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AAPC CPC Chapter 8 Practice | 2025/2026 | 50+ Questions with Verified Answers | CPT, ICD-10-CM, Musculoskeletal Coding | Medical Billing & Coding – AAPC Exam

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This document includes over 50 graded and verified questions with detailed rationales, tailored for Chapter 8 of the AAPC Certified Professional Coder (CPC) exam for the 2025/2026 academic year. It offers an in-depth focus on musculoskeletal system coding, particularly procedural and diagnostic coding with CPT® and ICD-10-CM, supported by rationales that reference official codebook guidance and real-world coding logic. Topics covered include: Closed and open fracture treatments Injection coding (e.g., tendon sheath, joint injections) Arthroscopic procedures and spinal arthrodesis Temporomandibular joint manipulations Osteoporotic fractures, post-traumatic coding, and compartment syndrome Differences between procedures such as extension vs. flexion and manipulation vs. non-manipulation Each answer is accompanied by a rationale, helping students understand the “why” behind the coding decision—making this a strong tool for exam prep, coursework revision, or clinical coding review. Ideal for: Courses: Medical Coding & Billing, Health Information Management, Medical Terminology, Advanced CPT/ICD-10-CM Coding, Anatomy & Physiology for Coders Students & Professionals: CPC candidates, healthcare coding students, HIM program enrollees, professional coders preparing for certification or recertification Programs: AAPC Certification Prep Courses, Community College Health Programs, University Medical Coding Diplomas, Vocational Medical Billing & Coding Training The document is fully updated to reflect the latest CPC exam structure and includes explanations that align with AAPC and ICD-10-CM/CPT official standards. Keywords: CPC 2025, AAPC exam prep, Chapter 8 coding, musculoskeletal CPT, ICD-10-CM questions, medical billing and coding, arthroscopy coding, plantar fasciitis injection, fracture coding practice, orthopedic coding, tendon sheath injection, healthcare coding certification, spinal arthrodesis code, procedural coding exercises

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AAPC CPC Chapter 8 2025/2026 Exam
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In the CPT® book, 28400 and 28405 are used when coding a calcaneal

fracture. What is the difference between these two codes? - 🧠 ANSWER

✔✔One includes manipulation and one does not. RATIONALE: Both codes

are used when coding a CLOSED treatment of a calcaneal fracture. Closed

Treatment means there is not an incision made over the fracture site. Code

28400 is "without manipulation" and code 28405 is "with manipulation."

Internal fixation is not a closed treatment procedure.

In the CPT® codebook, 25000 and 25001 are for incisions in the tendon

sheath on the wrist. Code 25000 is for the extensor tendon and 25001 is for

the flexor tendon sheath. What is the difference between extension and

flexion? - 🧠 ANSWER ✔✔Extension causes straightening of the wrist;

flexion causes bending of the wrist.

, RATIONALE: When muscles are named for their action, words like flexor

and extensor are often included in the name. Flexion is bending of a limb or

body part and Extension is straightening of a limb or body part.

How would compartment syndrome of the lower extremity caused by an

auto accident be listed in the ICD-10-CM Alphabetic Index? - 🧠 ANSWER

✔✔Syndrome/compartment/lower extremity


RATIONALE: Compartment syndrome is listed under Syndrome in ICD-10-

CM. Traumatic is considered the default unless specifically stated as

nontraumatic. An auto accident would be considered a traumatic injury.

How would you code a new pathological fracture of the right femur due to

postmenopausal osteoporosis? - 🧠 ANSWER ✔✔M80.051A


RATIONALE: Code M80.051A describes a pathological fracture of the right

femur; In the ICD-10-CM Alphabetic Index look up Fracture/

pathological/due to/osteoporosis/postmenopausal — see

Osteoporosis/postmenopausal/with pathologic fracture. You're directed to

M80.00. In the Alphabetic Index there is no listing for femur. Review the

subcategories for M80.0 in the Tabular List. Subcategory M80.05 is used to

Identify current pathological fracture of femur. 6th character 1 is used for

right femur and 7th character A is used for the initial encounter.
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