Aapc Cpc Practice Exam D Questions
With Correct Answers 2025/2026
Which m one m of m the m following m is m an m example m of m fraud?
A. m Reporting m the m code m for m ultrasound m guidance m when m used m to m perform m a m liver
m biopsy
B. m Reporting m a m biopsy m and m excision m performed m on m the m same m skin m lesion m during
m the m same m encounter
C. m Failing m to m append m modifier m 26 m on m an m X-
ray m that m is m performed m and m interpreted m in m the m physician's m office
D. m Reporting m a m lab m panel m with m an m additional m lab m test m that m is m not m included
m in m the m lab m panel m - mCORRECT m ANSWER m -
B. m Reporting m a m biopsy m and m excision m performed m on m the m same m skin m lesion m during
m the m same m encounter
Answer m B m is m the m only m example m of m unbundling m of m CPT® m which m would m result m in
m a m fraudulent m claim. m Acc mording m to m National m Correct m Coding m Initiative m (NCCI) m and
m CPT® m coding m guidelines, m a m biopsy m performed mon m the m same m lesion m as m an
m excision m during m the m same m encounter m is m an m incidental m service m and m is m not m r
meported m separately. m If m ultrasound m guidance m is m performed m for m a m liver m biopsy, m it
m is m billable. m X-
, rays m performed m in m a m physician's m office m do m not m require m modifier m 26, m because m the
m physician m owns m the mequipment m and m performs m the m interpretation, m he m bills m the
m global m service. m Lab m panels m can m be m reported mwith m additional m lab m tests m that m are
m not m listed m in m a m lab m panel.
Which m place m of m service m code m is m reported m for m fracture m care m performed m by m an
m orthopedic m physician m in mthe m ED?
A. m 11
B. m 20
C. m 22
D. m 23 m - m CORRECT m ANSWER m -D. m 23
Place m of m service m codes m are m reported m on m the m claim m form m to m identify m the m site
m of m the m service m provided. mIn m this m case, m the m services m are m rendered m in m the m ED
m which m is m reported m with m place m of m service m (POS) m 23. mThe m place m of m service
m codes m can m be m found m in m the m CPT® m codebook.
With Correct Answers 2025/2026
Which m one m of m the m following m is m an m example m of m fraud?
A. m Reporting m the m code m for m ultrasound m guidance m when m used m to m perform m a m liver
m biopsy
B. m Reporting m a m biopsy m and m excision m performed m on m the m same m skin m lesion m during
m the m same m encounter
C. m Failing m to m append m modifier m 26 m on m an m X-
ray m that m is m performed m and m interpreted m in m the m physician's m office
D. m Reporting m a m lab m panel m with m an m additional m lab m test m that m is m not m included
m in m the m lab m panel m - mCORRECT m ANSWER m -
B. m Reporting m a m biopsy m and m excision m performed m on m the m same m skin m lesion m during
m the m same m encounter
Answer m B m is m the m only m example m of m unbundling m of m CPT® m which m would m result m in
m a m fraudulent m claim. m Acc mording m to m National m Correct m Coding m Initiative m (NCCI) m and
m CPT® m coding m guidelines, m a m biopsy m performed mon m the m same m lesion m as m an
m excision m during m the m same m encounter m is m an m incidental m service m and m is m not m r
meported m separately. m If m ultrasound m guidance m is m performed m for m a m liver m biopsy, m it
m is m billable. m X-
, rays m performed m in m a m physician's m office m do m not m require m modifier m 26, m because m the
m physician m owns m the mequipment m and m performs m the m interpretation, m he m bills m the
m global m service. m Lab m panels m can m be m reported mwith m additional m lab m tests m that m are
m not m listed m in m a m lab m panel.
Which m place m of m service m code m is m reported m for m fracture m care m performed m by m an
m orthopedic m physician m in mthe m ED?
A. m 11
B. m 20
C. m 22
D. m 23 m - m CORRECT m ANSWER m -D. m 23
Place m of m service m codes m are m reported m on m the m claim m form m to m identify m the m site
m of m the m service m provided. mIn m this m case, m the m services m are m rendered m in m the m ED
m which m is m reported m with m place m of m service m (POS) m 23. mThe m place m of m service
m codes m can m be m found m in m the m CPT® m codebook.
