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AAPC CPC FINAL EXAM 2026LATEST
REAL QUESTIONS AND CORRECT
ANSWERS GRADE A WELL ELABORATED
ACTUAL EXAM.
hydroplaning and hitting a tree off the highway which caused the car to overturn. He has continued to have neck pain and stiffness. He sees a chiropractor who assesses the patient and manipulates his neck. The diagnosis is neck strain. What CPT® and ICD- 10 - CM codes are reported for the chiropractor? a. 98940, M95.3, V47.3XXA b. 98943, M54.2, V47.2XXA c. 98941, S16.1XXA, V47.9XXA d. 98940, S16.1XXA, V47.0XXA - CORRECT ANSWER A qualified genetics counselor is working with a child who has been diagnosed with fragile X syndrome. After extensive research about the condition, she meets with the parents to discuss the features of the disease and the child's prognosis. The session lasted 45 minutes. What CPT® and ICD- 10 - CM codes are reported? a. 96040, Q99. b. 96040 x 2, Q99. c. 96040 x 2, Q99. d. 96040, Q99.2 - CORRECT ANSWER A patient sustained a neck strain as a driver in an automobile accident, losing control,
PREOPERATIVE DIAGNOSIS : Heart Block POSTOPERATIVE DIAGNOSIS: Heart Block ANESTHESIA: Local anesthesia NAME OF PROCEDURE: Reimplantation of dual chamber pacemaker DESCRIPTION: The chest was prepped with Betadine and draped in the usual sterile fashion. Local anesthesia was obtained by infiltration of 1% Xylocaine. A subfascial incision was made about 2.5 cm below the clavicle, and the old pulse generator was removed. Using the Seldinger technique, the subclavian vein was cannulated and through this, the old atrial lead was removed, and a new atrial lead (serial # 6662458) was placed in the right atrium and to the atrial septum. Thresholds were obtained as follows: The P-wave was 1.4 millivolts, atrial threshold was 1.6 millivolts with a resultant current of 3.5 mA and resistance of 467 ohms. Using a second subclavian stick in the Seldinger technique, the old ventricular lead was removed and a new ventricular lead (se - CORRECT ANSWER PROCEDURES PERFORMED:
- Bilateral facet joint injections, L4-L5 2. Bilateral facet joint injections, L5-S1.
- Fluoroscopy. TECHNIQUE: The AP view was aligned with the proper tilt so that the end plates for the desired levels were perpendicular. The AP image showed the sacrum and the L5 spinous process. Manual palpation located the sacral hiatus. The 6-inch, 20-gauge needle with a slight volar
was administered per the anesthesiologist. A 25-gauge needle on a 5-cc syringe was placed within the - CORRECT ANSWER This 56-year-old female presented with a degenerative posteromedial meniscal flap tear of the right knee. After appropriate preoperative evaluation, the patient was taken to the operating room where general anesthesia was instituted. The patient was placed supine on the operating table. The right lower extremity was sterilely prepped and draped for arthroscopic surgery. The leg was exsanguinated and the tourniquet inflated. The arthroscope was introduced first through the anterolateral portal with medial suprapatellar portal utilized. The lateral compartment looked fairly good. There were some minimal medial degenerative changes. In the medial compartment there was a full-thickness area of osteochondral degeneration with a flap of cartilage noted. It was possible to remove this with a bleeding bony bed with beveled edges of cartilage. The ligament itself was intact. The retropatellar area was normal with Grade I chon - CORRECT ANSWER Operative Report Indications: This is a third follow-up EGD dilation on this 40 - year-old patient for a pyloric channel ulcer which has been slow to heal with resulting pyloric stricture. This is a repeat evaluation and dilation. Medications: Intravenous Versed 2 mg. Posterior pharyngeal Cetacaine spray.
