Page 1 of 59
AAPC CPC FINAL EXAM|| ACTUAL EXAM 100
QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) |LATEST AND
COMPLETE UPDATE 2025 WITH VERIFIED
SOLUTIONS GRADED A+
What form is used to submit a provider's charge to the insurance carrier?
a. UB-04
b. Provider reimbursement form
c. CMS-1500
d. ABN ANSWER- c. CMS-1500
Which coding manuals do outpatient coders focus on learning?
a. CPT, HCPCS Level II and ICD-10-CM
b. CPT and ICD-10-CM
c. ICD-10-CM and ICD-10-PCS
d. CPT, HCPCS Level II, ICD-10-CM, ICD-10-PCS ANSWER- a. CPT, HCPCS
Level II and ICD-10-CM
In what year was HITECH enacted as part of the American Recovery and
Reinvestment Act?
a. 2010
b. 2009
c. 2000
,Page 2 of 59
d. 2007 ANSWER- b. 2009
Voluntary compliance programs also provide benefits by not only helping to
prevent erroneous or ____, but also by showing that the provider practice is
making additional good faith efforts to submit claims appropriately.
a. Over utilized codes
b. Duplicative claims
c. Fraudulent claims
d. Mistaken principals ANSWER- c. Fraudulent claims
Which CMS product describes whether specific medical items, services, treatment
procedures or technologies are considered medically necessary under Medicare?
a. Medicare Claims Processing Manual
b. National Coverage Determinations Manual
c. Relative Value Files
d. Medicare Physician Fee Schedule Final Rule ANSWER- b. National Coverage
Determinations Manual
Which condition results from an injury to the head? The symptoms include
headache, dizziness and vomiting.
a. Meningitis
b. Concussion
c. Epilepsy
d. Parkinson's disease ANSWER- b. Concussion
,Page 3 of 59
In order, starting with the innermost layer, what are the four walls of the digestive
tract?
a. Mucosa, submucosa, muscle, serosa
b. Serosa, mucosa, submucosa, muscle
c. Mucosa, submucosa, serosa, muscle
d. Muscle, submucosa, mucosa, serosa ANSWER- a. Mucosa, submucosa, muscle,
serosa
A 65-year-old patient is complaining of difficulty breathing. Patient is scheduled
for a diagnostic VATS (Video-assisted thoracoscopic surgery). Under general
anesthesia he was placed in left lateral decubitus position and a thoracoscope was
inserted through a port site. The VATS exploration immediately revealed a mass of
the right upper lobe. A biopsy was performed and sent to pathology. Results from
pathology revealed small cell carcinoma. The decision was made to perform VATS
and remove the upper lobe of the right lung. What CPT® code(s) is (are) reported?
a. 32480
b. 32663
c. 32663, 32607-51
d. 32671, 32609-51 ANSWER- b. 32663
A 65-year-old was admitted in the hospital two days ago and is being examined
today by his primary care physician, who has been seeing him since he has been
admitted. Primary care physician is checking for any improvements or if the
condition is worsening.
CHIEF COMPLAINT: CHF
, Page 4 of 59
INTERVAL HISTORY: CHF symptoms worsened since yesterday.
Now has some resting dyspnea. HTN remains poorly controlled. Also, I'm
concerned about his CKD, which has worsened, most likely due to cardio-renal
syndrome.
IMPRESSION:
1. Severe exacerbation of CHF
2. Poorly controlled HTN
3. Worsening ARF due to cardio-renal syndrome
PLAN:
1. Increase BUMEX to 2 mg IV Q6.
2. Give 500 mg IV DIURIL times one.
3. Re-check usual labs in a.m.
Total time: 20 minutes.
