2025 aapc - final exam 2025 update comprehensive frequently tested questions and verified
answers with rationales| accurate answers|100% solved!!
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 - -c. CMS-1500
--Which coding manuals do outpatient 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 - -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 - -b. 2009
--Voluntary compliance programs also provide benefits by not only helping to prevent
erroneous or ____, but also by showing that the provider practice is making additional good
faith efforts to submit claims appropriately. - -c. Fraudulent claims
--Which CMS product describes whether specific medical items, services, treatment
procedures or technologies are considered medically necessary under Medicare? - -b.
National Coverage Determinations Manual
--Which condition results from an injury to the head? The symptoms include headache,
dizziness and vomiting. - -b. Concussion
--In order, starting with the innermost layer, what are the four walls of the digestive tract? -
-a. Mucosa, submucosa, muscle, serosa
--Which one of the following best describes psoriasis?
a. A chronic condition characterized by red, dry, elevated lesions, covered by silvery scales
b. An inflammatory condition characterized by redness pustular and vesicular lesions, crusts,
and scales
c. An allergic reaction characterized by wheals and generally accompanied by pruritus
d. A contagious infection of skin generally caused by staphylococcus bacterium - -a. A
chronic condition characterized by red, dry, elevated lesions, covered by silvery scales
--A form of milk produced the first few days after giving birth is: - -b. Colostrum
, --A condition where the thyroid is overactive is called: - -a. Thyrotoxicosis
--What do the instructions and conventions of the classification take precedence over? - -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 condition and the late effect code
b. The cause of the late effect is coded first and the residual condition is coded second
c. The cause of the late effect is coded first; the residual condition is second followed by the
symptoms
d. The residual condition is coded first, and the code(s)for the cause of the late effect are
coded as secondary - -d. The residual condition is coded first, and the code(s)for the cause
of the late effect are coded as secondary
--Using the ICD-10-CM Alphabetic Index, which main term below has an instructional note
indicating another main term may also be referenced that may provide additional
Alphabetic Index entries that may be useful? - -b. Fibrosarcoma
--According to ICD-10-CM guidelines, when a patient is seen for management of anemia due
to malignancy, how is it reported?
a. Anemia is reported first, followed by the code for the malignancy
b. The malignancy is the only condition reported
c. Anemia is the only condition reported
d. The malignancy is reported first, followed by the code for the anemia - -d. The malignancy
is reported first, followed by the code for the anemia
--What is the definition of a postpartum complication?
a. Complications that occur during the last month of pregnancy
b. Any complication that occurs five months postpartum
c. Any complication occurring within the six-week period prior to delivery
d. Any complication occurring within the six-week period after delivery - -d. Any
complication occurring within the six-week period after delivery
--Which statement is TRUE regarding the instruction for use of the CPT® code book?
a. Select the name of the procedure or service that most closely approximated the
procedure or service performed
b. Use an unlisted code when modifying a procedure
c. Parenthetical instructions define each code listed in the code book
d. Select the name of the procedure or service that accurately identifies the service
performed - -d. Select the name of the procedure or service that accurately identifies the
service performed
answers with rationales| accurate answers|100% solved!!
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 - -c. CMS-1500
--Which coding manuals do outpatient 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 - -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 - -b. 2009
--Voluntary compliance programs also provide benefits by not only helping to prevent
erroneous or ____, but also by showing that the provider practice is making additional good
faith efforts to submit claims appropriately. - -c. Fraudulent claims
--Which CMS product describes whether specific medical items, services, treatment
procedures or technologies are considered medically necessary under Medicare? - -b.
National Coverage Determinations Manual
--Which condition results from an injury to the head? The symptoms include headache,
dizziness and vomiting. - -b. Concussion
--In order, starting with the innermost layer, what are the four walls of the digestive tract? -
-a. Mucosa, submucosa, muscle, serosa
--Which one of the following best describes psoriasis?
a. A chronic condition characterized by red, dry, elevated lesions, covered by silvery scales
b. An inflammatory condition characterized by redness pustular and vesicular lesions, crusts,
and scales
c. An allergic reaction characterized by wheals and generally accompanied by pruritus
d. A contagious infection of skin generally caused by staphylococcus bacterium - -a. A
chronic condition characterized by red, dry, elevated lesions, covered by silvery scales
--A form of milk produced the first few days after giving birth is: - -b. Colostrum
, --A condition where the thyroid is overactive is called: - -a. Thyrotoxicosis
--What do the instructions and conventions of the classification take precedence over? - -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 condition and the late effect code
b. The cause of the late effect is coded first and the residual condition is coded second
c. The cause of the late effect is coded first; the residual condition is second followed by the
symptoms
d. The residual condition is coded first, and the code(s)for the cause of the late effect are
coded as secondary - -d. The residual condition is coded first, and the code(s)for the cause
of the late effect are coded as secondary
--Using the ICD-10-CM Alphabetic Index, which main term below has an instructional note
indicating another main term may also be referenced that may provide additional
Alphabetic Index entries that may be useful? - -b. Fibrosarcoma
--According to ICD-10-CM guidelines, when a patient is seen for management of anemia due
to malignancy, how is it reported?
a. Anemia is reported first, followed by the code for the malignancy
b. The malignancy is the only condition reported
c. Anemia is the only condition reported
d. The malignancy is reported first, followed by the code for the anemia - -d. The malignancy
is reported first, followed by the code for the anemia
--What is the definition of a postpartum complication?
a. Complications that occur during the last month of pregnancy
b. Any complication that occurs five months postpartum
c. Any complication occurring within the six-week period prior to delivery
d. Any complication occurring within the six-week period after delivery - -d. Any
complication occurring within the six-week period after delivery
--Which statement is TRUE regarding the instruction for use of the CPT® code book?
a. Select the name of the procedure or service that most closely approximated the
procedure or service performed
b. Use an unlisted code when modifying a procedure
c. Parenthetical instructions define each code listed in the code book
d. Select the name of the procedure or service that accurately identifies the service
performed - -d. Select the name of the procedure or service that accurately identifies the
service performed
