AAPC CPC FINAL EXAM 2024-2025 (REAL EXAM) 100 QUESTIONS AND CORRECT
ANSWERS (VERIFIED ANSWERS). GRADED A+
is an example of a disease interaction.
A. Hypertension and osteoporosis
B. PVD and CHF
Page | 1 C. Diabetes with macular degeneration
D. Diabetes and respirator dependence - ANSC. Diabetes with macular degeneration
5 year-old female has a history of post void dribbling. She was found to have extensive labial adhesions, which have been
unresponsive to topical medical management. She is brought to the operating suite in a supine position. Under general
anesthesia the labia majora is retracted and the granulating chronic adhesions were incised midline both anteriorly and
posteriorly. The adherent granulation tissue was excised on either side.
What code should be used for this procedure?
A. 58660
B. 58740
C. 57061
D. 56441 - ANSD. 56441
55 year-old patient was admitted with massive gastric dilation. The endoscope was inserted with a catheter placement. The
endoscope is passed through the cricopharyngeal muscle area without difficulty. Esophagus is normal, some chronic reflux
changes at the esophagogastric junction noted. Stomach significant distention with what appears to be multiple
encapsulated tablets in the stomach at least 20 to 30 of these are noted. Some of these are partially dissolved. Endoscope
could not be engaged due to high grade narrowing in the pyloric channel, the duodenum was not examined. It seems to be a
high grade outlet obstruction with a superimposed volvulus. A repeat examination is not planned at this time. What code
should be used for this procedure?
A. 43246-52
B. 43241-52
C. 43235
D. 43191 - ANSB. 43241-52
56-year-old female is having a bilateral mammogram with computer aid detection conducted as a screening because the
patient has a family history of breast cancer. She does not presently have signs or symptoms of breast disease. What
radiological services are reported?
A. 77065 x 2
B. 77065, 77066
C. 77067
D. 77066 - ANSC. 77067
STUDYGUIDESOLUTIONS
, AAPC CPC FINAL EXAM 2024-2025 (REAL EXAM) 100 QUESTIONS AND CORRECT
ANSWERS (VERIFIED ANSWERS). GRADED A+
67-year-old female fractured a port-a-cath surgically placed a year ago. Under sonographic guidance a needle was passed into
the right common femoral vein. The loop snare was positioned in the right atrium where a portion of the fractured catheter
was situated. The catheter crossed the atrioventricular valve with the remaining aspect of the catheter in the ventricle. A
pigtail catheter was then utilized to loop the catheter and pull the catheter tip into the inferior vena cava. The catheter was
then snared and pulled through the right groin removed in its entirety. What CPT® and ICD-10-CM codes are reported?
Page | 2
A. 37200, T81.509D
B. 37197, T82.514A
C. 37193, T80.219A
D. 37217, T88.8XXA - ANSB. 37197, T82.514A
A 10-month-old child is taken to the operating room for removal of a laryngeal mass. What is (are) the appropriate anesthesia
code(s) to report?
A. 00320
B. 00326
C. 00320, 99100
D. 00326, 99100 - ANSB. 00326
A 10-year-old patient had a recent placement of a cochlear implant. She and her family see an audiologist to check the
pressure and determine the strength of the magnet. The transmitter, microphone and cable are connected to the external
speech processor and maximum loudness levels are determined under programming computer control. Which CPT® code
should be used?
A. 92601
B. 92603
C. 92604
D. 92562 - ANSB. 92603
A 10-year-old-male sustained a Colles' fracture in which the pediatrician performs an application of short arm fiberglass cast.
Select the HCPCS Level II code that is reported.
A. Q4012
B. A4580
C. A4570
D. Q4024 - ANSA. Q4012
A 15 year-old female is to have a tonsillectomy performed for chronic tonsillitis and hypertrophied tonsils. A McIver mouth
gag was put in place and the tongue was depressed. The nasopharynx was digitalized. No significant adenoid tissue was felt.
The tonsils were then removed bilaterally by dissection. The uvula was a huge size because of edema, a part of this was
removed and the raw surface oversewn with 3-0 chromic catgut. Which CPT® code(s) is (are) reported?
