AAPC CPC FINAL EXAM 2025-2026
REAL EXAM 100 QUESTIONS AND
CORRECT ANSWERS(VERIFIED
ANSWERS)|AGRADE
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 - CORRECT ANSWERS 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 - CORRECT ANSWERS 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 - CORRECT ANSWERS 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 - CORRECT ANSWERS 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 - CORRECT ANSWERS 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 - CORRECT ANSWERS 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 - CORRECT ANSWERS 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 - CORRECT ANSWERS
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 - CORRECT ANSWERS b. Colostrum
A condition where the thyroid is overactive is called:
, a. Thyrotoxicosis
b. Panhypopituitarism
c. Ketosis
d. Thyroiditis - CORRECT ANSWERS a. Thyrotoxicosis
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. - CORRECT ANSWERS c.
Official Coding Guidelines
What is the sequencing order when coding a sequela (late effect)?
a. They symptom is coded first followed by the residual condition and the late effect code
b. The cause of the late effect is coded first and the residual condition is coded second
c. The cause of the late effect is coded first; the residual condition is second followed by the symptoms
d. The residual condition is coded first, and the code(s)for the cause of the late effect are coded as
secondary - CORRECT ANSWERS d. The residual condition is coded first, and the code(s)for the
cause of the late effect are coded as secondary
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
REAL EXAM 100 QUESTIONS AND
CORRECT ANSWERS(VERIFIED
ANSWERS)|AGRADE
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 - CORRECT ANSWERS 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 - CORRECT ANSWERS 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 - CORRECT ANSWERS 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 - CORRECT ANSWERS 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 - CORRECT ANSWERS 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 - CORRECT ANSWERS 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 - CORRECT ANSWERS 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 - CORRECT ANSWERS
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 - CORRECT ANSWERS b. Colostrum
A condition where the thyroid is overactive is called:
, a. Thyrotoxicosis
b. Panhypopituitarism
c. Ketosis
d. Thyroiditis - CORRECT ANSWERS a. Thyrotoxicosis
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. - CORRECT ANSWERS c.
Official Coding Guidelines
What is the sequencing order when coding a sequela (late effect)?
a. They symptom is coded first followed by the residual condition and the late effect code
b. The cause of the late effect is coded first and the residual condition is coded second
c. The cause of the late effect is coded first; the residual condition is second followed by the symptoms
d. The residual condition is coded first, and the code(s)for the cause of the late effect are coded as
secondary - CORRECT ANSWERS d. The residual condition is coded first, and the code(s)for the
cause of the late effect are coded as secondary
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
