1
AAPC CPC Final Exam Test Bank
2025 – 3 Latest Versions (300
Questions Total) | 100% Verified
Answers & Detailed Rationales | A+
Graded
Question 1
What is the correct CPT® code for a diagnostic colonoscopy with biopsy of a single lesion?
a. 45385
b. 45380
c. 45381
d. 45384
Rationale: CPT® code 45380 is used for a diagnostic colonoscopy with biopsy, including cold
biopsy forceps. Code 45385 is for polypectomy using a snare, 45381 is for submucosal injection,
and 45384 is for polypectomy using hot biopsy forceps or bipolar cautery.
Question 2
A patient is diagnosed with essential hypertension. What ICD-10-CM code should be reported?
a. I11.9
b. I10
c. I12.9
d. I13.10
Rationale: ICD-10-CM code I10 is used for essential (primary) hypertension. I11.9 is for
hypertensive heart disease without heart failure, I12.9 is for hypertensive chronic kidney disease,
and I13.10 is for hypertensive heart and chronic kidney disease, none of which are indicated
here.
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Question 3
Which form is used to submit professional claims to Medicare?
a. UB-04
b. CMS-1500
c. ABN
d. CMS-1450
Rationale: The CMS-1500 form is used to submit professional claims for physician and
outpatient services to Medicare and other insurers. The UB-04 (also known as CMS-1450) is for
institutional claims, and the ABN (Advance Beneficiary Notice) informs patients of non-covered
services.
Question 4
A patient undergoes a simple repair of a 3.5 cm laceration on the forearm. What CPT® code is
reported?
a. 12001
b. 12002
c. 12011
d. 13120
Rationale: CPT® code 12001 is used for simple repair of a superficial wound (epidermis or
dermis) of the extremities, 2.5 cm to 7.5 cm. Code 12002 is for wounds 7.6 cm to 12.5 cm,
12011 is for simple repair of the face, and 13120 is for complex repair, which is not indicated.
Question 5
A patient is diagnosed with type 2 diabetes mellitus with diabetic neuropathy. What ICD-10-CM
code is reported?
a. E11.9
b. E11.40
c. E10.40
d. E11.42
Rationale: ICD-10-CM code E11.40 is a combination code for type 2 diabetes mellitus with
diabetic neuropathy, unspecified. E11.9 is for type 2 diabetes without complications, E10.40 is
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for type 1 diabetes with neuropathy, and E11.42 is for type 2 diabetes with polyneuropathy,
which is not specified here.
Question 6
What is the function of the medulla oblongata in the brain?
a. Coordinates balance and motor skills
b. Processes sensory information
c. Regulates blood pressure, heart rate, and respiration
d. Controls voluntary movements
Rationale: The medulla oblongata, located in the brainstem, regulates vital autonomic functions
such as blood pressure, heart rate, and respiration. The cerebellum coordinates balance and motor
skills, the cerebrum processes sensory information, and the motor cortex controls voluntary
movements.
Question 7
A patient receives 1,000 mg of infliximab intravenously. What HCPCS Level II code is
reported?
a. J1745 x 10
b. J1745 x 100
c. J1745 x 1
d. J1745 x 1000
Rationale: HCPCS code J1745 represents infliximab, 10 mg per unit. For 1,000 mg, divide
1,000 by 10, resulting in 100 units. Thus, J1745 x 100 is reported.
Question 8
A physician performs a level 4 established patient office visit. What CPT® code is reported?
a. 99212
b. 99213
c. 99214
d. 99215
, 4
Rationale: CPT® code 99214 is used for a level 4 established patient office visit, which
typically involves moderate complexity medical decision-making or 30-39 minutes of total time.
Codes 99212, 99213, and 99215 represent levels 2, 3, and 5, respectively.
Question 9
What ICD-10-CM code is reported for a patient with acute appendicitis?
a. K35.80
b. K35.80
c. K36
d. K37
Rationale: ICD-10-CM code K35.80 is used for unspecified acute appendicitis. K36 is for other
appendicitis (e.g., chronic), and K37 is for unspecified appendicitis without further detail, which
is less specific than K35.80 for acute cases.
Question 10
A patient undergoes excision of a 2.5 cm benign lesion on the back with simple closure. What
CPT® code is reported for the excision?
a. 11403
b. 11402
c. 11602
d. 11404
Rationale: CPT® code 11402 is used for excision of a benign lesion (including margins) on the
trunk, arms, or legs, 1.1 to 2.0 cm. Code 11403 is for 2.1 to 3.0 cm, 11602 is for malignant
lesions, and 11404 is for lesions 3.1 to 4.0 cm.
