AAPC-CPC FINAL EXAM 2024-2025 UPDATE.
COMPLETE QUESTIONS AND ANSWERS.
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: BU < ANSWER>
A 1 year post-thyroidectomy patient who had thyroid cancer is coming in for area imaging of the neck and
chest to evaluate for metastases. What CPT® code(s) is/are reported for the nuclear medicine exam?
a. 78013
b. 78015, 78020
c. 78014
d. 78015 < ANSWER>
A 5 year-old is brought in to see an allergist for generalized urticaria. The family just recently visited a
family member that had a cat and dog. The mother wants to know if her son is allergic to cats and dogs.
The child's skin was scratched with two different allergens. The provider waited 15 minutes to check the
results. There was a flare up reaction to the cat allergen, but there was no flare up to the dog allergen.
The provider included the test interpretation and report in the record.
a. 95004 x 2
b. 95027 x 2
c. 95024 x 2
d. 95018 x 2 < ANSWER>
A 16 year-old female was hit by a car while crossing a two-lane highway. She was taken to the hospital
by ambulance. She was found to have an open wound of the left lower thigh, just above the knee and a
displaced fracture of the left femoral neck. She was taken to the operating room within four hours of her
injury. She was given general endotracheal anesthesia and was prepped and draped in sterile fashion.
Debridement including excision of devitalized skin and muscle was performed on the lateral thigh. The
area was approximately 15 sq cm. After debridement and thorough copious irrigation, the wound was
closed with layer sutures and a dressing was applied and then covered with adhesive plastic. The patient
was then prepped and draped for the fracture and turned on her right side. We all rescrubbed. An 8 inch
,incision was made over the left hip and the head of the femur was exposed. Multiple fragments from the
neck an < ANSWER>
A 27 year-old girl has been on the lung transplant list for months and today she will be receiving a LT and
RT lung from an individual involved in an MVA. This person was DOA at the hospital and is an organ
donor. The donor pneumonectomy was performed by physician A, the backbench work by physician B
and the transplant of both lungs into the prepped and waiting patient by physician C.
What is the correct coding for the removal (physician A), preparation (physician B) and insertion
(physician C) of the lungs?
a. 32850, 32855, 32851
b. 32850, 32856, 32851 x 2
c. 32850, 32856, 32853
d. 32850, 32855 x 2, 32850-50 < ANSWER>
A 32 year-old ETOH dependent female is in a partial hospitalization program and has been seeing an
addictive disease specialist (psychotherapist) in a chemical dependency program. Her employer is aware
of her problem. She was referred to the group through their Employee Assistance Program. As long as
she is in compliance they will support her efforts. Recently, she has arrived late at the meetings. The
provider met with the patient and discussed the importance of her treatment, compliance with the
program and avoidance of situations in which she may use alcohol. She denies contact with her previous
associates and assures the provider she has had no alcohol intake since beginning the substance abuse
treatment program. They will continue to reinforce her progress and successful sobriety. Time of the
session was 45 minutes. What CPT® and ICD-10-CM codes are reported?
a. 90832, F10.220
b. 90832, F10.20
c. 90834, F10.20 < ANSWER>
A 32 year-old male was seen in the 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 ICD-10-CM code(s)
is/are reported?
a. D17.1, D17.23
b. D17.21, D17.1
c. D17.30
d. D17.39 < ANSWER>b. D17.21, D17.1
A 40 year-old presents with vaginal bleeding for several weeks unrelated to her menstrual cycle. The
gynecologist orders an ultrasound to obtain more information for a diagnosis. What diagnosis code is
appropriate for this encounter?
a. N92.1
b. N92.4
c. N92.6
d. N93.9 < ANSWER>
A 42 year-old patient was undergoing anesthesia in an ASC and began having complications prior to the
administration of anesthesia. The surgeon immediately discontinued the planned surgery. If the insurance
company requires a reported modifier, what modifier best describes the extenuating circumstances?
