AAPC CPC Review Exam 2025/2026 Actual Comprehensive
FREQUENTLY MOST TESTED QUESTIONS AND VERIFIED
SOLUTIONS/GET IT 100% ACCURATE!! ALREADY GRADED
A+ | NEWEST EXAM | JUST RELEASED!!
Which one of the following statements regarding advanced
beneficiary notices (ABN) is TRUE?
A. ABN must specify only the CPT® code that Medicare is
expected to deny.
B. Generic ABN which states that a Medicare denial of payment
is possible, or the internist is unaware whether Medicare will
deny payment or not is acceptable.
C. An ABN must be completed before delivery of items or
services are provided. D. An ABN must be obtained from a
patient even in a medical emergency when the services to be
provided are not covered. - ANSWER-c. An ABN must be
completed before delivery of items or services are provided
An ABN must include the service that may be denied, an
estimated cost of the patient's responsibility if Medicare denies
the service and the response for the potential denial. Generic
ABNs are not allowed. Signing of the ABN cannot be obtained
during a medical emergency. The patient must be stable. The
ABN must be signed prior to providing the service.
Which service is covered by Medicare Part B?
A. Inpatient chemotherapy
,B. Minor surgery performed in a physician's office
C. Routine dental care
D. Assisted living facility - ANSWER-b. Minor surgery performed
in a physician's office
Services performed by physicians are covered by Medicare Part
B. Inpatient services are covered by Part A. Medicare does not
cover routine dental care.
When coding for a patient who has had a primary malignancy of
the thyroid cartilage that was completely excised a year ago,
which one of the following statements is TRUE?
A. When the cancer is surgically removed with no further
treatment provided and there is no evidence of any existing
primary malignancy, code Z85.850. B. When further treatment
is provided and there is evidence of an existing metastasis,
code first Z85.850 and then C32.9.
C. Any mention of extension, invasion, or metastasis to
another site is coded as a D49.1, Z85.850.
D. When the cancer is surgically removed but the patient is
receiving chemotherapy treatment report Z85.850. - ANSWER-a.
when the cancer is surgically removed with no further
treatment provided and there is no evidence of any existing
primary malignancy, code Z85.850
ICD-10-CM guidelines (Section I.C.2.d.) indicated, when the
patient has excised or eradicated the malignancy and there is
no further treatment directed to that site and there is no
evidence of any existing primary malignancy, a code from
category Z85, Personal history of malignant neoplasm, should
be used to indicate the site of the former malignancy. Look in
,the ICD-10-CM Alphabetic Index, for History/personal
(of)/malignant neoplasm (of)/thyroid. Note: If a malignant
cancer is removed but the patient is still receiving further
treatment for that site, such as chemotherapy or radiation, you
report the malignant neoplasm code not the personal history
code.
In order to use the critical care codes, which statement is
TRUE?
A. Critical care services can be provided in an internist's office
B. Critical care services provided for more than 15 minutes but
less than 30 minutes should be billed with 99291 and
modifier 52.
C. Time spent reviewing laboratory test results or discussing
the critically ill patient's care with other medical staff in the
unit or at the nursing station on the floor cannot be included
in the determination of critical care time. D. Critical care
services are never reported with endotracheal intubation
(31500)
E. Physician can provide services to another patient during the
same time providing critical care services to a critically ill
patient - ANSWER-E. Physician can provide services to another
patient during the same times providing critical care services to
a critically ill patient
Critical care services can be provided at any site. If the patient
is critically ill, the services provided can be coded with critical
care regardless of where the services take place. A minimum of
30 minutes of critical care must be performed in order to report
99291. If less than 30 minutes, select the appropriate E/M code
, based on the three key components. Time spent reviewing
results and discussing the critically ill patient with medical staff
is included in the critical care time. Endotracheal intubation,
code 31500, can be reported with critical care services. The
subsection guidelines for critical care services in the CPT®
codebook does give what services cannot be billed with critical
care. A physician providing critical care services must devote
full attention to the critically ill patient and cannot provide
services to any other patient during the same period of time.
What is the patient's right when it involves making changes
in the personal
medical
record?
A. Patient must work through an attorney to revise any
portion of the personal medical information.
B. They should be able to obtain copies of the medical
record and request corrections of errors and mistakes.
C. It is a violation of federal health care law to revise a
patient medical record. D. Revision of the patient medical
record depends solely on the facility's compliance program
policy. - ANSWER-b.. They should be able to obtain copies of
the medical record and request corrections of errors and
mistakes
Which statement regarding an ICD-10-CM coding conventions
is TRUE?
