c.
d.
AAPC CPC Final Exam Test Questions And
Answers Verified 100% Correct
(The correct answer has been verified, selected and highlighted in yellow for all of the questions
below.)
1 An X-ray is performed for pain in the left little finger. This is the initial encounter for this visit.
The X-ray report shows a fractured distal phalanx that is dislocated. What ICD-10-CM code(s) is/are
reported?
a. S62.637A, S63.257A
b. S62.637B, S63.257B
c. S62.637A
d. S62.635A
2 A 6 month-old patient is seen at the clinic for a routine well-child visit and vaccinations. During
the examination the provider finds that the child has a fever and a diagnosis of acute otitis media in the
right ear is documented. Vaccinations are not given at this time. What ICD-10-CM code(s) is/are reported?
a. H66.90, Z00.01
b. Z00.121
c. Z00.121, H66.91, Z28.01
d. Z00.121, H66.90, Z23
3 A 14 year-old male patient was injured while skateboarding. The injuries included a displaced
transverse fracture of the right femur shaft with multiple significant abrasions of the right thigh. What
ICD-10-CM codes are reported?
a. S72.321A, V00.138A, Y93.51
b. S72.321A, S70.311A, V00.138A, Y93.51
c. S72.91XA, S70.311A, V00.138A
d. S72.91XA, S70.311A, Y93.51
4 The patient is admitted for radiation therapy for metastatic bone cancer, unknown primary. She
developed severe vomiting secondary to the radiation. What ICD-10-CM code(s) is/are reported?
, c.
d.
a. Z51.0, C79.51, C80.1, R11.10
b. C79.51, C80.1
c. R11.10
d. C79.51, C80.1, R11.10, Z51.0
5 CPT® Category III codes reimburse at what level?
a. Reimbursement, if any, is determined by the payer
b. 10 percent
c. 85 percent
d. 100 percent
6 When procedures are “mandated” by third party payers, what modifier would you use?
a. 52
b. 32
, c. 76
d. 26
7 What is the correct code for the application of a short arm cast?
a. 29075
b. 29065
c. 29280
d. 29125
8 What codes are voluntarily reported to payers, provide evidence-based performance- measure
data?
a. CPT® Category III codes
b. CPT® Category I codes
c. CPT® Category II codes
d. HCPCS Level II codes
9 What chapter in the HCPCS Level II codebook lists the code for Wheelchairs?
a. Durable Medical Equipment (E0100-E8002)
b. Orthotic Procedures and Services (L0112-L4631)
c. Prosthetic Procedures (L5000-L9900)
d. Transportation Services including Ambulance (A0021-A0999)
10 Which statement is TRUE regarding the Table of Neoplasms in ICD-10-CM?
a. The Table of Neoplasms is found by looking for Neoplasm in the ICD-10-CM Alphabetic Index.
b. There are six columns in the Table of Neoplasms; Malignant Primary, Malignant
c.Secondary, Ca in situ, Benign, Uncertain Behavior and Unspecified Behavior. The
Table of
Neoplasms is found in the Tabular List.
d. There is not a Table of Neoplasms in ICD-10-CM.
11 The patient is here to see us about some skin tags on her neck and both underarms. She has had
these lesions for some time; they are irritated by her clothing, itch, and at times have a burning sensation
to them. We discussed treatment options along with risks. Informed consent was obtained and we
proceeded. We removed 16 skin tags from the right axilla, 16 skin tags from the left axilla, 10 from the
right side of the neck and 17 from the left side of the neck. What CPT® and ICD-10-CM codes are reported?
a. 11200, 11201 x 4, 11201-52, L91.8
, b. 11200, 11201 x 5, L91.8
c. 11057, D23.5, D23.4
d. 11200, 11201-51 x 5, D23.5, D23.4
12 Joe has a terrible problem with ingrown toenails. He goes to the podiatrist to have a nail
permanently removed along with the nail matrix. What CPT® code is reported?
a. 11765
b. 11720
c. 11730
d. 11750
13 PREOPERATIVE & POSTOPERATIVE DIAGNOSES:
1. Macromastia.
2. Back pain.
3. Neck pain.
4. Shoulder pain.
5. Shoulder grooving.
6. Intertrigo.
NAME OF PROCEDURE:
1. Right breast reduction of 1950 g.
2. Right free-nipple graft.
3. Left breast reduction of 1915 g.
4. Left free-nipple graft.
INDICATIONS FOR SURGERY: The patient is a 43 year-old female with macromastia and associated back
pain, neck pain, shoulder pain, shoulder grooving and intertrigo. She desired a breast reduction.
