AAPC CPC CODING GUIDELINES QUESTIONS WITH CORRECT ANSWERS 2025

AAPC CPC CODING GUIDELINES QUESTIONS
WITH CORRECT ANSWERS 2025
FindingWmainWdxWterm--tryWreadingWdxWrightWtoWleftW-WCORRECTWANSWERW-
EX:WCOPDW(chronicWobstructiveWpulmonaryWdisease)WcanWbeWfoundWunderW"disease"WasWwellWasW"obstru
ction"

Ex2:WURIW(upperWrespiratoryWinfection)WcanWbeWfoundWunderW"infection"



AlwaysWcodeWtoWtheWhighestWdegreeWofWspecificity.W-WCORRECTWANSWERW-
Ex:WagedWrelatedWOsteoporosisWwithWcurrentWfractureWofWleftWshoulder,WfollowWupWvisit;W

M80.012D:W

M80W(osteoporosisWwithWcurrentWfracture)W+

M80.0W(ageWrelated)W+W

M80.012W(ageWrelatedWw/currentWfractureWofWleftWshoulderW+W

M80.012DW(subsequentWvisit)



OutpatientWvisits--SUSPECTEDWDxWNEVERWcoded.W

IfWaWdefinitiveWDxWhasWnotWbeenWreportedWthenWcode:

1--Signs

2--Sx

3--AbnormalWTestWresultsW-WCORRECTWANSWERW-TermsWofWsuspectedWDx:

Probable

Suspected

Questionable

RuleWOut

Differential

Working



InpatientWVisits--SUSPECTEDWDxWMAYWBEWCODED,WwithWexceptionWtoWHIV.W

HIVWDxWmustWbeWconfirmedWbeforeWcoding.W-WCORRECTWANSWERW-

, SxWthatWareWanWINTEGRALWpartWofWaWdiseaseWdoWNOTWneedWtoWbeWcoded.W-WCORRECTWANSWERW-
Ex:WPtWpresentsWw/severeWABWpain,Wnausea,Wvomiting.WDiagnosedWw/acuteWappendicitis.WCodeWonlyWac
uteWappendicitisWK35.80.



SxWthatWareWNOTWINTEGRALWpartWtoWaWdiseaseWDOWNEEDWTOWBEWCODED.W-WCORRECTWANSWERW-
Ex:WPatientWpresentsWwithWrunnyWnoseW&WcoughWasWwellWasWRtWshoulderWpain.WPhysicianWdiagosesWURI.W
CodeWURIWasWwellWasWSxWofWRtWShoulderWpain.

URI--J06.9

RtWShldrWPn--M25.511



MULTIPLEWCODINGWFORWAWSINGLEWCONDITION--

SomeWDiseasesWrequireWmultipleWDxWcodesWandWwillWindicateWETIOLOGYW&WMANIFESTATION.WItWwillWapp
earWinWtheWalphabeticWindexWasWoneWcodeWfollowedWbyWanotherWcodeWinWbrackets.W-
WCORRECTWANSWERW-Ex:WAmyloidWHeartWDiseaseWE85.4W[I43]



BOTHWetiologyWANDWmanifestationWcodesWareWrequiredWtoWrecordWthisWcondition.



ACUTEW&WCHRONICWCONDITIONSWDOCUMENTEDWATWTHEWSAMEWTIME--

whenWbothWareWdocumented,WcodeWacuteWfirstWthenWchronicW-WCORRECTWANSWERW-
EX:WAcuteWandWchronicWcystitis

N30.00WAcuteWcystitisWw/oWhematuria

N30.20WOtherWChronicWcystitisWw/oWhematuria



CHRONICWCONDITIONS--

canWbeWcodedWasWmanyWtimeWasWapplicableWtoWtreatment,WbutWafterWresolutionWwillWappearWasWz-
codesWifWhistoryWofWconditionWaffectsWCURRENTWreasonWforWcare.W-WCORRECTWANSWERW-
EX:WcolonWcancer

(lookWunderW"history,WpersonalWof"--notW"cancer")

PtWw/WpersonalWhxWofWcolonWcancerWpresentsWforWcolonoscopy.WZ85.038



Sequelae--
lateWorWresidualWeffectsWafterWanWacuteWillness/injury.WTWOWcodesWareWoftenWrequired.WResidualWconditi
onW1st,WthenWcauseWforWsequelaeW2nd.WIfWnoWresidualWeffectsWareWdocumented,WuseWcauseWforWsequela
eWasWprinicpalWDx.W-WCORRECTWANSWERW-LookWupW"sequelae"WinWalphabeticWindex.