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AAPC CPC EXAM PREP 2026 | 500+ VERIFIED Q&A |
ICD-10, CPT & HCPCS MASTERY | GRADED A+
A 5 year-old fell on broken glass and required suturing of a laceration. Due to the age and
combative behavior of the patient, the provider utilized moderate sedation while repairing
the laceration. The provider gave the child 50 mg of Ketamine IM. A nurse monitored the
patient during the procedure which took 30 minutes. What CPT® code is reported for
moderate sedation?
99152, 99153
Rationale: Moderate sedation is often used for pediatric patients in situations not normally
requiring sedation. In this case, the provider administered sedation with a nurse assisting in
monitoring the patient. In the CPT® Index look for Sedation/Moderate/with Independent
Observation and you are directed to code range 99151-99153. Code selection is based on age of
the patient and the length of time. Code 99152 describes an encounter using moderate sedation,
and the physician or other qualified health care professional rendering the diagnostic or
therapeutic service also manages the sedation. This code is specific for the age of the patient and
up to 15 minutes of time. Add-on 99153 is for each additional 15 minutes of intraservice time.
A new patient with cystic fibrosis underwent evaluation of lung function, including
percussion, vibration and cupping to the chest wall to facilitate his lung function. What
CPT® code(s) is/are reported for this service?
94667
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Rationale: In the CPT® Index look for Pulmonology/Therapeutic/Manipulation of Chest Wall or
Chest Wall/Manipulation which directs you to 94667-94668. 94667 is the correct code since it
includes the patient's first time, and it includes the evaluation.
A patient was brought to the emergency department in cardiac arrest. The physician
immediately initiated CPR. What CPT® code is reported for CPR?
92950
Rationale: Medical personnel usually begin cardiopulmonary resuscitation (CPR) which provides
artificial breathing and chest compressions for a person in cardiac arrest. In the CPT® Index you
can look for either CPR or Cardiopulmonary Resuscitation or Resuscitation/Cardiopulmonary.
All indexed items direct you to code 92950.
A patient with hypertensive cardiovascular disease is admitted by his primary care
provider. What is/are the correct ICD-10-CM code(s) for this encounter?
I11.9
Rationale: In the ICD-10-CM Alphabetic Index look for Hypertension,
hypertensive/cardiovascular/disease (arteriosclerotic) (sclerotic) which states to see
Hypertension, heart. Look for Hypertension/heart (disease) (conditions in I51.4-I51.9 due to
hypertension) directing you to I11.9. ICD-10-CM guideline, I.C.9.a.1., states code I11- is used
when a causal relationship is stated or implied. Tabular List confirms code I11.9 is correct as
heart failure is not documented.
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A patient with chronic respiratory failure is visited at home by a certified respiratory
therapist to manage his home oxygen therapy. What CPT® and ICD-10-CM codes are
reported?
99503, J96.10
Rationale: In the CPT® Index look for Home Services/Respiratory Therapy and you are directed
to 99503. In the ICD-10-CM Alphabetic Index, look for Failure, failed/respiration,
respiratory/chronic and you are directed to J96.10. Verification in the Tabular List confirms code
selection.
A patient with chronic myeloid leukemia (CML), BCR/ABL-positive has an implanted
access port for delivery of chemotherapy. The device needs to be irrigated before receiving
treatment. What ICD-10-CM and CPT® codes are reported for the irrigation?
96523, C92.10
Rationale: In the CPT® Index look for Irrigation/Venous Access Device. Report code 96523 for
irrigation of an implanted venous access device.
In the ICD-10-CM Alphabetic Index look for Leukemia/chronic myeloid, BCR/ABL-positive
and you are directed to C92.1-. In the Tabular List the 5th character of 0 is used to indicate there
is no mention of having achieved remission.
A 49 year-old female was brought to the emergency department. She was lethargic, but
awake. She is four years post liver transplant. Neurology was consulted who determined
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the patient was encephalopathic with altered mental status. There was some question
whether she had a seizure. An EEG and WADA test were performed. What CPT® and
ICD-10-CM codes are reported?
95958, G93.40, R41.82, Z94.4
What ICD-10-CM code is reported when a flu vaccine is administered?
Z23
Rationale: In the ICD-10-CM Alphabetic Index look for Vaccination (prophylactic)/encounter for
Z23. Verification in the Tabular List confirms Z23 is for an encounter for immunization. This
code is nonspecific as to the type of vaccination that is given. The type of vaccination given (i.e.
influenza, MMR, DPT) will be specified by procedure/HCPCS codes.
A 70 year-old patient with chronic obstructive asthma is brought to the urgent care center
with increased wheezing and coughing. The provider initiated an albuterol inhalation
treatment, one dose, delivered by nebulizer. After treatment, the patient's exacerbation was
somewhat improved but the provider determined a second treatment was necessary. What
codes are reported?
