2025/2026 AAPC CPC FINAL EXAM BANK WITH ALL
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AAPC CPC
Ace your AAPC CPC (Certified Professional Coder) final exam
with this definitive guide, designed to master ICD-10-CM, CPT,
and HCPCS Level II coding with precision. This resource delivers
practical, case-based questions and detailed rationales
covering modifier usage, procedural documentation, and
compliance standards.
DESCRIPTION OF PROCEDURE: On each side the free-
nipple grafts were harvested. They were marked to be side
specific and were stored on the back table in moistened lap
sponges. I amputated the inferior portion of the breast from
the right side. I then moved to the left and again amputated
the inferior portion of the breast. The nipple-areolar
complexes were de-epithelialized using the scalpel. The
free-nipple grafts were then retrieved from the back table.
They were each defatted using scissors and were placed in
an on-lay fashion on the appropriate side, and each was
inset using 5-0 plain sutures. Closure was done. What CPT®
code is reported?
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a. 19325
b. 19318-50
c. 19318
d. 19325-50 ...... ANSWER ....... b. 19318-50
Patient has returned to the operating room for aspiration of a
seroma that developed from a genitourinary surgical
procedure performed two days ago. A 16-gauge needle is
used to aspirate 600 cc of non-cloudy serosanguinous fluid.
What codes are reported?
a. 10180-58, N99.820
b. 10160-78, N99.842
c. 10140-58, N99.89
d. 10140-78, S20.20XS ...... ANSWER ....... b. 10160-78,
N99.842
___________ fixation with pins, screws, plates, or wires is
placed directly on or in the bone to immobilize a fractured
bone and to maintain alignment while it heals.
a. Manipulation
, Page 3 of 86
b. Reduction
c. Internal
d. Casting ...... ANSWER ....... c. Internal
A 49-year-old presents with an abscess of the right thumb.
The physician incises the abscess and purulent
sanguineous fluid is drained. The wound is packed with
iodoform packing. What CPT® code is reported?
a. 10060-F5
b. 10061-F5
c. 26010-F5
d. 26011-F5 ...... ANSWER ....... c. 26010-F5
An 85-year-old has developed a lump in her right groin. An
incision over the lesion was made and tissue was dissected
through the skin and subcutaneous tissue going deep
through the femoral fascia. Sharp dissection of the mass
was performed, freeing it from surrounding structures. The 3
cm mass was isolated and excised. The incision was closed,
the area was cleaned and dried, and a dressing applied.
What CPT® code is reported?
, Page 4 of 86
a. 27048
b. 27087
c. 27047
d. 27049 ...... ANSWER ....... a. 27048
A 50-year-old male had surgery on his upper leg one day ago
to remove an intramuscular tumor and presents with heavy
serous drainage from the wound. He was taken back to the
operating room for evaluation of a possible bacterial
infection. His wound was explored down to the rectus
femoris muscle, and there was a hematoma discovered
which was very carefully evacuated. The wound was
irrigated with antibacterial solution, and the wound was
closed in multiple layers. What CPT® and ICD-10-CM codes
are reported?
a. 27603-78, T81.40XA
b. 27301-78, M96.840
c. 10140-76, T81.9XXA
d. 10140-79, M96.810 ...... ANSWER ....... b. 27301-78,
M96.840