1|Page
AAPC CPC FINAL c. ICD-10-CM and ICD-10-
PCS
EXAM PRACTICE d. CPT, HCPCS Level II, ICD-
10-CM, ICD-10-PCS - 100
EXAM NEWEST 2024- correct answer as-a.
2025 ACTUAL EXAM CPT, HCPCS Level II and
ICD-10-CM
140 QUESTIONS AND
In what year was HITECH
CORRECT DETAILED enacted as part of the
ANSWERS (VERIFIED American Recovery and
Reinvestment Act?
ANSWERS)
a. 2010
b. 2009
What form is used to submit a c. 2000
provider's charge to the d. 2007 - 100 correct
insurance carrier? answer as-b. 2009
a. UB-04 Voluntary compliance
b. Provider reimbursement programs also provide
form benefits by not only helping to
c. CMS-1500 prevent erroneous or ____,
d. ABN - 100 correct but also by showing that the
answer as-c. CMS-1500 provider practice is making
additional good faith efforts to
Which coding manuals do submit claims appropriately.
outpatient coders focus on
learning? a. Over utilized codes
b. Duplicative claims
a. CPT, HCPCS Level II and c. Fraudulent claims
ICD-10-CM
b. CPT and ICD-10-CM
,2|Page
d. Mistaken principals - 100
correct answer as-c. In order, starting with the
innermost layer, what are the
Fraudulent claims
four walls of the digestive
tract?
Which CMS product describes
whether specific medical
a. Mucosa, submucosa,
items, services, treatment
muscle, serosa
procedures or technologies
b. Serosa, mucosa,
are considered medically
submucosa, muscle
necessary under Medicare?
c. Mucosa, submucosa,
serosa, muscle
a. Medicare Claims
d. Muscle, submucosa,
Processing Manual
b. National Coverage mucosa, serosa - 100
Determinations Manual correct answer as-a.
c. Relative Value Files Mucosa, submucosa, muscle,
d. Medicare Physician Fee serosa
Schedule Final Rule - 100
correct answer as-b. Which one of the following
best describes psoriasis?
National Coverage
Determinations Manual
a. A chronic condition
characterized by red, dry,
Which condition results from
elevated lesions, covered by
an injury to the head? The
silvery scales
symptoms include headache,
b. An inflammatory condition
dizziness and vomiting.
characterized by redness
pustular and vesicular lesions,
a. Meningitis
crusts, and scales
b. Concussion
c. An allergic reaction
c. Epilepsy
characterized by wheals and
d. Parkinson's disease - 100 generally accompanied by
correct answer as-b. pruritus
Concussion
,3|Page
d. A contagious infection of a. CPT
skin generally caused by b. Documentation
staphylococcus bacterium - c. Official Coding Guidelines
100 correct answer as-a. d. Nothing. They are only
used in the event of no other
A chronic condition
characterized by red, dry, instruction. - 100 correct
elevated lesions, covered by answer as-c. Official
silvery scales Coding Guidelines
A form of milk produced the What is the sequencing order
first few days after giving birth when coding a sequela (late
is: effect)?
a. Prolactin a. They symptom is coded
b. Colostrum first followed by the residual
c. Lactose condition and the late effect
d. Chorion - 100 correct code
answer as-b. Colostrum b. The cause of the late effect
is coded first and the residual
condition is coded second
A condition where the thyroid
c. The cause of the late effect
is overactive is called:
is coded first; the residual
condition is second followed
a. Thyrotoxicosis
by the symptoms
b. Panhypopituitarism
d. The residual condition is
c. Ketosis
coded first, and the code(s)for
d. Thyroiditis - 100 correct the cause of the late effect are
answer as-a. Thyrotoxicosis coded as secondary - 100
correct answer as-d. The
What do the instructions and
residual condition is coded
conventions of the
first, and the code(s)for the
classification take precedence
cause of the late effect are
over?
coded as secondary
, 4|Page
Using the ICD-10-CM reference the ICD-10-CM
Alphabetic Index, which main Alphabetic Index to determine
term below has an if the condition has a subentry
instructional note indicating for impending or threatened
another main term may also and also reference main term
be referenced that may entries for Impending and
provide additional Alphabetic Threatened. If the subterms
Index entries that may be are listed, assign the given
useful? code. If the subterms are not
listed, code the existing
a. Diabetes underlying condition(s) and
b. Fibrosarcoma not the condition described as
c. Appendicitis impending or threatened.
d. Symptoms - 100 correct Look in the Alphabetic Index
answer as-b. Fibrosarcoma for Impending. There is not a
subterm for menopause;
therefore, the symptoms are
A 50-year-old female presents
coded. Look for Insomnia
to her provider with symptoms
(organic) which directs the
of insomnia and upset
coder to G47.00. Next, look
stomach. The provider
for Upset/stomach which
suspects she is
directs the coder to K30.
premenopausal. She is
Verify code selection in the
diagnosed with impending
Tabular List.
menopause. What diagnosis
code(s) should be reported?
What is the ICD-10-CM code
for a laceration on the left
a. E28.319
shoulder, subsequent
b. G47.00, K30
encounter?
c. N95.9, G47.00, K30
d. N95.9 - 100 correct a. S51.009D
answer as-b. G47.00, K30 b. S46.001D
c. S51.801D
Rationale: ICD-10-CM
guideline I.B.11 states to
AAPC CPC FINAL c. ICD-10-CM and ICD-10-
PCS
EXAM PRACTICE d. CPT, HCPCS Level II, ICD-
10-CM, ICD-10-PCS - 100
EXAM NEWEST 2024- correct answer as-a.
