Latest Version!! AAPC AAPC's Certified Professional Coder (CPC®) Exam- Updated Question and Answers [100% Correct] 2025

Latest Version!! AAPC AAPC's Certified Professional Coder (CPC®) Exam- Updated Question and Answers [100% Correct] 2025 What is the correct code for a routine preventive physical examination of a patient under 18 years of age? The correct code is , based on the patient’s age and history. Describe how you would code a laparoscopic cholecystectomy with a cholangiogram. The correct coding includes 47563 (laparoscopic cholecystectomy) and 47564 (cholangiogram). A patient presents with an acute myocardial infarction and a stent is placed during the same admission. What codes are appropriate? Use ICD-10 code I21.9 for myocardial infarction and CPT code 92928 for the stent placement. What is the proper code for a routine colonoscopy, including biopsies, performed for screening purposes? Use CPT code 45378 for the colonoscopy and add 45380 for the biopsy. How would you code for a 30-minute consultation with a new patient? The correct code would be 99204, based on time and complexity of the consultation. If a patient undergoes a bilateral mastectomy with immediate reconstruction using an implant, how should this be coded? Use CPT codes 19303 (bilateral mastectomy) and 19357 (implant reconstruction). What is the CPT code for a thoracentesis with a diagnostic pleural biopsy? The code would be 32556 for thoracentesis and 32010 for the pleural biopsy. 1 How would you code for a lumbar spine MRI without contrast? The correct code is 72148 for an MRI of the lumbar spine without contrast. If a patient has a follow-up appointment for a routine check-up after being diagnosed with diabetes, what is the appropriate CPT code? Use CPT code 99213 for a follow-up visit. What is the CPT code for a percutaneous endoscopic gastrostomy (PEG) tube placement? The correct CPT code is 43752 for PEG tube placement. How would you code a breast biopsy under ultrasound guidance? The correct code is 19000 for the breast biopsy, with 19001 for the ultrasound guidance. What is the correct code for a patient who is treated for a pressure ulcer with debridement of dead t issue? Use CPT code 11042 for debridement of the ulcer. How would you code for a diagnostic laparoscopy with a lysis of adhesions? Use CPT code 49320 for diagnostic laparoscopy and 44180 for lysis of adhesions. For a patient receiving an outpatient intravenous infusion of a chemotherapeutic agent, what is the appropriate CPT code? The correct code would be 96413 for the chemotherapy infusion. What is the CPT code for a knee arthroscopy with a meniscectomy? Use CPT code 29881 for the knee arthroscopy and meniscectomy. What is the proper coding for a screening mammogram on a 50-year-old woman? Use CPT code 77067 for a screening mammogram. 2 How do you code for a surgical procedure in which a cyst is excised from the scalp? The correct CPT code is 11420 for excision of a benign skin lesion on the scalp. What is the appropriate ICD-10 code for hypertension, stage 1, without heart failure? Use ICD-10 code I10 for primary hypertension. If a patient is admitted for severe dehydration and treated with intravenous fluids, what would the primary diagnosis code be? Use ICD-10 code E86.0 for dehydration. How would you code a diagnostic upper gastrointestinal endoscopy with biopsy and esophageal dilation? Use CPT code 43235 for the endoscopy, 43239 for the biopsy, and 43450 for the dilation. What is the correct code for a comprehensive metabolic panel? Use CPT code 80053 for a comprehensive metabolic panel. How would you code for a paracentesis procedure performed to remove ascitic fluid from the abdomen? Use CPT code 49083 for the paracentesis. What is the correct code for a routine immunization injection for a child aged 2? Use CPT code 90460 for vaccine administration. What is the appropriate code for a cystoscopy with urethral dilation? The correct CPT code is 52000 for the cystoscopy and 53660 for the urethral dilation. How would you code for a laparoscopic appendectomy performed for an inflamed appendix? Use CPT code 44970 for the laparoscopic appendectomy. 