AAPC CPC PRACTICE EXAM B: QUESTIONS WTH CORRECT
ANSWERS 2025/2026
Which m statement m is m an m example m in m which m a m diabetes-
related m problem m exists m and m the m code m for m diabetes m is m NEVER m sequenced m first?
A. m If m the m patient m has m an m underdose m of m insulin m due m to m an m insulin m pump
m malfunction.
B. m If m the m patient m is m being m treated m for m secondary m diabetes.
C. m If m the m patient m is m being m treated m for m Type m 2 m diabetes m and m uses m insulin.
D. m If m the m patient m is m diabetic m with m an m associated m condition. m - m CORRECT m ANSWER m -
A. m If m the m patient m has m an m underdose m of m insulin m due m to m an m insulin m pump
m malfunction.
The m ICD-10-
CM mguidelines m(Section mI.C.4.a.5): mAn munderdose mof minsulin mdue mto man minsulin mpump
mfailure mshould mbe mass m igned mT85.6-, mas mthe mprincipal mor mfirst mlisted mcode, mfollowed
mby mcode mT38.3X6-
. m Additional m codes m for m the m type m of m diabetes m mellitus m should m also m be m assigned.
Guidelines mfrom mwhich mof mthe mfollowing mcode msets mare mincluded mas mpart mof mthe mcode
mset mrequirements mu m nder mHIPAA?
A. m CPT® m Category m III m codes
B. m ICD-10-CM
C. m HCPCS m Level m II
D. m ADA m Dental m Codes m - m CORRECT m ANSWER m -B. m ICD-10-CM
ICD-10-
CM m guidelines m are m the m only m guidelines m specifically m mentioned m in m HIPAA. m While m HIPAA
m requires m the m use m o mf mthe mother mcode msets mlisted, mthere mis mno mspecific mmention mof
mthe mother mguidelines min mthe mlaw. mThis minfor m mation mis mfound min mthe mICD-10-CM
mOfficial mGuidelines mfor mCoding mand mReported min myou mICD-10-
CM mcodebook: mThese mguidelines mare ma mset mof mrules mthat mhave mbeen mdeveloped mto
maccompany mand mcompl m ement mthe mofficial mconventions mand minstructions mprovided mwithin
mthe mICD-10-
, CM m itself. m These m guidelines m are m based m on m the m coding m and m sequencing m instructions m in
m Volumes m I, m II m and m II mI mof mICD-10-CM, mbut mprovide madditional minstruction. mAdherence
mto mthese mguidelines mwhen massigning mICD- m10-
CM mdiagnosis mand mprocedure mcodes mis mrequired munder mthe mHealth mInsurance mPortability
mand mAccountabili m ty mAct m(HIPAA).
ANSWERS 2025/2026
Which m statement m is m an m example m in m which m a m diabetes-
related m problem m exists m and m the m code m for m diabetes m is m NEVER m sequenced m first?
A. m If m the m patient m has m an m underdose m of m insulin m due m to m an m insulin m pump
m malfunction.
B. m If m the m patient m is m being m treated m for m secondary m diabetes.
C. m If m the m patient m is m being m treated m for m Type m 2 m diabetes m and m uses m insulin.
D. m If m the m patient m is m diabetic m with m an m associated m condition. m - m CORRECT m ANSWER m -
A. m If m the m patient m has m an m underdose m of m insulin m due m to m an m insulin m pump
m malfunction.
The m ICD-10-
CM mguidelines m(Section mI.C.4.a.5): mAn munderdose mof minsulin mdue mto man minsulin mpump
mfailure mshould mbe mass m igned mT85.6-, mas mthe mprincipal mor mfirst mlisted mcode, mfollowed
mby mcode mT38.3X6-
. m Additional m codes m for m the m type m of m diabetes m mellitus m should m also m be m assigned.
Guidelines mfrom mwhich mof mthe mfollowing mcode msets mare mincluded mas mpart mof mthe mcode
mset mrequirements mu m nder mHIPAA?
A. m CPT® m Category m III m codes
B. m ICD-10-CM
C. m HCPCS m Level m II
D. m ADA m Dental m Codes m - m CORRECT m ANSWER m -B. m ICD-10-CM
ICD-10-
CM m guidelines m are m the m only m guidelines m specifically m mentioned m in m HIPAA. m While m HIPAA
m requires m the m use m o mf mthe mother mcode msets mlisted, mthere mis mno mspecific mmention mof
mthe mother mguidelines min mthe mlaw. mThis minfor m mation mis mfound min mthe mICD-10-CM
mOfficial mGuidelines mfor mCoding mand mReported min myou mICD-10-
CM mcodebook: mThese mguidelines mare ma mset mof mrules mthat mhave mbeen mdeveloped mto
maccompany mand mcompl m ement mthe mofficial mconventions mand minstructions mprovided mwithin
mthe mICD-10-
, CM m itself. m These m guidelines m are m based m on m the m coding m and m sequencing m instructions m in
m Volumes m I, m II m and m II mI mof mICD-10-CM, mbut mprovide madditional minstruction. mAdherence
mto mthese mguidelines mwhen massigning mICD- m10-
CM mdiagnosis mand mprocedure mcodes mis mrequired munder mthe mHealth mInsurance mPortability
mand mAccountabili m ty mAct m(HIPAA).