Procedure: With the patient in the left lateral decubitus position, the Olympus GIFXQ10 was inserted into the proximal esophagus and advanced to the Z-line. The esophageal mucosa was unremarkable. Stomach was entered revealing normal gastric mucosa. Mild erythema was seen in the antrum. The pyloric channel was again widened. The ulcer, as previously seen, was well healed with a scar. The pyloric stricture was still present. With some probing, the 11 mm endoscope could be introduced into the second portion of the duodenum, revealing normal mucosa. Marked deformity and scarring was seen in the proximal bulb. Following t - CORRECT ANSWER This 36-year-old female presents with an avulsed anterior cruciate ligament off the femoral condyle with a complete white on white horizontal cleavage tear of the posterior horn of the medial meniscus, causing instability. A general endotracheal anesthesia was performed, and the patient was placed supine on the operating table. The right lower extremity was prepped with Betadine and draped free. Standard arthroscopic portals were created, and the knee was systematically examined and probed. The posterior horn of the medial meniscus was noted to be buckled and frayed. This area was carefully probed and found to be irreparable. It was decided that our best option was to proceed with a limited partial meniscectomy, with the goal being to leave as much viable meniscal tissue as possible. Therefore, a medial infrapatellar portal was developed with a longitudinal stab wound. A series of straight-angled and curved basket pu - CORRECT ANSWER
underwent an interarticular left L4-L5 paravertebral facet joint injection. She had no relief of symptoms from that injection. TECHNIQUE: The patient was positioned prone and the skin was prepped and draped in the usual sterile fashion. The skin and underlying soft tissues were anesthetized with 3 cc of 1% lidocaine. Due to the advanced degenerative changes, the left L3-L4 paravertebral facet joint could not be distinctly visualized fluoroscopically, despite trying numerous angles. This was explained to the patient who wished to proceed with the injection. A 22gauge 6-inch spinal needle was advanced toward th - CORRECT ANSWER A 65-year-old was admitted in the hospital two days ago and is being examined today by his primary care physician, who has been seeing him since he has been admitted. Primary care physician is checking for any improvements or if the condition is worsening. CHIEF COMPLAINT: CHF INTERVAL HISTORY: CHF symptoms worsened since yesterday. Now has some resting dyspnea. HTN remains poorly controlled with systolic pressure running in the 160s. Also, I'm concerned about his CKD, which has worsened, most likely due to cardio-renal syndrome. REVIEW OF SYSTEMS: Positive for orthopnea and one episode of PND. Negative for flank pain, obstructive symptoms or documented exposure to nephrotoxins. PHYSICAL EXAMINATION: GENERAL: Mild respiratory distress at rest
VITAL SIGNS: BP 168/84, HR 58, temperature 98.1. LUNGS: Worsening bibasilar crackles CARDIOVASCULAR: RRR, no MRGs. EXTREMITIES: Show worsening lower extremity edema. LABS: BUN 5 - CORRECT ANSWER INDICATIONS FOR CORONARY INTERVENTION: Acute inferior myocardial infarction. Documented mildly occlusive plaque with much clot in the right coronary artery. PROCEDURE: Insertion of temporary pacemaker in the right femoral vein. Primary stenting of the right coronary artery with a 4.5 x 16 mm Express stent. Angio-Seal to the vessels of the right common femoral artery post procedure, and also Angio-Seal of the right common femoral vein. TECHNIQUE: Judkins percutaneous approach from the right groin with Perclose at the arterial puncture site post procedure. CATHETERS: 4 French Angio-Jet catheter device, insertion of a 5 French temporary pacing wire, a 4.5 x 16 mm Express stent. PRESSURES: Aortic Pressure: 107/78 RESULTS: Coronary stenting procedure of the right coronary artery: The right coronary artery was primarily stented with a 4.5 x 16 mm Express stent. It was expanded to 12 atmospheres. There was no residual steno - CORRECT ANSWER The minimum necessary rule is based on sound current practice that protected health information should NOT be
What does the abbreviation MAC stand for? a. Medicaid Alert Contractor b. Medicare Advisory Contractor c. Medicare Administrative Contractor d. Medicaid Administrative Contractor - CORRECT ANSWER c. Medicare Administrative Contractor The OIG recommends that provider practices enforce disciplinary actions through well publicized compliance guidelines to ensure actions that are ______. a. Permanent b. Consistent and appropriate c. Frequent d. Swift and enforceable - CORRECT ANSWER b. Consistent and appropriate Through which vessel is oxygenated blood returned to the heart from the lungs? a. Pulmonary vein b. Bronchial vein c. Pulmonary artery d. Bronchial artery - CORRECT ANSWER a. Pulmonary vein Muscle is attached to bone by what method?
a. Tendons, ligaments, and directly to bone b. Tendons, aponeurosis, and directly to bone c. Ligaments, aponeurosis, and directly to bone d. Tendons and cartilage - CORRECT ANSWER b. Tendons, aponeurosis, and directly to bone Lacrimal glands are responsible for which of the following? a. Production of tears b. Production of vitreous c. Production of mydriatic agents d. Production of zonules - CORRECT ANSWER a. Production of tears Melasma is defined as: a. Lines where the skin has been stretched b. A discharge of mucus and blood c. A dark vertical line appearing on the abdomen d. Brownish pigmentation appearing on the face - CORRECT ANSWER d. Brownish pigmentation appearing on the face A gonioscopy is an examination of what part of the eye: a. Anterior chamber of the eye b. Lacrimal duct c. Interior surface of the eye d. Posterior segment - CORRECT ANSWER a. Anterior chamber of the eye
What diagnosis code(s) is/are reported for behavioral disturbances in a patient with early onset Alzheimer's? a. G30.8, F02. b. F02. c. F02.81, G30. d. G30.0, F02.81 - CORRECT ANSWER d. G30.0, F02. What is the ICD- 10 - CM code for a patient with postoperative anemia due to acute blood loss during the surgery who needs a blood transfusion? A 54-year-old male goes to his primary care provider with dizziness. On physical exam his blood pressure is 200/130. After a complete work-up, including laboratory tests, the provider makes a diagnosis of end stage renal disease and hypertension. What are the appropriate diagnosis codes for this encounter? a. I12.0, N18. b. I10, N18. a. N40. b. N40.3, R33. c. N40. d. N40.1, R33.8 - CORRECT ANSWER d. N40.1, R33. a. D64. b. D53. c. D50. d. D62 - CORRECT ANSWER d. D
c. I10, N18. d. I12.0 - CORRECT ANSWER a. I12.0, N18. A 32-year-old male was seen in the ambulatory surgery center ASC for removal of two lipomas. One was located on his back and the other was located on the right forearm. Both involved subcutaneous tissue. What ICD10CM code(s) is/are reported? a. D17. b. D17. c. D17.1, D17. d. D17.21, D17.1 - CORRECT ANSWER d. D17.21, D17. A 33-year-old patient visits his primary care provider to discuss a lap band procedure for his morbid obesity. His caloric intake is in excess of 4,000 calories per day and his BMI is currently 45. What ICD- 10 - CM code(s) is/are reported? a. E66.01, Z68. b. E66.3, Z68. c. E66. d. E66.01, Z68.45 - CORRECT ANSWER a. E66.01, Z68.
