AAPC CPC Chapter 10 Exam
with verified answers & rationales
1. Which valves are the semilunar valves?
A) Tricuspid and Aortic
B) Pulmonary and Mitral
C) Tricuspid and Mitral
D) Pulmonary and Aortic
ANS: D
2. What term refers to a rapid heartbeat?
A) Tachycardia
B) Cardiomegaly
C) Bradycardia
D) Tachypnea
ANS: A
3. A patient presents to his physician's office for a follow-up visit and review of test results.
Previously, he complained of shortness of breath and chest pain during exercise and the
physician ordered an echocardiogram. The physician documents aortic valve stenosis. What
ICD-10-CM code is reported?
A) I08.0
B) Q23.0
C) I35.0
D) I06.0
ANS: C
4. Patient is diagnosed as having renal failure with hypertension. He is end stage receiving
dialysis. What ICD-10-CM codes are reported?
A) I10, N18.6, Z99.2
B) I12.9, N18.6, Z99.2
C) I12.0, N18.6, Z99.2
D) I13.0, N18.6, Z99.2
ANS: C
5. Patient had mitral valve prolapse, and a mitral valve ring was inserted with cardiopulmonary
bypass. What CPT® code is reported?
A) 33426
B) 33464
C) 33425
D) 33430
ANS: A
,6. Patient undergoes a 3 venous, 2 arterial CABG using the saphenous vein, femoropopliteal
vein, and the radial artery, harvested by the surgeon performing the grafts. The venous grafts
were procured using endoscopic harvesting techniques. What CPT® codes are reported?
A) 33534, 33512, 35572
B) 33534, 33519, 35572, 35600, 33508
C) 33514, 35572, 35600
D) 33533, 33521, 35572, 35600, 33508
ANS: B
7. A 5 French pigtail catheter was placed in the abdominal aorta and a run-off was performed
following injection of 80cc of contrast. Oblique DSA images of the iliac circulation were
performed following 2 injections, each 15cc. The catheter was not moved to another position
within the aorta for the additional injections. What CPT® codes are reported?
A) 36200, 75630-26
B) 36215, 36215-59, 75630-26
C) 36215, 36215-59, 36200, 75630-26
D) 36200, 75716-26
ANS: A
8. Catheter advanced from the left femoral artery into the aorta, manipulated into both the left
and right renal arteries for imaging. What are the CPT® code(s) reported?
A) 36245, 36245-59
B) 36252
C) 36245, 36245-59, 36252-26
D) 36251
ANS: B
9. A patient presents for a cardiac stress test at the hospital. The same physician supervises
the test, interprets the study and documents the official report. What CPT® code(s) is/are
reported?
A) 93015
B) 93015-26
C) 93016, 93017, 93018
D) 93016, 93018
ANS: D
(RATIONALE: Because the study was performed in the hospital, the physician bills for the professional
services. Look in the CPT® Index for Stress Tests/Cardiovascular, and you are referred to 93015-
93024. Modifier 26 is not required, because these services are professional services.)
10. A complete transthoracic echocardiography (TTE) was performed with spectral Doppler and
color flow. Report the global service. What CPT® code(s) is/are reported?
A) 93307, 93320, 93325
B) 93306
C) 93312, 93320, 93325
D) 93312
ANS: B
, 11. Where can codes relating to the cardiovascular system be found in CPT®?
A) 30,000s
B) 70,000s
C) 90,000s
D) All of the above
ANS: D
12. A patient presents to the ED and is subsequently admitted on the same day diagnosed with
an acute anteroapical wall infarction. What ICD-10-CM code is reported?
A) I21.19
B) I21.09
C) I22.9
D) I21.4
ANS: B
13. Patient presents for removal and replacement of her permanent dual chamber transvenous
pacemaker system (generator and leads). What CPT® codes are reported?
A) 33213, 33234-51, 33233-51
B) 33206, 33207-51, 33233-51, 33235-51
C) 33235, 33208-51, 33233-51
D) 33240, 33235-51, 33233-51
ANS: C
14. A catheter is placed at the level of the renal arteries for the abdominal aortography and then
moved to the level of the bifurcation of the aorta for pelvic angiography demonstrating
stenosis in the left external iliac. The right external iliac, femoral and popliteal arteries are
normal. What CPT® codes are reported?
A) 36245, 36245-59, 75630-26
B) 36245, 36245-59, 75716-26, 75625-26
C) 36245, 36200, 75716-26
D) 36200, 75716-26, 75625-26
ANS: D
(RATIONALE: The catheter was placed at the level of the renals or renal arteries, not in the renal
arteries, so this is a non-selective catheterization. Non-selective catheter placement in the aorta is
reported with 36200, which is found in the CPT® Index under Aorta/Catheterization/Catheter or
Catheterization/Aorta. Because the catheter was repositioned and separate studies were performed,
both the aortography and the extremity angiography are reported. In the CPT® Index, look for
Aorta/Aortography; you are referred to 75600-75630. Angiography of the lower extremities is found
under Angiography/Leg Artery; you are referred to 73706, 75635, 75710-75716. Modifier 26 reports
the professional service.)
15. A catheter was advanced into the left and right renal artery, and the SMA (superior
mesenteric artery), and imaging was performed in all vessels. What CPT® codes are reported?
