AAPC CPC FINAL EXAM AND PRACTICE
EXAM NEWEST ACTUAL EXAM COMPLETE
350 QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+
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 - CORRECT ANSWER c. CMS-1500
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 - CORRECT ANSWER a.
CPT, HCPCS Level II and ICD-10-CM
In what year was HITECH enacted as part of the American Recovery
and Reinvestment Act?
a. 2010
b. 2009
c. 2000
d. 2007 - CORRECT ANSWER b. 2009
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 - CORRECT ANSWER c. Fraudulent claims
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 - CORRECT ANSWER b.
National Coverage Determinations Manual
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 - CORRECT ANSWER b. Concussion
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 - CORRECT ANSWER a. Mucosa,
submucosa, muscle, serosa
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
bacterium - CORRECT ANSWER a. A chronic condition characterized by
red, dry, elevated lesions, covered by silvery scales
A form of milk produced the first few days after giving birth is:
a. Prolactin
b. Colostrum
c. Lactose
d. Chorion - CORRECT ANSWER b. Colostrum
A condition where the thyroid is overactive is called:
a. Thyrotoxicosis
b. Panhypopituitarism
c. Ketosis
d. Thyroiditis - CORRECT ANSWER a. Thyrotoxicosis
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. -
CORRECT ANSWER c. Official Coding Guidelines
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 - CORRECT ANSWER d. The
residual condition is coded first, and the code(s)for the cause of the
late effect are coded as secondary
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 - CORRECT ANSWER b. Fibrosarcoma
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 - CORRECT ANSWER 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 symptoms are coded. Look for
Insomnia (organic) which directs the coder to G47.00. Next, look for
