AAPC Chapter 6 section reviews, quiz, practical
application, and exam questions and answers 2025
AGRADE
Select the TRUE statement regarding modifier 51 in the CPT code book. - ANSWER-Codes exempt
from modifier 51 are identified with universal forbidden symbol.
(circle with slash through it)
The National Correct Coding Initiative (NCCI) file contains a Correct Coding Modifier (CCM) indicator.
What does the CCM indicator 0 mean? - ANSWER-A CCM is not allowed and will not bypass the edits.
What are the 3 categories of CPT codes? - ANSWER-Categories I, II, and III
Which CPT code set is used voluntarily by physicians to report quality patient performance
measurements? - ANSWER-Category II codes
What is the Postoperative period included in the surgical global package for major surgery? -
ANSWER-90 days
When surgery is performed, what services are included and not billed separately? - ANSWER-All of the
above.
Which set of HCPCS codes are required for use under Medicare Outpatient Prospective Payment
System? - ANSWER-C codes
Which set of HCPCS Level II codes are considered temporary codes assigned by CMS and reviewed by
AMA for inclusion in the CPT? - ANSWER-G codes
Which HCPCS Level II modifier should you append for a new wheelchair purchase? - ANSWER-NU
In which option below is it appropriate to append HCPCS Level II modifiers to CPT procedure codes? -
ANSWER-When specifically is required for eyelids, fingers, toes, and coronary arteries
What is the full description for CPT® code 43622?
A. With formation of intestinal pouch, any type
B. Gastrectomy, total; with Roux-en-Y reconstruction and formation of intestinal pouch, any type
C. Gastrectomy, total; with esophagoenterostomy with formation of intestinal pouch, any type
D. Gastrectomy, total; with formation of intestinal pouch, any type - ANSWER-D. Gastrectomy, total;
with formation of intestinal pouch, any type
Which 1 of the CPT codes listed below would modifier 50 be appended to for a bilateral procedure?
A. 22510
B. 36251
C. 36252
D. 37650 - ANSWER-C. 36252
Select the TRUE statement regarding modifier 51 in the CPT® code book.
A. Modifier 51 can be replaced by using the RT and LT modifiers.
B. Add-on codes should always have modifier 51 appended to them.
C. Codes exempt from modifier 51 are identified with the universal forbidden symbol.
, D. A list of modifier 51 exempt codes can be found in Appendix A of the CPT® code book. - ANSWER-C.
Codes exempt from modifier 51 are identified with the universal forbidden symbol. (circle with slash
through it)
The National Correct Coding Initiative (NCCI) files contain a Correct Coding Modifier (CCM) indicator.
What does the CCM indicator 0 mean?
A. A CCM is not allowed and will not bypass the edits.
B. A CCM is allowed and will bypass the edits.
C. The use of modifiers is not specified.
D. Only modifier 59 will bypass the edits. - ANSWER-A. A CCM is not allowed and will not bypass the
edits.
According to the parenthetical instructions for CPT® code 33690, how should right and left pulmonary
artery banding in a single ventricle be reported?
A.33690-50
B.33620
C.33690-63
D.33620-50 - ANSWER-B. 33620
What association maintains and publishes CPT® coding guidelines, codes, and descriptions?
A.AMA
B.CPT®
C.CMS
D.HCPCS - ANSWER-A. AMA
What are the 3 categories of CPT Codes?
A. CPT, HCPCS, HCPCS Level II
B. Categories I, II, and III
C. CPT, modifiers, index
D. CPT, modifiers, HCPCS Level II - ANSWER-B. Categories I, II, and III
What are the 3 methods used to list main terms in CPT code book alphabetic index?
A. condition, brand names, procedure
B. condition, synonyms, abbreviations
C. anatomic site, surgical specialty, eponyms
D. eponyms, procedure, instruments - ANSWER-B. condition, symptoms, abbreviations
What 3 components are used to configure relative value units?
A. location of practice, location of medical school, ancillary personnel
B. malpractice insurance claims, physician work, practice expense
C. malpractice insurance costs, physician work, practice expense
D. all of the above - ANSWER-C. malpractice insurance costs, physician work, practice expense
What are the Physician Fee Schedule's definitions for facility and non-facility?
A. Facility includes privately owned physician practices and non-facility includes hospital owned
physician practices
B. Non-facility includes privately owned physician practices
C. Facility includes skilled nursing facilities, nursing homes, and hospital settings
D. Both B and C - ANSWER-D. Both B & C
Which CPT code set is used voluntarily by physicians to report quality patient performance
measurements?
