AAPC CPC Practice Questions And
Answers
___________________disdandexampledofdaddiseasedinteraction.
A.dHypertensiondanddosteoporosis
B.dPVDdanddCHF
C.dDiabetesdwithdmacularddegeneration
D.dDiabetesdanddrespiratorddependenced-dCORRECTddANSWER-
C.dDiabetesdwithdmacularddegeneration
5dyear-
olddfemaledhasdadhistorydofdpostdvoidddribbling.dShedwasdfounddtodhavedextensivedlabialdad
hesions,dwhichdhavedbeendunresponsivedtodtopicaldmedicaldmanagement.dShedisdbroughtdt
odthedoperatingdsuitedindadsupinedposition.dUnderdgeneraldanesthesiadthedlabiadmajoradisdre
tracteddanddthedgranulatingdchronicdadhesionsdweredinciseddmidlinedbothdanteriorlydanddpo
steriorly.dThedadherentdgranulationdtissuedwasdexciseddondeitherdside.dWhatdcodedshoulddb
eduseddfordthisdprocedure?
A.d58660
B.d58740
C.d57061
D.d56441d-dCORRECTddANSWER-D.d56441
55dyear-
olddpatientdwasdadmitteddwithdmassivedgastricddilation.dThedendoscopedwasdinserteddwithd
adcatheterdplacement.dThedendoscopedisdpasseddthroughdthedcricopharyngealdmuscledare
adwithoutddifficulty.dEsophagusdisdnormal,dsomedchronicdrefluxdchangesdatdthedesophagog
astricdjunctiondnoted.dStomachdsignificantddistentiondwithdwhatdappearsdtodbedmultipledenc
apsulateddtabletsdindthedstomachdatdleastd20dtod30dofdthesedarednoted.dSomedofdthesedaredp
artiallyddissolved.dEndoscopedcoulddnotdbedengageddduedtodhighdgradednarrowingdindthedpy
loricdchannel,dthedduodenumdwasdnotdexamined.dItdseemsdtodbedadhighdgradedoutletdobstru
ctiondwithdadsuperimposeddvolvulus.dAdrepeatdexaminationdisdnotdplanneddatdthisdtime.dWh
atdcodedshoulddbeduseddfordthisdprocedure?
A.d43246-52
B.d43241-52
C.d43235
D.d43191d-dCORRECTddANSWER-B.d43241-52
56-year-
olddfemaledisdhavingdadbilateraldmammogramdwithdcomputerdaidddetectiondconducteddasdad
,screeningdbecausedthedpatientdhasdadfamilydhistorydofdbreastdcancer.dSheddoesdnotdpresen
tlydhavedsignsdordsymptomsdofdbreastddisease.dWhatdradiologicaldservicesdaredreported?
A.d77065dxd2
B.d77065,d77066
C.d77067
D.d77066d-dCORRECTddANSWER-C.d77067
67-year-olddfemaledfractureddadport-a-
cathdsurgicallydplaceddadyeardago.dUnderdsonographicdguidancedadneedledwasdpasseddinto
dthedrightdcommondfemoraldvein.dThedloopdsnaredwasdpositioneddindthedrightdatriumdwhereda
dportiondofdthedfractureddcatheterdwasdsituated.dThedcatheterdcrosseddthedatrioventriculardv
alvedwithdthedremainingdaspectdofdthedcatheterdindthedventricle.dAdpigtaildcatheterdwasdthend
utilizeddtodloopdthedcatheterdanddpulldthedcatheterdtipdintodthedinferiordvenadcava.dThedcathet
erdwasdthendsnareddanddpulleddthroughdthedrightdgroindremoveddinditsdentirety.dWhatdCPT®d
anddICD-10-CMdcodesdaredreported?
A.d37200,dT81.509D
B.d37197,dT82.514A
C.d37193,dT80.219A
D.d37217,dT88.8XXAd-dCORRECTddANSWER-B.d37197,dT82.514A
Ad10-month-
olddchilddisdtakendtodthedoperatingdroomdfordremovaldofdadlaryngealdmass.dWhatdisd(are)dthed
appropriatedanesthesiadcode(s)dtodreport?
