Certified Professional Coder (CPC) by AAPC Test Bank
(Questions 1–250)
Each question is detailed, and includes the correct answer marked.
1. A patient undergoes excision of a 2.5 cm malignant melanoma on the upper
back with a 2 cm margin, and layered closure was performed. Which is the
correct CPT coding?
A) 11603 – Excision of malignant lesion, trunk, 2.1–3.0 cm.
B) 11604 – Excision of malignant lesion, trunk, 3.1–4.0 cm.
✅ C) 11603 + 12032 – Excision (2.1–3.0 cm) plus intermediate layered closure.
D) 11403 – Benign lesion excision, trunk, 2.1–3.0 cm.
2. A 57-year-old patient has a colonoscopy that reaches the cecum. A single 1.5
cm polyp is removed via cold snare technique, and a biopsy is taken from a
separate lesion in the ascending colon. What CPT code combination is correct?
A) 45378 + 45380.
B) 45385 + 45382.
✅ C) 45385 + 45380 – Polypectomy and biopsy at separate sites.
D) 45388 only.
3. A 65-year-old patient is seen in the ED with chest pain. The physician
documents "NSTEMI" confirmed by EKG. What ICD-10-CM code is correct?
A) I21.09 – STEMI, unspecified site.
B) I21.11 – Anterior STEMI.
✅ C) I21.4 – Non-ST elevation myocardial infarction (NSTEMI).
D) I21.9 – Acute MI, unspecified.
4. Which ICD-10-CM code represents type 2 diabetes with diabetic neuropathy?
A) E11.9 – Type 2 diabetes without complications.
B) E10.40 – Type 1 diabetes with neuropathy.
,✅ C) E11.40 – Type 2 diabetes with diabetic neuropathy, unspecified.
D) G63 – Polyneuropathy in diabetes.
5. A surgeon performs laparoscopic total hysterectomy with bilateral salpingo-
oophorectomy (uterus <250g). Which CPT code applies?
A) 58570 – Total laparoscopic hysterectomy only.
✅ B) 58571 – Laparoscopic hysterectomy with BSO, uterus <250g.
C) 58572 – Hysterectomy with BSO, uterus >250g.
D) 58150 – Abdominal hysterectomy.
6. A diagnostic bronchoscopy with lavage and brushings is performed. What
CPT codes are reported?
A) 31622 only.
B) 31622 + 31623.
✅ C) 31622 + 31623 + 31624 – Bronchoscopy, brushing, and lavage.
D) 31628 only.
7. A patient presents for annual well-woman exam, including Pap smear
collection. Which CPT code applies for the physician service?
A) 99395 – Preventive visit, age 18–39.
B) 99396 – Preventive visit, age 40–64.
✅ C) 99396 – Preventive medicine visit, established patient, 40–64 years.
D) 88175 – Cytopathology, Pap smear.
8. Which ICD-10-CM code represents acute systolic heart failure?
A) I50.32 – Chronic diastolic heart failure.
B) I50.22 – Chronic systolic heart failure.
✅ C) I50.21 – Acute systolic heart failure.
D) I50.9 – Heart failure, unspecified.
,9. A patient undergoes open repair of a reducible right inguinal hernia. Which
CPT code applies?
A) 49505 – Inguinal hernia repair, age >5 years.
✅ B) 49505 – Inguinal hernia repair, initial, age >5 years, reducible.
C) 49507 – Inguinal hernia repair, incarcerated.
D) 49650 – Laparoscopic inguinal hernia repair.
10. A CT scan of the chest is performed both with and without contrast. Which
CPT code applies?
A) 71250 – CT chest without contrast.
B) 71260 – CT chest with contrast.
✅ C) 71270 – CT chest with and without contrast.
D) 71275 – CTA chest.
11. A patient undergoes excision of a lipoma located deep in the left forearm.
Which CPT code is correct?
A) 25075 – Excision of soft tissue tumor, forearm, subcutaneous.
B) 25076 – Excision of tumor, arm, deep <3 cm.
