER G89.21 (chronic pain due to trauma),
M54.50
When a patient is admitted for the insertion of a neurostimulator for pain control, assign the
appropriate pain code as the first listed diagnosis.