A.d00320
B.d00326
C.d00320,d99100
D.d00326,d99100d-dCORRECTddANSWER-B.d00326
Ad10-year-
olddpatientdhaddadrecentdplacementdofdadcochleardimplant.dShedanddherdfamilydseedandaudi
ologistdtodcheckdthedpressuredandddeterminedthedstrengthdofdthedmagnet.dThedtransmitter,d
microphonedanddcabledaredconnecteddtodthedexternaldspeechdprocessordanddmaximumdlou
dnessdlevelsdareddetermineddunderdprogrammingdcomputerdcontrol.dWhichdCPT®dcodedsh
oulddbedused?
A.d92601
B.d92603
C.d92604
D.d92562d-dCORRECTddANSWER-B.d92603
Ad10-year-old-
maledsustaineddadColles'dfracturedindwhichdthedpediatriciandperformsdandapplicationdofdshor
tdarmdfiberglassdcast.dSelectdthedHCPCSdLeveldIIdcodedthatdisdreported.
A.dQ4012
B.dA4580
C.dA4570
D.dQ4024d-dCORRECTddANSWER-A.dQ4012
,Ad15dyear-
olddfemaledisdtodhavedadtonsillectomydperformeddfordchronicdtonsillitisdanddhypertrophieddto
nsils.dAdMcIverdmouthdgagdwasdputdindplacedanddthedtonguedwasddepressed.dThednasophar
ynxdwasddigitalized.dNodsignificantdadenoiddtissuedwasdfelt.dThedtonsilsdweredthendremoved
dbilaterallydbyddissection.dTheduvuladwasdadhugedsizedbecausedofdedema,dadpartdofdthisdwas
dremoveddanddthedrawdsurfacedoversewndwithd3-
0dchromicdcatgut.dWhichdCPT®dcode(s)disd(are)dreported?
A.d42821
B.d42825,d42104-51
C.d42826,d42106-51
D.d42842d-dCORRECTddANSWER-C.d42826,d42106-51
Ad16-day-
olddmaledbabydisdindthedORdfordadrepeatdcircumcisiondduedtodredundantdforeskindthatdcause
ddcircumferentialdscarringdfromdthedoriginaldcircumcision.dAnestheticdwasdinjecteddanddandi
ncisiondwasdmadedatdbasedofdthedforeskin.dForeskindwasdpulleddbackdanddthedexcessdfores
kindwasdtakendoffdanddthedtwodrawdskindsurfacesdweredsutureddtogetherdtodcreatedadcircumf
erentialdanastomosis.dSelectdthedappropriatedcodedfordthisdsurgery:
A.d54150
B.d54160
C.d54163
D.d54164d-dCORRECTddANSWER-C.d54163
Ad2dyear-
olddisdbroughtdtodthedERdbydEMSdfordnearddrowning.dEMSdhaddgottendadpulse.dThedERdphy
siciandperformsdendotrachealdintubation,dblooddgas,danddadcentraldvenousdcatheterdplace
ment.dThedERdphysicianddocumentsdadtotaldtimedofd30dminutesdondthisdcriticaldinfantdindwhic
hdthedphysiciandalreadydsubtracteddthedtimedfordthedotherdbillabledservices.dSelectdthedE/Md
servicedanddproceduresdtodreportdfordthedERdphysician?
A.d99291-25,d36555,d31500
B.d99291-25,d36556,d31500,d82803
C.d99285-25,d36556,d31500,d82803
D.d99475-25,d36556d-dCORRECTddANSWER-A.d99291-25,d36555,d31500
Ad2-year-
olddisdcomingdindwithdhisdmomdtodseedthedpediatriciandfordfever,dsoredthroat,danddpullingdofdt
hedears.dThedphysiciandperformsdandexpandeddproblemdfocuseddhistory.dAndexpandeddpro
blemdfocuseddexam.dAdstrepdculturedwasdtakendfordthedpharyngitisdanddcamedbackdpositived
fordstrepdthroat.dAddiagnosisdwasdalsodmadedofdthedinfantdhavingdacutedotitisdmediadwithdeff
usiondindbothdears.dThedmedicalddecisiondmakingdwasdofdmoderatedcomplexitydwithdthedgivi
ngdofdadprescription.dWhatdCPT®danddICD-10-CMdcodesdaredreported?
