AAPC CPC FINAL EXAM PRACTICE EXAM NEWEST NEW
EDITION ACTUAL EXAM 140 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
What form is used to submit a provider's charge to the insurance carrier?
a. UB-04
b. Provider reimbursement form
c. CMS-1500
d. ABN - Ans c. CMS-1500
Which coding manuals do outpa&ent coders focus on learning?
a. CPT, HCPCS Level II and ICD-10-CM
b. CPT and ICD-10-CM
c. ICD-10-CM and ICD-10-PCS
d. CPT, HCPCS Level II, ICD-10-CM, ICD-10-PCS - Ans a. CPT, HCPCS Level II and ICD-10-CM
In what year was HITECH enacted as part of the American Recovery and Reinvestment Act?
a. 2010
b. 2009
c. 2000
d. 2007 - Ans b. 2009
, Voluntary compliance programs also provide benefits by not only helping to prevent erroneous
or ____, but also by showing that the provider prac&ce is making addi&onal good faith efforts to
submit claims appropriately.
a. Over u&lized codes
b. Duplica&ve claims
c. Fraudulent claims
d. Mistaken principals - Ans c. Fraudulent claims
Which CMS product describes whether specific medical items, services, treatment procedures
or technologies are considered medically necessary under Medicare?
a. Medicare Claims Processing Manual
b. Na&onal Coverage Determina&ons Manual
c. Rela&ve Value Files
d. Medicare Physician Fee Schedule Final Rule - Ans b. Na&onal Coverage Determina&ons
Manual
Which condi&on results from an injury to the head? The symptoms include headache, dizziness
and vomi&ng.
a. Meningi&s
b. Concussion
c. Epilepsy
d. Parkinson's disease - Ans b. Concussion
In order, star&ng with the innermost layer, what are the four walls of the diges&ve tract?
,a. Mucosa, submucosa, muscle, serosa
b. Serosa, mucosa, submucosa, muscle
c. Mucosa, submucosa, serosa, muscle
d. Muscle, submucosa, mucosa, serosa - Ans a. Mucosa, submucosa, muscle, serosa
Which one of the following best describes psoriasis?
a. A chronic condi&on characterized by red, dry, elevated lesions, covered by silvery scales
b. An inflammatory condi&on characterized by redness pustular and vesicular lesions, crusts,
and scales
c. An allergic reac&on characterized by wheals and generally accompanied by pruritus
d. A contagious infec&on of skin generally caused by staphylococcus bacterium - Ans a. A
chronic condi&on characterized by red, dry, elevated lesions, covered by silvery scales
A form of milk produced the first few days a>er giving birth is:
a. Prolac&n
b. Colostrum
c. Lactose
d. Chorion - Ans b. Colostrum
A condi&on where the thyroid is overac&ve is called:
a. Thyrotoxicosis
b. Panhypopituitarism
c. Ketosis
, d. Thyroidi&s - Ans a. Thyrotoxicosis
What do the instruc&ons and conven&ons of the classifica&on take precedence over?
a. CPT
b. Documenta&on
c. Official Coding Guidelines
d. Nothing. They are only used in the event of no other instruc&on. - Ans c. Official Coding
Guidelines
What is the sequencing order when coding a sequela (late effect)?
a. They symptom is coded first followed by the residual condi&on and the late effect code
b. The cause of the late effect is coded first and the residual condi&on is coded second
c. The cause of the late effect is coded first; the residual condi&on is second followed by the
symptoms
d. The residual condi&on is coded first, and the code(s)for the cause of the late effect are coded
as secondary - Ans d. The residual condi&on is coded first, and the code(s)for the cause of the
late effect are coded as secondary
Using the ICD-10-CM Alphabe&c Index, which main term below has an instruc&onal note
indica&ng another main term may also be referenced that may provide addi&onal Alphabe&c
Index entries that may be useful?
