AAPC CPC FINAL EXAM 2025-2026
ACTUAL EXAM 230 QUESTIONS
AND CORRECT ANSWERS
(VERIFIED ANSWERS) LATEST
GUIDE .
,1. 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 ANSWER c. CMS-1500
2. 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 ANSWER a. CPT, HCPCS Level II and ICD-10-CM
3. In what year was HITECH enacted as part of the American Recovery and Reinvestment Act?
a. 2010
b. 2009
c. 2000
d. 2007 CORRECT ANSWER b. 2009
4. 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 ANSWER c. Fraudulent claims
5. Which CMS product describes whether specific medical items, services, treat- ment 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 ANSWER b. National Coverage Determinations Manual
6. 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 ANSWER b. Concussion
7. 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 ANSWER a. Mucosa, submucosa, muscle, serosa
8. 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 bacteri- um CORRECT ANSWER a. A chronic condition
characterized by red, dry, elevated lesions, covered by silvery scales
9. A form of milk produced the first few days after giving birth is CORRECT ANSWER
a. Prolactin
b. Colostrum
, c. Lactose
d. Chorion CORRECT ANSWER b. Colostrum
10. A condition where the thyroid is overactive is called CORRECT ANSWER
a. Thyrotoxicosis
b. Panhypopituitarism
c. Ketosis
d. Thyroiditis CORRECT ANSWER a. Thyrotoxicosis
11. What do the instructions and conventions of the classification take prece- dence over?
a. CPT
b. Documentation
c. Official Coding Guidelines
d. Nothing. They are only used in the event of no other instruction. CORRECT ANSWER c. Oflcial Coding Guidelines
12. 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
ANSWER d. The residual condition is coded first, and the code(s)for the cause of the late ettect are coded as secondary
13. Using the ICD-10-CM Alphabetic Index, which main term below has an in-
structional note indicating another main term may also be referenced that may provide additional Alphabetic Index
entries that may be useful?
ACTUAL EXAM 230 QUESTIONS
AND CORRECT ANSWERS
(VERIFIED ANSWERS) LATEST
GUIDE .
,1. 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 ANSWER c. CMS-1500
2. 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 ANSWER a. CPT, HCPCS Level II and ICD-10-CM
3. In what year was HITECH enacted as part of the American Recovery and Reinvestment Act?
a. 2010
b. 2009
c. 2000
d. 2007 CORRECT ANSWER b. 2009
4. 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 ANSWER c. Fraudulent claims
5. Which CMS product describes whether specific medical items, services, treat- ment 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 ANSWER b. National Coverage Determinations Manual
6. 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 ANSWER b. Concussion
7. 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 ANSWER a. Mucosa, submucosa, muscle, serosa
8. 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 bacteri- um CORRECT ANSWER a. A chronic condition
characterized by red, dry, elevated lesions, covered by silvery scales
9. A form of milk produced the first few days after giving birth is CORRECT ANSWER
a. Prolactin
b. Colostrum
, c. Lactose
d. Chorion CORRECT ANSWER b. Colostrum
10. A condition where the thyroid is overactive is called CORRECT ANSWER
a. Thyrotoxicosis
b. Panhypopituitarism
c. Ketosis
d. Thyroiditis CORRECT ANSWER a. Thyrotoxicosis
11. What do the instructions and conventions of the classification take prece- dence over?
a. CPT
b. Documentation
c. Official Coding Guidelines
d. Nothing. They are only used in the event of no other instruction. CORRECT ANSWER c. Oflcial Coding Guidelines
12. 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
ANSWER d. The residual condition is coded first, and the code(s)for the cause of the late ettect are coded as secondary
13. Using the ICD-10-CM Alphabetic Index, which main term below has an in-
structional note indicating another main term may also be referenced that may provide additional Alphabetic Index
entries that may be useful?