A. 42821
STUDYGUIDESOLUTIONS
, AAPC CPC FINAL EXAM 2024-2025 (REAL EXAM) 100 QUESTIONS AND CORRECT
ANSWERS (VERIFIED ANSWERS). GRADED A+
B. 42825, 42104-51
C. 42826, 42106-51
D. 42842 - ANSC. 42826, 42106-51
Page | 3 A 16-day-old male baby is in the OR for a repeat circumcision due to redundant foreskin that caused circumferential scarring
from the original circumcision. Anesthetic was injected and an incision was made at base of the foreskin. Foreskin was pulled
back and the excess foreskin was taken off and the two raw skin surfaces were sutured together to create a circumferential
anastomosis. Select the appropriate code for this surgery:
A. 54150
B. 54160
C. 54163
D. 54164 - ANSC. 54163
A 2 year-old is brought to the ER by EMS for near drowning. EMS had gotten a pulse. The ER physician performs
endotracheal intubation, blood gas, and a central venous catheter placement. The ER physician documents a total time of 30
minutes on this critical infant in which the physician already subtracted the time for the other billable services. Select the E/M
service and procedures to report for the ER physician?
A. 99291-25, 36555, 31500
B. 99291-25, 36556, 31500, 82803
C. 99285-25, 36556, 31500, 82803
D. 99475-25, 36556 - ANSA. 99291-25, 36555, 31500
A 2-year-old is coming in with his mom to see the pediatrician for fever, sore throat, and pulling of the ears. The physician
performs an expanded problem focused history. An expanded problem focused exam. A strep culture was taken for the
pharyngitis and came back positive for strep throat. A diagnosis was also made of the infant having acute otitis media with
effusion in both ears. The medical decision making was of moderate complexity with the giving of a prescription. What CPT®
and ICD-10-CM codes are reported?
A. 99212, J02.9, H66.93
B. 99213, J02.0 H65.93
C. 99212, J02.0 H65.193
D. 99213, J02.0 H65.193 - ANSD. 99213, J02.0 H65.193
A 2-year-old male has a chalazion on both upper and lower lid of the right eye. He was placed under general anesthesia. With
a #11 blade the chalazion was incised and a small curette was then used to retrieve any granulomatous material on both lids.
What CPT® code should be used for this procedure?
A. 67801
B. 67805
C. 67800
D. 67808 - ANSD. 67808
STUDYGUIDESOLUTIONS
, AAPC CPC FINAL EXAM 2024-2025 (REAL EXAM) 100 QUESTIONS AND CORRECT
ANSWERS (VERIFIED ANSWERS). GRADED A+
A 20-day-old infant was seen in the ER by the neonatologist admitting the baby to NICU for cyanosis and rapid breathing.
The neonatologist performed intubation, ventilation management and a complete echocardiogram in the NICU and provided
a report for the echocardiography which did indicate congenital heart disease. Select the correct codes for the physician
service.
A. 99468-25, 93303-26
Page | 4
B. 99471-25, 31500, 94002, 93303-26
C. 99460-25, 31500, 94002, 93303-26
D. 99291-25, 93303-26 - ANSA. 99468-25, 93303-26
A 22-year-old is 14 weeks pregnant and wants to terminate the pregnancy. She has consented for a D&E. She was brought to
the operating room where MAC anesthesia was given. She was then placed in the dorsal lithotomy position and a weighted
speculum was placed into her posterior vaginal vault. Cervix was identified and dilated. A 6.5-cm suction catheter hooked up
to a suction evacuator was placed and products of conception were evacuated. A medium size curette was then used to curette
her endometrium. There was noted to be a small amount of remaining products of conception in her left cornua. Once again
the suction evacuator was placed and the remaining products of conception were evacuated. At this point she had a good
endometrial curetting with no further products of conception noted. Which CPT® code should be used?
A. 59840
B. 59841
C. 59812
D. 59851 - ANSB. 59841
A 23-year-old who is pregnant at 39-weeks and 3 days is presenting for a low transverse cesarean section. An abdominal
incision is made and was extended superiorly and inferiorly with good visualization of the bladder. The bladder blade was
then inserted and the lower uterine segment incised in a transverse fashion with the scalpel. The bladder blade was removed
and the infant's head delivered atraumatically. The nose and mouth were suctioned with the bulb suction trap and the cord
doubly clamped and cut. The placenta was then removed manually. What CPT® and ICD-10- CM codes are reported for this
procedure?
A. 59610, O34.211, Z37.0, Z3A.39
B. 59510, O64.1XX0, Z37.0, Z3A.39
C. 59514, O82, Z37.0, Z3A.39
D. 59515, O82, Z37.0, Z3A.39 - ANSC. 59514, O82, Z37.0, Z3A.39
A 24-year-old patient had an abscess by her vulva which burst. She has developed a soft tissue infection caused by gas
gangrene. The area was debrided of necrotic infected tissue. All of the pus was removed and irrigation was performed with a
liter of saline until clear and clean. The infected area was completely drained and the wound was packed gently with sterile
saline moistened gauze and pads were placed on top of this. The correct CPT® code is:
A. 56405
STUDYGUIDESOLUTIONS
ANSWERS (VERIFIED ANSWERS). GRADED A+
is an example of a disease interaction.
