AAPC CPC Practice Exam Prep
AAPC CPC PRACTICE EXAM PREP NEWEST 2026/2027 ACTUAL EXAM
COMPLETE 150 QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) WITH DETAILED RATIONALES |ALREADY GRADED
A+||BRAND NEW VERSION!!
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
C. 27477-50
D. 27485-50 - Correct Answer-D. 27485-50
Your keywords in the scenario to narrow your choices down to code 27485 are:
"distal femur,""genu valgum," and "hemiepiphysiodesis."
The patient is a 67-year-old gentleman with metastatic colon cancer recently
operated on for a brain metastasis, now for placement of an Infuse-A-Port for
continued chemotherapy. The left subclavian vein was located with a needle and a
guide wire placed. This was confirmed to be in the proper position
fluoroscopically. A transverse incision was made just inferior to this and a
subcutaneous pocket created just inferior to this. After tunneling, the introducer
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, AAPC CPC Practice Exam Prep
was placed over the guide wire and the power port line was placed with the
introducer and the introducer was peeled away. The tip was placed in the
appropriate position under fluoroscopic guidance and the catheter trimmed to the
appropriate length and secured to the power port device. The locking mechanism
was fully engaged. The port was placed in the subcutaneous pocket and
everything sat very nicely fluoroscopically. It was secured to the underlying soft
tissue - Correct Answer-C. 36561, 77001-26
Patient is having an Infuse-A-Port put in his chest to receive chemotherapy. The
subclavian vein (central venous) is being tunneled for the access device,
eliminating multiple choices A and D. The patient had a subcutaneous pocket
created to insert the power port, eliminating multiple choice answer B. Code
77001 reports fluoroscopic guidance for a central venous access device. Modifier
26 denotes the professional service.
A CT scan identified moderate-sized right pleural effusion in a 50 year-old male.
This was estimated to be 800 cc in size and had an appearance of fluid on the CT
Scan. A needle is used to puncture through the chest tissues and enter the pleural
cavity to insert a guidewire under ultrasound guidance. A pigtail catheter is then
inserted at the length of the guidewire and secured by stitches. The catheter will
remain in the chest and is connected to drainage system to drain the accumulated
fluid. The CPT® code is:
A. 32557
B. 32555
C. 32556
D. 32550 - Correct Answer-A. 32557
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, AAPC CPC Practice Exam Prep
The drainage of fluid from the pleural cavity was performed via needle
(percutaneous) with insertion of an indwelling catheter to drain the fluid,
eliminating multiple choice answers B and D. The procedure was performed under
ultrasound guidance, eliminating multiple choice answer C.
A 70-year-old female who has a history of symptomatic ventral hernia was advised
to undergo laparoscopic evaluation and repair. An incision was made in the
epigastrium and dissection was carried down through the subcutaneous tissue.
Two 5-mm trocars were placed, one in the left upper quadrant and one in the left
lower quadrant and the laparoscope was inserted. Dissection was carried down to
the area of the hernia where a small defect was clearly visualized. There was some
omentum, which was adhered to the hernia and this was delivered back into the
peritoneal cavity. The mesh was tacked on to cover the defect. What procedure
code(s) is (are) reported?
A. 49560, 49568
B. 49652
C. 49653
D. 49652, 49568 - Correct Answer-B. 49652
The patient is having a laparoscopic ventral hernia repair, eliminating multiple
choice answer A. The hernia is not documented as being incarcerated or
strangulated, eliminating multiple choice answer C. A parenthetical note under the
code description for 49652 indicates that a mesh insertion (49568) is not reported
with this code when performed; eliminating multiple choice answer D.
The patient is a 50-year-old gentleman who presented to the emergency room
with signs and symptoms of acute appendicitis with possible rupture. He has been
brought to the operating room. An infraumbilical incision was made which a 5-mm
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, AAPC CPC Practice Exam Prep
VersaStep™ trocar was inserted. A 5-mm 0- degree laparoscope was introduced. A
second 5-mm trocar was placed suprapubically and a 12-mm trocar in the left
lower quadrant. A window was made in the mesoappendix using blunt dissection
with no rupture noted. The base of the appendix was then divided and placed into
an Endo-catch bag and the 12-mm defect was brought out. Select the appropriate
code for this procedure:
A. 44970
B. 44950
C. 44960
D. 44979 - Correct Answer-A. 44970
Patient is having the surgery performed by a laparoscope, eliminating multiple
choice answers B and C. The surgical procedure performed was an appendectomy,
eliminating multiple choice D.
A 45-year-old male is going to donate his kidney to his son. Operating ports where
placed in standard position and the scope was inserted. Dissection of the renal
artery and vein was performed isolating the kidney. The kidney was suspended
only by the renal artery and vein as well as the ureter. A stapler was used to divide
the vein just above the aorta and three clips across the ureter, extracting the
kidney. This was placed on ice and sent to the recipient room. The correct CPT®
code is:
A. 50543
B. 50547
C. 50300
D. 50320 - Correct Answer-B. 50547
4|Page
AAPC CPC PRACTICE EXAM PREP NEWEST 2026/2027 ACTUAL EXAM
COMPLETE 150 QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) WITH DETAILED RATIONALES |ALREADY GRADED
A+||BRAND NEW VERSION!!
