AAPC CPC Newest Exam 2026 | All Questions
and Correct Answers | Updated Version |
Graded A+ | Just Released
A 5-year-old male with a history of prematurity was found to have a chordee due
to congenital hypospadias. He presents for surgical management for a plastic
repair in straightening the abnormal curvature. Under general anesthesia, bands
were placed around the base of the penis and incisions were made degloving the
penis circumferentially. The foreskin was divided in Byers flaps and the penile skin
was reapproximated at the 12 o'clock position. Two Byers flaps were
reapproximated, recreating a mucosal collar which was then criss- crossed and
trimmed in the midline in order to accommodate median raphe reconstruction.
This was reconstructed with use of a horizontal mattress suture. The shaft skin
was then approximated to the mucosal collar with sutures correcting the defect.
Which CPT® code should be used?
A. 54304
B. 54340
C. 54400
D. 54440 ------------Correct Answer--------------------A. 54304
A 22-year-old is 14 weeks pregnant and wants to terminate the pregnancy. She
has consented for a D&E. She was brought to the operating room where MAC
anesthesia was given. She was then placed in the dorsal lithotomy position and a
weighted speculum was placed into her posterior vaginal vault. Cervix was
identified and dilated. A 6.5-cm suction catheter hooked up to a suction
evacuator was placed and products of conception were evacuated. A medium size
curette was then used to curette her endometrium. There was noted to be a
small amount of remaining products of conception in her left cornua. Once again
,the suction evacuator was placed and the remaining products of conception were
evacuated. At this point she had a good endometrial curetting with no further
products of conception noted. Which CPT® code should be used?
A. 59840
B. 59841
C. 59812
D. 59851 ------------Correct Answer--------------------B. 59841
A 37-year-old female has menorrhagia and wants permanent sterilization. The
patient was placed in Allen stirrups in the operating room. Under anesthesia the
cervix was dilated and the hysteroscope was advanced to the endometrium into
the uterine cavity. No polyps or fibroids were seen. The Novasure was used for
endometrial ablation. A knife was then used to make an incision in the right lower
quadrant and left lower quadrant with 5-mm trocars inserted under direct
visualization with no injury to any abdominal contents. Laparoscopic findings
revealed the uterus, ovaries and fallopian tubes to be normal. The appendix was
normal as were the upper quadrants. Because of the patient's history of breast
cancer and desire for no further children, it was decided to take out both the
tubes and ovaries. This had been discussed with the patient prior to surgery.
What are the codes for these procedures?
A. 58660, 58353-51
B. 5866 ------------Correct Answer--------------------B. 58661, 58563-51
MRI reveals patient has cervical stenosis. It was determined he should undergo
bilateral cervical laminectomy at C3 through C6 and fusion. The edges of the
laminectomy were then cleaned up with a Kerrison and foraminotomies were
done at C4, C5, and,C6. The stenosis is central; a facetectomy is performed by
using a burr. Nerve root canals were freed by additional resection of the facet,
,and compression of the spinal cord was relieved by removal of a tissue
overgrowth around the foramen. Which CPT® code(s) is (are) used for this
procedure?
A. 63045-50, 63048-50
B. 63020-50, 63035-50, 63035-50
C. 63015-50
D. 63045, 63048 x 2 ------------Correct Answer--------------------D. 63045, 63048 x 2
An extracapsular cataract removal is performed on the right eye by manually
using an iris expansion device to expand the pupil. A phacomulsicfication unit was
used to remove the nucleus and irrigation and aspiration was used to remove the
residual cortex allowing the insertion of the intraocular lens. What CPT® code is
reported?
A. 66985
B. 66984
C. 66982
D. 66983 ------------Correct Answer--------------------C. 66982
An infant who has chronic otitis media in the right and left ears was placed under
general anesthesia and a radial incision was made in the posterior quadrant of the
left and right tympanic membranes. A large amount of mucoid effusion was
suctioned and then a ventilating tube was placed in both ears. What CPT® and
ICD-10-CM codes are reported?
A. 69436-50, H65.33
B. 69436-50, H66.43
, C. 69433-50, H65.113
D. 69421-50, H65.33 ------------Correct Answer--------------------A. 69436-50, H65.33
A 50-year-old patient is coming to see her primary care physician for
hypertension. The patient also discusses with her physician that the OBGYN office
had just told her that her Pap smear came back with an abnormal reading and is
worried because her aunt had passed away with cervical cancer. The physician
documents she spent 40 minutes face-to-face time with the patient, and 25
minutes of that time is giving counseling on the awareness, other screening
procedures and treatment if it turns out to be cervical cancer. What E/M code(s)
is (are) reported for this visit?
A. 99215
B. 99213, 99358
C. 99214, 99354
D. 99213 ------------Correct Answer--------------------A. 99215
A patient was admitted yesterday to the hospital for possible gallstones. The
following day the physician who admitted the patient performed a detailed
history, a detailed exam and a medical decision making of low complexity. The
physician tells her the test results have come back positive for gallstones and is
recommending having a cholecystectomy. What code is reported for this
evaluation and management service for the following day?