A.d99212,dJ02.9,dH66.93
B.d99213,dJ02.0dH65.93
C.d99212,dJ02.0dH65.193
D.d99213,dJ02.0dH65.193d-dCORRECTddANSWER-D.d99213,dJ02.0dH65.193
, Ad2-year-
olddmaledhasdadchalaziondondbothdupperdanddlowerdliddofdthedrightdeye.dHedwasdplaceddund
erdgeneraldanesthesia.dWithdad#11dbladedthedchalaziondwasdinciseddanddadsmalldcurettedwa
sdthenduseddtodretrievedanydgranulomatousdmaterialdondbothdlids.dWhatdCPT®dcodedshould
dbeduseddfordthisdprocedure?
A.d67801
B.d67805
C.d67800
D.d67808d-dCORRECTddANSWER-D.d67808
Ad20-day-
olddinfantdwasdseendindthedERdbydthedneonatologistdadmittingdthedbabydtodNICUdfordcyanosi
sdanddrapiddbreathing.dThedneonatologistdperformeddintubation,dventilationdmanagementda
nddadcompletedechocardiogramdindthedNICUdanddprovideddadreportdfordthedechocardiograp
hydwhichddiddindicatedcongenitaldheartddisease.dSelectdthedcorrectdcodesdfordthedphysiciand
service.
A.d99468-25,d93303-26
B.d99471-25,d31500,d94002,d93303-26
C.d99460-25,d31500,d94002,d93303-26
D.d99291-25,d93303-26d-dCORRECTddANSWER-A.d99468-25,d93303-26
Ad22-year-
olddisd14dweeksdpregnantdanddwantsdtodterminatedthedpregnancy.dShedhasdconsenteddforda
dD&E.dShedwasdbroughtdtodthedoperatingdroomdwheredMACdanesthesiadwasdgiven.dShedwa
sdthendplaceddindtheddorsaldlithotomydpositiondanddadweighteddspeculumdwasdplaceddintodh
erdposteriordvaginaldvault.dCervixdwasdidentifieddandddilated.dAd6.5-
cmdsuctiondcatheterdhookeddupdtodadsuctiondevacuatordwasdplaceddanddproductsdofdconcep
tiondweredevacuated.dAdmediumdsizedcurettedwasdthenduseddtodcurettedherdendometrium.dT
heredwasdnoteddtodbedadsmalldamountdofdremainingdproductsdofdconceptiondindherdleftdcornu
a.dOncedagaindthedsuctiondevacuatordwasdplaceddanddthedremainingdproductsdofdconceptio
ndweredevacuated.dAtdthisdpointdshedhaddadgooddendometrialdcurettingdwithdnodfurtherdprod
uctsdofdconceptiondnoted.dWhichdCPT®dcodedshoulddbedused?
A.d59840
B.d59841
C.d59812
D.d59851d-dCORRECTddANSWER-B.d59841
Ad23-year-olddwhodisdpregnantdatd39-
weeksdandd3ddaysdisdpresentingdfordadlowdtransversedcesareandsection.dAndabdominaldinci
siondisdmadedanddwasdextendeddsuperiorlydanddinferiorlydwithdgooddvisualizationdofdthedbla
dder.dThedbladderdbladedwasdthendinserteddanddthedlowerduterinedsegmentdinciseddindadtra
nsversedfashiondwithdthedscalpel.dThedbladderdbladedwasdremoveddanddthedinfant'sdheaddd
elivereddatraumatically.dThednosedanddmouthdweredsuctioneddwithdthedbulbdsuctiondtrapdan
ddthedcordddoublydclampeddanddcut.dThedplacentadwasdthendremoveddmanually.dWhatdCPT
®danddICD-10-CMdcodesdaredreporteddfordthisdprocedure?
