AAPC CPC FINAL EXAM PRACTICE EXAM NEWEST
ACTUAL EXAM 140 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
1. What form is used to submit a provider's charge to the insurance carrier?
a. UB-04
b. Provider reimbursement form
c. CMS-1500
d. ABN: c. CMS-1500
2. Which coding manuals do outpatient coders focus on learning?
a. CPT, HCPCS Level II and ICD-10-CM
b. CPT and ICD-10-CM
c. ICD-10-CM and ICD-10-PCS
d. CPT, HCPCS Level II, ICD-10-CM, ICD-10-PCS: a. CPT, HCPCS Level II and ICD-10-CM
3. In what year was HITECH enacted as part of the American Recovery and
Reinvestment Act?
a. 2010
b. 2009
c. 2000
d. 2007: b. 2009
4. Voluntary compliance programs also provide benefits by not only helping to
prevent erroneous or ____, but also by showing that the provider practice is
making additional good faith efforts to submit claims appropriately.
a. Over utilized codes
b. Duplicative claims
,c. Fraudulent claims
d. Mistaken principals: c. Fraudulent claims
5. Which CMS product describes whether specific medical items, services,
treatment procedures or technologies are considered medically necessary
under Medicare?
a. Medicare Claims Processing Manual
b. National Coverage Determinations Manual
c. Relative Value Files
d. Medicare Physician Fee Schedule Final Rule: b. National Coverage Determinations
Manual
6. Which condition results from an injury to the head? The symptoms include
headache, dizziness and vomiting.
a. Meningitis
b. Concussion
c. Epilepsy
d. Parkinson's disease: b. Concussion
7. In order, starting with the innermost layer, what are the four walls of the
digestive tract?
a. Mucosa, submucosa, muscle, serosa
b. Serosa, mucosa, submucosa, muscle
c. Mucosa, submucosa, serosa, muscle
d. Muscle, submucosa, mucosa, serosa: a. Mucosa, submucosa, muscle, serosa
8. Which one of the following best describes psoriasis?
,a. A chronic condition characterized by red, dry, elevated lesions, covered by
silvery scales
b. An inflammatory condition characterized by redness pustular and vesicular lesions,
crusts, and scales
c. An allergic reaction characterized by wheals and generally accompanied by pruritus
d. A contagious infection of skin generally caused by staphylococcus bacteri-
um: a. A chronic condition characterized by red, dry, elevated lesions, covered by silvery
scales
9. A form of milk produced the first few days after giving birth is: a.
Prolactin
b. Colostrum
c. Lactose
d. Chorion: b. Colostrum
10. A condition where the thyroid is overactive is called:
a. Thyrotoxicosis
b. Panhypopituitarism
c. Ketosis
d. Thyroiditis: a. Thyrotoxicosis
11. What do the instructions and conventions of the classification take
precedence over?
a. CPT
b. Documentation
c. Official Coding Guidelines
d. Nothing. They are only used in the event of no other instruction.: c. Official Coding
Guidelines
12. What is the sequencing order when coding a sequela (late effect)?
, a. They symptom is coded first followed by the residual condition and the late effect code
b. The cause of the late effect is coded first and the residual condition is coded second
c. The cause of the late effect is coded first; the residual condition is second followed by
the symptoms
d. The residual condition is coded first, and the code(s)for the cause of the late
effect are coded as secondary: d. The residual condition is coded first, and the
code(s)for the cause of the late effect are coded as secondary
13. Using the ICD-10-CM Alphabetic Index, which main term below has an
instructional note indicating another main term may also be referenced that
may provide additional Alphabetic Index entries that may be useful?
a. Diabetes
b. Fibrosarcoma
c. Appendicitis
d. Symptoms: b. Fibrosarcoma
14. A 50-year-old female presents to her provider with symptoms of
insomnia and upset stomach. The provider suspects she is premenopausal.