3 What is the correct code for a patient undergoing a screening colonoscopy after age 50? Use CPT code 45378 for the screening colonoscopy. How would you code for an endometrial biopsy performed under ultrasound guidance? Use CPT code 58100 for the endometrial biopsy and 76856 for the ultrasound guidance. What is the correct code for a routine prenatal visit for a 12-week pregnant patient? Use CPT code 59430 for a prenatal visit. If a patient undergoes a bilateral knee replacement, what is the correct coding? Use CPT code 27447 for bilateral knee replacement. How would you code for a patient admitted with a diagnosis of acute pyelonephritis? Use ICD-10 code N10 for acute pyelonephritis. What is the appropriate code for a standard chest X-ray? Use CPT code 71045 for a standard chest X-ray. How would you code for an excisional biopsy of a lesion on the face? Use CPT code 11440 for excisional biopsy of the face. What is the code for a patient who undergoes a hysterectomy with bilateral salpingo-oophorectomy? Use CPT code 58150 for the hysterectomy and 58956 for the bilateral salpingo-oophorectomy. What is the correct ICD-10 code for diabetes mellitus type 2, uncontrolled? Use ICD-10 code E11.65 for uncontrolled type 2 diabetes. 4 5 How would you code for an emergency department visit with complex decision-making? Use CPT code 99285 for the emergency department visit. What is the proper code for a colonoscopy with polyp removal? Use CPT code 45385 for the colonoscopy with polyp removal. How would you code for an EKG performed to evaluate heart function? Use CPT code 93000 for a basic EKG. What is the correct CPT code for a routine office visit with a focus on mental health? Use CPT code 90834 for a psychotherapy session. How would you code for a dental extraction performed in an outpatient facility? Use CPT code 41899 for the dental extraction. What is the correct code for a patient with asthma who presents for a follow-up visit and an inhaler prescription refill? Use CPT code 99213 for the follow-up visit and ICD-10 code J45.909 for asthma. What type of provider goes through approximately 26 1/2 months of education and is licensed to practice medicine with the oversight of a physician? Physician Assistant (PA) The ____ describes whether specific medical items, services, treatment procedures, or technologies are considered medically necessary under Medicare National Coverage Determinations LCD's only have jurisdiction in their ____ area. Regional ABN stands for Advance Beneficiary Notice HIPPA was made into law in what year? 1996 What will the scope is a compliance program depend on? practice Size and resources of the physician's According to the OIG, internal monitoring and auditing should be performed by what means? Periodic audits AAPC has what to determine current year's coder salaries? Salary survey The ASPC offers over 440 local chapters across the country and in the Bahamas for the purpose of Networking An abdominal aortic aneurysm is significant because could be deadly It is a weakness in a large artery and rupture What distinguishes a "sentinel" node from the lymph nodes? A sentinel node is the first lymph node in a group of nodes to be reached by metastasizing cancer cells The mediastinum contains all of the following except The term "pneumomediastinum" describes what condition? mediastinum Lungs The presence of air in the The structure of the male anatomy carrying sperm out of the epididymis is called: The term "episiotomy" best describes a procedure of what type? perineum to enlarge the passage for the fetus during delivery Which gland is located on the superior surface of the kidney? Adrenal gland Vas deferens An incision made in the 6 What is the function of the thyroid gland? blood calcium It secretes hormones regulating body metabolism and Which of the following is true about the tympanic membrane? the middle ear It separates the external ear from Bone marrow harvesting is a procedure to obtain bone marrow from a donor. Bone marrow collected from a close relative is: Allogenic Removal of waste products from the blood is: A condition where the thyroid is overactive is called: Hemodialysis Thyrotoxicosis Who are the parties responsible for overseeing changes and modifications to ICD - 9? CMS What is the meaning of "provider "in the ICD - nine guidelines refer to? Category code 387, otosclerosis, includes what other disorder? Otospongiosis What is an example of an injury that would be considered a superficial injury? NCHS and The physician Blister When a patient has a condition that is both acute and chronic in their separate entries for both, how is it reported? Code both sequencing the cute first Type II When the type of diabetes mellitus is not documented in the medical note, what is used as a default type? What type of fracture is considered Traumatic? Compound fracture 7 Under what circumstances would an external cause code be reported? poisoning, and other adverse affects What does the abbreviation CKD stand for? Chronic kidney disease Causes of injury, Per CPT guidelines, what should professional coder seek out first when preparing to code an operative report/physician note? Procedure or service