AAPC Medical Coding (CPC) Final Exam 2017 (Test #1)
(The correct answer has been verified, selected and highlighted in yellow for all of the questions below.)
1 What form is used to submit a provider’s charge to the insurance carrier?
a. ABN
b. UB-04
c. CMS-1500
d. Provider reimbursement form
2 AAPC credentialed coders have proven mastery of what information?
a. Code sets
b. Evaluation and management principles
c. Documentation guidelines
d. All of the above
3 When coding an operative report, what action would NOT be recommended?
a. Coding from the header without reading the body of the report.
b. Reading the body of the report.
c. Highlighting unfamiliar words.
d. Starting with the procedure listed.
4 When are providers responsible for obtaining an ABN for a service NOT considered
medically necessary?
a. During a procedure or service.
b. After a denial has been received from Medicare.
c. After providing a service or item to a beneficiary.
d. Prior to providing a service or item to a beneficiary.
5 Evaluation and management services are often provided in a standard format such as
SOAP notes. What does the acronym SOAP stand for?
a. Subjective, Objective, Assessment, Plan
b. Standard, Objective, Activity, Period
c. Source, Opinion, Advice, Provider
d. Scope, Observation, Action, Plan
6 What is a myocardial infarction?
a. Malfunction in one of the valves in the heart, disrupting blood flow
b. Lack of oxygen to the heart tissue, resulting in tissue death
, c. Abnormal heart beats causing pain, nausea and discomfort
d. Overgrowth of muscle tissue, affecting the heart’s ability to pump
7 Which of the following is true about the function of the cochlea?
a. It helps with balance only
b. It helps with balance and sound transmission
c. Its function is to excrete cerumen (wax) to help keep the ear clean
d. It transmits sound only
8 Which of the following best describes psoriasis?
a. An inflammatory condition characterized by redness pustular and vesicular lesions,
crusts, and scales.
b. An allergic reaction characterized by wheals and generally accompanied by pruritus.
c. A chronic condition characterized by red, dry, elevated lesions, covered by silvery
scales.
d. A contagious infection of skin generally caused by staphylococcus bacterium.
9 A thin membrane lining the chambers of the heart and valves is called the:
a. Epicardium
b. Endocardium
c. Pericardium
d. Myocardium
10 The dome-shaped muscle under the lungs flattening during inspiration is the:
a. Diaphragm
b. Pleura
c. Mediastinum
d. Bronchus
11 When a patient has a condition that is both acute and chronic and there are separate
entries for both, how is it reported?
a. Code only the chronic code
b. Code only the acute code
c. Code both sequencing the acute first
d. Code both sequencing the chronic first
12 Which diagnosis code(s) below reports pain in the left and right ears?
a. H92.09
b. H92.03
, c. H93.8X3
d. H92.01, H92.02
13 What is the ICD-10-CM code for nausea?
a. T75.3XXA
b. R11.0
c. R11.11
d. R11.2
14 A patient presents to the Emergency Department with nausea and vomiting, abdominal
pain and fever. The provider suspects appendicitis. The test results are pending. What ICD-
10-CM code(s) is/are reported?
a. R11.2, R10.9, R50.9, K37
b. R11.2, R10.9, R50.9
c. K37
d. R11.0, R11.10, R10.9, R50.9
15 A 10 month-old comes into the pediatrician’s office for a harsh, bark-like cough. She is
diagnosed with croup. The mother also wants the pediatrician to look at a rash that has
developed on her leg. The pediatrician prescribes over the counter medication of
acetaminophen for the croup and hydrocortisone cream for the rash on the leg. She is to
follow up in five days or return earlier if the conditions worsen. What ICD-10-CM code(s)
should be reported for this visit?
a. J05.0, R21
b. J05.0
c. J05.0, R05, R21
d. R21
16 What does MRSA stand for?
a. Methicillin Resistant Streptococcus Aureus
b. Moderate Resistance Susceptible Aureus
c. Methicillin Resistant Staphylococcus Aureus
d. Mild Resistance Streptococcus Aureus
17 A 32 year-old patient with hyperthyroidism has an ultrasound to determine why her neck
is enlarged. The results of the ultrasound reveal a uninodular goiter. What ICD-10-CM code is
reported?
a. E04.1
b. E05.10
(The correct answer has been verified, selected and highlighted in yellow for all of the questions below.)
