Certified Professional Coder CPC Final
Exam Practice Official Exam Actual
Exam 2026/2027 with Detailed Rationales
| Complete Exam-Style Questions | Pass
Guaranteed – A+ Graded
══════════════════════════════════════
SECTION 1: CPT CODING (SURGERY, E/M, ANESTHESIA) Q1 – Q10
══════════════════════════════════════
Question 1 of 50
A 62-year-old established patient with Type 2 diabetes, hyperlipidemia, and newly diagnosed
peripheral neuropathy presents for six-month follow-up. The physician reviews recent A1c,
lipid panel, and EMG results, performs a detailed exam of the lower extremities, and starts
gabapentin. Medical decision-making is moderate complexity.
A. 99212
B. 99213
C. 99214 ✓ CORRECT
D. 99215
Correct Answer: C
Rationale: Moderate complexity medical decision-making for an established patient supports
99214. The management of a new complication, review of diagnostic tests, and prescription
of new medication meet the moderate complexity threshold. 99213 requires low complexity,
and 99215 requires high complexity.
Question 2 of 50
A 38-year-old patient undergoes laparoscopic cholecystectomy for symptomatic
cholelithiasis. The surgeon documents lysis of minor adhesions and intraoperative
cholangiography.
A. 47562 ✓ CORRECT
,B. 47563
C. 47564
D. 47562 + 44180
Correct Answer: A
Rationale: CPT code 47562 describes laparoscopic cholecystectomy with operative
cholangiography. Lysis of adhesions in the immediate surgical field is considered incidental
and not separately reportable. 47563 includes common duct exploration, which was not
performed.
Question 3 of 50
A 72-year-old patient receives anesthesia for a 3-hour 20-minute open reduction internal
fixation of a hip fracture. The patient has severe COPD requiring daily bronchodilator therapy
and is on home oxygen. The anesthesiologist documents 200 minutes of anesthesia time.
A. 01214-P3 + 15 time units
B. 01214-P3 + base units only
C. 01214-P5 + 13 time units
D. 01214-P4 + base units + time units ✓ CORRECT
Correct Answer: D
Rationale: Severe COPD requiring daily therapy with home oxygen qualifies as a severe
systemic disease, warranting physical status P4. Anesthesia reimbursement includes base
units plus time units calculated from total anesthesia time. P5 is reserved for moribund
patients not expected to survive.
Question 4 of 50
A patient presents with a 1.2 cm suspicious pigmented lesion on the back. The physician
performs a full-thickness excision with 3 mm margins. Pathology confirms malignant
melanoma in situ.
A. 11402
B. 11602 ✓ CORRECT
C. 11102
D. 11601
Correct Answer: B
Rationale: Excision of a malignant lesion on the trunk measuring 1.1 to 2.0 cm is reported
with 11602. 11402 describes benign lesion excision, and 11601 is for lesions 0.6 to 1.0 cm.
The pathology confirmation of malignancy is required to support the malignant excision
code.
, Question 5 of 50
A new patient presents with acute chest pain. The physician documents a comprehensive
history, comprehensive exam, and orders a stress test and echocardiogram. The differential
diagnosis includes unstable angina, costochondritis, and GERD.
A. 99204 ✓ CORRECT
B. 99203
C. 99205
D. 99214
Correct Answer: A
Rationale: A new patient visit with comprehensive history, comprehensive exam, and
moderate medical decision-making supports 99204. 99205 requires high complexity MDM,
and 99214 is for established patients only. The ordering of diagnostic tests and management
of multiple possible diagnoses demonstrates moderate MDM.
Question 6 of 50
A patient undergoes knee arthroscopy. The surgeon documents partial medial meniscectomy
and debridement of frayed articular cartilage in the medial compartment.
A. 29881 + 29877-59
B. 29877
C. 29881 ✓ CORRECT
D. 29881 + G0289
Correct Answer: C
Rationale: When performed in the same compartment, debridement of articular cartilage is
included in the meniscectomy procedure and is not separately reportable. 29877 would be
appropriate only if debridement was performed in a different compartment. G0289 is not used
with 29881.
Question 7 of 50
A 55-year-old male undergoes repair of a recurrent incarcerated right inguinal hernia. The
surgeon documents reduction of incarcerated small bowel and placement of synthetic mesh.
