AAPC CPC Chapter 8 Exam
with verified answers
1. This type of connective tissue attaches a muscle to a bone:
A) Ligament
B) Vein
C) Vertebra
D) Tendon
ANS: D
2. In the CPT® codebook, 25000 and 25001 are for incisions in the tendon sheath on the wrist.
Code 25000 is for the extensor tendon and 25001 is for the flexor tendon sheath. What is the
difference between extension and flexion?
A) Extension causes bending of the wrist; flexion causes straightening of the wrist.
B) Extension causes straightening of the wrist; flexion causes bending of the wrist.
C) Extension causes the wrist to move forward by rotating; flexion causes the wrist to move
backward by rotating.
D) Extension causes the wrist to move backward by rotating; flexion causes the wrist to
move forward by rotating.
ANS: B
3. What is the correct ICD-10-CM code for a new patient seen for a left-sided Nursemaid's
elbow?
A) S53.492A
B) S53.032S
C) S50.02XA
D) S53.032A
ANS: D
4. How would you code a new pathological fracture of the right femur due to postmenopausal
osteoporosis?
A) M81.0
B) M80.851A
C) M80.051A
D) M84.551A
ANS: C
5. What is the correct 7th character, in ICD-10-CM, for a healing comminuted fracture of the right
fibula, open, type 1?
A) B
B) D
C) H
D) E
ANS: D
,6. How should you code an arthroscopic abrasion chondroplasty of the medial femoral
condyle?
A) 29884
B) 29862
C) 29879
D) 29860
ANS: C
7. The physician performs arthroscopic meniscus repair with partial medial and lateral repairs.
What procedure code is reported?
A) 29883
B) 29880
C) 29882
D) 27332
ANS: A
8. The patient has developed plantar fasciitis, a painful condition in his heel and the sole of his
foot. He has tried using shoe inserts and over-the-counter pain relievers, but is still having pain.
His physician performs an injection of the tendon sheath on the bottom of his foot. What
procedure code is reported?
A) 28070
B) 20550
C) 28001
D) 20553
ANS: B
9. Jeff is a 13-year-old boy who fractured his left radius and ulna while snowboarding. Three
weeks after the physician placed a long arm cast on Jeff, he was skateboarding and crushed
the cast (without further injury to the arm). The physician replaces the cast with a short-arm
fiberglass cast. What procedure code is reported for the services provided after the skateboard
accident?
A) No code
B) 29065-58
C) 29075-58
D) 29125-58
ANS: C
10. Julia tripped and fell down three stairs in her apartment. X-rays show a fracture of the
metatarsal bone of her left great toe, and the physician treats the fracture with a special
orthotic boot. What procedure code is reported?
A) 27752-TA
B) 27786-TA
C) 28470-TA
D) 27750-TA
ANS: C
, 11. In the CPT® book, 28400 and 28405 are used when coding a calcaneal fracture. What is
the difference between these two codes?
A) One includes internal fixation and one does not
B) One is for a foot fracture and one is for an ankle fracture
C) One includes manipulation and one does not
D) One requires surgery and one does not
ANS: C
12. How would compartment syndrome of the lower extremity caused by an auto accident be
listed in the ICD-10-CM Alphabetic Index?
A) Syndrome/compartment/lower extremity
B) Compartment syndrome/leg
C) Syndrome/compartment/non-traumatic/leg
D) Syndrome/compartment
ANS: A
13. The patient came to the office for a therapeutic injection, left shoulder subacromial space.
What procedure code is reported?
A) 20612
B) 20610
C) 20552
D) 20550
ANS: B
14. Mrs. Williams has had a bunion on her right foot for many years, and is scheduled for
surgery to correct this condition. The doctor plans to do a double osteotomy of the
metatarsal bone. What procedure code(s) is/are reported?
A) 28296-RT, 28296-RT
B) 28299-RT
C) 28293-RT
D) 28290-RT
ANS: B
15. CASE 1
Operative Report
PREOPERATIVE DIAGNOSIS: Comminuted left proximal humerus fracture.
POSTOPERATIVE DIAGNOSIS: Comminuted left proximal humerus fracture.
(The postoperative diagnosis is used for coding.)
OPERATIVE PROCEDURE: Open treatment of left proximal humerus. (The working procedure
until the report is read.)
ANESTHESIA: General. (General anesthesia is used.)
IMPLANTS: DePuy GLOBAL® FX™, stem size 10 with a 48 x 15 humeral head. (This is an
indication that a prosthesis was introduced into the joint.) INDICATIONS: The patient is a 66-
year-old female who sustained a traumatic severe comminuted proximal humerus fracture.
(This is confirmation of the diagnosis. The proximal end of the humerus is the shoulder area.)