What are services provided in the home by an agency considered? Nonfacility A covered entity may obtain consent of the individual to use or disclose protected health information to carry out all but what of the following? For public use Healthcare providers are responsible for developing ____ and policies and procedures regarding privacy in their practices. Notices of privacy practices Which provider is not a mid-level provider? Anesthesiologist According to AAPC's code of ethics, a member shall use only ____ and ____ means in all professional dealings. Legal and ethical The minimum necessary rule applies to Covered entities taking responsible steps The mediastinum contains all of the following except: Lungs Which chamber of the heart is considered the one working the hardest? Left ventricle An ectopic pregnancy is a complication in which a fertilized ovum is implanted in any tissue other than the ____. You uterine wall 8 The term for pain in the ear is: Otalgia Pronation is turning the hand have the palm face: What does ICD - 9 - CM stand for? modification Downward International classification of diseases - 9th revision - clinical What are two sense organs included in chapter 6: diseases of nervous system and sense organs? Eyes and ears How are new additions and revisions indicated in CPT code but each year? Green print If a CPT code and HCPCS Level II code exist for the same service, which should you report? depends on the payer How often is HCPCS level two permanent national codes updated? What term best describes a mass of hyperplastic scar tissue? Repair of a coronary vessel is called: Angioplasty Annually Keloid What is the term that describes the removal of a portion or all of the stomach? It Gastrectomy What are the reproductive glands that produce male hormones? Testes I surgeon performed a cataract surgery with an interocular lens implant on the right eye of a Medicare patient. What modifiers would be reported? RT 9 What are the services in the reproductive medicine procedure section of the pathology and laboratory chapter of the CPT report? Services related to in vitro fertilization The collection of sweat by Iontophoresis can be found in what section the path ologies chapter of CPT? Other procedures Presumptive A virus is identified by observing growth patterns on a culture media. What is the type of identification called? Which elements of the HPI are met in the statement? Patient complains of headache and blurry vision for the past three days. Location, quality and duration Medicare program is made up of several parts. Which part is affected by the centers for Medicare and Medicaid services - hierarchal condition categories CMS - HCC? Part C How many components should be included in an effective compliance plan? Medicare part D is what type of insurance? 7 Prescription drug coverage available to all Medicare beneficiaries Which option below is not a covered entity under HIPPA? Muscle is attached to the bone by what method? Worker's Compensation Tendons, aponeurosis and directly to the bone What is affected by myasthenia gravis? Neuromuscular junction Which respiratory structure is comprised of cartilage and ligaments? Trachea Upon leaving the last portion of the small intestine, nutrients move through the large intestine in what order? Cecum, ascending colon, transverse colon, descending colon, sigmoid colon, rectum, anus 10 What are chemicals which relay, amplify and modulate signals between a neuron and another cell? Neurotransmitters A surgeon performs an "escharotomy". This procedure is best described as: resulting from burns or other injuries The drum-shaped muscle under the lungs flattening during inspiration is the: A thin membrane lining the chambers of the heart and valves is called the: A vesiculotomy is defined as: Surgical cutting into the seminal vessels Removal of scar tissue Diaphragm Endocardium Destruction of lesions of the vulva can be done with "cryosurgery." This method uses: cold What term describes a woman in her first pregnancy? Primigravida A form of milk produced the first few days after giving birth is: The root for pertaining to pancreatic islet cells is: Sialography is an x-ray of: Salivary glands When can you use the code for HIV (042)? Insul/o Colostrum Extreme The test result is confirmed by the physician's diagnostic statement What are some examples of fracture aftercare? Cast change; medication adjustment 11 Instructions and conventions of the classification take precedence over Official coding guidelines What does MRSA stand for? Methicillin resistant staphylococcus aureus What chapter contains codes for diseases and disorders of the nails? skin and subcutaneous