CERTIFIED PROFESSIONAL CODER (AAPC CPC)
COMPREHENSIVE EXAM PRACTICE QUESTIONS AND
ANSWERS: THE MOST RECENT AND COMPREHENSIVE
VERSION WITH VERIFIED ANSWERS; GUARANTEED PASS
WITH INSTANT PDF DOWNLOAD.
Exam Overview
This comprehensive 150-question assessment mirrors the structure, rigor, and scope of the American
Academy of Professional Coders (AAPC) CPC Exam.
The examination evaluates competency in:
Medical Terminology & Anatomy
ICD-10-CM Diagnosis Coding
CPT® Procedure Coding (Surgery, E/M, Anesthesia, Radiology, Pathology/Lab, Medicine)
HCPCS Level II Coding
Modifiers & Bundling (NCCI principles)
Compliance, Fraud & Abuse, HIPAA
Reimbursement Methodologies (Medicare, RVUs, APCs, MIPS)
Documentation Standards
Professional Ethics & Regulatory Guidelines
Clinical Decision-Making & Scenario-Based Coding
1. Which organization maintains the CPT® code set?
A. CMS
B. WHO
C. American Medical Association (AMA)
D. CDC
Rationale: CPT® is developed and maintained by the AMA.
2. A patient is seen for hypertension. The provider documents “benign essential
hypertension.” Which ICD-10-CM code applies?
, A. I11.9
B. I15.9
C. I10
D. I12.9
Rationale: I10 is used for essential (primary) hypertension.
3. A new patient visit requires comprehensive history, comprehensive exam,
and high medical decision-making. Which E/M level is appropriate?
A. 99202
B. 99203
C. 99204
D. 99205
Rationale: 99205 requires high MDM for new patients.
4. Modifier -25 is used to indicate:
A. Bilateral procedure
B. Repeat procedure by same physician
C. Significant, separately identifiable E/M service on same day as
procedure
D. Reduced services
Rationale: Modifier -25 distinguishes E/M from procedure when separately
identifiable.
, 5. The global surgical package includes all except:
A. Preoperative visit
B. Intraoperative services
C. Postoperative visits
D. Unrelated postoperative E/M service
Rationale: Unrelated services are not included in the global package.
6. A laceration repair of 3.0 cm on the forearm, simple repair. CPT® code?
A. 12001
B. 12002
C. 12002
D. 12004
Rationale: 2.6–7.5 cm simple repair of extremity = 12002.
7. A screening colonoscopy is discontinued due to poor prep. Modifier?
A. -52
B. -53
C. -53
D. -26
Rationale: Modifier -53 indicates discontinued procedure.
, 8. Which HCPCS Level II code covers ambulance services?
A. A0428
B. E0114
C. J1100
D. A0428
Rationale: A0428 represents basic life support ambulance transport.
9. NCCI edits are designed to:
A. Increase reimbursement
B. Prevent fraud in coding
C. Prevent improper unbundling of services
D. Assign RVUs
Rationale: NCCI prevents inappropriate unbundling.
10.HIPAA was enacted to:
A. Regulate CPT codes
B. Establish fee schedules
C. Protect patient health information and standardize transactions
D. Replace Medicare
Rationale: HIPAA ensures privacy and electronic standardization.
COMPREHENSIVE EXAM PRACTICE QUESTIONS AND
ANSWERS: THE MOST RECENT AND COMPREHENSIVE
VERSION WITH VERIFIED ANSWERS; GUARANTEED PASS
WITH INSTANT PDF DOWNLOAD.
Exam Overview
This comprehensive 150-question assessment mirrors the structure, rigor, and scope of the American
Academy of Professional Coders (AAPC) CPC Exam.
The examination evaluates competency in:
Medical Terminology & Anatomy
ICD-10-CM Diagnosis Coding
CPT® Procedure Coding (Surgery, E/M, Anesthesia, Radiology, Pathology/Lab, Medicine)
HCPCS Level II Coding
Modifiers & Bundling (NCCI principles)
Compliance, Fraud & Abuse, HIPAA
Reimbursement Methodologies (Medicare, RVUs, APCs, MIPS)
Documentation Standards
Professional Ethics & Regulatory Guidelines
Clinical Decision-Making & Scenario-Based Coding
1. Which organization maintains the CPT® code set?
A. CMS
B. WHO
C. American Medical Association (AMA)
D. CDC
Rationale: CPT® is developed and maintained by the AMA.
2. A patient is seen for hypertension. The provider documents “benign essential
hypertension.” Which ICD-10-CM code applies?
, A. I11.9
B. I15.9
C. I10
D. I12.9
Rationale: I10 is used for essential (primary) hypertension.
3. A new patient visit requires comprehensive history, comprehensive exam,
and high medical decision-making. Which E/M level is appropriate?
A. 99202
B. 99203
C. 99204
D. 99205
Rationale: 99205 requires high MDM for new patients.
4. Modifier -25 is used to indicate:
A. Bilateral procedure
B. Repeat procedure by same physician
C. Significant, separately identifiable E/M service on same day as
procedure
D. Reduced services
Rationale: Modifier -25 distinguishes E/M from procedure when separately
identifiable.
, 5. The global surgical package includes all except:
A. Preoperative visit
B. Intraoperative services
C. Postoperative visits
D. Unrelated postoperative E/M service
Rationale: Unrelated services are not included in the global package.
6. A laceration repair of 3.0 cm on the forearm, simple repair. CPT® code?
A. 12001
B. 12002
C. 12002
D. 12004
Rationale: 2.6–7.5 cm simple repair of extremity = 12002.
7. A screening colonoscopy is discontinued due to poor prep. Modifier?
A. -52
B. -53
C. -53
D. -26
Rationale: Modifier -53 indicates discontinued procedure.
, 8. Which HCPCS Level II code covers ambulance services?
A. A0428
B. E0114
C. J1100
D. A0428
Rationale: A0428 represents basic life support ambulance transport.
9. NCCI edits are designed to:
A. Increase reimbursement
B. Prevent fraud in coding
C. Prevent improper unbundling of services
D. Assign RVUs
Rationale: NCCI prevents inappropriate unbundling.
10.HIPAA was enacted to:
A. Regulate CPT codes
B. Establish fee schedules
C. Protect patient health information and standardize transactions
D. Replace Medicare
Rationale: HIPAA ensures privacy and electronic standardization.