d. The site of the ulcer and the stage of the ulcer are reported with two separate codes. - CORRECT ANSWER b. Two codes are assigned when a patient is admitted with a pressure ulcer that evolves to another stage during the admission. A child has a splinter under the right middle fingernail. What ICD- 10 - CM code is reported? A 16-year-old male is brought to the ED by his mother. He was riding his bicycle in the park when he fell off the bike. The patient's right arm is painful to touch, discolored, and swollen. The X-ray shows a closed fracture of the ulna. What ICD- 10 - CM codes are reported? a. S52.201A, V19.9XXA, Y92. b. S52.201A, V18.4XXA, Y92. c. S52.201A, V18.0XXA, Y92. d. S52.209A, V18.4XXA, Y92.830 - CORRECT ANSWER c. S52.201A, V18.0XXA, Y92. A 12-month-old receives the following vaccinations: Hepatitis B, Hib, Varicella, and Mumps-measles-rubella. What ICD- 10 - CM code(s) is/are reported for the vaccinations? a. S61.222A b. S61.227A c. S61.242A d. S60.452A - CORRECT ANSWER d. S60.452A
a. B19.10, B01.9, B26.9, B05.9, B06.9, Z b. Z23, B19.10, B01.9, B26.9, B05.9, B06. c. Z d. B19.10, B01.9, B26.9, B05.9, B06.9 - CORRECT ANSWER c. Z The Table of Drugs in the HCPCS Level II book indicates various medication routes of administration. What abbreviation represents the route where a drug is introduced into the subdural space of the spinal cord? a. IT b. SC c. IM d. INH - CORRECT ANSWER a. IT A patient is in the OR for an arthroscopy of the medial compartment of his left knee. A meniscectomy is performed. What is the correct code used to report for the anesthesia services? What is the correct CPT® code for a MRI performed on the brain first without contrast and then with contrast? a. 01400 b. 01402 c. 29880-LT d. 29870-LT - CORRECT ANSWER a. 01400
Joe has a terrible problem with ingrown toenails. He goes to the podiatrist to have a nail permanently removed along with the nail matrix. What CPT® code is reported? The patient is seen for removal of fatty tissue of the posterior iliac crest, abdomen, and the medial and lateral thighs. Suction- assisted lipectomy was undertaken in the left posterior iliac crest area and was continued on the right and the lateral trochanteric and posterior aspect of the medial thighs. The medial right and left thighs were suctioned followed by the abdomen. The total amount infused was 2300 cc and the total amount removed was 2400 cc. The incisions were closed and a compression garment was applied. What CPT® codes are reported? a. 15877, 15878- 50 - 51 b. 15877, 15879- 50 - 51 c. 15830, 15839- 50 - 51, 15847 d. 15830, 15832- 50 - 51 - CORRECT ANSWER b. 15877, 15879 - 50 - 51 The patient is seen in follow-up for excision of the basal cell carcinoma of his nose. I examined his nose noting the wound has healed well. His pathology showed the margins were clear. He has a mass on his forehead; he says it is a. 11720 b. 11730 c. 11750 d. 11765 - CORRECT ANSWER c. 11750
from a fragment of sheet metal from an injury to his forehead. He has an X-ray showing a foreign body, and we have offered to remove it. After obtaining consent we proceeded. The area was infiltrated with local anesthetic. I had drawn for him how I would incise over the foreign body. He observed this in the mirror so he could understand the surgery and agree on the location. I incised a thin ellipse over the mass to give better access to it; the mass was removed. There was a granuloma capsule around this, containing what appeared to be a black-colored piece of stained metal; I felt it could potentially cause a permanent black mark on his forehead. I offered to excise the metal. He wanted me - CORRECT ANSWER a. 10121, L92.3, Z18.10, Z85. In ICD- 10 - CM, what classification system is used to report open fracture classifications? A patient presented with a right ankle fracture. After induction of general anesthesia, the right leg was elevated and draped in the usual manner for surgery. A longitudinal incision was made parallel and posterior to the fibula. It was curved anteriorly to its distal end. The skin flap was developed and retracted anteriorly. The distal fibula fracture was then reduced and held with reduction forceps. a. Gustilo classification for open fractures b. PHF classification of fractures c. Danis-Weber classification d. Muller AO classification of fractures - CORRECT ANSWER a. Gustilo classification for open fractures