tissue Chapter 12: diseases of the What three components are considered when relative value units are established? work, practice expense, malpractice insurance CPT category III codes are reimbursable at what level of reimbursement? determined by the payer HCPCS level II include code ranges which consist of what type of codes? codes, miscellaneous codes, dental codes, and temporary national codes What is commonly known as a boil of the skin? What is the acromion? Furuncle Extension of the scapula Physician Reimbursement, if any, is Permanent national In ICD-9, what do you look for in the alphabetic index, to code a tear of the surpraspinatus muscles of the shoulder? Tear, rotator cuff What part of the cardiovascular system is responsible for the one-way flow of blood through the chambers of the heart? Heart valves Which main coronary artery bifurcates into two smaller ones? What is included in all vascular injection procedures? Left Necessary local anesthesia, introduction of needles are catheters, injection of contrast media with or without automatic power injection, and or necessary pre-and post injection care specifically related to the injection procedure. 12 What is the root word for vagina? Colp/o Vulvar cancer in situ can also be documented as: What does the abbreviation IVF mean? VIN III In vitro fertilization A pregnant patient presents with the baby in a breech position. During the delivery the doctor attempts to turn the baby while it is still in the uterus. The baby turns but then immediately resumes his previous position. Can the service be billed? If so, what is the code? Yes, since the doctor did the work, even though the outcome was unsuccessful. Report this procedure with code 59412 What are the four lobes of the brain? Frontal, parietal, temporal, occipital What disease is characterized by and large skeletal parts? What is the term for paralysis affecting one side of the body? What does IOL stand for? Intraocular lens Acromegaly Hemiplegia A cRNA is personally performing a case, with medical direction from anesthesiologist. What modifiers appropriately reported for the cRNA services? QX In what section of pathology chapter CPT what a coder find codes for a FISH test? Cytopathology What category of code should be used to reporting evaluation and management service provided to a patient in a psychiatric residential treatment center? Nursing facility services Which of the following statements is true for reporting E codes? take priority over all other E codes E codes for child and adult abuse 13 Which is not included in CPT surgical package? complication resulting from the initial procedure Returning to the operating room the next day for a What statement is true when reporting pregnancy codes (630 - 679): sequencing priority over codes from other chapters Foot These codes have When a patient is having a tenotomy performed on the abductor hallucis muscle, where is the muscle located? Fracturing the acetabulum involves what area? Pelvis Ventral, umbilical, spigelian and incisional are types of: What is the difference between entropion and ectropion? eyelid and ectropion is the outward turning of the eyelid Hernias Entropion is the inward turning of the What is the term used for inflammation of the bone and bone marrow? The root word trich/o means: Hair Osteomyelitis A patient is having pyeloplasty performed to treat a uretero-pelvic junction obstruction. What is being performed? Surgical repair of the renal pelvis Which statement is true about V codes: V codes may be used as primary or secondary code Which of the following is an example of electronic data? A digital x-ray Guidelines from which of the following code sets are included as part of the code set requirements under HIPPA? ICD-9 14 Which of the following is an example of a case in which a diabetes-related problem exists and the code for diabetes is never sequenced first? If the patient has an underside of insulin due to an insulin pump malfunction Glomerulonephritis is an inflammation affecting which system? Urinary Is a ST elevation myocardial infarction (STEMI) converts to a non STEMI (NSTEMI) due to theombolytic therapy, how is reported, according to ICD-9 guidelines? As STEMI When a patient has fractured the proximal en of his humerus, where is the fracture located? Upper end of the arm What is another term for when a physician performs a reduction on a displaced fracture? Manipulation What does oligospermia mean? Deficiency is sperm in semen Thoracentesis is removing fluid or air from the: An angiogram is a study to look inside: Chest cavity Blood vessels When a person has labyrinthitis what has the inflammation? Inner ear 15