Answers
___________________disdandexampledofdaddiseasedinteraction.
A.dHypertensiondanddosteoporosis
B.dPVDdanddCHF
C.dDiabetesdwithdmacularddegeneration
D.dDiabetesdanddrespiratorddependenced-dCORRECTddANSWER-
C.dDiabetesdwithdmacularddegeneration
5dyear-
olddfemaledhasdadhistorydofdpostdvoidddribbling.dShedwasdfounddtodhavedextensivedlabialdad
hesions,dwhichdhavedbeendunresponsivedtodtopicaldmedicaldmanagement.dShedisdbroughtdt
odthedoperatingdsuitedindadsupinedposition.dUnderdgeneraldanesthesiadthedlabiadmajoradisdre
tracteddanddthedgranulatingdchronicdadhesionsdweredinciseddmidlinedbothdanteriorlydanddpo
steriorly.dThedadherentdgranulationdtissuedwasdexciseddondeitherdside.dWhatdcodedshoulddb
eduseddfordthisdprocedure?
A.d58660
B.d58740
C.d57061
D.d56441d-dCORRECTddANSWER-D.d56441
55dyear-
olddpatientdwasdadmitteddwithdmassivedgastricddilation.dThedendoscopedwasdinserteddwithd
adcatheterdplacement.dThedendoscopedisdpasseddthroughdthedcricopharyngealdmuscledare
adwithoutddifficulty.dEsophagusdisdnormal,dsomedchronicdrefluxdchangesdatdthedesophagog
astricdjunctiondnoted.dStomachdsignificantddistentiondwithdwhatdappearsdtodbedmultipledenc
apsulateddtabletsdindthedstomachdatdleastd20dtod30dofdthesedarednoted.dSomedofdthesedaredp
artiallyddissolved.dEndoscopedcoulddnotdbedengageddduedtodhighdgradednarrowingdindthedpy
loricdchannel,dthedduodenumdwasdnotdexamined.dItdseemsdtodbedadhighdgradedoutletdobstru
ctiondwithdadsuperimposeddvolvulus.dAdrepeatdexaminationdisdnotdplanneddatdthisdtime.dWh
atdcodedshoulddbeduseddfordthisdprocedure?
A.d43246-52
B.d43241-52
C.d43235
D.d43191d-dCORRECTddANSWER-B.d43241-52
56-year-
olddfemaledisdhavingdadbilateraldmammogramdwithdcomputerdaidddetectiondconducteddasdad
,screeningdbecausedthedpatientdhasdadfamilydhistorydofdbreastdcancer.dSheddoesdnotdpresen
tlydhavedsignsdordsymptomsdofdbreastddisease.dWhatdradiologicaldservicesdaredreported?
A.d77065dxd2
B.d77065,d77066
C.d77067
D.d77066d-dCORRECTddANSWER-C.d77067
67-year-olddfemaledfractureddadport-a-
cathdsurgicallydplaceddadyeardago.dUnderdsonographicdguidancedadneedledwasdpasseddinto
dthedrightdcommondfemoraldvein.dThedloopdsnaredwasdpositioneddindthedrightdatriumdwhereda
dportiondofdthedfractureddcatheterdwasdsituated.dThedcatheterdcrosseddthedatrioventriculardv
alvedwithdthedremainingdaspectdofdthedcatheterdindthedventricle.dAdpigtaildcatheterdwasdthend
utilizeddtodloopdthedcatheterdanddpulldthedcatheterdtipdintodthedinferiordvenadcava.dThedcathet
erdwasdthendsnareddanddpulleddthroughdthedrightdgroindremoveddinditsdentirety.dWhatdCPT®d
anddICD-10-CMdcodesdaredreported?
A.d37200,dT81.509D
B.d37197,dT82.514A
C.d37193,dT80.219A
D.d37217,dT88.8XXAd-dCORRECTddANSWER-B.d37197,dT82.514A
Ad10-month-
olddchilddisdtakendtodthedoperatingdroomdfordremovaldofdadlaryngealdmass.dWhatdisd(are)dthed
appropriatedanesthesiadcode(s)dtodreport?
