AAPC CPC FINAL EXAM QUESTION BANK (2 VERSIONS)
NEWEST 2025 ACTUAL EXAM WITH COMPLETE 350+
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) ALREADY GRADED A+ |
GUARANTEED PASS
A 5-year-old male with a history of prematurity was found to have a chordee due
to congenital hypospadias. He presents for surgical management for a plastic
repair in straightening the abnormal curvature. Under general anesthesia, bands
were placed around the base of the penis and incisions were made degloving the
penis circumferentially. The foreskin was divided in Byers flaps and the penile skin
was reapproximated at the 12 o'clock position. Two Byers flaps were
reapproximated, recreating a mucosal collar which was then criss- crossed and
trimmed in the midline in order to accommodate median raphe reconstruction.
This was reconstructed with use of a horizontal mattress suture. The shaft skin
was then approximated to the mucosal collar with sutures correcting the defect.
Which CPT® code should be used?
A. 54304
B. 54340
C. 54400
D. 54440 - Correct Answer > A. 54304
Which statement is TRUE about Z codes:
A. Z codes are never reported as a primary code.
B. Z codes are only reported with injury codes.
,C. Z codes may be used either as a primary code or a secondary code.
D. Z codes are always reported as a secondary code. - Correct Answer > C. Z codes may
be used either as a primary code or a secondary code.
Which place of service code is reported on the physician's claim for a surgical
procedure performed in an ASC?
A. 21
B. 22
C. 24
D. 11 - Correct Answer > C. 24
MRI reveals patient has cervical stenosis. It was determined he should undergo
bilateral cervical laminectomy at C3 through C6 and fusion. The edges of the
laminectomy were then cleaned up with a Kerrison and foraminotomies were
done at C4, C5, and,C6. The stenosis is central; a facetectomy is performed by
using a burr. Nerve root canals were freed by additional resection of the facet, and
compression of the spinal cord was relieved by removal of a tissue overgrowth
around the foramen. Which CPT® code(s) is (are) used for this procedure?
A. 63045-50, 63048-50
B. 63020-50, 63035-50, 63035-50
C. 63015-50
D. 63045, 63048 x 2 - Correct Answer > D. 63045, 63048 x 2
If a ST elevation myocardial infarction (STEMI) converts to a non ST elevation
myocardial infarction (NSTEMI) due to thrombolytic therapy, how is it reported,
according to ICD-10-CM guidelines?
,A. As unspecified AMI
B. As a subendocardial AMI
C. As STEMI
D. As a NSTEMI - Correct Answer > C. As STEMI
A 64-year-old female who has multiple sclerosis fell from her walker and landed
on a glass table. She lacerated her forehead, cheek and chin and the total length
of these lacerations was 6 cm. Her right arm and left leg had deep cuts measuring
5 cm on each extremity. Her right hand and right foot had a total of 3 cm
lacerations. The ED physician repaired the lacerations as follows: The forehead,
cheek, and chin had debridement and cleaning of glass debris with the lacerations
being closed with one layer closure, 6-0 Prolene sutures. The arm and leg were
repaired by layered closure, 6-0 Vicryl subcutaneous sutures and Prolene sutures
on the skin. The hand and foot were closed with adhesive strips. Select the
appropriate procedure codes for this visit.
A. 99283-25, 12014, 12034-59, 12002-59, 11042-51
B. 99283-25, 12053, 12034-59, 12002-59
C. 99283-25, 12014, 12034-59, 11042-51
D. 99283-25, 12053, 12034-59 - Correct Answer > D. 99283-25, 12053, 12034-59
A 52-year-old female has a mass growing on her right flank for several years. It has
finally gotten significantly larger and is beginning to bother her. She is brought to
the Operating Room for definitive excision. An incision was made directly
overlying the mass. The mass was down into the subcutaneous tissue and the
surgeon encountered a well encapsulated lipoma approximately 4 centimeters.
This was excised primarily bluntly with a few attachments divided with
electrocautery. What CPT® and ICD-10-CM codes are reported?
A. 21932, D17.39
, B. 21935, D17.1
C. 21931, D17.1
D. 21925, D17.9 - Correct Answer > C. 21931, D17.1
Question 5
PREOPERATIVE DIAGNOSIS: Right scaphoid fracture. TYPE OF PROCEDURE: Open
reduction and internal fixation of right scaphoid fracture. DESCRIPTION OF
PROCEDURE: The patient was brought to the operating room; anesthesia having
been administered. The right upper extremity was prepped and draped in a sterile
manner. The limb was elevated, exsanguinated, and a pneumatic arm tourniquet
was elevated. An incision was made over the dorsal radial aspect of the right
wrist. Skin flaps were elevated. Cutaneous nerve branches were identified and
very gently retracted. The interval between the second and third dorsal
compartment tendons was identified and entered. The respective tendons were
retracted. A dorsal capsulotomy incision was made, and the fracture was
visualized. There did not appear to be any type of significant defect at the fracture
site. A 0.045 Kirschner wire was then used as a guidewire, extending from t - Correct
Answer > A. 25628-RT
An infant with genu valgum is brought to the operating room to have a bilateral
medial distal femur hemiepiphysiodesis done. On each knee, the C-arm was used
to localize the growth plate. With the growth plate localized, an incision was made
medially on both sides. This was taken down to the fascia, which was opened. The
periosteum was not opened. The Orthofix® figure-of-eight plate was placed and
checked with X-ray. We then irrigated and closed the medial fascia with 0 Vicryl
suture. The skin was closed with 2-0 Vicryl and 3-0 Monocryl®. What procedure
code is reported?