Because of the extreme ptotic nature of her breasts, we felt she would need a free-nipple graft
technique. In the preoperative holding area, we marked her for this free-nipple graft technique of
breast reduction. The patient observed these markings so she could understand the surgery and agree
on the location, and we proceeded. The patient also was morbidly obese with a body mass index of 54.
Because of this, we felt she met the criteria for DVT prophylaxis, which included Lovenox injection.
The patient understood this would increase her risk of bleeding. She also made it known she is a
Jehovah's Witness and refused blood products, but she did understand her risk of bleeding would
significantly increase and we proceeded.
DESCRIPTION OF PROCEDURE: The patient was given 40 mg of subcutaneous Lovenox in the preoperative
holding area. She was then taken to the operating room. Bilateral thigh-high TED hose, in addition to
bilateral pneumatic compression stockings were used throughout the procedure. IV Ancef 1 g was given.
Anesthesia was induced. Both arms were secured on padded arm boards using Kerlix rolls. A similar body
Bair Hugger was placed. The chest and abdomen were prepped and draped in sterile fashion. I began by
circumscribing around each nipple-areolar complex using a 42-mm areolar marker. On each side the
free-nipple grafts were harvested. They were marked to be side specific and were stored on the back
table in moistened lap sponges. Meticulous hemostasis was achieved using Bovie cautery. The tail of the
apex of each breast was de-epithelialized using the scalpel. I amputated the inferior portion of the
breast from the right side. Again, meticulous hemostasis was achieved using the Bovie cautery. There
d.
AAPC CPC Final Exam Test Questions And
Answers Verified 100% Correct
(The correct answer has been verified, selected and highlighted in yellow for all of the questions
below.)
1 An X-ray is performed for pain in the left little finger. This is the initial encounter for this visit.
The X-ray report shows a fractured distal phalanx that is dislocated. What ICD-10-CM code(s) is/are
reported?
a. S62.637A, S63.257A
b. S62.637B, S63.257B
c. S62.637A
d. S62.635A
2 A 6 month-old patient is seen at the clinic for a routine well-child visit and vaccinations. During
the examination the provider finds that the child has a fever and a diagnosis of acute otitis media in the
right ear is documented. Vaccinations are not given at this time. What ICD-10-CM code(s) is/are reported?
a. H66.90, Z00.01
b. Z00.121
c. Z00.121, H66.91, Z28.01
d. Z00.121, H66.90, Z23
3 A 14 year-old male patient was injured while skateboarding. The injuries included a displaced
transverse fracture of the right femur shaft with multiple significant abrasions of the right thigh. What
ICD-10-CM codes are reported?
a. S72.321A, V00.138A, Y93.51
b. S72.321A, S70.311A, V00.138A, Y93.51
c. S72.91XA, S70.311A, V00.138A
d. S72.91XA, S70.311A, Y93.51
4 The patient is admitted for radiation therapy for metastatic bone cancer, unknown primary. She
developed severe vomiting secondary to the radiation. What ICD-10-CM code(s) is/are reported?
