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COC Final Exam Study Questions (Set 4) – 100 Questions with Answers | Medical Coding | Outpatient, Surgery, Psychiatry, OB/GYN | AAPC Certification

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This document features 100 comprehensive exam-style questions and answers designed for the Certified Outpatient Coder (COC) final exam – Set 4 for the 2025/2026 academic year. It covers a wide range of medical coding topics aligned with AAPC certification standards, offering an in-depth review for candidates preparing for professional coding exams. The scenarios reflect real-world clinical documentation and coding tasks across multiple specialties, including outpatient surgery, cardiology, psychiatry, OB/GYN, oncology, ophthalmology, pathology, and general medicine. Each question includes accurate and up-to-date CPT®, ICD-10-CM, and HCPCS Level II codes, helping learners master correct code assignment, medical terminology, and coding guidelines. This document is particularly valuable for: Students in Medical Coding, Health Information Management (HIM), Health Informatics, or Healthcare Administration programs Candidates preparing for AAPC certifications such as COC, CPC, or AHIMA’s CCS-P Professionals seeking exam practice or continuing education in outpatient coding Instructors and trainers providing COC exam prep resources The content is suitable for use in programs at institutions such as: AAPC-accredited training centers Community colleges and technical institutes offering Medical Billing and Coding Universities and colleges with Health Information Technology (HIT) or Healthcare Management programs Keywords: COC exam, medical coding practice, outpatient coding, CPT questions, ICD-10-CM answers, HCPCS coding, AAPC certification, Set 4 COC, 2025 medical coding exam, surgery coding, OB/GYN coding, psychiatry coding, CPC prep, CCS-P practice, healthcare coding training, coding scenarios, university-level coding material

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COC 2020 - FINAL EXAM STUDY
QUESTIONS (SET 4) 2025/2026 EXAM
QUESTIONS AND ANSWERS | 100%
PASS



A patient with an adherent scar of the skin on the left forearm is seen in the

hospital surgery department for correction. Documentation states 2.5 cc of

collagen was injected into the subcutaneous tissue of the deformed area

using a syringe. The collagen augmented the subcutaneous tissue and

alleviated the depression of the soft tissue. What are the correct procedure

and diagnosis codes for this encounter? - 🧠 ANSWER ✔✔11951, L90.5


A patient with an enlarged uterus, 10-11 weeks in size (325 g),

menometrorrhagia, and dysmenorrhea has a laparoscopic vaginal

hysterectomy and bilateral salpingo-oophorectomy. Report the CPT

code(s). - 🧠 ANSWER ✔✔58554

,A patient with atrial fibrillation had a multiple lead implantable cardioverter-

defibrillator system implanted 2 years ago. Today he returns to the clinic for

evaluation of the function of the device and any reprogramming if needed.

What CPT ® code is reported? - 🧠 ANSWER ✔✔93284


A patient with bilateral partial vocal cord paralysis requires removal of the

arytenoid cartilage to improve breathing. After adequate visualization is

established with a laryngoscope, the arytenoid cartilage is exposed by

excision of the mucosa overlying it. The procedure is performed in the

outpatient surgery center of the hospital. What CPT" and ICD-10-CM codes

are reported?31560, J38.02 - 🧠 ANSWER ✔✔


A patient with CHF was taken to the outpatient hospital surgery department

to replace his malfunctioning dual defibrillator pulse generator with a

multiple lead system generator. During the same session, a left ventricular

lead was placed in the coronary sinus. - 🧠 ANSWER ✔✔33264, 33225,

T82.518A, 150.9

A patient with chronic back and neck pain developed a drug dependency

on oxycodone (opioid). After being taken off the drug, he was seen in the

clinic for withdrawal symptoms. What ICD-10-CM codes are reported? - 🧠

ANSWER ✔✔F11.23, T40.2X5A

, A patient with chronic mucoid otitis media was taken to the hospital

outpatient surgery department for bilateral myringotomy and tubes. The

procedure was performed under local anesthesia. The ears were curetted

clear of wax. An inferior myringotomy was made with a counter incision

anteriorly. Aspiration of mucoid effusion was accomplished, followed by

insertion of a tympanostomy tube in both ears. The ear canal was then

suctioned free of any debris and the patient was taken to recovery in good

condition. Provide the procedure code and diagnosis code for this

encounter. - 🧠 ANSWER ✔✔69433-50, H65.33


A patient with chronic paranoid psychosis visits her hospital-based

psychiatrist for her regularly scheduled psychotherapy. The provider uses

behavior modifying techniques, supportive interactions, suggestion, and

reality discussions. The face-to-face visit lasts 45 minutes. What CPT® and

ICD-10-CM codes are reported for the visit to the psychiatrist? - 🧠

ANSWER ✔✔90834, F22


A patient with chronic simple glaucoma of the left eye is in the hospital

outpatient surgery center for an initial trabeculectomy. Fornix-based

conjunctival flap is performed in the superior temporal quadrant. Grooves

were made at the site of the future scleral flap and then a three-sided,


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STATEMENT. ALL RIGHTS RESERVED
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