AAPC CPC Chapter 11 Exams
with verified answers
1. A patient with hypertension is scheduled for same day surgery for removal of her gallbladder
due to chronic gallstones. She is examined preoperatively by her cardiologist to be cleared for
surgery.
What ICD-10-CM codes are reported by the cardiologist?
A) Z01.810, K80.20, I10
B) I10, Z01.818, K80.20
C) K80.20, I10, Z01.810
D) K80.21, Z01.89, I10
ANS: A
2. A patient is admitted for a simple primary examination of the gastrointestinal system to rule
out GI cancer. An Esophagogastroduodenoscopy (EGD) is performed, which includes
examination of the esophagus, stomach and portions of the small intestine. During the
examination, a stricture of the esophagus is identified and subsequently dilated via balloon
dilation (20 mm). What CPT® and ICD-10-CM codes are reported?
A) 43235, K22.2
B) 43235, C15.9
C) 43248, Q39.3
D) 43249, K22.2
ANS: D
3. A screening colonoscopy is performed on a 50 year-old patient with a family history of colon
cancer. Multiple polyps were found during the procedure. Two polyps in the transverse colon
were removed with hot forceps cautery. Three polyps in the ascending colon were removed via
snare. Portions of all polyp tissues were to be sent to pathology. What are the correct CPT®
and ICD-10-CM codes for this patient encounter?
A) 48584 x2, 45385 x3, K63.5
B) 45384, 45385-59, K63.5, Z12.11, Z80.0
C) 45384 x2, 45385 x3, Z80.0, K63.5, Z12.11
D) 45384, 45385-59, Z12.11, D12.3, D12.2, Z80.0
ANS: D
4. A 33-year-old male patient presents to the endoscopy suite to determine if he has an ulcer.
The physician performs a diagnostic scope through the esophagus, stomach and into the
duodenum and jejunum. During the scope the patient has a severe drop in blood pressure and
the physician discontinues the procedure, but not before observing and diagnosing a bleeding
ulcer on the stomach lining as well a perforated ulcer in the jejunum. A repeat examination is
planned.
What CPT® and ICD-10-CM codes are reported?
,A) 43235-52, K25.4, K28.5
B) 43235-53, K25.4, K28.5
C) 43200-52, K25.5, K28.5
D) 43235-53, K25.4, K28.1
ANS: B
5. A patient presents for esophageal dilation. The physician begins dilation by using a bougie.
This attempt was unsuccessful. The physician then dilates the esophagus transendoscopically
using a balloon (25mm). What CPT® code(s) is/are reported?
A) 43220
B) 43450-53, 43220
C) 43450, 43220
D) 43220, 43450-52
ANS: A
6. How do you report a screening colonoscopy performed on a 65 year-old Medicare patient
with a family history of colon cancer? The physician was able to pass the scope to the cecum.
What CPT® and ICD-10-CM codes are reported?
A) 45330, Z13.818, Z80.0
B) 45378, Z12.11, Z85.038
C) G0104, Z13.818, Z85.038
D) G0105, Z12.11, Z80.0
ANS: D
7. A patient presents with a 2 cm benign lip lesion. The provider decides to remove the lesion
along with a portion of the lip by performing a wedge excision. Single-layer suture repair is
performed. What CPT® code(s) is/are reported for this service?
A) 40510
B) 11442, 12011-51
C) 40510, 12011-51
D) 11442, 40510
ANS: A
8. What is the correct ICD-10-CM code for a patient with IBS?
A) K58.9
B) K59.2
C) K58.0
D) K59.8
ANS: A
9. What is the correct CPT® coding for a partial distal gastrectomy with Roux-en-Y
reconstruction with vagotomy?
A) 43633, 43635
B) 43634, 43635
C) 43621, 43635
D) 43633, 43640-51
, ANS: A
10. What CPT® and ICD-10-CM codes are reported for diagnosis of a recurrent unilateral
reducible femoral hernia repair?
A) 49550, K41.91
B) 49555, K41.21
C) 49505, K41.31
D) 49555, K41.91
ANS: D
11. In ICD-10-CM, how is Crohn's disease of the small intestine with intestinal obstruction
reported?
A) Crohn's disease of the small intestine is reported first with intestinal obstruction
reported as a secondary diagnosis.
B) Intestinal obstruction is reported first with Crohn's disease of the small intestine is
reported as a secondary.
C) One combination code is reported to indicate Crohn's disease of the small intestine with
intestinal obstruction.
D) Crohn's disease of the small intestine is reported as regional enteritis of the small
intestines.
ANS: D
12. A patient is seen in the gastroenterologist's clinic for a diagnostic colonoscopy. When
performing the service, the physician notes suspicious looking polyps and removes three
using a snare technique to send to pathology for further testing. What is/are the correct CPT®
code(s) to report?
A) 45378, 45385-51
B) 45380
C) 45385
D) 45378, 45380-51
ANS: C
13. What ICD-10-CM code(s) is reported for ulcerative colitis with rectal bleeding?
A) K51.511
B) K52.9, K62.5
C) K51.911
D) K51.90
ANS: C
14. What is the CPT® code for removal of a foreign body from the esophagus via the thoracic
area?
