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AAPC CPC Final Exam 2025/2026 QUESTIONS AND CORRECT ANSWERS(VERIFIED ANSWERS)|A+ GRADE
AAPC CPC Final Exam 2025/2026 QUESTIONS AND CORRECT ANSWERS(VERIFIED ANSWERS)|A+ GRADE
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AAPC CPC Final Exam 2025/2026A 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. B19.10, B01.9, B26.9, B05.9, B06.9, Z23
b. Z23, B19.10, B01.9, B26.9, B05.9, B06.9
c. Z23
d. B19.10, B01.9, B26.9, B05.9, B06.9 - ANS-c. Z23
A 15 year old underwent placement of a cochlear implant 1 year ago. It now needs to be
reprogrammed. What CPT® code is reported for the reprogramming?
a. 92603
b. 92601
c. 92604
d. 92602 - ANS-c. 92604
Response Feedback:
Rationale: Cochlear implants differ from hearing aids; they bypass the damaged part of the ear.
The use of a cochlear implant involves relearning how to hear and react to sounds. In the CPT®
Index look for Cochlear Device/Programming which directs you to codes 92602, 92604. The
code selection is based on the age of the patient and whether it is the initial programming or
subsequent reprogramming. Code 92604 describes subsequent reprogramming for a patient
age 7 or older.
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, Y92.830
b. S52.201A, V18.4XXA, Y92.831
c. S52.201A, V18.0XXA, Y92.830
d. S52.209A, V18.4XXA, Y92.830 - ANS-c. S52.201A, V18.0XXA, Y92.830
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, V18.0XXA, Y92.830
b. S52.201A, V18.4XXA, Y92.831
c. S52.209A, V18.4XXA, Y92.830
d. S52.201A, V19.9XXA, Y92.830 - ANS-a. S52.201A, V18.0XXA, Y92.830
A 25-year-old male presents with a deviated nasal septum. The patient undergoes a nasal
septum repair and submucous resection. Cartilage from the bony septum was detached and the
nasoseptum was realigned and removed in a piecemeal fashion. Thereafter, 4-0 chronic was
,used to approximate mucous membranes. Next, submucous resection of the turbinates was
handled in the usual fashion by removing the anterior third of the bony turbinate and lateral
mucosa followed by bipolar cauterization. What CPT® codes are reported?
a. 30450, 30999-51
b. 30520, 30140-51
c. 30420, 30140-51
d. 30620, 30999-51 - ANS-b. 30520, 30140-51
A 26-year-old female with a one-year history of a left tympanic membrane perforation. She has
extensive tympanosclerosis with a nonhealing perforation. Her options, including observation
with water precautions or surgery, were discussed. The patient wished to proceed with surgery.
With use of the operating microscope, the surgeon performs a left lateral graft tympanoplasty.
What CPT® code is reported? - ANS-69631-LT
Rationale: During the procedure, a tympanoplasty is performed. There is no mention of a
mastoidectomy or ossicular chain reconstruction being performed. From the CPT® Index look
for Tympanoplasty/without Mastoidectomy then verify the code in the numeric section. Modifier
LT is used to indicate the procedure was performed on the left ear.
A 28-year-old female patient is returning to her provider's office with complaints of RLQ pain and
heartburn with a temperature of 100.2. The provider performs a medically appropriate history
and exam. Abdominal ultrasound is ordered and the patient has mild appendicitis. The provider
prescribes antibiotics to treat the appendicitis in hopes of avoiding an appendectomy. What are
the correct CPT® and ICD-10-CM codes for this encounter?
a. 99213, K37, R12
b. 99202, R10.31, K37
c. 99203, K37
d. 99203, R50.9, R12, R10.31, K37 - ANS-a. 99213, K37, R12
A 3-year-old is brought into the ED crying. He cannot bend his left arm after his older brother
twisted it. X-ray is performed and the ED physician diagnoses the patient has a dislocated
nursemaid elbow. The ED physician reduces the elbow successfully. The patient is able to move
his arm again. The patient is referred to an orthopedist for follow-up care. What CPT® and
ICD-10-CM codes are reported?
a. 24640-54-LT, S53.091A, W50.2XXA
b. 24600-54-LT, S53.002A, W49.9XXA
c. 24640-54-LT, S53.032A, W50.2XXA
d.24565-54-LT, S53.194S, Y33.XXXA - ANS-c. 24640-54-LT, S53.032A, W50.2XXA
A 30-year-old female patient was seen in the ED with complaints of diarrhea for the past four
days. She was also complaining of lower abdominal pain. After examination, the patient was
diagnosed with viral gastroenteritis. She was instructed to drink plenty of fluids and to begin
eating solids only after the diarrhea has subsided. What diagnosis code(s) would be reported for
this encounter?
