AAPC CPC PRACTICE EXAM D QUESTIONS WITH CORRECT ANSWERS 2025

AAPC CPC PRACTICE EXAM D QUESTIONS
WITH CORRECT ANSWERS 2025
WhichWoneWofWtheWfollowingWisWanWexampleWofWfraud?



A.WReportingWtheWcodeWforWultrasoundWguidanceWwhenWusedWtoWperformWaWliverWbiopsy

B.WReportingWaWbiopsyWandWexcisionWperformedWonWtheWsameWskinWlesionWduringWtheWsameWencounter

C.WFailingWtoWappendWmodifierW26WonWanWX-
rayWthatWisWperformedWandWinterpretedWinWtheWphysician'sWoffice

D.WReportingWaWlabWpanelWwithWanWadditionalWlabWtestWthatWisWnotWincludedWinWtheWlabWpanelW-
WCORRECTWANSWERW-

B.WReportingWaWbiopsyWandWexcisionWperformedWonWtheWsameWskinWlesionWduringWtheWsameWencounter



AnswerWBWisWtheWonlyWexampleWofWunbundlingWofWCPT®WwhichWwouldWresultWinWaWfraudulentWclaim.WAcc
ordingWtoWNationalWCorrectWCodingWInitiativeW(NCCI)WandWCPT®WcodingWguidelines,WaWbiopsyWperformed
WonWtheWsameWlesionWasWanWexcisionWduringWtheWsameWencounterWisWanWincidentalWserviceWandWisWnotWr

eportedWseparately.WIfWultrasoundWguidanceWisWperformedWforWaWliverWbiopsy,WitWisWbillable.WX-
raysWperformedWinWaWphysician'sWofficeWdoWnotWrequireWmodifierW26,WbecauseWtheWphysicianWownsWtheW
equipmentWandWperformsWtheWinterpretation,WheWbillsWtheWglobalWservice.WLabWpanelsWcanWbeWreported
WwithWadditionalWlabWtestsWthatWareWnotWlistedWinWaWlabWpanel.




WhichWplaceWofWserviceWcodeWisWreportedWforWfractureWcareWperformedWbyWanWorthopedicWphysicianWinW
theWED?



A.W11

B.W20

C.W22

D.W23W-WCORRECTWANSWERW-D.W23



PlaceWofWserviceWcodesWareWreportedWonWtheWclaimWformWtoWidentifyWtheWsiteWofWtheWserviceWprovided.W
InWthisWcase,WtheWservicesWareWrenderedWinWtheWEDWwhichWisWreportedWwithWplaceWofWserviceW(POS)W23.
WTheWplaceWofWserviceWcodesWcanWbeWfoundWinWtheWCPT®Wcodebook.

, WhatWisWtheWfullWCPT®WcodeWdescriptionWforW61535?



A.WCraniotomyWwithWelevationWofWboneWflap;WforWsubduralWimplantationWofWanWelectrodeWarray,WforWlon
g-
termWseizureWmonitoring;WforWremovalWofWepiduralWorWsubduralWelectrodeWarray,WwithoutWexcisionWofWc
erebralWtissueW(separateWprocedure)

B.WCraniotomyWwithWelevationWofWboneWflap;WforWremovalWofWepiduralWorWsubduralWelectrodeWarray,Wwit
houtWexcisionWofWcerebralWtissueW(separateWprocedure)

C.WForWremovalWofWepiduralWorWsubduralWelectrodeWarray,WwithoutWexcisionWofWcerebralWtissueW(separate
Wprocedure)



D.WForWexcisionWofWepileptogenicWfocusWwithoutWelectrocorticographyWduringWsurgery;WforWremovalWofWe
piduralWorWsubduralWelectrodeWarray,WwithoutWexcisionWofWcerebralWtissueW(separateWprocedure)W-
WCORRECTWANSWERW-

B.WCraniotomyWwithWelevationWofWboneWflap;WforWremovalWofWepiduralWorWsubduralWelectrodeWarray,Wwit
houtWexcisionWofWcerebralWtissueW(separateWprocedure)



InWtheWCPT®WcodebookWtheWdescriptionWforWcodeW61535WisWindentedWwhichWmeansWtheWdescriptionWfro
mW61533WupWtoWtheWsemicolonWisWtheWbeginningWofWtheWfullWdescriptionWforW61535.



WhichWZWcodeWcategoryWcanWONLYWbeWreportedWasWaWfirstWlistedWdiagnosisWcode?



A.WZ67

B.WZ69

C.WZ58

D.WZ03W-WCORRECTWANSWERW-D.WZ03



TheWOfficialWICD-10-
CMWCodingWGuidelinesWprovidesWaWlistWofWZWcodeWcategoriesWandWZWcodesWthatWcanWonlyWbeWreportedW
asWaWfirstWlistedWdiagnosisWcode.WTheWlistWcanWbeWfoundWinWtheWICD-10-
CMWcodebookWreferringWtoWguidelineWI.C.21.c.16.



TheWpatientWhasWaWhistoryWofWsymptomaticWHIVWandWhasWbeenWtreatedWforWanWHIVWrelatedWillness.WWhi
chWICD-10-CMWcodeWisWreported?W