CPPM/AAPC EXAM QUESTIONS AND ANSWERS
LATEST UPDATE (GRADED A+)
Exam B Question 41
A 47 year-old male presents today with a recurrent left hydrocele and chronic epididymitis. After
being informed of the risks and benefits, patient consented and signed for a resection of the left
hydrocele and a left epididymectomy. The patient is aware of the possible side effects of infection,
chronic pain, and testicular atrophy.
The patient is prepped and draped in the usual manner. General anesthesia, along with a caudal block
for post-operative pain control is administered. A scrotal incision was made and the testis delivered.
There were dense adhesions surrounding the pseudo-hydrocele and scrotal sac. These were liberated
with electrocautery. The sac was then opened and resected. The epididymis was buried beneath scar
tissue. Using electrocautery and blunt technique, the epididymis was identified and resected, and
hemostasis achieved. The testis was then returned to the scrotal sac. A ¼ inch Penrose drain was left
through a separate stab wound and sutured to the skin with 3-0 Prolene. The scrotum was then closed
with 3-0 chromic. Supportive dressing was then applied. Patient tolerated the procedure well and was
sent to recovery in good condition. What CPT® and ICD-10-CM codes are reported?
A. 54861-LT, 55041-LT, N45.1, N43.3
B. 54861-LT, 55041-LT, N45.1, N43.2
C. 54860-LT, 55040-LT, N45.1, N43.3
D. 54860-LT, 55040-LT, N45.1, N43.0
C. Two surgeries were performed for this encounter. The epididymis was excised (58460) and a
hydrocele is excised (55040) on one side (left side) The indication for the surgery is hydrocele and
chronic epididymitis. In the ICD-10-CM Alphabetic Index look for Epididymitis (acute) (nonvenereal)
(recurrent) (residual) referring you to N45.1. Look in the Alphabetic Index for Hydrocele directing you to
N43.3. Verify in the Tabular List.
Exam B Question 42
Complete cardiac MRI for morphology and function without contrast, followed by contrast along with
four additional sequences and stress imaging. Patient has congestive heart failure and premature
ventricular contractions.
A. 75563, I50.9, I49.3
B. 75561, I50.9, I49.3
C. 75557, I50.30, I49.1
D. 75559, I50.22, I49.2
A. The code selected for the study is first without contrast and then with contrast and further sequences
including the stress imaging 75563. In ICD-10-CM Alphabetic Index look for Failure/heart/congestive
referring you to I50.9. Next look in the Alphabetic Index for Contraction/premature/ventricular directing
you to I49.3. Verify in the Tabular List.
,Exam B Question 43
A 45 year-old male presents today to the urology outpatient clinic with an elevated PSA of 6.1.
Prostate on exam however appears normal. The risks and benefits of a biopsy are discussed with the
patient and his spouse who has accompanied him. The patient signs the consent for the biopsy.
The patient is placed in a left lateral position, the ultrasound probe was introduced. Prostate volume
is determined to be normal, however some calcifications are observed. There does not appear to be
any abnormalities. The base of the prostate is infiltrated with 1% Xylocaine; random biopsies are
performed with a needle in the usual fashion. Patient tolerated the procedure well and was
discharged home immediately following the procedure. Results of the biopsy were back quickly and
demonstrated normal, benign, prostate tissue.
A. 55700, 76872-26, R97.20
B. 55700, 76872, R97.20
C. 55705, 76872-TC, D29.1
D. 55700, 76872, D29.1
B. Look in the CPT® Index for Biopsy/Prostate/Needle or Punch referring you to 55700, 55706. The
correct code is 55700. Ultrasound was used to guide and further look at the gland. Look in the CPT®
Index for Ultrasound/Rectal directing you to 76872, 76873. The correct code is 76872. A UB-04 is used
for facility, so modifier TC is not reported.
The reason for the biopsy was for the elevated PSA. Look in the ICD-10-CM Alphabetic Index for
Elevated/prostate specific antigen (PSA) directing you to R97.20. The benign tissue was the result. It
would not warrant a reason for a biopsy.