A. 49505
B. 49520
C. 49521 + 49568
D. 49521 ✓ CORRECT
Correct Answer: D
Exam Practice Official Exam Actual
Exam 2026/2027 with Detailed Rationales
| Complete Exam-Style Questions | Pass
Guaranteed – A+ Graded
══════════════════════════════════════
SECTION 1: CPT CODING (SURGERY, E/M, ANESTHESIA) Q1 – Q10
══════════════════════════════════════
Question 1 of 50
A 62-year-old established patient with Type 2 diabetes, hyperlipidemia, and newly diagnosed
peripheral neuropathy presents for six-month follow-up. The physician reviews recent A1c,
lipid panel, and EMG results, performs a detailed exam of the lower extremities, and starts
gabapentin. Medical decision-making is moderate complexity.
A. 99212
B. 99213
C. 99214 ✓ CORRECT
D. 99215
Correct Answer: C
Rationale: Moderate complexity medical decision-making for an established patient supports
99214. The management of a new complication, review of diagnostic tests, and prescription
of new medication meet the moderate complexity threshold. 99213 requires low complexity,
and 99215 requires high complexity.
Question 2 of 50
A 38-year-old patient undergoes laparoscopic cholecystectomy for symptomatic
cholelithiasis. The surgeon documents lysis of minor adhesions and intraoperative
cholangiography.
A. 47562 ✓ CORRECT
,B. 47563
C. 47564
D. 47562 + 44180
Correct Answer: A
Rationale: CPT code 47562 describes laparoscopic cholecystectomy with operative
cholangiography. Lysis of adhesions in the immediate surgical field is considered incidental
and not separately reportable. 47563 includes common duct exploration, which was not
performed.
Question 3 of 50
A 72-year-old patient receives anesthesia for a 3-hour 20-minute open reduction internal
fixation of a hip fracture. The patient has severe COPD requiring daily bronchodilator therapy
and is on home oxygen. The anesthesiologist documents 200 minutes of anesthesia time.
A. 01214-P3 + 15 time units
B. 01214-P3 + base units only
C. 01214-P5 + 13 time units
D. 01214-P4 + base units + time units ✓ CORRECT
Correct Answer: D
Rationale: Severe COPD requiring daily therapy with home oxygen qualifies as a severe
systemic disease, warranting physical status P4. Anesthesia reimbursement includes base
units plus time units calculated from total anesthesia time. P5 is reserved for moribund
patients not expected to survive.
Question 4 of 50
A patient presents with a 1.2 cm suspicious pigmented lesion on the back. The physician
performs a full-thickness excision with 3 mm margins. Pathology confirms malignant
melanoma in situ.
A. 11402
B. 11602 ✓ CORRECT
C. 11102
D. 11601
Correct Answer: B
Rationale: Excision of a malignant lesion on the trunk measuring 1.1 to 2.0 cm is reported
with 11602. 11402 describes benign lesion excision, and 11601 is for lesions 0.6 to 1.0 cm.
The pathology confirmation of malignancy is required to support the malignant excision
code.
, Question 5 of 50
A new patient presents with acute chest pain. The physician documents a comprehensive
history, comprehensive exam, and orders a stress test and echocardiogram. The differential
diagnosis includes unstable angina, costochondritis, and GERD.
A. 99204 ✓ CORRECT
B. 99203
C. 99205
D. 99214
Correct Answer: A
Rationale: A new patient visit with comprehensive history, comprehensive exam, and
moderate medical decision-making supports 99204. 99205 requires high complexity MDM,
and 99214 is for established patients only. The ordering of diagnostic tests and management
of multiple possible diagnoses demonstrates moderate MDM.
Question 6 of 50
A patient undergoes knee arthroscopy. The surgeon documents partial medial meniscectomy
and debridement of frayed articular cartilage in the medial compartment.
A. 29881 + 29877-59
B. 29877
C. 29881 ✓ CORRECT
D. 29881 + G0289
Correct Answer: C
Rationale: When performed in the same compartment, debridement of articular cartilage is
included in the meniscectomy procedure and is not separately reportable. 29877 would be
appropriate only if debridement was performed in a different compartment. G0289 is not used
with 29881.
Question 7 of 50
A 55-year-old male undergoes repair of a recurrent incarcerated right inguinal hernia. The
surgeon documents reduction of incarcerated small bowel and placement of synthetic mesh.
A. 49505
B. 49520
C. 49521 + 49568
D. 49521 ✓ CORRECT
Correct Answer: D
