AAPC CPB - PRACTICE EXAM C
2026/2027 ACTUAL QUESTIONS WITH
VERIFIED ANSWERS.
Mr. Wilson was putting up a fence at his friend's house. In the
process of nailing the fence to the posts, a nail was pushed
through his thumb. His friend has homeowner's liability
insurance and the patient has commercial coverage through his
employer. Which of the following is correct?
A. File the homeowner's liability as the primary payer and the
commercial carrier as the secondary carrier if the primary
denies the claim.
B. File the homeowner's liability only
C. File the commercial insurance only.
D. File the commercial insurance carrier as the primary payer
and the homeowner's carrier as the secondary carrier if the
primary denies the claim - correct answer-A. File the
homeowner's liability as the primary payer and the commercial
carrier as the secondary carrier if the primary denies the claim.
What resources could a biller use to determine whether a
procedure is bundled with another procedure according to
Medicare?
,I Star icon
II. CPT® section guidelines
III. Parenthetical instructions in the CPT® codebook
IV. NCCI edits
V. RVU file
A. I, IV, and V
B. II, III, and IV
C. IV only
D. II only - correct answer-B. II, III, and IV
Which statement is TRUE regarding appeals?
A. An appeal should be written if a claim is denied by the payer
in error.
B. An appeal should be completed for all denials.
C. Timely filing claims cannot be appealed.
D. All insurance carriers have the same standard for appeals. -
correct answer-A. An appeal should be written if a claim is
denied by the payer in error.
, A patient has a major surgery on her hip on January 3. Two
weeks later, the same patient is seen by the provider for
migraines. How would the office visit be reported?
A. Modifier 59 is appended to the office visit to identify it is a
distinct visit from the surgical procedure.
B. The office visit is reported without a modifier as this is
outside of the global period for a major surgical procedure.
C. Modifier 24 is appended to the office visit to indicate it is
unrelated to the surgical procedure.
D. The office visit is not reported as it is considered inclusive to
the major surgical procedure. - correct answer-C. Modifier 24 is
appended to the office visit to indicate it is unrelated to the
surgical procedure.
A Medicare patient has bilateral open treatment of iliac wing
fracture patterns that do not disrupt the pelvic ring. How is this
service reported?
A. 27215
B. G0412
C. 27215-50
D. G0412-50 - correct answer-B. G0412
2026/2027 ACTUAL QUESTIONS WITH
VERIFIED ANSWERS.
Mr. Wilson was putting up a fence at his friend's house. In the
process of nailing the fence to the posts, a nail was pushed
through his thumb. His friend has homeowner's liability
insurance and the patient has commercial coverage through his
employer. Which of the following is correct?
A. File the homeowner's liability as the primary payer and the
commercial carrier as the secondary carrier if the primary
denies the claim.
B. File the homeowner's liability only
C. File the commercial insurance only.
D. File the commercial insurance carrier as the primary payer
and the homeowner's carrier as the secondary carrier if the
primary denies the claim - correct answer-A. File the
homeowner's liability as the primary payer and the commercial
carrier as the secondary carrier if the primary denies the claim.
What resources could a biller use to determine whether a
procedure is bundled with another procedure according to
Medicare?
,I Star icon
II. CPT® section guidelines
III. Parenthetical instructions in the CPT® codebook
IV. NCCI edits
V. RVU file
A. I, IV, and V
B. II, III, and IV
C. IV only
D. II only - correct answer-B. II, III, and IV
Which statement is TRUE regarding appeals?
A. An appeal should be written if a claim is denied by the payer
in error.
B. An appeal should be completed for all denials.
C. Timely filing claims cannot be appealed.
D. All insurance carriers have the same standard for appeals. -
correct answer-A. An appeal should be written if a claim is
denied by the payer in error.
, A patient has a major surgery on her hip on January 3. Two
weeks later, the same patient is seen by the provider for
migraines. How would the office visit be reported?
A. Modifier 59 is appended to the office visit to identify it is a
distinct visit from the surgical procedure.
B. The office visit is reported without a modifier as this is
outside of the global period for a major surgical procedure.
C. Modifier 24 is appended to the office visit to indicate it is
unrelated to the surgical procedure.
D. The office visit is not reported as it is considered inclusive to
the major surgical procedure. - correct answer-C. Modifier 24 is
appended to the office visit to indicate it is unrelated to the
surgical procedure.
A Medicare patient has bilateral open treatment of iliac wing
fracture patterns that do not disrupt the pelvic ring. How is this
service reported?
A. 27215
B. G0412
C. 27215-50
D. G0412-50 - correct answer-B. G0412