✅ C) 25076 – Excision, soft tissue tumor, forearm, deep, <3 cm.
D) 25077 – Excision, soft tissue tumor, arm, >3 cm.
12. A 42-year-old female undergoes screening mammogram. Which CPT code
applies?
A) 77065 – Diagnostic mammogram, unilateral.
B) 77066 – Diagnostic mammogram, bilateral.
✅ C) 77067 – Screening mammogram, bilateral.
D) 77063 – Screening with tomosynthesis.
13. A 5-year-old child undergoes tympanostomy tube insertion under general
anesthesia. Which CPT code applies?
A) 69420 – Myringotomy without tubes.
B) 69421 – Myringotomy with tube, unilateral.
, ✅ C) 69436 – Tympanostomy (requiring anesthesia).
D) 69610 – Tympanoplasty.
14. A patient presents for a subsequent Medicare Annual Wellness Visit (AWV).
Which HCPCS code applies?
A) G0438 – Initial AWV.
✅ B) G0439 – Subsequent AWV.
C) 99397 – Preventive exam.
D) G0402 – Welcome to Medicare exam.
15. Which ICD-10-CM code is correct for morbid obesity due to excess calories?
A) E66.1 – Drug-induced obesity.
✅ B) E66.01 – Morbid obesity due to excess calories.
C) E66.09 – Other obesity.
D) E66.9 – Obesity, unspecified.
16. A patient undergoes debridement of a 7 sq cm pressure ulcer on the left heel.
Which CPT code applies?
A) 11042 – Debridement of subcutaneous tissue, first 20 sq cm.
✅ B) 11042 – Debridement of subcutaneous tissue, up to 20 sq cm.
C) 11043 – Debridement of muscle.
D) 11044 – Debridement of bone.
17. A patient undergoes colonoscopy with control of bleeding in the transverse
colon. Which CPT code applies?
A) 45378 – Diagnostic colonoscopy.
B) 45380 – Colonoscopy with biopsy.
✅ C) 45382 – Colonoscopy with control of bleeding.
D) 45385 – Colonoscopy with polypectomy.
(Questions 1–250)
Each question is detailed, and includes the correct answer marked.
1. A patient undergoes excision of a 2.5 cm malignant melanoma on the upper
back with a 2 cm margin, and layered closure was performed. Which is the
correct CPT coding?
A) 11603 – Excision of malignant lesion, trunk, 2.1–3.0 cm.
B) 11604 – Excision of malignant lesion, trunk, 3.1–4.0 cm.
✅ C) 11603 + 12032 – Excision (2.1–3.0 cm) plus intermediate layered closure.
D) 11403 – Benign lesion excision, trunk, 2.1–3.0 cm.
2. A 57-year-old patient has a colonoscopy that reaches the cecum. A single 1.5
cm polyp is removed via cold snare technique, and a biopsy is taken from a
separate lesion in the ascending colon. What CPT code combination is correct?
A) 45378 + 45380.
B) 45385 + 45382.
✅ C) 45385 + 45380 – Polypectomy and biopsy at separate sites.
D) 45388 only.
3. A 65-year-old patient is seen in the ED with chest pain. The physician
documents "NSTEMI" confirmed by EKG. What ICD-10-CM code is correct?
A) I21.09 – STEMI, unspecified site.
B) I21.11 – Anterior STEMI.
✅ C) I21.4 – Non-ST elevation myocardial infarction (NSTEMI).
D) I21.9 – Acute MI, unspecified.
4. Which ICD-10-CM code represents type 2 diabetes with diabetic neuropathy?
A) E11.9 – Type 2 diabetes without complications.
B) E10.40 – Type 1 diabetes with neuropathy.
,✅ C) E11.40 – Type 2 diabetes with diabetic neuropathy, unspecified.
D) G63 – Polyneuropathy in diabetes.
5. A surgeon performs laparoscopic total hysterectomy with bilateral salpingo-
oophorectomy (uterus <250g). Which CPT code applies?
A) 58570 – Total laparoscopic hysterectomy only.
