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CPC Exam 2025/2026 – Reimbursement and Billing| Approved Questions and Answers
CPC Exam 2025/2026 – Reimbursement 
and Billing| Approved Questions and 
Answers 
What does the term "medically necessary" mean in healthcare coding and billing? 
 A service or procedure that is required to diagnose or treat a medical condition according to 
accepted standards of practice 
Which HCPCS Level II code would be used for a diagnostic mammogram? 
 G0202 
A physician performs an arthroscopy on a patient. Which anatomical system is primarily 
involved in this procedure? ...
- Exam (elaborations)
- • 27 pages •
CPC Exam 2025/2026 – Reimbursement 
and Billing| Approved Questions and 
Answers 
What does the term "medically necessary" mean in healthcare coding and billing? 
 A service or procedure that is required to diagnose or treat a medical condition according to 
accepted standards of practice 
Which HCPCS Level II code would be used for a diagnostic mammogram? 
 G0202 
A physician performs an arthroscopy on a patient. Which anatomical system is primarily 
involved in this procedure? ...
CPC CHAPTER 14| Complete Questions and Answers| 100% Rated
CPC CHAPTER 14| Complete Questions 
and Answers| 100% Rated 
What are the two main components of the nervous system? 
 Central and Peripheral Nervous Systems 
Response Feedback: 
The nervous system consists of two main parts: the Central Nervous System (CNS), which 
includes the brain and spinal cord and regulates body functions, and the Peripheral Nervous 
System (PNS), which comprises the nerves that connect the CNS to the rest of the body. 
What does the term "adrenal" refer to? 
 ...
- Exam (elaborations)
- • 16 pages •
CPC CHAPTER 14| Complete Questions 
and Answers| 100% Rated 
What are the two main components of the nervous system? 
 Central and Peripheral Nervous Systems 
Response Feedback: 
The nervous system consists of two main parts: the Central Nervous System (CNS), which 
includes the brain and spinal cord and regulates body functions, and the Peripheral Nervous 
System (PNS), which comprises the nerves that connect the CNS to the rest of the body. 
What does the term "adrenal" refer to? 
 ...
CPC Chapter 1-10 Midterm Practice Exam 2025| Verified Solutions and Questions
CPC Chapter 1-10 Midterm Practice 
Exam 2025| Verified Solutions and 
Questions 
What does dacryocystectomy refer to? Excision of the lacrimal sac 
What is the meaning of the root blephar/o? Eyelid 
When coding for an ambulatory surgical procedure, how is the diagnosis determined? The 
postoperative diagnosis is coded because it is the most definitive. 
What type of codes are included in HCPCS Level II code ranges? Permanent national, 
miscellaneous, and temporary national codes 
Which tempor...
- Exam (elaborations)
- • 8 pages •
CPC Chapter 1-10 Midterm Practice 
Exam 2025| Verified Solutions and 
Questions 
What does dacryocystectomy refer to? Excision of the lacrimal sac 
What is the meaning of the root blephar/o? Eyelid 
When coding for an ambulatory surgical procedure, how is the diagnosis determined? The 
postoperative diagnosis is coded because it is the most definitive. 
What type of codes are included in HCPCS Level II code ranges? Permanent national, 
miscellaneous, and temporary national codes 
Which tempor...
CPC 2024 Exam Review with Verified Solutions| Certification Test 100% Approved
CPC 2024 Exam Review with Verified 
Solutions| Certification Test 100% 
Approved 
What does the term "medical necessity" mean? 
A. Without treatment, the patient will suffer permanent disability or death 
B. The service requires medical treatment 
C. The condition of the patient justifies the service provided 
D. The care provided meets quality standards 
 C. The condition of the patient justifies the service provided 
Which of the following statements is not true regarding Medicar...
- Exam (elaborations)
- • 29 pages •
CPC 2024 Exam Review with Verified 
Solutions| Certification Test 100% 
Approved 
What does the term "medical necessity" mean? 
A. Without treatment, the patient will suffer permanent disability or death 
B. The service requires medical treatment 
C. The condition of the patient justifies the service provided 
D. The care provided meets quality standards 
 C. The condition of the patient justifies the service provided 
Which of the following statements is not true regarding Medicar...
ALL Inclusive CPC Medical Terminology Questions and 100% Verified Answers| Updated 2025
ALL Inclusive CPC Medical Terminology 
Questions and 100% Verified Answers| 
Updated 2025 
Anterior : Referring to the front of the body. 
Posterior : Referring to the back of the body. 