A) 43215
B) 43020
C) 43500
D) 43045
ANS: D
with verified answers
1. A patient with hypertension is scheduled for same day surgery for removal of her gallbladder
due to chronic gallstones. She is examined preoperatively by her cardiologist to be cleared for
surgery.
What ICD-10-CM codes are reported by the cardiologist?
A) Z01.810, K80.20, I10
B) I10, Z01.818, K80.20
C) K80.20, I10, Z01.810
D) K80.21, Z01.89, I10
ANS: A
2. A patient is admitted for a simple primary examination of the gastrointestinal system to rule
out GI cancer. An Esophagogastroduodenoscopy (EGD) is performed, which includes
examination of the esophagus, stomach and portions of the small intestine. During the
examination, a stricture of the esophagus is identified and subsequently dilated via balloon
dilation (20 mm). What CPT® and ICD-10-CM codes are reported?
A) 43235, K22.2
B) 43235, C15.9
C) 43248, Q39.3
D) 43249, K22.2
ANS: D
3. A screening colonoscopy is performed on a 50 year-old patient with a family history of colon
cancer. Multiple polyps were found during the procedure. Two polyps in the transverse colon
were removed with hot forceps cautery. Three polyps in the ascending colon were removed via
snare. Portions of all polyp tissues were to be sent to pathology. What are the correct CPT®
and ICD-10-CM codes for this patient encounter?
A) 48584 x2, 45385 x3, K63.5
B) 45384, 45385-59, K63.5, Z12.11, Z80.0
C) 45384 x2, 45385 x3, Z80.0, K63.5, Z12.11
D) 45384, 45385-59, Z12.11, D12.3, D12.2, Z80.0
ANS: D
4. A 33-year-old male patient presents to the endoscopy suite to determine if he has an ulcer.
The physician performs a diagnostic scope through the esophagus, stomach and into the
duodenum and jejunum. During the scope the patient has a severe drop in blood pressure and
the physician discontinues the procedure, but not before observing and diagnosing a bleeding
ulcer on the stomach lining as well a perforated ulcer in the jejunum. A repeat examination is
planned.
What CPT® and ICD-10-CM codes are reported?
,A) 43235-52, K25.4, K28.5
B) 43235-53, K25.4, K28.5
C) 43200-52, K25.5, K28.5
D) 43235-53, K25.4, K28.1
ANS: B
5. A patient presents for esophageal dilation. The physician begins dilation by using a bougie.
This attempt was unsuccessful. The physician then dilates the esophagus transendoscopically
using a balloon (25mm). What CPT® code(s) is/are reported?
A) 43220
B) 43450-53, 43220
C) 43450, 43220
D) 43220, 43450-52
ANS: A
6. How do you report a screening colonoscopy performed on a 65 year-old Medicare patient
with a family history of colon cancer? The physician was able to pass the scope to the cecum.
What CPT® and ICD-10-CM codes are reported?
A) 45330, Z13.818, Z80.0
B) 45378, Z12.11, Z85.038
C) G0104, Z13.818, Z85.038
D) G0105, Z12.11, Z80.0
ANS: D
7. A patient presents with a 2 cm benign lip lesion. The provider decides to remove the lesion
along with a portion of the lip by performing a wedge excision. Single-layer suture repair is
performed. What CPT® code(s) is/are reported for this service?
A) 40510
B) 11442, 12011-51
C) 40510, 12011-51
D) 11442, 40510
ANS: A
8. What is the correct ICD-10-CM code for a patient with IBS?
A) K58.9
B) K59.2
C) K58.0
D) K59.8
ANS: A
9. What is the correct CPT® coding for a partial distal gastrectomy with Roux-en-Y
reconstruction with vagotomy?
A) 43633, 43635
B) 43634, 43635
C) 43621, 43635
D) 43633, 43640-51
, ANS: A
10. What CPT® and ICD-10-CM codes are reported for diagnosis of a recurrent unilateral
reducible femoral hernia repair?
A) 49550, K41.91
B) 49555, K41.21
C) 49505, K41.31
D) 49555, K41.91
ANS: D
11. In ICD-10-CM, how is Crohn's disease of the small intestine with intestinal obstruction
reported?
A) Crohn's disease of the small intestine is reported first with intestinal obstruction
reported as a secondary diagnosis.
B) Intestinal obstruction is reported first with Crohn's disease of the small intestine is
reported as a secondary.
C) One combination code is reported to indicate Crohn's disease of the small intestine with
intestinal obstruction.
D) Crohn's disease of the small intestine is reported as regional enteritis of the small
intestines.
ANS: D
12. A patient is seen in the gastroenterologist's clinic for a diagnostic colonoscopy. When
performing the service, the physician notes suspicious looking polyps and removes three
using a snare technique to send to pathology for further testing. What is/are the correct CPT®
code(s) to report?
A) 45378, 45385-51
B) 45380
C) 45385
D) 45378, 45380-51
ANS: C
13. What ICD-10-CM code(s) is reported for ulcerative colitis with rectal bleeding?
A) K51.511
B) K52.9, K62.5
C) K51.911
D) K51.90
ANS: C
14. What is the CPT® code for removal of a foreign body from the esophagus via the thoracic
area?
A) 43215
B) 43020
C) 43500
D) 43045
ANS: D