The risks and benefits of the surgical procedure were discussed. She stated that she
understood and desired to proceed.
with verified answers
1. This type of connective tissue attaches a muscle to a bone:
A) Ligament
B) Vein
C) Vertebra
D) Tendon
ANS: D
2. In the CPT® codebook, 25000 and 25001 are for incisions in the tendon sheath on the wrist.
Code 25000 is for the extensor tendon and 25001 is for the flexor tendon sheath. What is the
difference between extension and flexion?
A) Extension causes bending of the wrist; flexion causes straightening of the wrist.
B) Extension causes straightening of the wrist; flexion causes bending of the wrist.
C) Extension causes the wrist to move forward by rotating; flexion causes the wrist to move
backward by rotating.
D) Extension causes the wrist to move backward by rotating; flexion causes the wrist to
move forward by rotating.
ANS: B
3. What is the correct ICD-10-CM code for a new patient seen for a left-sided Nursemaid's
elbow?
A) S53.492A
B) S53.032S
C) S50.02XA
D) S53.032A
ANS: D
4. How would you code a new pathological fracture of the right femur due to postmenopausal
osteoporosis?
A) M81.0
B) M80.851A
C) M80.051A
D) M84.551A
ANS: C
5. What is the correct 7th character, in ICD-10-CM, for a healing comminuted fracture of the right
fibula, open, type 1?
A) B
B) D
C) H
D) E
ANS: D
,6. How should you code an arthroscopic abrasion chondroplasty of the medial femoral
condyle?
A) 29884
B) 29862
C) 29879
D) 29860
ANS: C
7. The physician performs arthroscopic meniscus repair with partial medial and lateral repairs.
What procedure code is reported?
A) 29883
B) 29880
C) 29882
D) 27332
ANS: A
8. The patient has developed plantar fasciitis, a painful condition in his heel and the sole of his
foot. He has tried using shoe inserts and over-the-counter pain relievers, but is still having pain.
His physician performs an injection of the tendon sheath on the bottom of his foot. What
procedure code is reported?
A) 28070
B) 20550
C) 28001
D) 20553
ANS: B
9. Jeff is a 13-year-old boy who fractured his left radius and ulna while snowboarding. Three
weeks after the physician placed a long arm cast on Jeff, he was skateboarding and crushed
the cast (without further injury to the arm). The physician replaces the cast with a short-arm
fiberglass cast. What procedure code is reported for the services provided after the skateboard
accident?
A) No code
B) 29065-58
C) 29075-58
D) 29125-58
ANS: C
10. Julia tripped and fell down three stairs in her apartment. X-rays show a fracture of the
metatarsal bone of her left great toe, and the physician treats the fracture with a special
orthotic boot. What procedure code is reported?
A) 27752-TA
B) 27786-TA
C) 28470-TA
D) 27750-TA
ANS: C
, 11. In the CPT® book, 28400 and 28405 are used when coding a calcaneal fracture. What is
the difference between these two codes?
A) One includes internal fixation and one does not
B) One is for a foot fracture and one is for an ankle fracture
C) One includes manipulation and one does not
D) One requires surgery and one does not
ANS: C
12. How would compartment syndrome of the lower extremity caused by an auto accident be
listed in the ICD-10-CM Alphabetic Index?
A) Syndrome/compartment/lower extremity
B) Compartment syndrome/leg
C) Syndrome/compartment/non-traumatic/leg
D) Syndrome/compartment
ANS: A
13. The patient came to the office for a therapeutic injection, left shoulder subacromial space.
What procedure code is reported?
A) 20612
B) 20610
C) 20552
D) 20550
ANS: B
14. Mrs. Williams has had a bunion on her right foot for many years, and is scheduled for
surgery to correct this condition. The doctor plans to do a double osteotomy of the
metatarsal bone. What procedure code(s) is/are reported?
A) 28296-RT, 28296-RT
B) 28299-RT
C) 28293-RT
D) 28290-RT
ANS: B
15. CASE 1
Operative Report
PREOPERATIVE DIAGNOSIS: Comminuted left proximal humerus fracture.
POSTOPERATIVE DIAGNOSIS: Comminuted left proximal humerus fracture.
(The postoperative diagnosis is used for coding.)
OPERATIVE PROCEDURE: Open treatment of left proximal humerus. (The working procedure
until the report is read.)
ANESTHESIA: General. (General anesthesia is used.)
IMPLANTS: DePuy GLOBAL® FX™, stem size 10 with a 48 x 15 humeral head. (This is an
indication that a prosthesis was introduced into the joint.) INDICATIONS: The patient is a 66-
year-old female who sustained a traumatic severe comminuted proximal humerus fracture.
(This is confirmation of the diagnosis. The proximal end of the humerus is the shoulder area.)
The risks and benefits of the surgical procedure were discussed. She stated that she
understood and desired to proceed.
