Medical Coding Practice – CPC Exam Style Questions and Case
Scenarios for AAPC Certification 2024–2025
This document offers hands-on medical coding practice through CPC-style multiple-
choice questions and coding case scenarios aligned with the 2024–2025 AAPC
certification standards. It includes exercises on CPT, ICD-10-CM, and HCPCS Level
II codes, covering specialties such as surgery, radiology, and evaluation &
management. Ideal for reinforcing coding accuracy, time management, and exam
readiness.
1. Centers for Medicare & Medicaid Services (CMS): An administrative
agency within the Department of Health and Human Services (DHHS) that
oversees Medicare, Medicaid, and other government programs. Formerly known
as the Health
Care Financing Administration (HCFA)
2. American Academy of Professional Coders (AAPC): The professional
association for medical coders providing ongoing education, certification,
networking and recognition, with certifications for coders in physicians' offices and
hospital outpatient facilities
3. American Health Information Management Association (AHIMA): One of
the four co-operationg parties for ICD-9-CM. Professional association for over
38,000 Health Information Management Professionals throughout the country
4. Board of Advanced Medical Coding (BAMC): An organization of coders,
clinicians, and compliance professionals dedicated to the evaluation, recognition,
and career advancement of professional medical coders within physician
practices, facility and post-acute settings
, 5. Board of Advanced Medical Coding (BMAC): provides specialty
certification for::
Anesthesia/Pain Management, Cardiology, Dermatology,
Facility Outpatient/ Ambulatory Surgical Center, Family Practice/Pediatrics,
Gastroenterology, General Surgery, Obstetrics/Gynecology, Ophthalmology,
Orthopedics, Radiology, Urology
6. Health Insurance Portability and Accountability Act (HIPAA): Mandates
regulations that govern privacy, security, and electronic transactions standards for
health care information
7. insurance fraud: intentional, deliberate misrepresentation of information for
profit or to gain some unfair or dishonest advantage
8. Health Insurance Association of America (HIAA): An agency providing
statistics and resources for public health information which includes diseases,
pregnancies, aging, and mortality.
9. insurance abuse: inconsistent activities considered unacceptable business
practice
10. Omnibus Budget Reconciliation Act (OBRA): A federal law outlining
numerous areas of healthcare, establishing guidelines and penalties
11. tools of the trade for coders: current: ICD-9-CM manual issued every
October, CPT manual issued every January, HCPCS manual issued every
January, medical dictionary w/ supplement for medical abbreviations and
acronyms, carrier bulletins, newsletters, and websites
12 Healthcare Common Procedure Coding System (HCPCS): coding system
that consists of CPT and national codes (level II), used to identify procedures,
supplies, medications (except vaccines), and equipment. pronounced hick picks.
13. Healthcare Common Procedure Coding (HCPCS):
a three-level coding system:
Level I - CPT,
Level II - National Codes,
Level III- Local codes deleted 12/31/03
Scenarios for AAPC Certification 2024–2025
This document offers hands-on medical coding practice through CPC-style multiple-
choice questions and coding case scenarios aligned with the 2024–2025 AAPC
certification standards. It includes exercises on CPT, ICD-10-CM, and HCPCS Level
II codes, covering specialties such as surgery, radiology, and evaluation &
management. Ideal for reinforcing coding accuracy, time management, and exam
readiness.
1. Centers for Medicare & Medicaid Services (CMS): An administrative
agency within the Department of Health and Human Services (DHHS) that
oversees Medicare, Medicaid, and other government programs. Formerly known
as the Health
Care Financing Administration (HCFA)
2. American Academy of Professional Coders (AAPC): The professional
association for medical coders providing ongoing education, certification,
networking and recognition, with certifications for coders in physicians' offices and
hospital outpatient facilities
3. American Health Information Management Association (AHIMA): One of
the four co-operationg parties for ICD-9-CM. Professional association for over
38,000 Health Information Management Professionals throughout the country
4. Board of Advanced Medical Coding (BAMC): An organization of coders,
clinicians, and compliance professionals dedicated to the evaluation, recognition,
and career advancement of professional medical coders within physician
practices, facility and post-acute settings
, 5. Board of Advanced Medical Coding (BMAC): provides specialty
certification for::
Anesthesia/Pain Management, Cardiology, Dermatology,
Facility Outpatient/ Ambulatory Surgical Center, Family Practice/Pediatrics,
Gastroenterology, General Surgery, Obstetrics/Gynecology, Ophthalmology,
Orthopedics, Radiology, Urology
6. Health Insurance Portability and Accountability Act (HIPAA): Mandates
regulations that govern privacy, security, and electronic transactions standards for
health care information
7. insurance fraud: intentional, deliberate misrepresentation of information for
profit or to gain some unfair or dishonest advantage
8. Health Insurance Association of America (HIAA): An agency providing
statistics and resources for public health information which includes diseases,
pregnancies, aging, and mortality.
9. insurance abuse: inconsistent activities considered unacceptable business
practice
10. Omnibus Budget Reconciliation Act (OBRA): A federal law outlining
numerous areas of healthcare, establishing guidelines and penalties
11. tools of the trade for coders: current: ICD-9-CM manual issued every
October, CPT manual issued every January, HCPCS manual issued every
January, medical dictionary w/ supplement for medical abbreviations and
acronyms, carrier bulletins, newsletters, and websites
12 Healthcare Common Procedure Coding System (HCPCS): coding system
that consists of CPT and national codes (level II), used to identify procedures,
supplies, medications (except vaccines), and equipment. pronounced hick picks.
13. Healthcare Common Procedure Coding (HCPCS):
a three-level coding system:
Level I - CPT,
Level II - National Codes,
Level III- Local codes deleted 12/31/03