,a. 53
b. 23
c. 73
d. 74 < ANSWER>
A 43 year-old female presents to the provider for a diabetic ulcer of the right ankle. What ICD-10-CM
codes are reported?
a. L97.319
b. L97.319, E11.9
c. L97.319, E11.622
d. E11.622, L97.319 < ANSWER>d. E11.622, L97.319
A 43 year-old patient with a severe systemic disease is having surgery to remove an integumentary mass
from his neck. What CPT® code and modifier are reported for the anesthesia service?
a. 00300-P2
b. 00300-P3
c. 00322-P3
d. 00350-P3 < ANSWER>
A 45 year-old presents with acute pericarditis. The surgeon makes a small incision between two ribs and
enters the thoracic cavity. An endoscope is introduced and the pericardial sac is examined by direct
visualization. Using an instrument introduced through the endoscope, the surgeon creates an opening in
the pericardial sac for drainage purposes. What CPT® code is reported?
a. 32659
b. 32662
c. 32658
d. 32661 < ANSWER>
A 45 year-old-male patient has developed an ulcer on his upper back. He has had diabetes for several
years and is on insulin. The provider determines that the ulcer is due to his diabetes. What ICD-10-CM
codes are reported?
a. E11.622, Z79.4
b. E11.9, L98.429, Z79.4
c. E11.622, L98.429, Z79.4
d. E11.622, L98.429 < ANSWER>c. E11.622, L98.429, Z79.4
A 47 year-old female presents to the OR for a partial corpectomy to three thoracic vertebrae. One
surgeon performs the transthoracic approach while another surgeon performs the three vertebral nerve
root decompressions necessary. How should each provider involved code their portion of the surgery?
a. 63087-52, 63088-52 x 2
b. 63087-80, 63088-80 x 2
c. 63085-62, 63086-62 x 2
d. 63085, 63086-82 x 2 < ANSWER>
, A 49 year-old female presented with chronic deQuervain's disease and has been unresponsive to
physical therapy, bracing or cortisone injection. She has opted for more definitive treatment. After
induction of anesthesia, the patient's left arm was prepared and draped in the normal sterile fashion.
Local anesthetic was injected using a combination 2% lidocaine and 0.25% Marcaine. A transverse
incision was made over the central area of the first dorsal compartment. The subcutaneous tissues were
gently spread to protect the neural and venous structures. The retractors were placed. The fascial sheath
of the first dorsal compartment was then incised and opened carefully. The underlying thumb abductor
and extensor tendons were identified. The tissues were dissected and the extensor retinaculum of the
first extensor compartment was incised. The fibrotic tissue was incised and the tendons gently released.
The tendons were fre < ANSWER>
A 50 year-old patient has been diagnosed with elevated blood pressure. The patient does not have a
history of hypertension. What is the correct ICD-10-CM code to report?
a. I15.0
b. I13.0
c. R03.0
d. I10 < ANSWER>c. R03.0
A 53 year-old woman with scarring of the right cornea has significant corneal thinning with a high risk of
perforation and underwent reconstruction of the ocular surface. The eye is incised and an operating
microscope is used with sponges and forceps to debride necrotic corneal epithelium. Preserved human
amniotic membrane is first removed from the storage medium and transplanted by trimming the
membrane to fit the thinning area of the cornea then sutured. This process was repeated three times until
the area of thinning is flush with surrounding normal thickness cornea. All of the knots are buried and a
bandage contact lens is placed with topical antibiotic steroid ointment. What CPT® code is reported?
a. 65435
b. 65780
c. 65781
d. 65710 < ANSWER>
A 57 year-old patient with chronic pancreatitis presents to the operating room for a pancreatic duct-
jejunum anastomosis by the Puestow-type operation. What are the correct CPT® and ICD-10-CM codes
for the encounter?
a. 48548, K85.90
b. 48548, K86.1
c. 48520, K86.1
d. 48520, K85.80 < ANSWER>
A 63 year-old male presents for the insertion of an artificial inflatable urinary sphincter for urinary
incontinence. A 4.5 cm cuff, 22 ml balloon, 61-70 mmHg artificial inflatable urinary sphincter was inserted.
What CPT® code is reported for this service?
a. 53446
b. 53448
c. 53447
d. 53445 < ANSWER>