A. Category I codes
B. Category II codes
C. Category III codes
D. CPT unlisted codes - ANSWER-B. Category II codes
application, and exam questions and answers 2025
AGRADE
Select the TRUE statement regarding modifier 51 in the CPT code book. - ANSWER-Codes exempt
from modifier 51 are identified with universal forbidden symbol.
(circle with slash through it)
The National Correct Coding Initiative (NCCI) file contains a Correct Coding Modifier (CCM) indicator.
What does the CCM indicator 0 mean? - ANSWER-A CCM is not allowed and will not bypass the edits.
What are the 3 categories of CPT codes? - ANSWER-Categories I, II, and III
Which CPT code set is used voluntarily by physicians to report quality patient performance
measurements? - ANSWER-Category II codes
What is the Postoperative period included in the surgical global package for major surgery? -
ANSWER-90 days
When surgery is performed, what services are included and not billed separately? - ANSWER-All of the
above.
Which set of HCPCS codes are required for use under Medicare Outpatient Prospective Payment
System? - ANSWER-C codes
Which set of HCPCS Level II codes are considered temporary codes assigned by CMS and reviewed by
AMA for inclusion in the CPT? - ANSWER-G codes
Which HCPCS Level II modifier should you append for a new wheelchair purchase? - ANSWER-NU
In which option below is it appropriate to append HCPCS Level II modifiers to CPT procedure codes? -
ANSWER-When specifically is required for eyelids, fingers, toes, and coronary arteries
What is the full description for CPT® code 43622?
A. With formation of intestinal pouch, any type
B. Gastrectomy, total; with Roux-en-Y reconstruction and formation of intestinal pouch, any type
C. Gastrectomy, total; with esophagoenterostomy with formation of intestinal pouch, any type
D. Gastrectomy, total; with formation of intestinal pouch, any type - ANSWER-D. Gastrectomy, total;
with formation of intestinal pouch, any type
Which 1 of the CPT codes listed below would modifier 50 be appended to for a bilateral procedure?
A. 22510
B. 36251
C. 36252
D. 37650 - ANSWER-C. 36252
Select the TRUE statement regarding modifier 51 in the CPT® code book.
A. Modifier 51 can be replaced by using the RT and LT modifiers.
B. Add-on codes should always have modifier 51 appended to them.
C. Codes exempt from modifier 51 are identified with the universal forbidden symbol.
, D. A list of modifier 51 exempt codes can be found in Appendix A of the CPT® code book. - ANSWER-C.
Codes exempt from modifier 51 are identified with the universal forbidden symbol. (circle with slash
through it)
The National Correct Coding Initiative (NCCI) files contain a Correct Coding Modifier (CCM) indicator.
What does the CCM indicator 0 mean?
A. A CCM is not allowed and will not bypass the edits.
B. A CCM is allowed and will bypass the edits.
C. The use of modifiers is not specified.
D. Only modifier 59 will bypass the edits. - ANSWER-A. A CCM is not allowed and will not bypass the
edits.
According to the parenthetical instructions for CPT® code 33690, how should right and left pulmonary
artery banding in a single ventricle be reported?
A.33690-50
B.33620
C.33690-63
D.33620-50 - ANSWER-B. 33620
What association maintains and publishes CPT® coding guidelines, codes, and descriptions?
A.AMA
B.CPT®
C.CMS
D.HCPCS - ANSWER-A. AMA
What are the 3 categories of CPT Codes?
A. CPT, HCPCS, HCPCS Level II
B. Categories I, II, and III
C. CPT, modifiers, index
D. CPT, modifiers, HCPCS Level II - ANSWER-B. Categories I, II, and III
What are the 3 methods used to list main terms in CPT code book alphabetic index?
A. condition, brand names, procedure
B. condition, synonyms, abbreviations
C. anatomic site, surgical specialty, eponyms
D. eponyms, procedure, instruments - ANSWER-B. condition, symptoms, abbreviations
What 3 components are used to configure relative value units?
A. location of practice, location of medical school, ancillary personnel
B. malpractice insurance claims, physician work, practice expense
C. malpractice insurance costs, physician work, practice expense
D. all of the above - ANSWER-C. malpractice insurance costs, physician work, practice expense
What are the Physician Fee Schedule's definitions for facility and non-facility?
A. Facility includes privately owned physician practices and non-facility includes hospital owned
physician practices
B. Non-facility includes privately owned physician practices
C. Facility includes skilled nursing facilities, nursing homes, and hospital settings
D. Both B and C - ANSWER-D. Both B & C
Which CPT code set is used voluntarily by physicians to report quality patient performance
measurements?
A. Category I codes
B. Category II codes
C. Category III codes
D. CPT unlisted codes - ANSWER-B. Category II codes