FREQUENTLY MOST TESTED QUESTIONS AND VERIFIED
SOLUTIONS/GET IT 100% ACCURATE!! ALREADY GRADED
A+ | NEWEST EXAM | JUST RELEASED!!
Which one of the following statements regarding advanced
beneficiary notices (ABN) is TRUE?
A. ABN must specify only the CPT® code that Medicare is
expected to deny.
B. Generic ABN which states that a Medicare denial of payment
is possible, or the internist is unaware whether Medicare will
deny payment or not is acceptable.
C. An ABN must be completed before delivery of items or
services are provided. D. An ABN must be obtained from a
patient even in a medical emergency when the services to be
provided are not covered. - ANSWER-c. An ABN must be
completed before delivery of items or services are provided
An ABN must include the service that may be denied, an
estimated cost of the patient's responsibility if Medicare denies
the service and the response for the potential denial. Generic
ABNs are not allowed. Signing of the ABN cannot be obtained
during a medical emergency. The patient must be stable. The
ABN must be signed prior to providing the service.
Which service is covered by Medicare Part B?
A. Inpatient chemotherapy
,B. Minor surgery performed in a physician's office
C. Routine dental care
D. Assisted living facility - ANSWER-b. Minor surgery performed
in a physician's office
Services performed by physicians are covered by Medicare Part
B. Inpatient services are covered by Part A. Medicare does not
cover routine dental care.
When coding for a patient who has had a primary malignancy of
the thyroid cartilage that was completely excised a year ago,
which one of the following statements is TRUE?
A. When the cancer is surgically removed with no further
treatment provided and there is no evidence of any existing
primary malignancy, code Z85.850. B. When further treatment
is provided and there is evidence of an existing metastasis,
code first Z85.850 and then C32.9.
C. Any mention of extension, invasion, or metastasis to
another site is coded as a D49.1, Z85.850.
D. When the cancer is surgically removed but the patient is
receiving chemotherapy treatment report Z85.850. - ANSWER-a.
when the cancer is surgically removed with no further
treatment provided and there is no evidence of any existing
primary malignancy, code Z85.850
ICD-10-CM guidelines (Section I.C.2.d.) indicated, when the
patient has excised or eradicated the malignancy and there is
no further treatment directed to that site and there is no
evidence of any existing primary malignancy, a code from
category Z85, Personal history of malignant neoplasm, should
be used to indicate the site of the former malignancy. Look in
,the ICD-10-CM Alphabetic Index, for History/personal
(of)/malignant neoplasm (of)/thyroid. Note: If a malignant
cancer is removed but the patient is still receiving further
treatment for that site, such as chemotherapy or radiation, you
report the malignant neoplasm code not the personal history
code.
In order to use the critical care codes, which statement is
TRUE?
A. Critical care services can be provided in an internist's office
B. Critical care services provided for more than 15 minutes but
less than 30 minutes should be billed with 99291 and
modifier 52.
C. Time spent reviewing laboratory test results or discussing
the critically ill patient's care with other medical staff in the
unit or at the nursing station on the floor cannot be included
in the determination of critical care time. D. Critical care
services are never reported with endotracheal intubation
(31500)
E. Physician can provide services to another patient during the
same time providing critical care services to a critically ill
patient - ANSWER-E. Physician can provide services to another
patient during the same times providing critical care services to
a critically ill patient
Critical care services can be provided at any site. If the patient
is critically ill, the services provided can be coded with critical
care regardless of where the services take place. A minimum of
30 minutes of critical care must be performed in order to report
99291. If less than 30 minutes, select the appropriate E/M code
, based on the three key components. Time spent reviewing
results and discussing the critically ill patient with medical staff
is included in the critical care time. Endotracheal intubation,
code 31500, can be reported with critical care services. The
subsection guidelines for critical care services in the CPT®
codebook does give what services cannot be billed with critical
care. A physician providing critical care services must devote
full attention to the critically ill patient and cannot provide
services to any other patient during the same period of time.
What is the patient's right when it involves making changes
in the personal
medical
record?
A. Patient must work through an attorney to revise any
portion of the personal medical information.
B. They should be able to obtain copies of the medical
record and request corrections of errors and mistakes.
C. It is a violation of federal health care law to revise a
patient medical record. D. Revision of the patient medical
record depends solely on the facility's compliance program
policy. - ANSWER-b.. They should be able to obtain copies of
the medical record and request corrections of errors and
mistakes
Which statement regarding an ICD-10-CM coding conventions
is TRUE?