1 What form is used to submit a provider’s charge to the insurance carrier?
a. ABN
b. UB-04
c. CMS-1500
d. Provider reimbursement form
2 AAPC credentialed coders have proven mastery of what information?
a. Code sets
b. Evaluation and management principles
c. Documentation guidelines
d. All of the above
3 When coding an operative report, what action would NOT be recommended?
a. Coding from the header without reading the body of the report.
b. Reading the body of the report.
c. Highlighting unfamiliar words.
d. Starting with the procedure listed.
4 When are providers responsible for obtaining an ABN for a service NOT considered
medically necessary?
a. During a procedure or service.
b. After a denial has been received from Medicare.
c. After providing a service or item to a beneficiary.
d. Prior to providing a service or item to a beneficiary.
5 Evaluation and management services are often provided in a standard format such as
SOAP notes. What does the acronym SOAP stand for?
a. Subjective, Objective, Assessment, Plan
b. Standard, Objective, Activity, Period
c. Source, Opinion, Advice, Provider
d. Scope, Observation, Action, Plan
6 What is a myocardial infarction?
a. Malfunction in one of the valves in the heart, disrupting blood flow
b. Lack of oxygen to the heart tissue, resulting in tissue death
, c. Abnormal heart beats causing pain, nausea and discomfort
d. Overgrowth of muscle tissue, affecting the heart’s ability to pump
7 Which of the following is true about the function of the cochlea?
a. It helps with balance only
b. It helps with balance and sound transmission
c. Its function is to excrete cerumen (wax) to help keep the ear clean
d. It transmits sound only
8 Which of the following best describes psoriasis?
a. An inflammatory condition characterized by redness pustular and vesicular lesions,
crusts, and scales.
b. An allergic reaction characterized by wheals and generally accompanied by pruritus.
c. A chronic condition characterized by red, dry, elevated lesions, covered by silvery
scales.
d. A contagious infection of skin generally caused by staphylococcus bacterium.
9 A thin membrane lining the chambers of the heart and valves is called the:
a. Epicardium
b. Endocardium
c. Pericardium
d. Myocardium
10 The dome-shaped muscle under the lungs flattening during inspiration is the:
a. Diaphragm
b. Pleura
c. Mediastinum
d. Bronchus
11 When a patient has a condition that is both acute and chronic and there are separate
entries for both, how is it reported?
a. Code only the chronic code
b. Code only the acute code
c. Code both sequencing the acute first
d. Code both sequencing the chronic first
12 Which diagnosis code(s) below reports pain in the left and right ears?
a. H92.09
b. H92.03
, c. H93.8X3
d. H92.01, H92.02
13 What is the ICD-10-CM code for nausea?
a. T75.3XXA
b. R11.0
c. R11.11
d. R11.2
14 A patient presents to the Emergency Department with nausea and vomiting, abdominal
pain and fever. The provider suspects appendicitis. The test results are pending. What ICD-
10-CM code(s) is/are reported?
a. R11.2, R10.9, R50.9, K37
b. R11.2, R10.9, R50.9
c. K37
d. R11.0, R11.10, R10.9, R50.9
15 A 10 month-old comes into the pediatrician’s office for a harsh, bark-like cough. She is
diagnosed with croup. The mother also wants the pediatrician to look at a rash that has
developed on her leg. The pediatrician prescribes over the counter medication of
acetaminophen for the croup and hydrocortisone cream for the rash on the leg. She is to
follow up in five days or return earlier if the conditions worsen. What ICD-10-CM code(s)
should be reported for this visit?
a. J05.0, R21
b. J05.0
c. J05.0, R05, R21
d. R21
16 What does MRSA stand for?
a. Methicillin Resistant Streptococcus Aureus
b. Moderate Resistance Susceptible Aureus
c. Methicillin Resistant Staphylococcus Aureus
d. Mild Resistance Streptococcus Aureus
17 A 32 year-old patient with hyperthyroidism has an ultrasound to determine why her neck
is enlarged. The results of the ultrasound reveal a uninodular goiter. What ICD-10-CM code is
reported?
a. E04.1
b. E05.10