2025 ACTUAL EXAM CPT, HCPCS Level II and
ICD-10-CM
140 QUESTIONS AND
In what year was HITECH
CORRECT DETAILED enacted as part of the
ANSWERS (VERIFIED American Recovery and
Reinvestment Act?
ANSWERS)
a. 2010
b. 2009
What form is used to submit a c. 2000
provider's charge to the d. 2007 - 100 correct
insurance carrier? answer as-b. 2009
a. UB-04 Voluntary compliance
b. Provider reimbursement programs also provide
form benefits by not only helping to
c. CMS-1500 prevent erroneous or ____,
d. ABN - 100 correct but also by showing that the
answer as-c. CMS-1500 provider practice is making
additional good faith efforts to
Which coding manuals do submit claims appropriately.
outpatient coders focus on
learning? a. Over utilized codes
b. Duplicative claims
a. CPT, HCPCS Level II and c. Fraudulent claims
ICD-10-CM
b. CPT and ICD-10-CM
,2|Page
d. Mistaken principals - 100
correct answer as-c. In order, starting with the
innermost layer, what are the
Fraudulent claims
four walls of the digestive
tract?
Which CMS product describes
whether specific medical
a. Mucosa, submucosa,
items, services, treatment
muscle, serosa
procedures or technologies
b. Serosa, mucosa,
are considered medically
submucosa, muscle
necessary under Medicare?
c. Mucosa, submucosa,
serosa, muscle
a. Medicare Claims
d. Muscle, submucosa,
Processing Manual
b. National Coverage mucosa, serosa - 100
Determinations Manual correct answer as-a.
c. Relative Value Files Mucosa, submucosa, muscle,
d. Medicare Physician Fee serosa
Schedule Final Rule - 100
correct answer as-b. Which one of the following
best describes psoriasis?
National Coverage
Determinations Manual
a. A chronic condition
characterized by red, dry,
Which condition results from
elevated lesions, covered by
an injury to the head? The
silvery scales
symptoms include headache,
b. An inflammatory condition
dizziness and vomiting.
characterized by redness
pustular and vesicular lesions,
a. Meningitis
crusts, and scales
b. Concussion
c. An allergic reaction
c. Epilepsy
characterized by wheals and
d. Parkinson's disease - 100 generally accompanied by
correct answer as-b. pruritus
Concussion
,3|Page
d. A contagious infection of a. CPT
skin generally caused by b. Documentation
staphylococcus bacterium - c. Official Coding Guidelines
100 correct answer as-a. d. Nothing. They are only
used in the event of no other
A chronic condition
characterized by red, dry, instruction. - 100 correct
elevated lesions, covered by answer as-c. Official
silvery scales Coding Guidelines
A form of milk produced the What is the sequencing order
first few days after giving birth when coding a sequela (late
is: effect)?
a. Prolactin a. They symptom is coded
b. Colostrum first followed by the residual
c. Lactose condition and the late effect
d. Chorion - 100 correct code
answer as-b. Colostrum b. The cause of the late effect
is coded first and the residual
condition is coded second
A condition where the thyroid
c. The cause of the late effect
is overactive is called:
is coded first; the residual
condition is second followed
a. Thyrotoxicosis
by the symptoms
b. Panhypopituitarism
d. The residual condition is
c. Ketosis
coded first, and the code(s)for
d. Thyroiditis - 100 correct the cause of the late effect are
answer as-a. Thyrotoxicosis coded as secondary - 100
correct answer as-d. The
What do the instructions and
residual condition is coded
conventions of the
first, and the code(s)for the
classification take precedence
cause of the late effect are
over?
coded as secondary
, 4|Page
Using the ICD-10-CM reference the ICD-10-CM
Alphabetic Index, which main Alphabetic Index to determine
term below has an if the condition has a subentry
instructional note indicating for impending or threatened
another main term may also and also reference main term
be referenced that may entries for Impending and
provide additional Alphabetic Threatened. If the subterms
Index entries that may be are listed, assign the given
useful? code. If the subterms are not
listed, code the existing
a. Diabetes underlying condition(s) and
b. Fibrosarcoma not the condition described as
c. Appendicitis impending or threatened.
d. Symptoms - 100 correct Look in the Alphabetic Index
answer as-b. Fibrosarcoma for Impending. There is not a
subterm for menopause;
therefore, the symptoms are
A 50-year-old female presents
coded. Look for Insomnia
to her provider with symptoms
(organic) which directs the
of insomnia and upset
coder to G47.00. Next, look
stomach. The provider
for Upset/stomach which
suspects she is
directs the coder to K30.
premenopausal. She is
Verify code selection in the
diagnosed with impending
Tabular List.
menopause. What diagnosis
code(s) should be reported?
What is the ICD-10-CM code
for a laceration on the left
a. E28.319
shoulder, subsequent
b. G47.00, K30
encounter?
c. N95.9, G47.00, K30
d. N95.9 - 100 correct a. S51.009D
answer as-b. G47.00, K30 b. S46.001D
c. S51.801D
Rationale: ICD-10-CM
guideline I.B.11 states to