Exam B Question 44
A 12 year-old female presents to the ER with her parents after tripping and falling in a pile of
construction debris outside their home where some remodeling is happening. After careful
examination of the child's right eye, under slit lamp, a 0.5 cm piece of wood is removed from her
cornea. The parents are given a prescription for an antibiotic ointment and the decision is made to
patch the eye, so the child will not rub it. Directions are given to follow-up with an ophthalmologist
and a list of providers is given to the parents. What procedure and diagnosis codes are reported for
this encounter?
A. 65220, T15.01XA, Y92.017, Y93.89
B. 65210, T15.91XA, W20.8XXA, Y92.79
C. 65222, T15.01XA, W18.09XA, Y92.017
D. 65220, T15.91XA, Y92.017, W18.39XA
C. The use of the slit lamp to remove a corneal object is 65222. Look in the ICD-10-CM Alphabetic Index
for Foreign body/cornea leading you to T15.0. Report the 5th character 1 for the right eye, placeholder X
for the 6th character, and 7th character A for the initial encounter T15.01XA. Next look in the ICD-10-CM
Index to External Causes of Injuries for Tripping/over/carpet, rug or (small) object/with fall referring you
to W18.09. Report placeholder X for the 6th character and 7th character A for the initial encounter
W18.09XA. Next in Index to External Causes of Injuries look for Place of occurrence/house, single
family/yard directing you to Y92.017. The activity is not listed; therefore, not reported.
Exam B Question 45
Mary Smith has presented herself to the outpatient lab today. She has frequent and symptomatic low
, blood pressure of unknown etiology. Her primary care physician has given her a prescription for an
insulin tolerance test. This is a panel of five cortisol and five glucose assessments to test for
corticoadrenal deficiency. What CPT® and ICD-10-CM codes are reported?
A. 80434, I95.9
B. 82947 X 5, 82533 X 5, E27.49
C. 80434 X 5, E27.49
D. 82947 x 5, I95.9
A The insulin panel is 80434. The correct diagnosis is the low blood pressure, I95.9.
Exam B Question 46
Sharon Smith is sent to the outpatient lab for a drug screening required by her new employer. Her
employer requires a screening for amphetamines and opiates and Tetrahydrocannabinol (TCH). This
test is done by chromatographic determination using one stationary phase with one mobile phase.
How will the lab bill this testing?
A. 80305, Z02.83
B. 80307, Z02.1
C. 80306, Z02.83
D. 80307 x 3, Z02.1
B This is a drug screening. Look in the CPT® Index for Drug Assay/Drug Procedure/Presumptive Drug
Class referring you to 80305-80307. Code 80307 includes chromatography for any number of drug
classes per date of service.
The ICD-10-CM Alphabetic Index look for Encounter for/administration purpose only/examination for
employment referring you to Z02.1. Verify in the Tabular List.
Exam B Question 47
A 25-year-old female executive reports to the psychology clinic of the hospital for a 95-minute
Minnesota Multiphasic Personality Inventory (MMPI). This time included the time spent by the
physician administering the test and time for the interpretation. This exam is required by her
employer because the employee will be dealing with highly sensitive and confidential government
documents and communication. Which CPT® and ICD-10-CM codes are reported?
A. 96130, 96131, Z02.1
B. 96146, Z02.1
C. 96116, 96121, Z02.83
D. 96130, 96131, Z02.83
Rationale: Look in the CPT® Index for Neuropsychological Testing/Evaluation Services referring you to
96130-96133. Code 96130 is reported for the first hour and 96131 is reported for the additional 35
minutes.
In the ICD-10-CM Index to Diseases, look for Encounter for/administration purpose only/examination for
employment, Z02.1. Verify in the Tabular List.