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
C. 27477-50
D. 27485-50 - Correct Answer-D. 27485-50
Your keywords in the scenario to narrow your choices down to code 27485 are:
"distal femur,""genu valgum," and "hemiepiphysiodesis."
The patient is a 67-year-old gentleman with metastatic colon cancer recently
operated on for a brain metastasis, now for placement of an Infuse-A-Port for
continued chemotherapy. The left subclavian vein was located with a needle and a
guide wire placed. This was confirmed to be in the proper position
fluoroscopically. A transverse incision was made just inferior to this and a
subcutaneous pocket created just inferior to this. After tunneling, the introducer
1|Page
, AAPC CPC Practice Exam Prep
was placed over the guide wire and the power port line was placed with the
introducer and the introducer was peeled away. The tip was placed in the
appropriate position under fluoroscopic guidance and the catheter trimmed to the
appropriate length and secured to the power port device. The locking mechanism
was fully engaged. The port was placed in the subcutaneous pocket and
everything sat very nicely fluoroscopically. It was secured to the underlying soft
tissue - Correct Answer-C. 36561, 77001-26
Patient is having an Infuse-A-Port put in his chest to receive chemotherapy. The
subclavian vein (central venous) is being tunneled for the access device,
eliminating multiple choices A and D. The patient had a subcutaneous pocket
created to insert the power port, eliminating multiple choice answer B. Code
77001 reports fluoroscopic guidance for a central venous access device. Modifier
26 denotes the professional service.
A CT scan identified moderate-sized right pleural effusion in a 50 year-old male.
This was estimated to be 800 cc in size and had an appearance of fluid on the CT
Scan. A needle is used to puncture through the chest tissues and enter the pleural
cavity to insert a guidewire under ultrasound guidance. A pigtail catheter is then
inserted at the length of the guidewire and secured by stitches. The catheter will
remain in the chest and is connected to drainage system to drain the accumulated
fluid. The CPT® code is:
A. 32557
B. 32555
C. 32556
D. 32550 - Correct Answer-A. 32557
2|Page
, AAPC CPC Practice Exam Prep
The drainage of fluid from the pleural cavity was performed via needle
(percutaneous) with insertion of an indwelling catheter to drain the fluid,
eliminating multiple choice answers B and D. The procedure was performed under
ultrasound guidance, eliminating multiple choice answer C.
A 70-year-old female who has a history of symptomatic ventral hernia was advised
to undergo laparoscopic evaluation and repair. An incision was made in the
epigastrium and dissection was carried down through the subcutaneous tissue.
Two 5-mm trocars were placed, one in the left upper quadrant and one in the left
lower quadrant and the laparoscope was inserted. Dissection was carried down to
the area of the hernia where a small defect was clearly visualized. There was some
omentum, which was adhered to the hernia and this was delivered back into the
peritoneal cavity. The mesh was tacked on to cover the defect. What procedure
code(s) is (are) reported?
A. 49560, 49568
B. 49652
C. 49653
D. 49652, 49568 - Correct Answer-B. 49652
The patient is having a laparoscopic ventral hernia repair, eliminating multiple
choice answer A. The hernia is not documented as being incarcerated or
strangulated, eliminating multiple choice answer C. A parenthetical note under the
code description for 49652 indicates that a mesh insertion (49568) is not reported
with this code when performed; eliminating multiple choice answer D.
The patient is a 50-year-old gentleman who presented to the emergency room
with signs and symptoms of acute appendicitis with possible rupture. He has been
brought to the operating room. An infraumbilical incision was made which a 5-mm
3|Page
, AAPC CPC Practice Exam Prep
VersaStep™ trocar was inserted. A 5-mm 0- degree laparoscope was introduced. A
second 5-mm trocar was placed suprapubically and a 12-mm trocar in the left
lower quadrant. A window was made in the mesoappendix using blunt dissection
with no rupture noted. The base of the appendix was then divided and placed into
an Endo-catch bag and the 12-mm defect was brought out. Select the appropriate
code for this procedure:
A. 44970
B. 44950
C. 44960
D. 44979 - Correct Answer-A. 44970
Patient is having the surgery performed by a laparoscope, eliminating multiple
choice answers B and C. The surgical procedure performed was an appendectomy,
eliminating multiple choice D.
A 45-year-old male is going to donate his kidney to his son. Operating ports where
placed in standard position and the scope was inserted. Dissection of the renal
artery and vein was performed isolating the kidney. The kidney was suspended
only by the renal artery and vein as well as the ureter. A stapler was used to divide
the vein just above the aorta and three clips across the ureter, extracting the
kidney. This was placed on ice and sent to the recipient room. The correct CPT®
code is:
A. 50543
B. 50547
C. 50300
D. 50320 - Correct Answer-B. 50547
4|Page