A) 36245-RT, 36245-LT, 36245-59, 36252-59, 75726-26
with verified answers & rationales
1. Which valves are the semilunar valves?
A) Tricuspid and Aortic
B) Pulmonary and Mitral
C) Tricuspid and Mitral
D) Pulmonary and Aortic
ANS: D
2. What term refers to a rapid heartbeat?
A) Tachycardia
B) Cardiomegaly
C) Bradycardia
D) Tachypnea
ANS: A
3. A patient presents to his physician's office for a follow-up visit and review of test results.
Previously, he complained of shortness of breath and chest pain during exercise and the
physician ordered an echocardiogram. The physician documents aortic valve stenosis. What
ICD-10-CM code is reported?
A) I08.0
B) Q23.0
C) I35.0
D) I06.0
ANS: C
4. Patient is diagnosed as having renal failure with hypertension. He is end stage receiving
dialysis. What ICD-10-CM codes are reported?
A) I10, N18.6, Z99.2
B) I12.9, N18.6, Z99.2
C) I12.0, N18.6, Z99.2
D) I13.0, N18.6, Z99.2
ANS: C
5. Patient had mitral valve prolapse, and a mitral valve ring was inserted with cardiopulmonary
bypass. What CPT® code is reported?
A) 33426
B) 33464
C) 33425
D) 33430
ANS: A
,6. Patient undergoes a 3 venous, 2 arterial CABG using the saphenous vein, femoropopliteal
vein, and the radial artery, harvested by the surgeon performing the grafts. The venous grafts
were procured using endoscopic harvesting techniques. What CPT® codes are reported?
A) 33534, 33512, 35572
B) 33534, 33519, 35572, 35600, 33508
C) 33514, 35572, 35600
D) 33533, 33521, 35572, 35600, 33508
ANS: B
7. A 5 French pigtail catheter was placed in the abdominal aorta and a run-off was performed
following injection of 80cc of contrast. Oblique DSA images of the iliac circulation were
performed following 2 injections, each 15cc. The catheter was not moved to another position
within the aorta for the additional injections. What CPT® codes are reported?
A) 36200, 75630-26
B) 36215, 36215-59, 75630-26
C) 36215, 36215-59, 36200, 75630-26
D) 36200, 75716-26
ANS: A
8. Catheter advanced from the left femoral artery into the aorta, manipulated into both the left
and right renal arteries for imaging. What are the CPT® code(s) reported?
A) 36245, 36245-59
B) 36252
C) 36245, 36245-59, 36252-26
D) 36251
ANS: B
9. A patient presents for a cardiac stress test at the hospital. The same physician supervises
the test, interprets the study and documents the official report. What CPT® code(s) is/are
reported?
A) 93015
B) 93015-26
C) 93016, 93017, 93018
D) 93016, 93018
ANS: D
(RATIONALE: Because the study was performed in the hospital, the physician bills for the professional
services. Look in the CPT® Index for Stress Tests/Cardiovascular, and you are referred to 93015-
93024. Modifier 26 is not required, because these services are professional services.)
10. A complete transthoracic echocardiography (TTE) was performed with spectral Doppler and
color flow. Report the global service. What CPT® code(s) is/are reported?
A) 93307, 93320, 93325
B) 93306
C) 93312, 93320, 93325
D) 93312
ANS: B
, 11. Where can codes relating to the cardiovascular system be found in CPT®?
A) 30,000s
B) 70,000s
C) 90,000s
D) All of the above
ANS: D
12. A patient presents to the ED and is subsequently admitted on the same day diagnosed with
an acute anteroapical wall infarction. What ICD-10-CM code is reported?
A) I21.19
B) I21.09
C) I22.9
D) I21.4
ANS: B
13. Patient presents for removal and replacement of her permanent dual chamber transvenous
pacemaker system (generator and leads). What CPT® codes are reported?
A) 33213, 33234-51, 33233-51
B) 33206, 33207-51, 33233-51, 33235-51
C) 33235, 33208-51, 33233-51
D) 33240, 33235-51, 33233-51
ANS: C
14. A catheter is placed at the level of the renal arteries for the abdominal aortography and then
moved to the level of the bifurcation of the aorta for pelvic angiography demonstrating
stenosis in the left external iliac. The right external iliac, femoral and popliteal arteries are
normal. What CPT® codes are reported?
A) 36245, 36245-59, 75630-26
B) 36245, 36245-59, 75716-26, 75625-26
C) 36245, 36200, 75716-26
D) 36200, 75716-26, 75625-26
ANS: D
(RATIONALE: The catheter was placed at the level of the renals or renal arteries, not in the renal
arteries, so this is a non-selective catheterization. Non-selective catheter placement in the aorta is
reported with 36200, which is found in the CPT® Index under Aorta/Catheterization/Catheter or
Catheterization/Aorta. Because the catheter was repositioned and separate studies were performed,
both the aortography and the extremity angiography are reported. In the CPT® Index, look for
Aorta/Aortography; you are referred to 75600-75630. Angiography of the lower extremities is found
under Angiography/Leg Artery; you are referred to 73706, 75635, 75710-75716. Modifier 26 reports
the professional service.)
15. A catheter was advanced into the left and right renal artery, and the SMA (superior
mesenteric artery), and imaging was performed in all vessels. What CPT® codes are reported?
A) 36245-RT, 36245-LT, 36245-59, 36252-59, 75726-26
