AAPC CPC FINAL EXAM REAL 100 QUESTIONS & CORRECT ANSWERS (VERIFIED) | ACTUAL 2025 VERSION | GRADED A+

AAPC CPC FINAL EXAM REAL 100 QUESTIONS & CORRECT ANSWERS (VERIFIED) | ACTUAL 2025 VERSION | 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 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 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 d. 2007 b. 2009 Using the ICD-10-CM Alphabetic Index, which main term below has an instructional note indicating another main term may also be referenced that may provide additional Alphabetic Index entries that may be useful? a. Diabetes b. Fibrosarcoma c. Appendicitis d. Symptoms b. Fibrosarcoma 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 b. Concussion 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 a. Mucosa, submucosa, muscle, serosa Which one of the following best describes psoriasis? a. A chronic condition characterized by red, dry, elevated lesions, covered by silvery scales b. An inflammatory condition characterized by redness pustular and vesicular lesions, crusts, and scales c. An allergic reaction characterized by wheals and generally accompanied by pruritus d. A contagious infection of skin generally caused by staphylococcus bacterium a. A chronic condition characterized by red, dry, elevated lesions, covered by silvery scales A form of milk produced the first few days after giving birth is: a. Prolactin b. Colostrum c. Lactose d. Chorion b. Colostrum A condition where the thyroid is overactive is called: a. Thyrotoxicosis b. Panhypopituitarism c. Ketosis d. Thyroiditis a. Thyrotoxicosis 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 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 b. National Coverage Determinations Manual What do the instructions and conventions of the classification take precedence over? a. CPT b. Documentation c. Official Coding Guidelines d. Nothing. They are only used in the event of no other instruction. c. Official Coding Guidelines Which HCPCS level II codes are not reported for Medicare, but used by commercial health plan Blue Cross Blue Shield (BCBS) to report drugs, services, and supplies for which there are no national codes? a. S codes b. J codes c. A codes d. G codes a. S codes What is the correct CPT® code for a complicated nephrolithotomy on a patient with a congenital kidney abnormality? a. 50065 b. 50075 c. 50070 d. 50060 c. 50070 What type of print indicates new additions and revisions in the CPT® code book each year? a. Bold print b. Italic print c. red print d. green print d. green print What type of CPT® code is "modifier 51 exempt" even though there is no modifier 51 exempt symbol next to it? a. Surgery codes b. Bilateral procedures c. Mandated services d. Add-on codes d. Add-on codes What term best describes a mass of hypertrophic scar tissue? a. Dermatofibroma b. Congenital nevus c. Pilonidal cyst d. Keloid d. Keloid In ICD-10-CM, what type of burn is considered corrosion? a. Burn from a hot appliance b. Burn from a chemical c. Burn from a fire d. Sunburn b. Burn from a chemical Patient has a suspicious lesion of the right axilla. The area was infiltrated with local anesthetic prepped and draped in a sterile fashion. With the use of a scalpel the 0.3 cm lesion that included the margins was excised and closed with 5.0 Prolene suture. Pathology report indicated this was a seborrheic keratosis. What CPT® and ICD-10-CM codes are reported? a. 11400, L82.1 b. 11106, L82.1 c. 11106, L82.0 d. 11400, L82.0 a. 11400, L82.1 PREOPERATIVE & POSTOPERATIVE DIAGNOSES: 2. Back pain. 3. Neck pain NAME OF PROCEDURE: 1. Right breast reduction of 1950 g. 2. Right free-nipple graft. 3. Left breast reduction of 1915 g. 4. Left free-nipple graft. DESCRIPTION OF PROCEDURE: On each side the free-nipple grafts were harvested. They were marked to be side specific and were stored on the back table in moistened lap sponges. I amputated the inferior portion of the breast from the right side. I then moved to the left and again amputated the inferior portion of the breast. The nipple-areolar complexes were de-epithelialized using the scalpel. The free-nipple grafts were then retrieved from the back table. They were each defatted using scissors and were placed in an on-lay fashion on the appropriate side, and each was inset using 5-0 plain sutures. Closure was done. What CPT® code is reported? a. 19325 b. 19318-50 c. 19318 d. 19325-50 b. 19318-50