A. Hypertension and osteoporosis
B. PVD and CHF
Page | 1 C. Diabetes with macular degeneration
D. Diabetes and respirator dependence - ANSC. Diabetes with macular degeneration
5 year-old female has a history of post void dribbling. She was found to have extensive labial adhesions, which have been
unresponsive to topical medical management. She is brought to the operating suite in a supine position. Under general
anesthesia the labia majora is retracted and the granulating chronic adhesions were incised midline both anteriorly and
posteriorly. The adherent granulation tissue was excised on either side.
What code should be used for this procedure?
A. 58660
B. 58740
C. 57061
D. 56441 - ANSD. 56441
55 year-old patient was admitted with massive gastric dilation. The endoscope was inserted with a catheter placement. The
endoscope is passed through the cricopharyngeal muscle area without difficulty. Esophagus is normal, some chronic reflux
changes at the esophagogastric junction noted. Stomach significant distention with what appears to be multiple
encapsulated tablets in the stomach at least 20 to 30 of these are noted. Some of these are partially dissolved. Endoscope
could not be engaged due to high grade narrowing in the pyloric channel, the duodenum was not examined. It seems to be a
high grade outlet obstruction with a superimposed volvulus. A repeat examination is not planned at this time. What code
should be used for this procedure?
A. 43246-52
B. 43241-52
C. 43235
D. 43191 - ANSB. 43241-52
56-year-old female is having a bilateral mammogram with computer aid detection conducted as a screening because the
patient has a family history of breast cancer. She does not presently have signs or symptoms of breast disease. What
radiological services are reported?
A. 77065 x 2
B. 77065, 77066
C. 77067
D. 77066 - ANSC. 77067
STUDYGUIDESOLUTIONS
, AAPC CPC FINAL EXAM 2024-2025 (REAL EXAM) 100 QUESTIONS AND CORRECT
ANSWERS (VERIFIED ANSWERS). GRADED A+
67-year-old female fractured a port-a-cath surgically placed a year ago. Under sonographic guidance a needle was passed into
the right common femoral vein. The loop snare was positioned in the right atrium where a portion of the fractured catheter
was situated. The catheter crossed the atrioventricular valve with the remaining aspect of the catheter in the ventricle. A
pigtail catheter was then utilized to loop the catheter and pull the catheter tip into the inferior vena cava. The catheter was
then snared and pulled through the right groin removed in its entirety. What CPT® and ICD-10-CM codes are reported?
Page | 2
A. 37200, T81.509D
B. 37197, T82.514A
C. 37193, T80.219A
D. 37217, T88.8XXA - ANSB. 37197, T82.514A
A 10-month-old child is taken to the operating room for removal of a laryngeal mass. What is (are) the appropriate anesthesia
code(s) to report?
A. 00320
B. 00326
C. 00320, 99100
D. 00326, 99100 - ANSB. 00326
A 10-year-old patient had a recent placement of a cochlear implant. She and her family see an audiologist to check the
pressure and determine the strength of the magnet. The transmitter, microphone and cable are connected to the external
speech processor and maximum loudness levels are determined under programming computer control. Which CPT® code
should be used?
A. 92601
B. 92603
C. 92604
D. 92562 - ANSB. 92603
A 10-year-old-male sustained a Colles' fracture in which the pediatrician performs an application of short arm fiberglass cast.
Select the HCPCS Level II code that is reported.
A. Q4012
B. A4580
C. A4570
D. Q4024 - ANSA. Q4012
A 15 year-old female is to have a tonsillectomy performed for chronic tonsillitis and hypertrophied tonsils. A McIver mouth
gag was put in place and the tongue was depressed. The nasopharynx was digitalized. No significant adenoid tissue was felt.
The tonsils were then removed bilaterally by dissection. The uvula was a huge size because of edema, a part of this was
removed and the raw surface oversewn with 3-0 chromic catgut. Which CPT® code(s) is (are) reported?