A. 27470-50
B. 27475-50
NEWEST 2025 ACTUAL EXAM WITH COMPLETE 350+
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) ALREADY GRADED A+ |
GUARANTEED PASS
A 5-year-old male with a history of prematurity was found to have a chordee due
to congenital hypospadias. He presents for surgical management for a plastic
repair in straightening the abnormal curvature. Under general anesthesia, bands
were placed around the base of the penis and incisions were made degloving the
penis circumferentially. The foreskin was divided in Byers flaps and the penile skin
was reapproximated at the 12 o'clock position. Two Byers flaps were
reapproximated, recreating a mucosal collar which was then criss- crossed and
trimmed in the midline in order to accommodate median raphe reconstruction.
This was reconstructed with use of a horizontal mattress suture. The shaft skin
was then approximated to the mucosal collar with sutures correcting the defect.
Which CPT® code should be used?
A. 54304
B. 54340
C. 54400
D. 54440 - Correct Answer > A. 54304
Which statement is TRUE about Z codes:
A. Z codes are never reported as a primary code.
B. Z codes are only reported with injury codes.
,C. Z codes may be used either as a primary code or a secondary code.
D. Z codes are always reported as a secondary code. - Correct Answer > C. Z codes may
be used either as a primary code or a secondary code.
Which place of service code is reported on the physician's claim for a surgical
procedure performed in an ASC?
A. 21
B. 22
C. 24
D. 11 - Correct Answer > C. 24
MRI reveals patient has cervical stenosis. It was determined he should undergo
bilateral cervical laminectomy at C3 through C6 and fusion. The edges of the
laminectomy were then cleaned up with a Kerrison and foraminotomies were
done at C4, C5, and,C6. The stenosis is central; a facetectomy is performed by
using a burr. Nerve root canals were freed by additional resection of the facet, and
compression of the spinal cord was relieved by removal of a tissue overgrowth
around the foramen. Which CPT® code(s) is (are) used for this procedure?
A. 63045-50, 63048-50
B. 63020-50, 63035-50, 63035-50
C. 63015-50
D. 63045, 63048 x 2 - Correct Answer > D. 63045, 63048 x 2
If a ST elevation myocardial infarction (STEMI) converts to a non ST elevation
myocardial infarction (NSTEMI) due to thrombolytic therapy, how is it reported,
according to ICD-10-CM guidelines?
,A. As unspecified AMI
B. As a subendocardial AMI
C. As STEMI
D. As a NSTEMI - Correct Answer > C. As STEMI
A 64-year-old female who has multiple sclerosis fell from her walker and landed
on a glass table. She lacerated her forehead, cheek and chin and the total length
of these lacerations was 6 cm. Her right arm and left leg had deep cuts measuring
5 cm on each extremity. Her right hand and right foot had a total of 3 cm
lacerations. The ED physician repaired the lacerations as follows: The forehead,
cheek, and chin had debridement and cleaning of glass debris with the lacerations
being closed with one layer closure, 6-0 Prolene sutures. The arm and leg were
repaired by layered closure, 6-0 Vicryl subcutaneous sutures and Prolene sutures
on the skin. The hand and foot were closed with adhesive strips. Select the
appropriate procedure codes for this visit.
A. 99283-25, 12014, 12034-59, 12002-59, 11042-51
B. 99283-25, 12053, 12034-59, 12002-59
C. 99283-25, 12014, 12034-59, 11042-51
D. 99283-25, 12053, 12034-59 - Correct Answer > D. 99283-25, 12053, 12034-59
A 52-year-old female has a mass growing on her right flank for several years. It has
finally gotten significantly larger and is beginning to bother her. She is brought to
the Operating Room for definitive excision. An incision was made directly
overlying the mass. The mass was down into the subcutaneous tissue and the
surgeon encountered a well encapsulated lipoma approximately 4 centimeters.
This was excised primarily bluntly with a few attachments divided with
electrocautery. What CPT® and ICD-10-CM codes are reported?
A. 21932, D17.39
, B. 21935, D17.1
C. 21931, D17.1
D. 21925, D17.9 - Correct Answer > C. 21931, D17.1
Question 5
PREOPERATIVE DIAGNOSIS: Right scaphoid fracture. TYPE OF PROCEDURE: Open
reduction and internal fixation of right scaphoid fracture. DESCRIPTION OF
PROCEDURE: The patient was brought to the operating room; anesthesia having
been administered. The right upper extremity was prepped and draped in a sterile
manner. The limb was elevated, exsanguinated, and a pneumatic arm tourniquet
was elevated. An incision was made over the dorsal radial aspect of the right
wrist. Skin flaps were elevated. Cutaneous nerve branches were identified and
very gently retracted. The interval between the second and third dorsal
compartment tendons was identified and entered. The respective tendons were
retracted. A dorsal capsulotomy incision was made, and the fracture was
visualized. There did not appear to be any type of significant defect at the fracture
site. A 0.045 Kirschner wire was then used as a guidewire, extending from t - Correct
Answer > A. 25628-RT
An infant with genu valgum is brought to the operating room to have a bilateral
medial distal femur hemiepiphysiodesis done. On each knee, the C-arm was used
to localize the growth plate. With the growth plate localized, an incision was made
medially on both sides. This was taken down to the fascia, which was opened. The
periosteum was not opened. The Orthofix® figure-of-eight plate was placed and
checked with X-ray. We then irrigated and closed the medial fascia with 0 Vicryl
suture. The skin was closed with 2-0 Vicryl and 3-0 Monocryl®. What procedure
code is reported?
A. 27470-50
B. 27475-50