She is diagnosed with impending menopause. What diagnosis code(s)
should be reported?
a. E28.319
b. G47.00, K30
c. N95.9, G47.00, K30
d. N95.9: b. G47.00, K30
Rationale: ICD-10-CM guideline I.B.11 states to reference the ICD-10-CM Alphabetic Index
to determine if the condition has a subentry for impending or threatened and also
reference main term entries for Impending and Threatened. If the subterms are listed,
assign the given code. If the subterms are not listed, code the existing underlying
condition(s) and not the condition described as impending or threatened. Look in the
Alphabetic Index for Impending. There is not a subterm for menopause; therefore, the
ACTUAL EXAM 140 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
1. What form is used to submit a provider's charge to the insurance carrier?
a. UB-04
b. Provider reimbursement form
c. CMS-1500
d. ABN: c. CMS-1500
2. Which coding manuals do outpatient coders focus on learning?
a. CPT, HCPCS Level II and ICD-10-CM
b. CPT and ICD-10-CM
c. ICD-10-CM and ICD-10-PCS
d. CPT, HCPCS Level II, ICD-10-CM, ICD-10-PCS: a. CPT, HCPCS Level II and ICD-10-CM
3. In what year was HITECH enacted as part of the American Recovery and
Reinvestment Act?
a. 2010
b. 2009
c. 2000
d. 2007: b. 2009
4. Voluntary compliance programs also provide benefits by not only helping to
prevent erroneous or ____, but also by showing that the provider practice is
making additional good faith efforts to submit claims appropriately.
a. Over utilized codes
b. Duplicative claims
,c. Fraudulent claims
d. Mistaken principals: c. Fraudulent claims
5. Which CMS product describes whether specific medical items, services,
treatment procedures or technologies are considered medically necessary
under Medicare?
a. Medicare Claims Processing Manual
b. National Coverage Determinations Manual
c. Relative Value Files
d. Medicare Physician Fee Schedule Final Rule: b. National Coverage Determinations
Manual
6. Which condition results from an injury to the head? The symptoms include
headache, dizziness and vomiting.
a. Meningitis
b. Concussion
c. Epilepsy
d. Parkinson's disease: b. Concussion
7. In order, starting with the innermost layer, what are the four walls of the
digestive tract?
a. Mucosa, submucosa, muscle, serosa
b. Serosa, mucosa, submucosa, muscle
c. Mucosa, submucosa, serosa, muscle
d. Muscle, submucosa, mucosa, serosa: a. Mucosa, submucosa, muscle, serosa
8. Which one of the following best describes psoriasis?
,a. A chronic condition characterized by red, dry, elevated lesions, covered by
silvery scales
b. An inflammatory condition characterized by redness pustular and vesicular lesions,
crusts, and scales
c. An allergic reaction characterized by wheals and generally accompanied by pruritus
d. A contagious infection of skin generally caused by staphylococcus bacteri-
um: a. A chronic condition characterized by red, dry, elevated lesions, covered by silvery
scales
9. A form of milk produced the first few days after giving birth is: a.
Prolactin
b. Colostrum
c. Lactose
d. Chorion: b. Colostrum
10. A condition where the thyroid is overactive is called:
a. Thyrotoxicosis
b. Panhypopituitarism
c. Ketosis
d. Thyroiditis: a. Thyrotoxicosis
11. What do the instructions and conventions of the classification take
precedence over?
a. CPT
b. Documentation
c. Official Coding Guidelines
d. Nothing. They are only used in the event of no other instruction.: c. Official Coding
Guidelines
12. What is the sequencing order when coding a sequela (late effect)?
, a. They symptom is coded first followed by the residual condition and the late effect code
b. The cause of the late effect is coded first and the residual condition is coded second
c. The cause of the late effect is coded first; the residual condition is second followed by
the symptoms
d. The residual condition is coded first, and the code(s)for the cause of the late
effect are coded as secondary: d. The residual condition is coded first, and the
code(s)for the cause of the late effect are coded as secondary
13. Using the ICD-10-CM Alphabetic Index, which main term below has an
instructional note indicating another main term may also be referenced that
may provide additional Alphabetic Index entries that may be useful?
a. Diabetes
b. Fibrosarcoma
c. Appendicitis
d. Symptoms: b. Fibrosarcoma
14. A 50-year-old female presents to her provider with symptoms of
insomnia and upset stomach. The provider suspects she is premenopausal.
She is diagnosed with impending menopause. What diagnosis code(s)
should be reported?
a. E28.319
b. G47.00, K30
c. N95.9, G47.00, K30
d. N95.9: b. G47.00, K30
Rationale: ICD-10-CM guideline I.B.11 states to reference the ICD-10-CM Alphabetic Index
to determine if the condition has a subentry for impending or threatened and also
reference main term entries for Impending and Threatened. If the subterms are listed,
assign the given code. If the subterms are not listed, code the existing underlying
condition(s) and not the condition described as impending or threatened. Look in the
Alphabetic Index for Impending. There is not a subterm for menopause; therefore, the