A.d00320
B.d00326
C.d00320,d99100
D.d00326,d99100d-dCORRECTddANSWER-B.d00326
Ad10-year-
olddpatientdhaddadrecentdplacementdofdadcochleardimplant.dShedanddherdfamilydseedandaudi
ologistdtodcheckdthedpressuredandddeterminedthedstrengthdofdthedmagnet.dThedtransmitter,d
microphonedanddcabledaredconnecteddtodthedexternaldspeechdprocessordanddmaximumdlou
dnessdlevelsdareddetermineddunderdprogrammingdcomputerdcontrol.dWhichdCPT®dcodedsh
oulddbedused?
A.d92601
B.d92603
C.d92604
D.d92562d-dCORRECTddANSWER-B.d92603
Ad10-year-old-
maledsustaineddadColles'dfracturedindwhichdthedpediatriciandperformsdandapplicationdofdshor
tdarmdfiberglassdcast.dSelectdthedHCPCSdLeveldIIdcodedthatdisdreported.
A.dQ4012
B.dA4580
C.dA4570
D.dQ4024d-dCORRECTddANSWER-A.dQ4012
,Ad15dyear-
olddfemaledisdtodhavedadtonsillectomydperformeddfordchronicdtonsillitisdanddhypertrophieddto
nsils.dAdMcIverdmouthdgagdwasdputdindplacedanddthedtonguedwasddepressed.dThednasophar
ynxdwasddigitalized.dNodsignificantdadenoiddtissuedwasdfelt.dThedtonsilsdweredthendremoved
dbilaterallydbyddissection.dTheduvuladwasdadhugedsizedbecausedofdedema,dadpartdofdthisdwas
dremoveddanddthedrawdsurfacedoversewndwithd3-
0dchromicdcatgut.dWhichdCPT®dcode(s)disd(are)dreported?
A.d42821
B.d42825,d42104-51
C.d42826,d42106-51
D.d42842d-dCORRECTddANSWER-C.d42826,d42106-51
Ad16-day-
olddmaledbabydisdindthedORdfordadrepeatdcircumcisiondduedtodredundantdforeskindthatdcause
ddcircumferentialdscarringdfromdthedoriginaldcircumcision.dAnestheticdwasdinjecteddanddandi
ncisiondwasdmadedatdbasedofdthedforeskin.dForeskindwasdpulleddbackdanddthedexcessdfores
kindwasdtakendoffdanddthedtwodrawdskindsurfacesdweredsutureddtogetherdtodcreatedadcircumf
erentialdanastomosis.dSelectdthedappropriatedcodedfordthisdsurgery:
A.d54150
B.d54160
C.d54163
D.d54164d-dCORRECTddANSWER-C.d54163
Ad2dyear-
olddisdbroughtdtodthedERdbydEMSdfordnearddrowning.dEMSdhaddgottendadpulse.dThedERdphy
siciandperformsdendotrachealdintubation,dblooddgas,danddadcentraldvenousdcatheterdplace
ment.dThedERdphysicianddocumentsdadtotaldtimedofd30dminutesdondthisdcriticaldinfantdindwhic
hdthedphysiciandalreadydsubtracteddthedtimedfordthedotherdbillabledservices.dSelectdthedE/Md
servicedanddproceduresdtodreportdfordthedERdphysician?
A.d99291-25,d36555,d31500
B.d99291-25,d36556,d31500,d82803
C.d99285-25,d36556,d31500,d82803
D.d99475-25,d36556d-dCORRECTddANSWER-A.d99291-25,d36555,d31500
Ad2-year-
olddisdcomingdindwithdhisdmomdtodseedthedpediatriciandfordfever,dsoredthroat,danddpullingdofdt
hedears.dThedphysiciandperformsdandexpandeddproblemdfocuseddhistory.dAndexpandeddpro
blemdfocuseddexam.dAdstrepdculturedwasdtakendfordthedpharyngitisdanddcamedbackdpositived
fordstrepdthroat.dAddiagnosisdwasdalsodmadedofdthedinfantdhavingdacutedotitisdmediadwithdeff
usiondindbothdears.dThedmedicalddecisiondmakingdwasdofdmoderatedcomplexitydwithdthedgivi
ngdofdadprescription.dWhatdCPT®danddICD-10-CMdcodesdaredreported?
