CERTIFIED RISK ADJUSTMENT CODER (CRC) EXAM
AND PRACTICE EXAM NEWEST 2026 TEST BANK|
AAPC CRC CERTIFICATION EXAM PREP WITH
COMPLETE 1000+ REAL EXAM QUESTIONS AND
CORRECT VERIFIED ANSWERS/ ALREADY GRADED
A+ (MOST RECENT!!)
What health insurance assistance program is sponsored by federal and
state governments?
A. Medicare
B. Medicaid
C. Commercial carriers
D. Private Payer - Correct Answer - B. Medicaid
Medicaid is a health insurance assistance program for some low-income
people (especially children and pregnancy women) sponsored by federal
and state governments. It is administered on a state-by-state basis, but
state programs must adhere to certain federal guidelines.
What OIG document should a Medicare Advantage participant review
for potential problem areas that will receive special scrutiny in the
upcoming year?
A. Compliance Program Guidance
B. Safe Harbor Regulations
C. Red Flag Rules
D. OIG Work Plan - Correct Answer - D. OIG Work Plan
Twice a year, the OIG releases a work plan outlining its proprieties for
the fiscal year ahead. Of special interest to healthcare, the work plan
pg. 1
,announces potential problem areas with claims submissions that it will
target for special scrutiny.
Which regulation strengthens HIPPA rules by addressing privacy and
security concerns associated with the electronic transmission of health
information?
A. Social Security Act (SSA)
B. Deficit Reduction Act (DRA)
C. Health Information Technology for Economic and Clinical Health Act
(HITECH)
D. Medicare Access and CHIP Reauthorization Act (MACRA) - Correct
Answer - C. Health Information Technology for Economic and Clinical
Health Act (HITECH)
Patient is here for follow up after her dialysis yesterday. What is the
ICD-10-CM code for presence of an AV fistula for dialysis?
A. T82.818D
B. I77.0
C. Z49.31
D. Z99.2 - Correct Answer - D. Z99.2
A patient presents for a routine checkup for his hypertensive heart
failure. He is to continue with his current medication and diet. Select the
diagnosis code(s).
A. I50.40, I10
B. I11.0, I50.9
C. I50.9, I10
pg. 2
,D. I50.9 - Correct Answer - B. I11.0, I50.9
Today a 54-year-old man presents for his routine follow up after renal
transplant two years ago. The patient has CKD stage 2 and reports no
other complaints. Assign the correct ICD-10-CM code(s).
A. N18.2, Z94.0
B. T86.10, Z94.0
C. T86.10
D. Z94.0, N18.2 - Correct Answer - A. N18.2, Z94.0
A Type 2 diabetic presents with an insulin pump malfunction. What are
the correct codes?
A. T85.694A, E11.9
B. T85.694A, E11.620
C. T82.598A, E11.9
D. T82.598A, E11.620 - Correct Answer - A. T85.694A, E11.9
What is the correct ICD-10-CM code for a patient with COPD
exacerbation?
A. J44.1
B. J44.9
C. J45.909
D. J44.9 - Correct Answer - A. J44.1
Which ICD-10-CM code selection is reported for a nursing home patient
with severe dementia often caught wandering off from the floor?
pg. 3
, A. F03.C18, Z91.83
B. F02.81, Z91.83
C. F03.C0, Z91.83
D. Z91.83 - Correct Answer - A. F03.C18, Z91.83
A 66 year-old male patient with AIDS presents with new onset of
shortness of breath. Tests confirm the patient has pneumocystis carinii
pneumonia. Select the appropriate diagnosis code(s).
A. B59B.
B. 59, B20, R06.02
C. B20, B59
D. B20 - Correct Answer - C. B20, B59
70 year-old with COPD is admitted to the hospital for acute exacerbation
of chronic bronchial asthma. What diagnosis code(s) should be reported?
A. J44.1
B. J45.901, J44.9
C. J45.901
D. J44.1, J45.901 - Correct Answer - D. J44.1, J45.901
Patient with coronary arteriosclerosis disease (CAD) sees his
cardiologist to discuss a coronary artery bypass graft (CABG). This
would be the patient's first CABG. What ICD-10-CM code should be
reported?
