AAPC CPC FINAL 2025 EXAM TEST QUESTIONS WITH ACCURATE SOLUTIONS
When coding in operative report what action would NOT be recommended?
Coding from the header with out reading the body of the report
If an NCD doesn't exist for a particular service/procedure performed on a Medicare patient
who determines coverage?
Medicare administrative contractor (MAC)
MAC stands for what!?
Medicare administrative contractor
What is the definition of coding?
Translating documentation into numerical/alphabetical codes used to obtain
reimbursement.
How many components should be included in an effective compliance plan?
7
Which of the following is NOT a function of the skin?
Acts as a gland by synthesizing vitamin A.
,What is affected by myasthenia gravis?
Neuromuscular junction
The term "episiotomy" Best describes a procedure of what type?
An incision made into the perineum to enlarge the passage for the fetus during delivery
A young female patient was taken to the operative suite, and was placed under appropriate
anesthesia. She has been suffering from pain and a potential rotator cuff tear of the right
shoulder. The right arm was sterilely draped and prepped. Arthroscopic portals were
created anteriorly- posteriorly. The joint line was carefully examined. The biceps insertion
was noted to be normal. The middle and inferior glenohumeral ligaments were visualized in
noted to be normal. The undersurface of the rotator cuff was clearly visualized and also
noted to be normal. There was a large anterior spur formation. The blur was introduced
through a lateral portal and the anterior lip of the acromion was resected. The undersurface
of the clavicle was noted to be quite prominent and part of the impinging process. There
was intense bursitis and a bursectomy was performed, allowing for acromial
decompression and release. Spurs were removed from the distal clavicle. All instruments
were removed skin incisions were closed and a dress was applied. The patient was placed
in a sling and returned to the recovery room. What CPT code is reported?
23415-RT
What modifier must always be applied to medicare claims for test performed in a site with
CLIA Waived certificate?
QW
What does "in vivo" mean?
,in the living body
what is the code for gross and microscopic examination (surgical pathology) of the breast
tissue from a simple mastectomy?
88307
A patient presents with worries she is at risk for cancer. She asks for tests to verify whether
she has cancer. The test comes back normal. What type of service is this considered?
screening services
If the findings on examination of a pap smear are normal and described as "negative for
intraepithelial lesion or malignancy" this is a example of what type of results reporting?
Bethesda
What ICD-10-CM code is reported for elevated blood sugar?
R73.09
What ICD-10-CM code is reported for an abnormal cervical pap smear?
R87.619
, A lab test reveals an excessive level of alcohol in the blood. What ICD-10-CM code is
reported?
R78.0
What do the services in the Reproductive Medicine Procedures section of the Pathology
and Laboratory chapter of CPT report?
Services related to in vitro fertilization
What is usually found in the blood if a person has or used to have an infecting virus?
Antibody
A patient with AIDS presents for follow up care. The total T-cell count is ordered to evaluate
any progression of the disease. What CPT code is reported?
86359- Code 86359 is for total T-cell count. If other studies were performed and they were
not ordered they may not be billed, no matter how seemingly appropriate. In the CPT Index,
look for T Cells/Count.
A patient with AIDS presents for follow up care. An NK (natural killer cell) total count is
ordered. What CPT code is/are reported?
86357- Although there are a number of cells that attack viruses and other infectious
organisms, NK cells are specifically identified by code 86357. In the CPT Index, see Natural
Killer (NK) Cells.
When coding in operative report what action would NOT be recommended?
Coding from the header with out reading the body of the report
If an NCD doesn't exist for a particular service/procedure performed on a Medicare patient
who determines coverage?
Medicare administrative contractor (MAC)
MAC stands for what!?
Medicare administrative contractor
What is the definition of coding?
Translating documentation into numerical/alphabetical codes used to obtain
reimbursement.
How many components should be included in an effective compliance plan?
7
Which of the following is NOT a function of the skin?
Acts as a gland by synthesizing vitamin A.
,What is affected by myasthenia gravis?
Neuromuscular junction
The term "episiotomy" Best describes a procedure of what type?
An incision made into the perineum to enlarge the passage for the fetus during delivery
A young female patient was taken to the operative suite, and was placed under appropriate
anesthesia. She has been suffering from pain and a potential rotator cuff tear of the right
shoulder. The right arm was sterilely draped and prepped. Arthroscopic portals were
created anteriorly- posteriorly. The joint line was carefully examined. The biceps insertion
was noted to be normal. The middle and inferior glenohumeral ligaments were visualized in
noted to be normal. The undersurface of the rotator cuff was clearly visualized and also
noted to be normal. There was a large anterior spur formation. The blur was introduced
through a lateral portal and the anterior lip of the acromion was resected. The undersurface
of the clavicle was noted to be quite prominent and part of the impinging process. There
was intense bursitis and a bursectomy was performed, allowing for acromial
decompression and release. Spurs were removed from the distal clavicle. All instruments
were removed skin incisions were closed and a dress was applied. The patient was placed
in a sling and returned to the recovery room. What CPT code is reported?
23415-RT
What modifier must always be applied to medicare claims for test performed in a site with
CLIA Waived certificate?
QW
What does "in vivo" mean?
,in the living body
what is the code for gross and microscopic examination (surgical pathology) of the breast
tissue from a simple mastectomy?
88307
A patient presents with worries she is at risk for cancer. She asks for tests to verify whether
she has cancer. The test comes back normal. What type of service is this considered?
screening services
If the findings on examination of a pap smear are normal and described as "negative for
intraepithelial lesion or malignancy" this is a example of what type of results reporting?
Bethesda
What ICD-10-CM code is reported for elevated blood sugar?
R73.09
What ICD-10-CM code is reported for an abnormal cervical pap smear?
R87.619
, A lab test reveals an excessive level of alcohol in the blood. What ICD-10-CM code is
reported?
R78.0
What do the services in the Reproductive Medicine Procedures section of the Pathology
and Laboratory chapter of CPT report?
Services related to in vitro fertilization
What is usually found in the blood if a person has or used to have an infecting virus?
Antibody
A patient with AIDS presents for follow up care. The total T-cell count is ordered to evaluate
any progression of the disease. What CPT code is reported?
86359- Code 86359 is for total T-cell count. If other studies were performed and they were
not ordered they may not be billed, no matter how seemingly appropriate. In the CPT Index,
look for T Cells/Count.
A patient with AIDS presents for follow up care. An NK (natural killer cell) total count is
ordered. What CPT code is/are reported?
86357- Although there are a number of cells that attack viruses and other infectious
organisms, NK cells are specifically identified by code 86357. In the CPT Index, see Natural
Killer (NK) Cells.