A. 99253
B. 99221
C. 99233
D. 99234 ------------Correct Answer--------------------C. 99233
and Correct Answers | Updated Version |
Graded A+ | Just Released
A 5-year-old male with a history of prematurity was found to have a chordee due
to congenital hypospadias. He presents for surgical management for a plastic
repair in straightening the abnormal curvature. Under general anesthesia, bands
were placed around the base of the penis and incisions were made degloving the
penis circumferentially. The foreskin was divided in Byers flaps and the penile skin
was reapproximated at the 12 o'clock position. Two Byers flaps were
reapproximated, recreating a mucosal collar which was then criss- crossed and
trimmed in the midline in order to accommodate median raphe reconstruction.
This was reconstructed with use of a horizontal mattress suture. The shaft skin
was then approximated to the mucosal collar with sutures correcting the defect.
Which CPT® code should be used?
A. 54304
B. 54340
C. 54400
D. 54440 ------------Correct Answer--------------------A. 54304
A 22-year-old is 14 weeks pregnant and wants to terminate the pregnancy. She
has consented for a D&E. She was brought to the operating room where MAC
anesthesia was given. She was then placed in the dorsal lithotomy position and a
weighted speculum was placed into her posterior vaginal vault. Cervix was
identified and dilated. A 6.5-cm suction catheter hooked up to a suction
evacuator was placed and products of conception were evacuated. A medium size
curette was then used to curette her endometrium. There was noted to be a
small amount of remaining products of conception in her left cornua. Once again
,the suction evacuator was placed and the remaining products of conception were
evacuated. At this point she had a good endometrial curetting with no further
products of conception noted. Which CPT® code should be used?
A. 59840
B. 59841
C. 59812
D. 59851 ------------Correct Answer--------------------B. 59841
A 37-year-old female has menorrhagia and wants permanent sterilization. The
patient was placed in Allen stirrups in the operating room. Under anesthesia the
cervix was dilated and the hysteroscope was advanced to the endometrium into
the uterine cavity. No polyps or fibroids were seen. The Novasure was used for
endometrial ablation. A knife was then used to make an incision in the right lower
quadrant and left lower quadrant with 5-mm trocars inserted under direct
visualization with no injury to any abdominal contents. Laparoscopic findings
revealed the uterus, ovaries and fallopian tubes to be normal. The appendix was
normal as were the upper quadrants. Because of the patient's history of breast
cancer and desire for no further children, it was decided to take out both the
tubes and ovaries. This had been discussed with the patient prior to surgery.
What are the codes for these procedures?
A. 58660, 58353-51
B. 5866 ------------Correct Answer--------------------B. 58661, 58563-51
MRI reveals patient has cervical stenosis. It was determined he should undergo
bilateral cervical laminectomy at C3 through C6 and fusion. The edges of the
laminectomy were then cleaned up with a Kerrison and foraminotomies were
done at C4, C5, and,C6. The stenosis is central; a facetectomy is performed by
using a burr. Nerve root canals were freed by additional resection of the facet,
,and compression of the spinal cord was relieved by removal of a tissue
overgrowth around the foramen. Which CPT® code(s) is (are) used for this
procedure?
A. 63045-50, 63048-50
B. 63020-50, 63035-50, 63035-50
C. 63015-50
D. 63045, 63048 x 2 ------------Correct Answer--------------------D. 63045, 63048 x 2
An extracapsular cataract removal is performed on the right eye by manually
using an iris expansion device to expand the pupil. A phacomulsicfication unit was
used to remove the nucleus and irrigation and aspiration was used to remove the
residual cortex allowing the insertion of the intraocular lens. What CPT® code is
reported?
A. 66985
B. 66984
C. 66982
D. 66983 ------------Correct Answer--------------------C. 66982
An infant who has chronic otitis media in the right and left ears was placed under
general anesthesia and a radial incision was made in the posterior quadrant of the
left and right tympanic membranes. A large amount of mucoid effusion was
suctioned and then a ventilating tube was placed in both ears. What CPT® and
ICD-10-CM codes are reported?
A. 69436-50, H65.33
B. 69436-50, H66.43
, C. 69433-50, H65.113
D. 69421-50, H65.33 ------------Correct Answer--------------------A. 69436-50, H65.33
A 50-year-old patient is coming to see her primary care physician for
hypertension. The patient also discusses with her physician that the OBGYN office
had just told her that her Pap smear came back with an abnormal reading and is
worried because her aunt had passed away with cervical cancer. The physician
documents she spent 40 minutes face-to-face time with the patient, and 25
minutes of that time is giving counseling on the awareness, other screening
procedures and treatment if it turns out to be cervical cancer. What E/M code(s)
is (are) reported for this visit?
A. 99215
B. 99213, 99358
C. 99214, 99354
D. 99213 ------------Correct Answer--------------------A. 99215
A patient was admitted yesterday to the hospital for possible gallstones. The
following day the physician who admitted the patient performed a detailed
history, a detailed exam and a medical decision making of low complexity. The
physician tells her the test results have come back positive for gallstones and is
recommending having a cholecystectomy. What code is reported for this
evaluation and management service for the following day?
A. 99253
B. 99221
C. 99233
D. 99234 ------------Correct Answer--------------------C. 99233