✅ B) 58571 – Laparoscopic hysterectomy with BSO, uterus <250g.
C) 58572 – Hysterectomy with BSO, uterus >250g.
D) 58150 – Abdominal hysterectomy.
6. A diagnostic bronchoscopy with lavage and brushings is performed. What
CPT codes are reported?
A) 31622 only.
B) 31622 + 31623.
✅ C) 31622 + 31623 + 31624 – Bronchoscopy, brushing, and lavage.
D) 31628 only.
7. A patient presents for annual well-woman exam, including Pap smear
collection. Which CPT code applies for the physician service?
A) 99395 – Preventive visit, age 18–39.
B) 99396 – Preventive visit, age 40–64.
✅ C) 99396 – Preventive medicine visit, established patient, 40–64 years.
D) 88175 – Cytopathology, Pap smear.
8. Which ICD-10-CM code represents acute systolic heart failure?
A) I50.32 – Chronic diastolic heart failure.
B) I50.22 – Chronic systolic heart failure.
✅ C) I50.21 – Acute systolic heart failure.
D) I50.9 – Heart failure, unspecified.
,9. A patient undergoes open repair of a reducible right inguinal hernia. Which
CPT code applies?
A) 49505 – Inguinal hernia repair, age >5 years.
✅ B) 49505 – Inguinal hernia repair, initial, age >5 years, reducible.
C) 49507 – Inguinal hernia repair, incarcerated.
D) 49650 – Laparoscopic inguinal hernia repair.
10. A CT scan of the chest is performed both with and without contrast. Which
CPT code applies?
A) 71250 – CT chest without contrast.
B) 71260 – CT chest with contrast.
✅ C) 71270 – CT chest with and without contrast.
D) 71275 – CTA chest.
11. A patient undergoes excision of a lipoma located deep in the left forearm.
Which CPT code is correct?
A) 25075 – Excision of soft tissue tumor, forearm, subcutaneous.
B) 25076 – Excision of tumor, arm, deep <3 cm.
✅ C) 25076 – Excision, soft tissue tumor, forearm, deep, <3 cm.
D) 25077 – Excision, soft tissue tumor, arm, >3 cm.
12. A 42-year-old female undergoes screening mammogram. Which CPT code
applies?
A) 77065 – Diagnostic mammogram, unilateral.
B) 77066 – Diagnostic mammogram, bilateral.
✅ C) 77067 – Screening mammogram, bilateral.
D) 77063 – Screening with tomosynthesis.
13. A 5-year-old child undergoes tympanostomy tube insertion under general
anesthesia. Which CPT code applies?
A) 69420 – Myringotomy without tubes.
B) 69421 – Myringotomy with tube, unilateral.
, ✅ C) 69436 – Tympanostomy (requiring anesthesia).
D) 69610 – Tympanoplasty.
14. A patient presents for a subsequent Medicare Annual Wellness Visit (AWV).
Which HCPCS code applies?
A) G0438 – Initial AWV.
✅ B) G0439 – Subsequent AWV.
C) 99397 – Preventive exam.
D) G0402 – Welcome to Medicare exam.
15. Which ICD-10-CM code is correct for morbid obesity due to excess calories?
A) E66.1 – Drug-induced obesity.
✅ B) E66.01 – Morbid obesity due to excess calories.
C) E66.09 – Other obesity.
D) E66.9 – Obesity, unspecified.
16. A patient undergoes debridement of a 7 sq cm pressure ulcer on the left heel.
Which CPT code applies?
A) 11042 – Debridement of subcutaneous tissue, first 20 sq cm.
✅ B) 11042 – Debridement of subcutaneous tissue, up to 20 sq cm.
C) 11043 – Debridement of muscle.
D) 11044 – Debridement of bone.
17. A patient undergoes colonoscopy with control of bleeding in the transverse
colon. Which CPT code applies?
A) 45378 – Diagnostic colonoscopy.
B) 45380 – Colonoscopy with biopsy.
✅ C) 45382 – Colonoscopy with control of bleeding.
D) 45385 – Colonoscopy with polypectomy.