A. I25.110
B. I25.810
pg. 4
AND PRACTICE EXAM NEWEST 2026 TEST BANK|
AAPC CRC CERTIFICATION EXAM PREP WITH
COMPLETE 1000+ REAL EXAM QUESTIONS AND
CORRECT VERIFIED ANSWERS/ ALREADY GRADED
A+ (MOST RECENT!!)
What health insurance assistance program is sponsored by federal and
state governments?
A. Medicare
B. Medicaid
C. Commercial carriers
D. Private Payer - Correct Answer - B. Medicaid
Medicaid is a health insurance assistance program for some low-income
people (especially children and pregnancy women) sponsored by federal
and state governments. It is administered on a state-by-state basis, but
state programs must adhere to certain federal guidelines.
What OIG document should a Medicare Advantage participant review
for potential problem areas that will receive special scrutiny in the
upcoming year?
A. Compliance Program Guidance
B. Safe Harbor Regulations
C. Red Flag Rules
D. OIG Work Plan - Correct Answer - D. OIG Work Plan
Twice a year, the OIG releases a work plan outlining its proprieties for
the fiscal year ahead. Of special interest to healthcare, the work plan
pg. 1
,announces potential problem areas with claims submissions that it will
target for special scrutiny.
Which regulation strengthens HIPPA rules by addressing privacy and
security concerns associated with the electronic transmission of health
information?
A. Social Security Act (SSA)
B. Deficit Reduction Act (DRA)
C. Health Information Technology for Economic and Clinical Health Act
(HITECH)
D. Medicare Access and CHIP Reauthorization Act (MACRA) - Correct
Answer - C. Health Information Technology for Economic and Clinical
Health Act (HITECH)
Patient is here for follow up after her dialysis yesterday. What is the
ICD-10-CM code for presence of an AV fistula for dialysis?
A. T82.818D
B. I77.0
C. Z49.31
D. Z99.2 - Correct Answer - D. Z99.2
A patient presents for a routine checkup for his hypertensive heart
failure. He is to continue with his current medication and diet. Select the
diagnosis code(s).
A. I50.40, I10
B. I11.0, I50.9
C. I50.9, I10
pg. 2
,D. I50.9 - Correct Answer - B. I11.0, I50.9
Today a 54-year-old man presents for his routine follow up after renal
transplant two years ago. The patient has CKD stage 2 and reports no
other complaints. Assign the correct ICD-10-CM code(s).
A. N18.2, Z94.0
B. T86.10, Z94.0
C. T86.10
D. Z94.0, N18.2 - Correct Answer - A. N18.2, Z94.0
A Type 2 diabetic presents with an insulin pump malfunction. What are
the correct codes?
A. T85.694A, E11.9
B. T85.694A, E11.620
C. T82.598A, E11.9
D. T82.598A, E11.620 - Correct Answer - A. T85.694A, E11.9
What is the correct ICD-10-CM code for a patient with COPD
exacerbation?
A. J44.1
B. J44.9
C. J45.909
D. J44.9 - Correct Answer - A. J44.1
Which ICD-10-CM code selection is reported for a nursing home patient
with severe dementia often caught wandering off from the floor?
pg. 3
, A. F03.C18, Z91.83
B. F02.81, Z91.83
C. F03.C0, Z91.83
D. Z91.83 - Correct Answer - A. F03.C18, Z91.83
A 66 year-old male patient with AIDS presents with new onset of
shortness of breath. Tests confirm the patient has pneumocystis carinii
pneumonia. Select the appropriate diagnosis code(s).
A. B59B.
B. 59, B20, R06.02
C. B20, B59
D. B20 - Correct Answer - C. B20, B59
70 year-old with COPD is admitted to the hospital for acute exacerbation
of chronic bronchial asthma. What diagnosis code(s) should be reported?
A. J44.1
B. J45.901, J44.9
C. J45.901
D. J44.1, J45.901 - Correct Answer - D. J44.1, J45.901
Patient with coronary arteriosclerosis disease (CAD) sees his
cardiologist to discuss a coronary artery bypass graft (CABG). This
would be the patient's first CABG. What ICD-10-CM code should be
reported?
A. I25.110
B. I25.810
pg. 4