a. R10.31, R19.7
,b. K52.9
c. A08.4, R10.84, R19.7
d. A08.4 - ANS-d. A08.4
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 ICD-10-CM code(s) is/are reported?
a. D17.30
b. D17.39
c. D17.1, D17.23
d. D17.21, D17.1 - ANS-d. D17.21, D17.1
A 32-year-old patient sees Dr. Smith for a consult at the request of his PCP, Dr. Long, for an
ongoing problem with allergies. The patient has failed Claritin and Alavert and feels his
symptoms continue to worsen. Dr. Smith performs an expanded problem focused history and
exam and discusses options with the patient on allergy management. The MDM is
straightforward. The patient agrees he would like to be tested to possibly gain better control of
his allergies. Dr. Smith sends a report to Dr. Long thanking him for the referral and includes the
date the patient is scheduled for allergy testing. Dr. Smith also includes his findings from the
encounter. What E/M code is reported?
a. 99203
b. 99242
c. 99243
d. 99214 - ANS-b. 99242
A 32-year-old patient with cervical cancer is in an outpatient facility to have HDR brachytherapy.
The cervix is dilated and under ultrasound guidance six applicators are inserted with iridium via
the vagina to release its radiation dose. The placement is in the cervical cavity (intracavitary).
What CPT® code is reported for the physician service? - ANS-77762-26
Response Feedback:
Rationale: Patient is receiving a type of internal radiation therapy delivering a high dose of
radiation (HDR) from implants (applicators with the iridium) placed via the vaginal cavity
(intracavitary). This is found in the CPT® Index by looking for Brachytherapy/Intracavitary
Application directing you to 0395T, 77761-77763. The CPT® subsection guidelines under the
heading Clinical Brachytherapy, definitions are given to differentiate simple, intermediate and
complex brachytherapy. Code 77762 is reported for the intracavitary application of five to 10
sources (intermediate); six applicators were used for this procedure making 77762 the correct
code.
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, Z68.42
b. E66.3, Z68.45
, c. E66.01
d. E66.01, Z68.45 - ANS-a. E66.01, Z68.42
A 4-year-old patient, who accidentally ingests valium found in his mother's purse, is found
unconscious and rushed to the ED. The child is treated by the ED physician, who inserted a
tube orally into the stomach and performed a gastric lavage, removing the stomach contents.
What CPT® and ICD-10-CM codes are reported?
a. 43754, R40.20, T42.71XA
b. 43753, T42.4X1A, R40.20
c. 43755, T43.501A
d. 43756, T42.71XA - ANS-b. 43753, T42.4X1A, R40.20
Rationale: Code 43753 is the correct CPT® code for gastric lavage performed for the treatment
of ingested poison. Look in the CPT® Index for Gastric Lavage, Therapeutic/Intubation. The
ICD-10-CM code for the poisoning is found in the Table of Drugs and Chemicals by looking for
Valium/Poisoning, Accidental (unintentional) column, referring you to code T42.4X1-. In the
Tabular List a 7 th character is needed to complete the code. A is reported as the 7 th character
because this was the patient's initial encounter.The next code is the manifestation of ingesting
the Valium, unconsciousness. Unconsciousness is found in the ICD-10-CM Alphabetic Index
and directs you to see Coma R40.20. The Tabular List confirms this code is reported for
unconsciousness.
A 45-year-old female with malignant Müllerian duct cancer is receiving her first treatment of
chemotherapy. What diagnosis codes are reported?
a. C79.82, Z51.11
b. C57.7, Z51.11
c. Z51.11, C57.7
d. Z51.11, D28.7 - ANS-c. Z51.11, C57.7
A 45-year-old patient is scheduled to have an INFUSAID pump installed. He has primary liver
cancer and the pump is being inserted for continuous administration of 5-FU. A pocket is
created just under the skin and the pump is placed in the pocket. A catheter is attached to the
pump and to the subclavian vein. The pump is filled with a chemotherapy agent provided by the
hospital and the patient is given his first treatment and observed for adverse reaction and
discharged to home. What ICD-10-CM codes are reported?
a. Z51.11, C22.8
b. Z51.11, C22.9
c. C22.9, Z51.12
d. C22.8, Z51.11 - ANS-a. Z51.11, C22.8
Rationale: ICD-10-CM Guideline I.C.2.e.2 indicates an encounter for chemotherapy code is to
be reported as the primary code with a code for the cancer as secondary when the reason for
the visit is solely for chemotherapy. Look in the ICD-10-CM Alphabetic Index for Chemotherapy
(session) (for)/cancer Z51.11. For the malignancy, look in the ICD-10-CM Table of Neoplasms
for liver/primary and use the code from the Malignant Primary column which directs the coder to
C22.8. Verify code selection in the Tabular List.
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