Exam B Question 48
A 3-year-old child is seen in the ED today for stomach lavage and observation. The child was
discovered in the parent's bathroom, awake, and standing next to the tub with an open bottle of the
mother's prescribed Valium pills. The parents are not sure if any are missing. The child was exhibiting
LATEST UPDATE (GRADED A+)
Exam B Question 41
A 47 year-old male presents today with a recurrent left hydrocele and chronic epididymitis. After
being informed of the risks and benefits, patient consented and signed for a resection of the left
hydrocele and a left epididymectomy. The patient is aware of the possible side effects of infection,
chronic pain, and testicular atrophy.
The patient is prepped and draped in the usual manner. General anesthesia, along with a caudal block
for post-operative pain control is administered. A scrotal incision was made and the testis delivered.
There were dense adhesions surrounding the pseudo-hydrocele and scrotal sac. These were liberated
with electrocautery. The sac was then opened and resected. The epididymis was buried beneath scar
tissue. Using electrocautery and blunt technique, the epididymis was identified and resected, and
hemostasis achieved. The testis was then returned to the scrotal sac. A ¼ inch Penrose drain was left
through a separate stab wound and sutured to the skin with 3-0 Prolene. The scrotum was then closed
with 3-0 chromic. Supportive dressing was then applied. Patient tolerated the procedure well and was
sent to recovery in good condition. What CPT® and ICD-10-CM codes are reported?
A. 54861-LT, 55041-LT, N45.1, N43.3
B. 54861-LT, 55041-LT, N45.1, N43.2
C. 54860-LT, 55040-LT, N45.1, N43.3
D. 54860-LT, 55040-LT, N45.1, N43.0
C. Two surgeries were performed for this encounter. The epididymis was excised (58460) and a
hydrocele is excised (55040) on one side (left side) The indication for the surgery is hydrocele and
chronic epididymitis. In the ICD-10-CM Alphabetic Index look for Epididymitis (acute) (nonvenereal)
(recurrent) (residual) referring you to N45.1. Look in the Alphabetic Index for Hydrocele directing you to
N43.3. Verify in the Tabular List.
Exam B Question 42
Complete cardiac MRI for morphology and function without contrast, followed by contrast along with
four additional sequences and stress imaging. Patient has congestive heart failure and premature
ventricular contractions.
A. 75563, I50.9, I49.3
B. 75561, I50.9, I49.3
C. 75557, I50.30, I49.1
D. 75559, I50.22, I49.2
A. The code selected for the study is first without contrast and then with contrast and further sequences
including the stress imaging 75563. In ICD-10-CM Alphabetic Index look for Failure/heart/congestive
referring you to I50.9. Next look in the Alphabetic Index for Contraction/premature/ventricular directing
you to I49.3. Verify in the Tabular List.
,Exam B Question 43
A 45 year-old male presents today to the urology outpatient clinic with an elevated PSA of 6.1.
Prostate on exam however appears normal. The risks and benefits of a biopsy are discussed with the
patient and his spouse who has accompanied him. The patient signs the consent for the biopsy.
The patient is placed in a left lateral position, the ultrasound probe was introduced. Prostate volume
is determined to be normal, however some calcifications are observed. There does not appear to be
any abnormalities. The base of the prostate is infiltrated with 1% Xylocaine; random biopsies are
performed with a needle in the usual fashion. Patient tolerated the procedure well and was
discharged home immediately following the procedure. Results of the biopsy were back quickly and
demonstrated normal, benign, prostate tissue.
A. 55700, 76872-26, R97.20
B. 55700, 76872, R97.20
C. 55705, 76872-TC, D29.1
D. 55700, 76872, D29.1
B. Look in the CPT® Index for Biopsy/Prostate/Needle or Punch referring you to 55700, 55706. The
correct code is 55700. Ultrasound was used to guide and further look at the gland. Look in the CPT®
Index for Ultrasound/Rectal directing you to 76872, 76873. The correct code is 76872. A UB-04 is used
for facility, so modifier TC is not reported.
The reason for the biopsy was for the elevated PSA. Look in the ICD-10-CM Alphabetic Index for
Elevated/prostate specific antigen (PSA) directing you to R97.20. The benign tissue was the result. It
would not warrant a reason for a biopsy.