A. 42821
STUDYGUIDESOLUTIONS
, AAPC CPC FINAL EXAM 2024-2025 (REAL EXAM) 100 QUESTIONS AND CORRECT
ANSWERS (VERIFIED ANSWERS). GRADED A+
B. 42825, 42104-51
C. 42826, 42106-51
D. 42842 - ANSC. 42826, 42106-51
Page | 3 A 16-day-old male baby is in the OR for a repeat circumcision due to redundant foreskin that caused circumferential scarring
from the original circumcision. Anesthetic was injected and an incision was made at base of the foreskin. Foreskin was pulled
back and the excess foreskin was taken off and the two raw skin surfaces were sutured together to create a circumferential
anastomosis. Select the appropriate code for this surgery:
A. 54150
B. 54160
C. 54163
D. 54164 - ANSC. 54163
A 2 year-old is brought to the ER by EMS for near drowning. EMS had gotten a pulse. The ER physician performs
endotracheal intubation, blood gas, and a central venous catheter placement. The ER physician documents a total time of 30
minutes on this critical infant in which the physician already subtracted the time for the other billable services. Select the E/M
service and procedures to report for the ER physician?
A. 99291-25, 36555, 31500
B. 99291-25, 36556, 31500, 82803
C. 99285-25, 36556, 31500, 82803
D. 99475-25, 36556 - ANSA. 99291-25, 36555, 31500
A 2-year-old is coming in with his mom to see the pediatrician for fever, sore throat, and pulling of the ears. The physician
performs an expanded problem focused history. An expanded problem focused exam. A strep culture was taken for the
pharyngitis and came back positive for strep throat. A diagnosis was also made of the infant having acute otitis media with
effusion in both ears. The medical decision making was of moderate complexity with the giving of a prescription. What CPT®
and ICD-10-CM codes are reported?
A. 99212, J02.9, H66.93
B. 99213, J02.0 H65.93
C. 99212, J02.0 H65.193
D. 99213, J02.0 H65.193 - ANSD. 99213, J02.0 H65.193
A 2-year-old male has a chalazion on both upper and lower lid of the right eye. He was placed under general anesthesia. With
a #11 blade the chalazion was incised and a small curette was then used to retrieve any granulomatous material on both lids.
What CPT® code should be used for this procedure?
A. 67801
B. 67805
C. 67800
D. 67808 - ANSD. 67808
STUDYGUIDESOLUTIONS
, AAPC CPC FINAL EXAM 2024-2025 (REAL EXAM) 100 QUESTIONS AND CORRECT
ANSWERS (VERIFIED ANSWERS). GRADED A+
A 20-day-old infant was seen in the ER by the neonatologist admitting the baby to NICU for cyanosis and rapid breathing.
The neonatologist performed intubation, ventilation management and a complete echocardiogram in the NICU and provided
a report for the echocardiography which did indicate congenital heart disease. Select the correct codes for the physician
service.
A. 99468-25, 93303-26
Page | 4
B. 99471-25, 31500, 94002, 93303-26
C. 99460-25, 31500, 94002, 93303-26
D. 99291-25, 93303-26 - ANSA. 99468-25, 93303-26
A 22-year-old is 14 weeks pregnant and wants to terminate the pregnancy. She has consented for a D&E. She was brought to
the operating room where MAC anesthesia was given. She was then placed in the dorsal lithotomy position and a weighted
speculum was placed into her posterior vaginal vault. Cervix was identified and dilated. A 6.5-cm suction catheter hooked up
to a suction evacuator was placed and products of conception were evacuated. A medium size curette was then used to curette
her endometrium. There was noted to be a small amount of remaining products of conception in her left cornua. Once again
the suction evacuator was placed and the remaining products of conception were evacuated. At this point she had a good
endometrial curetting with no further products of conception noted. Which CPT® code should be used?
A. 59840
B. 59841
C. 59812
D. 59851 - ANSB. 59841
A 23-year-old who is pregnant at 39-weeks and 3 days is presenting for a low transverse cesarean section. An abdominal
incision is made and was extended superiorly and inferiorly with good visualization of the bladder. The bladder blade was
then inserted and the lower uterine segment incised in a transverse fashion with the scalpel. The bladder blade was removed
and the infant's head delivered atraumatically. The nose and mouth were suctioned with the bulb suction trap and the cord
doubly clamped and cut. The placenta was then removed manually. What CPT® and ICD-10- CM codes are reported for this
procedure?
A. 59610, O34.211, Z37.0, Z3A.39
B. 59510, O64.1XX0, Z37.0, Z3A.39
C. 59514, O82, Z37.0, Z3A.39
D. 59515, O82, Z37.0, Z3A.39 - ANSC. 59514, O82, Z37.0, Z3A.39
A 24-year-old patient had an abscess by her vulva which burst. She has developed a soft tissue infection caused by gas
gangrene. The area was debrided of necrotic infected tissue. All of the pus was removed and irrigation was performed with a
liter of saline until clear and clean. The infected area was completely drained and the wound was packed gently with sterile
saline moistened gauze and pads were placed on top of this. The correct CPT® code is:
A. 56405
STUDYGUIDESOLUTIONS