a. Diabetes
b. Fibrosarcoma
c. Appendici&s
d. Symptoms - Ans b. Fibrosarcoma
EDITION ACTUAL EXAM 140 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
What form is used to submit a provider's charge to the insurance carrier?
a. UB-04
b. Provider reimbursement form
c. CMS-1500
d. ABN - Ans c. CMS-1500
Which coding manuals do outpa&ent coders focus on learning?
a. CPT, HCPCS Level II and ICD-10-CM
b. CPT and ICD-10-CM
c. ICD-10-CM and ICD-10-PCS
d. CPT, HCPCS Level II, ICD-10-CM, ICD-10-PCS - Ans a. CPT, HCPCS Level II and ICD-10-CM
In what year was HITECH enacted as part of the American Recovery and Reinvestment Act?
a. 2010
b. 2009
c. 2000
d. 2007 - Ans b. 2009
, Voluntary compliance programs also provide benefits by not only helping to prevent erroneous
or ____, but also by showing that the provider prac&ce is making addi&onal good faith efforts to
submit claims appropriately.
a. Over u&lized codes
b. Duplica&ve claims
c. Fraudulent claims
d. Mistaken principals - Ans c. Fraudulent claims
Which CMS product describes whether specific medical items, services, treatment procedures
or technologies are considered medically necessary under Medicare?
a. Medicare Claims Processing Manual
b. Na&onal Coverage Determina&ons Manual
c. Rela&ve Value Files
d. Medicare Physician Fee Schedule Final Rule - Ans b. Na&onal Coverage Determina&ons
Manual
Which condi&on results from an injury to the head? The symptoms include headache, dizziness
and vomi&ng.
a. Meningi&s
b. Concussion
c. Epilepsy
d. Parkinson's disease - Ans b. Concussion
In order, star&ng with the innermost layer, what are the four walls of the diges&ve tract?
,a. Mucosa, submucosa, muscle, serosa
b. Serosa, mucosa, submucosa, muscle
c. Mucosa, submucosa, serosa, muscle
d. Muscle, submucosa, mucosa, serosa - Ans a. Mucosa, submucosa, muscle, serosa
Which one of the following best describes psoriasis?
a. A chronic condi&on characterized by red, dry, elevated lesions, covered by silvery scales
b. An inflammatory condi&on characterized by redness pustular and vesicular lesions, crusts,
and scales
c. An allergic reac&on characterized by wheals and generally accompanied by pruritus
d. A contagious infec&on of skin generally caused by staphylococcus bacterium - Ans a. A
chronic condi&on characterized by red, dry, elevated lesions, covered by silvery scales
A form of milk produced the first few days a>er giving birth is:
a. Prolac&n
b. Colostrum
c. Lactose
d. Chorion - Ans b. Colostrum
A condi&on where the thyroid is overac&ve is called:
a. Thyrotoxicosis
b. Panhypopituitarism
c. Ketosis
, d. Thyroidi&s - Ans a. Thyrotoxicosis
What do the instruc&ons and conven&ons of the classifica&on take precedence over?
a. CPT
b. Documenta&on
c. Official Coding Guidelines
d. Nothing. They are only used in the event of no other instruc&on. - Ans c. Official Coding
Guidelines
What is the sequencing order when coding a sequela (late effect)?
a. They symptom is coded first followed by the residual condi&on and the late effect code
b. The cause of the late effect is coded first and the residual condi&on is coded second
c. The cause of the late effect is coded first; the residual condi&on is second followed by the
symptoms
d. The residual condi&on is coded first, and the code(s)for the cause of the late effect are coded
as secondary - Ans d. The residual condi&on is coded first, and the code(s)for the cause of the
late effect are coded as secondary
Using the ICD-10-CM Alphabe&c Index, which main term below has an instruc&onal note
indica&ng another main term may also be referenced that may provide addi&onal Alphabe&c
Index entries that may be useful?
a. Diabetes
b. Fibrosarcoma
c. Appendici&s
d. Symptoms - Ans b. Fibrosarcoma