Exam B Question 44
A 12 year-old female presents to the ER with her parents after tripping and falling in a pile of
construction debris outside their home where some remodeling is happening. After careful
examination of the child's right eye, under slit lamp, a 0.5 cm piece of wood is removed from her
cornea. The parents are given a prescription for an antibiotic ointment and the decision is made to
patch the eye, so the child will not rub it. Directions are given to follow-up with an ophthalmologist
and a list of providers is given to the parents. What procedure and diagnosis codes are reported for
this encounter?
A. 65220, T15.01XA, Y92.017, Y93.89
B. 65210, T15.91XA, W20.8XXA, Y92.79
C. 65222, T15.01XA, W18.09XA, Y92.017
D. 65220, T15.91XA, Y92.017, W18.39XA
C. The use of the slit lamp to remove a corneal object is 65222. Look in the ICD-10-CM Alphabetic Index
for Foreign body/cornea leading you to T15.0. Report the 5th character 1 for the right eye, placeholder X
for the 6th character, and 7th character A for the initial encounter T15.01XA. Next look in the ICD-10-CM
Index to External Causes of Injuries for Tripping/over/carpet, rug or (small) object/with fall referring you
to W18.09. Report placeholder X for the 6th character and 7th character A for the initial encounter
W18.09XA. Next in Index to External Causes of Injuries look for Place of occurrence/house, single
family/yard directing you to Y92.017. The activity is not listed; therefore, not reported.
Exam B Question 45
Mary Smith has presented herself to the outpatient lab today. She has frequent and symptomatic low
, blood pressure of unknown etiology. Her primary care physician has given her a prescription for an
insulin tolerance test. This is a panel of five cortisol and five glucose assessments to test for
corticoadrenal deficiency. What CPT® and ICD-10-CM codes are reported?
A. 80434, I95.9
B. 82947 X 5, 82533 X 5, E27.49
C. 80434 X 5, E27.49
D. 82947 x 5, I95.9
A The insulin panel is 80434. The correct diagnosis is the low blood pressure, I95.9.
Exam B Question 46
Sharon Smith is sent to the outpatient lab for a drug screening required by her new employer. Her
employer requires a screening for amphetamines and opiates and Tetrahydrocannabinol (TCH). This
test is done by chromatographic determination using one stationary phase with one mobile phase.
How will the lab bill this testing?
A. 80305, Z02.83
B. 80307, Z02.1
C. 80306, Z02.83
D. 80307 x 3, Z02.1
B This is a drug screening. Look in the CPT® Index for Drug Assay/Drug Procedure/Presumptive Drug
Class referring you to 80305-80307. Code 80307 includes chromatography for any number of drug
classes per date of service.
The ICD-10-CM Alphabetic Index look for Encounter for/administration purpose only/examination for
employment referring you to Z02.1. Verify in the Tabular List.
Exam B Question 47
A 25-year-old female executive reports to the psychology clinic of the hospital for a 95-minute
Minnesota Multiphasic Personality Inventory (MMPI). This time included the time spent by the
physician administering the test and time for the interpretation. This exam is required by her
employer because the employee will be dealing with highly sensitive and confidential government
documents and communication. Which CPT® and ICD-10-CM codes are reported?
A. 96130, 96131, Z02.1
B. 96146, Z02.1
C. 96116, 96121, Z02.83
D. 96130, 96131, Z02.83
Rationale: Look in the CPT® Index for Neuropsychological Testing/Evaluation Services referring you to
96130-96133. Code 96130 is reported for the first hour and 96131 is reported for the additional 35
minutes.
In the ICD-10-CM Index to Diseases, look for Encounter for/administration purpose only/examination for
employment, Z02.1. Verify in the Tabular List.
Exam B Question 48
A 3-year-old child is seen in the ED today for stomach lavage and observation. The child was
discovered in the parent's bathroom, awake, and standing next to the tub with an open bottle of the
mother's prescribed Valium pills. The parents are not sure if any are missing. The child was exhibiting