What E/M category is used for this visit?
a. Initial Hospital or Observation
b. Established Patient Office/Outpatient
c. Subsequent Hospital or Observation
d. Inpatient Consultation ANSWER- c. Subsequent Hospital or Observation Visit
(99231-33233)
PROCEDURES PERFORMED:
1. Bilateral facet joint injections, L4-L5
AAPC CPC FINAL EXAM|| ACTUAL EXAM 100
QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) |LATEST AND
COMPLETE UPDATE 2025 WITH VERIFIED
SOLUTIONS GRADED A+
What form is used to submit a provider's charge to the insurance carrier?
a. UB-04
b. Provider reimbursement form
c. CMS-1500
d. ABN ANSWER- c. CMS-1500
Which coding manuals do outpatient coders focus on learning?
a. CPT, HCPCS Level II and ICD-10-CM
b. CPT and ICD-10-CM
c. ICD-10-CM and ICD-10-PCS
d. CPT, HCPCS Level II, ICD-10-CM, ICD-10-PCS ANSWER- a. CPT, HCPCS
Level II and ICD-10-CM
In what year was HITECH enacted as part of the American Recovery and
Reinvestment Act?
a. 2010
b. 2009
c. 2000
,Page 2 of 59
d. 2007 ANSWER- b. 2009
Voluntary compliance programs also provide benefits by not only helping to
prevent erroneous or ____, but also by showing that the provider practice is
making additional good faith efforts to submit claims appropriately.
a. Over utilized codes
b. Duplicative claims
c. Fraudulent claims
d. Mistaken principals ANSWER- c. Fraudulent claims
Which CMS product describes whether specific medical items, services, treatment
procedures or technologies are considered medically necessary under Medicare?
a. Medicare Claims Processing Manual
b. National Coverage Determinations Manual
c. Relative Value Files
d. Medicare Physician Fee Schedule Final Rule ANSWER- b. National Coverage
Determinations Manual
Which condition results from an injury to the head? The symptoms include
headache, dizziness and vomiting.
a. Meningitis
b. Concussion
c. Epilepsy
d. Parkinson's disease ANSWER- b. Concussion
,Page 3 of 59
In order, starting with the innermost layer, what are the four walls of the digestive
tract?
a. Mucosa, submucosa, muscle, serosa
b. Serosa, mucosa, submucosa, muscle
c. Mucosa, submucosa, serosa, muscle
d. Muscle, submucosa, mucosa, serosa ANSWER- a. Mucosa, submucosa, muscle,
serosa
A 65-year-old patient is complaining of difficulty breathing. Patient is scheduled
for a diagnostic VATS (Video-assisted thoracoscopic surgery). Under general
anesthesia he was placed in left lateral decubitus position and a thoracoscope was
inserted through a port site. The VATS exploration immediately revealed a mass of
the right upper lobe. A biopsy was performed and sent to pathology. Results from
pathology revealed small cell carcinoma. The decision was made to perform VATS
and remove the upper lobe of the right lung. What CPT® code(s) is (are) reported?
a. 32480
b. 32663
c. 32663, 32607-51
d. 32671, 32609-51 ANSWER- b. 32663
A 65-year-old was admitted in the hospital two days ago and is being examined
today by his primary care physician, who has been seeing him since he has been
admitted. Primary care physician is checking for any improvements or if the
condition is worsening.
CHIEF COMPLAINT: CHF
, Page 4 of 59
INTERVAL HISTORY: CHF symptoms worsened since yesterday.
Now has some resting dyspnea. HTN remains poorly controlled. Also, I'm
concerned about his CKD, which has worsened, most likely due to cardio-renal
syndrome.
IMPRESSION:
1. Severe exacerbation of CHF
2. Poorly controlled HTN
3. Worsening ARF due to cardio-renal syndrome
PLAN:
1. Increase BUMEX to 2 mg IV Q6.
2. Give 500 mg IV DIURIL times one.
3. Re-check usual labs in a.m.
Total time: 20 minutes.
What E/M category is used for this visit?
a. Initial Hospital or Observation
b. Established Patient Office/Outpatient
c. Subsequent Hospital or Observation
d. Inpatient Consultation ANSWER- c. Subsequent Hospital or Observation Visit
(99231-33233)
PROCEDURES PERFORMED:
1. Bilateral facet joint injections, L4-L5