Question 11
What is the correct modifier for a procedure performed on the right hand?
a. LT
b. RT
c. 50
d. 59
AAPC CPC Final Exam Test Bank
2025 – 3 Latest Versions (300
Questions Total) | 100% Verified
Answers & Detailed Rationales | A+
Graded
Question 1
What is the correct CPT® code for a diagnostic colonoscopy with biopsy of a single lesion?
a. 45385
b. 45380
c. 45381
d. 45384
Rationale: CPT® code 45380 is used for a diagnostic colonoscopy with biopsy, including cold
biopsy forceps. Code 45385 is for polypectomy using a snare, 45381 is for submucosal injection,
and 45384 is for polypectomy using hot biopsy forceps or bipolar cautery.
Question 2
A patient is diagnosed with essential hypertension. What ICD-10-CM code should be reported?
a. I11.9
b. I10
c. I12.9
d. I13.10
Rationale: ICD-10-CM code I10 is used for essential (primary) hypertension. I11.9 is for
hypertensive heart disease without heart failure, I12.9 is for hypertensive chronic kidney disease,
and I13.10 is for hypertensive heart and chronic kidney disease, none of which are indicated
here.
, 2
Question 3
Which form is used to submit professional claims to Medicare?
a. UB-04
b. CMS-1500
c. ABN
d. CMS-1450
Rationale: The CMS-1500 form is used to submit professional claims for physician and
outpatient services to Medicare and other insurers. The UB-04 (also known as CMS-1450) is for
institutional claims, and the ABN (Advance Beneficiary Notice) informs patients of non-covered
services.
Question 4
A patient undergoes a simple repair of a 3.5 cm laceration on the forearm. What CPT® code is
reported?
a. 12001
b. 12002
c. 12011
d. 13120
Rationale: CPT® code 12001 is used for simple repair of a superficial wound (epidermis or
dermis) of the extremities, 2.5 cm to 7.5 cm. Code 12002 is for wounds 7.6 cm to 12.5 cm,
12011 is for simple repair of the face, and 13120 is for complex repair, which is not indicated.
Question 5
A patient is diagnosed with type 2 diabetes mellitus with diabetic neuropathy. What ICD-10-CM
code is reported?
a. E11.9
b. E11.40
c. E10.40
d. E11.42
Rationale: ICD-10-CM code E11.40 is a combination code for type 2 diabetes mellitus with
diabetic neuropathy, unspecified. E11.9 is for type 2 diabetes without complications, E10.40 is
, 3
for type 1 diabetes with neuropathy, and E11.42 is for type 2 diabetes with polyneuropathy,
which is not specified here.
Question 6
What is the function of the medulla oblongata in the brain?
a. Coordinates balance and motor skills
b. Processes sensory information
c. Regulates blood pressure, heart rate, and respiration
d. Controls voluntary movements
Rationale: The medulla oblongata, located in the brainstem, regulates vital autonomic functions
such as blood pressure, heart rate, and respiration. The cerebellum coordinates balance and motor
skills, the cerebrum processes sensory information, and the motor cortex controls voluntary
movements.
Question 7
A patient receives 1,000 mg of infliximab intravenously. What HCPCS Level II code is
reported?
a. J1745 x 10
b. J1745 x 100
c. J1745 x 1
d. J1745 x 1000
Rationale: HCPCS code J1745 represents infliximab, 10 mg per unit. For 1,000 mg, divide
1,000 by 10, resulting in 100 units. Thus, J1745 x 100 is reported.
Question 8
A physician performs a level 4 established patient office visit. What CPT® code is reported?
a. 99212
b. 99213
c. 99214
d. 99215
, 4
Rationale: CPT® code 99214 is used for a level 4 established patient office visit, which
typically involves moderate complexity medical decision-making or 30-39 minutes of total time.
Codes 99212, 99213, and 99215 represent levels 2, 3, and 5, respectively.
Question 9
What ICD-10-CM code is reported for a patient with acute appendicitis?
a. K35.80
b. K35.80
c. K36
d. K37
Rationale: ICD-10-CM code K35.80 is used for unspecified acute appendicitis. K36 is for other
appendicitis (e.g., chronic), and K37 is for unspecified appendicitis without further detail, which
is less specific than K35.80 for acute cases.
Question 10
A patient undergoes excision of a 2.5 cm benign lesion on the back with simple closure. What
CPT® code is reported for the excision?
a. 11403
b. 11402
c. 11602
d. 11404
Rationale: CPT® code 11402 is used for excision of a benign lesion (including margins) on the
trunk, arms, or legs, 1.1 to 2.0 cm. Code 11403 is for 2.1 to 3.0 cm, 11602 is for malignant
lesions, and 11404 is for lesions 3.1 to 4.0 cm.
Question 11
What is the correct modifier for a procedure performed on the right hand?
a. LT
b. RT
c. 50
d. 59