, c.
d.
a. Z51.0, C79.51, C80.1, R11.10
b. C79.51, C80.1
c. R11.10
d. C79.51, C80.1, R11.10, Z51.0
5 CPT® Category III codes reimburse at what level?
a. Reimbursement, if any, is determined by the payer
b. 10 percent
c. 85 percent
d. 100 percent
6 When procedures are “mandated” by third party payers, what modifier would you use?
a. 52
b. 32
, c. 76
d. 26
7 What is the correct code for the application of a short arm cast?
a. 29075
b. 29065
c. 29280
d. 29125
8 What codes are voluntarily reported to payers, provide evidence-based performance- measure
data?
a. CPT® Category III codes
b. CPT® Category I codes
c. CPT® Category II codes
d. HCPCS Level II codes
9 What chapter in the HCPCS Level II codebook lists the code for Wheelchairs?
a. Durable Medical Equipment (E0100-E8002)
b. Orthotic Procedures and Services (L0112-L4631)
c. Prosthetic Procedures (L5000-L9900)
d. Transportation Services including Ambulance (A0021-A0999)
10 Which statement is TRUE regarding the Table of Neoplasms in ICD-10-CM?
a. The Table of Neoplasms is found by looking for Neoplasm in the ICD-10-CM Alphabetic Index.
b. There are six columns in the Table of Neoplasms; Malignant Primary, Malignant
c.Secondary, Ca in situ, Benign, Uncertain Behavior and Unspecified Behavior. The
Table of
Neoplasms is found in the Tabular List.
d. There is not a Table of Neoplasms in ICD-10-CM.
11 The patient is here to see us about some skin tags on her neck and both underarms. She has had
these lesions for some time; they are irritated by her clothing, itch, and at times have a burning sensation
to them. We discussed treatment options along with risks. Informed consent was obtained and we
proceeded. We removed 16 skin tags from the right axilla, 16 skin tags from the left axilla, 10 from the
right side of the neck and 17 from the left side of the neck. What CPT® and ICD-10-CM codes are reported?
a. 11200, 11201 x 4, 11201-52, L91.8
, b. 11200, 11201 x 5, L91.8
c. 11057, D23.5, D23.4
d. 11200, 11201-51 x 5, D23.5, D23.4
12 Joe has a terrible problem with ingrown toenails. He goes to the podiatrist to have a nail
permanently removed along with the nail matrix. What CPT® code is reported?
a. 11765
b. 11720
c. 11730
d. 11750
13 PREOPERATIVE & POSTOPERATIVE DIAGNOSES:
1. Macromastia.
2. Back pain.
3. Neck pain.
4. Shoulder pain.
5. Shoulder grooving.
6. Intertrigo.
NAME OF PROCEDURE:
1. Right breast reduction of 1950 g.
2. Right free-nipple graft.
3. Left breast reduction of 1915 g.
4. Left free-nipple graft.
INDICATIONS FOR SURGERY: The patient is a 43 year-old female with macromastia and associated back
pain, neck pain, shoulder pain, shoulder grooving and intertrigo. She desired a breast reduction.
Because of the extreme ptotic nature of her breasts, we felt she would need a free-nipple graft
technique. In the preoperative holding area, we marked her for this free-nipple graft technique of
breast reduction. The patient observed these markings so she could understand the surgery and agree
on the location, and we proceeded. The patient also was morbidly obese with a body mass index of 54.
Because of this, we felt she met the criteria for DVT prophylaxis, which included Lovenox injection.
The patient understood this would increase her risk of bleeding. She also made it known she is a
Jehovah's Witness and refused blood products, but she did understand her risk of bleeding would
significantly increase and we proceeded.
DESCRIPTION OF PROCEDURE: The patient was given 40 mg of subcutaneous Lovenox in the preoperative
holding area. She was then taken to the operating room. Bilateral thigh-high TED hose, in addition to
bilateral pneumatic compression stockings were used throughout the procedure. IV Ancef 1 g was given.
Anesthesia was induced. Both arms were secured on padded arm boards using Kerlix rolls. A similar body
Bair Hugger was placed. The chest and abdomen were prepped and draped in sterile fashion. I began by
circumscribing around each nipple-areolar complex using a 42-mm areolar marker. On each side the
free-nipple grafts were harvested. They were marked to be side specific and were stored on the back
table in moistened lap sponges. Meticulous hemostasis was achieved using Bovie cautery. The tail of the
apex of each breast was de-epithelialized using the scalpel. I amputated the inferior portion of the
breast from the right side. Again, meticulous hemostasis was achieved using the Bovie cautery. There