A.d99212,dJ02.9,dH66.93
B.d99213,dJ02.0dH65.93
C.d99212,dJ02.0dH65.193
D.d99213,dJ02.0dH65.193d-dCORRECTddANSWER-D.d99213,dJ02.0dH65.193
, Ad2-year-
olddmaledhasdadchalaziondondbothdupperdanddlowerdliddofdthedrightdeye.dHedwasdplaceddund
erdgeneraldanesthesia.dWithdad#11dbladedthedchalaziondwasdinciseddanddadsmalldcurettedwa
sdthenduseddtodretrievedanydgranulomatousdmaterialdondbothdlids.dWhatdCPT®dcodedshould
dbeduseddfordthisdprocedure?
A.d67801
B.d67805
C.d67800
D.d67808d-dCORRECTddANSWER-D.d67808
Ad20-day-
olddinfantdwasdseendindthedERdbydthedneonatologistdadmittingdthedbabydtodNICUdfordcyanosi
sdanddrapiddbreathing.dThedneonatologistdperformeddintubation,dventilationdmanagementda
nddadcompletedechocardiogramdindthedNICUdanddprovideddadreportdfordthedechocardiograp
hydwhichddiddindicatedcongenitaldheartddisease.dSelectdthedcorrectdcodesdfordthedphysiciand
service.
A.d99468-25,d93303-26
B.d99471-25,d31500,d94002,d93303-26
C.d99460-25,d31500,d94002,d93303-26
D.d99291-25,d93303-26d-dCORRECTddANSWER-A.d99468-25,d93303-26
Ad22-year-
olddisd14dweeksdpregnantdanddwantsdtodterminatedthedpregnancy.dShedhasdconsenteddforda
dD&E.dShedwasdbroughtdtodthedoperatingdroomdwheredMACdanesthesiadwasdgiven.dShedwa
sdthendplaceddindtheddorsaldlithotomydpositiondanddadweighteddspeculumdwasdplaceddintodh
erdposteriordvaginaldvault.dCervixdwasdidentifieddandddilated.dAd6.5-
cmdsuctiondcatheterdhookeddupdtodadsuctiondevacuatordwasdplaceddanddproductsdofdconcep
tiondweredevacuated.dAdmediumdsizedcurettedwasdthenduseddtodcurettedherdendometrium.dT
heredwasdnoteddtodbedadsmalldamountdofdremainingdproductsdofdconceptiondindherdleftdcornu
a.dOncedagaindthedsuctiondevacuatordwasdplaceddanddthedremainingdproductsdofdconceptio
ndweredevacuated.dAtdthisdpointdshedhaddadgooddendometrialdcurettingdwithdnodfurtherdprod
uctsdofdconceptiondnoted.dWhichdCPT®dcodedshoulddbedused?
A.d59840
B.d59841
C.d59812
D.d59851d-dCORRECTddANSWER-B.d59841
Ad23-year-olddwhodisdpregnantdatd39-
weeksdandd3ddaysdisdpresentingdfordadlowdtransversedcesareandsection.dAndabdominaldinci
siondisdmadedanddwasdextendeddsuperiorlydanddinferiorlydwithdgooddvisualizationdofdthedbla
dder.dThedbladderdbladedwasdthendinserteddanddthedlowerduterinedsegmentdinciseddindadtra
nsversedfashiondwithdthedscalpel.dThedbladderdbladedwasdremoveddanddthedinfant'sdheaddd
elivereddatraumatically.dThednosedanddmouthdweredsuctioneddwithdthedbulbdsuctiondtrapdan
ddthedcordddoublydclampeddanddcut.dThedplacentadwasdthendremoveddmanually.dWhatdCPT
®danddICD-10-CMdcodesdaredreporteddfordthisdprocedure?
