AAPC CPC PRACTICE EXAM D QUESTIONS
WITH CORRECT ANSWERS 2026/2027
Which one of the following is an example of fraud?
A. Reporting the code for ultrasound guidance when used to perform a liver biopsy
B. Reporting a biopsy and excision performed on the same skin lesion during the same encounter
C. Failing to append modifier 26 on an X-
ray that is performed and interpreted in the physician's office
D. Reporting a lab panel with an additional lab test that is not included in the lab panel -
CORRECT ANSWER -
B. Reporting a biopsy and excision performed on the same skin lesion during the same encounter
Answer B is the only example of unbundling of CPT® which would result in a fraudulent claim. Acc
ording to National Correct Coding Initiative (NCCI) and CPT® coding guidelines, a biopsy performed
on the same lesion as an excision during the same encounter is an incidental service and is not r
eported separately. If ultrasound guidance is performed for a liver biopsy, it is billable. X-
rays performed in a physician's office do not require modifier 26, because the physician owns the
equipment and performs the interpretation, he bills the global service. Lab panels can be reported
with additional lab tests that are not listed in a lab panel.
Which place of service code is reported for fracture care performed by an orthopedic physician in
the ED?
A. 11
B. 20
C. 22
D. 23 - CORRECT ANSWER -D. 23
Place of service codes are reported on the claim form to identify the site of the service provided.
In this case, the services are rendered in the ED which is reported with place of service (POS) 23.
The place of service codes can be found in the CPT® codebook.
, What is the full CPT® code description for 61535?
A.z Craniotomyz withz elevationz ofz bonez flap;z forz subduralz implantationz ofz anz electrodez array,z forz lon
g-
termz seizurez monitoring;z forz removalz ofz epiduralz orz subduralz electrodez array,z withoutz excisionz ofz c
erebralz tissuez (separatez procedure)
B.z Craniotomyz withz elevationz ofz bonez flap;z forz removalz ofz epiduralz orz subduralz electrodez array,z wit
houtz excisionz ofz cerebralz tissuez (separatez procedure)
C.z Forz removalz ofz epiduralz orz subduralz electrodez array,z withoutz excisionz ofz cerebralz tissuez (separate
procedure)
D.z Forz excisionz ofz epileptogenicz focusz withoutz electrocorticographyz duringz surgery;z forz removalz ofz e
piduralz orz subduralz electrodez array,z withoutz excisionz ofz cerebralz tissuez (separatez procedure)z -
CORRECTz ANSWERz -
B.z Craniotomyz withz elevationz ofz bonez flap;z forz removalz ofz epiduralz orz subduralz electrodez array,z wit
houtz excisionz ofz cerebralz tissuez (separatez procedure)
Inz thez CPT®z codebookz thez descriptionz forz codez 61535z isz indentedz whichz meansz thez descriptionz fro
mz 61533z upz toz thez semicolonz isz thez beginningz ofz thez fullz descriptionz forz 61535.
Whichz Zz codez categoryz canz ONLYz bez reportedz asz az firstz listedz diagnosisz code?
A.z Z67
B.z Z69
C.z Z58
D.z Z03z -z CORRECTz ANSWERz -D.z Z03
Thez Officialz ICD-10-
CMz Codingz Guidelinesz providesz az listz ofz Zz codez categoriesz andz Zz codesz thatz canz onlyz bez reporte
d
asz az firstz listedz diagnosisz code.z Thez listz canz bez foundz inz thez ICD-10-
CMz codebookz referringz toz guidelinez I.C.21.c.16.
Thez patientz hasz az historyz ofz symptomaticz HIVz andz hasz beenz treatedz forz anz HIVz relatedz illness.z Wh
i
chz ICD-10-CMz codez isz reported?
WITH CORRECT ANSWERS 2026/2027
Which one of the following is an example of fraud?
A. Reporting the code for ultrasound guidance when used to perform a liver biopsy
B. Reporting a biopsy and excision performed on the same skin lesion during the same encounter
C. Failing to append modifier 26 on an X-
ray that is performed and interpreted in the physician's office
D. Reporting a lab panel with an additional lab test that is not included in the lab panel -
CORRECT ANSWER -
B. Reporting a biopsy and excision performed on the same skin lesion during the same encounter
Answer B is the only example of unbundling of CPT® which would result in a fraudulent claim. Acc
ording to National Correct Coding Initiative (NCCI) and CPT® coding guidelines, a biopsy performed
on the same lesion as an excision during the same encounter is an incidental service and is not r
eported separately. If ultrasound guidance is performed for a liver biopsy, it is billable. X-
rays performed in a physician's office do not require modifier 26, because the physician owns the
equipment and performs the interpretation, he bills the global service. Lab panels can be reported
with additional lab tests that are not listed in a lab panel.
Which place of service code is reported for fracture care performed by an orthopedic physician in
the ED?
A. 11
B. 20
C. 22
D. 23 - CORRECT ANSWER -D. 23
Place of service codes are reported on the claim form to identify the site of the service provided.
In this case, the services are rendered in the ED which is reported with place of service (POS) 23.
The place of service codes can be found in the CPT® codebook.
, What is the full CPT® code description for 61535?
A.z Craniotomyz withz elevationz ofz bonez flap;z forz subduralz implantationz ofz anz electrodez array,z forz lon
g-
termz seizurez monitoring;z forz removalz ofz epiduralz orz subduralz electrodez array,z withoutz excisionz ofz c
erebralz tissuez (separatez procedure)
B.z Craniotomyz withz elevationz ofz bonez flap;z forz removalz ofz epiduralz orz subduralz electrodez array,z wit
houtz excisionz ofz cerebralz tissuez (separatez procedure)
C.z Forz removalz ofz epiduralz orz subduralz electrodez array,z withoutz excisionz ofz cerebralz tissuez (separate
procedure)
D.z Forz excisionz ofz epileptogenicz focusz withoutz electrocorticographyz duringz surgery;z forz removalz ofz e
piduralz orz subduralz electrodez array,z withoutz excisionz ofz cerebralz tissuez (separatez procedure)z -
CORRECTz ANSWERz -
B.z Craniotomyz withz elevationz ofz bonez flap;z forz removalz ofz epiduralz orz subduralz electrodez array,z wit
houtz excisionz ofz cerebralz tissuez (separatez procedure)
Inz thez CPT®z codebookz thez descriptionz forz codez 61535z isz indentedz whichz meansz thez descriptionz fro
mz 61533z upz toz thez semicolonz isz thez beginningz ofz thez fullz descriptionz forz 61535.
Whichz Zz codez categoryz canz ONLYz bez reportedz asz az firstz listedz diagnosisz code?
A.z Z67
B.z Z69
C.z Z58
D.z Z03z -z CORRECTz ANSWERz -D.z Z03
Thez Officialz ICD-10-
CMz Codingz Guidelinesz providesz az listz ofz Zz codez categoriesz andz Zz codesz thatz canz onlyz bez reporte
d
asz az firstz listedz diagnosisz code.z Thez listz canz bez foundz inz thez ICD-10-
CMz codebookz referringz toz guidelinez I.C.21.c.16.
Thez patientz hasz az historyz ofz symptomaticz HIVz andz hasz beenz treatedz forz anz HIVz relatedz illness.z Wh
i
chz ICD-10-CMz codez isz reported?