94640, 94640-76, J7609 x 2, J44.1
Rationale: In the CPT® Index look for Inhalation Treatment/for Airway Obstruction/Pressured or
Nonpressured and you are directed 94640. Inhalation treatment was given therapeutically in
treating the acute airway obstruction. Two treatments were given so code 94640 is reported
twice. Under code 94640 there is a parenthetical instruction stating to use modifier 76 if more
AAPC CPC EXAM PREP 2026 | 500+ VERIFIED Q&A |
ICD-10, CPT & HCPCS MASTERY | GRADED A+
A 5 year-old fell on broken glass and required suturing of a laceration. Due to the age and
combative behavior of the patient, the provider utilized moderate sedation while repairing
the laceration. The provider gave the child 50 mg of Ketamine IM. A nurse monitored the
patient during the procedure which took 30 minutes. What CPT® code is reported for
moderate sedation?
99152, 99153
Rationale: Moderate sedation is often used for pediatric patients in situations not normally
requiring sedation. In this case, the provider administered sedation with a nurse assisting in
monitoring the patient. In the CPT® Index look for Sedation/Moderate/with Independent
Observation and you are directed to code range 99151-99153. Code selection is based on age of
the patient and the length of time. Code 99152 describes an encounter using moderate sedation,
and the physician or other qualified health care professional rendering the diagnostic or
therapeutic service also manages the sedation. This code is specific for the age of the patient and
up to 15 minutes of time. Add-on 99153 is for each additional 15 minutes of intraservice time.
A new patient with cystic fibrosis underwent evaluation of lung function, including
percussion, vibration and cupping to the chest wall to facilitate his lung function. What
CPT® code(s) is/are reported for this service?
94667
,2|Page
Rationale: In the CPT® Index look for Pulmonology/Therapeutic/Manipulation of Chest Wall or
Chest Wall/Manipulation which directs you to 94667-94668. 94667 is the correct code since it
includes the patient's first time, and it includes the evaluation.
A patient was brought to the emergency department in cardiac arrest. The physician
immediately initiated CPR. What CPT® code is reported for CPR?
92950
Rationale: Medical personnel usually begin cardiopulmonary resuscitation (CPR) which provides
artificial breathing and chest compressions for a person in cardiac arrest. In the CPT® Index you
can look for either CPR or Cardiopulmonary Resuscitation or Resuscitation/Cardiopulmonary.
All indexed items direct you to code 92950.
A patient with hypertensive cardiovascular disease is admitted by his primary care
provider. What is/are the correct ICD-10-CM code(s) for this encounter?
I11.9
Rationale: In the ICD-10-CM Alphabetic Index look for Hypertension,
hypertensive/cardiovascular/disease (arteriosclerotic) (sclerotic) which states to see
Hypertension, heart. Look for Hypertension/heart (disease) (conditions in I51.4-I51.9 due to
hypertension) directing you to I11.9. ICD-10-CM guideline, I.C.9.a.1., states code I11- is used
when a causal relationship is stated or implied. Tabular List confirms code I11.9 is correct as
heart failure is not documented.
,3|Page
A patient with chronic respiratory failure is visited at home by a certified respiratory
therapist to manage his home oxygen therapy. What CPT® and ICD-10-CM codes are
reported?
99503, J96.10
Rationale: In the CPT® Index look for Home Services/Respiratory Therapy and you are directed
to 99503. In the ICD-10-CM Alphabetic Index, look for Failure, failed/respiration,
respiratory/chronic and you are directed to J96.10. Verification in the Tabular List confirms code
selection.
A patient with chronic myeloid leukemia (CML), BCR/ABL-positive has an implanted
access port for delivery of chemotherapy. The device needs to be irrigated before receiving
treatment. What ICD-10-CM and CPT® codes are reported for the irrigation?
96523, C92.10
Rationale: In the CPT® Index look for Irrigation/Venous Access Device. Report code 96523 for
irrigation of an implanted venous access device.
In the ICD-10-CM Alphabetic Index look for Leukemia/chronic myeloid, BCR/ABL-positive
and you are directed to C92.1-. In the Tabular List the 5th character of 0 is used to indicate there
is no mention of having achieved remission.
A 49 year-old female was brought to the emergency department. She was lethargic, but
awake. She is four years post liver transplant. Neurology was consulted who determined
, 4|Page
the patient was encephalopathic with altered mental status. There was some question
whether she had a seizure. An EEG and WADA test were performed. What CPT® and
ICD-10-CM codes are reported?
95958, G93.40, R41.82, Z94.4
What ICD-10-CM code is reported when a flu vaccine is administered?
Z23
Rationale: In the ICD-10-CM Alphabetic Index look for Vaccination (prophylactic)/encounter for
Z23. Verification in the Tabular List confirms Z23 is for an encounter for immunization. This
code is nonspecific as to the type of vaccination that is given. The type of vaccination given (i.e.
influenza, MMR, DPT) will be specified by procedure/HCPCS codes.
A 70 year-old patient with chronic obstructive asthma is brought to the urgent care center
with increased wheezing and coughing. The provider initiated an albuterol inhalation
treatment, one dose, delivered by nebulizer. After treatment, the patient's exacerbation was
somewhat improved but the provider determined a second treatment was necessary. What
codes are reported?
94640, 94640-76, J7609 x 2, J44.1
Rationale: In the CPT® Index look for Inhalation Treatment/for Airway Obstruction/Pressured or
Nonpressured and you are directed 94640. Inhalation treatment was given therapeutically in
treating the acute airway obstruction. Two treatments were given so code 94640 is reported
twice. Under code 94640 there is a parenthetical instruction stating to use modifier 76 if more