Superior : Toward the head or upper part of the body. 
Inferior : Away from the head or lower part of the body. 
Medial : Closer to the midline of the body. 
Lateral : Away from the midline of the body. 
-algia : Pain. 
-itis : Inflammation. 
-ectomy : Removal of. 
-otomy : Incision or cutting into. 
...
- Exam (elaborations)
- • 29 pages •
ALL Inclusive CPC Medical Terminology 
Questions and 100% Verified Answers| 
Updated 2025 
Anterior : Referring to the front of the body. 
Posterior : Referring to the back of the body. 
Superior : Toward the head or upper part of the body. 
Inferior : Away from the head or lower part of the body. 
Medial : Closer to the midline of the body. 
Lateral : Away from the midline of the body. 
-algia : Pain. 
-itis : Inflammation. 
-ectomy : Removal of. 
-otomy : Incision or cutting into. 
...
AAPC Official CPC Certification Study Guide Notes with Q&A| HCPCS Level II Coding |Updated 2025
AAPC Official CPC Certification Study 
Guide Notes with Q&A| HCPCS Level II 
Coding |Updated 2025 
A patient requires a wheelchair, and the physician prescribes it as medically necessary. Which of 
the following HCPCS Level II codes would likely be used for billing the wheelchair? 
 E1035 
Which of the following is the correct HCPCS Level II code for a non-invasive glucose monitor? 
 A4233 
Which of the following body systems is responsible for the production of hormones and the 
regulat...
- Exam (elaborations)
- • 29 pages •
AAPC Official CPC Certification Study 
Guide Notes with Q&A| HCPCS Level II 
Coding |Updated 2025 
A patient requires a wheelchair, and the physician prescribes it as medically necessary. Which of 
the following HCPCS Level II codes would likely be used for billing the wheelchair? 
 E1035 
Which of the following is the correct HCPCS Level II code for a non-invasive glucose monitor? 
 A4233 
Which of the following body systems is responsible for the production of hormones and the 
regulat...
AAPC CPC [Codes] Exam Questions| Exam Prep 2025| Verified Solutions
AAPC CPC [Codes] Exam Questions| 
Exam Prep 2025| Verified Solutions 
A catheter is placed in the left common femoral artery which was directed into the right the 
external iliac (antegrade). Dye was injected and a right lower extremity angiogram was 
performed which revealed patency of the common femoral and profunda femoris. The catheter 
was then manipulated into the superficial femoral artery (retrograde) in which a lower extremity 
angiogram was performed which revealed occlusion from ...
- Exam (elaborations)
- • 102 pages •
AAPC CPC [Codes] Exam Questions| 
Exam Prep 2025| Verified Solutions 
A catheter is placed in the left common femoral artery which was directed into the right the 
external iliac (antegrade). Dye was injected and a right lower extremity angiogram was 
performed which revealed patency of the common femoral and profunda femoris. The catheter 
was then manipulated into the superficial femoral artery (retrograde) in which a lower extremity 
angiogram was performed which revealed occlusion from ...
AAPC CPC Practice Exam D| Updated Q&A 2025| Rated 100%
AAPC CPC Practice Exam D| Updated 
Q&A 2025| Rated 100% 
Which of the following is an example of fraudulent behavior? 
 Reporting a biopsy and excision performed on the same skin lesion during the same 
encounter 
Answer B is the only case of unbundling CPT® codes, which leads to fraudulent claims. 
According to National Correct Coding Initiative (NCCI) and CPT® guidelines, a biopsy done on 
the same lesion as an excision during the same encounter is considered incidental and should not ...
- Exam (elaborations)
- • 5 pages •
AAPC CPC Practice Exam D| Updated 
Q&A 2025| Rated 100% 
Which of the following is an example of fraudulent behavior? 
 Reporting a biopsy and excision performed on the same skin lesion during the same 
encounter 
Answer B is the only case of unbundling CPT® codes, which leads to fraudulent claims. 
According to National Correct Coding Initiative (NCCI) and CPT® guidelines, a biopsy done on 
the same lesion as an excision during the same encounter is considered incidental and should not ...
AAPC CPC Foundational Practice Set Questions and Answers Verified 2025
AAPC CPC Foundational Practice Set 
Questions and Answers Verified 2025 
The minimum necessary rule ensures that protected health information is only used or disclosed 
when absolutely required to fulfill a specific purpose or task. What does this mean? 
a. Staff members are allowed unrestricted access to any medical record 
b. Providers should implement safeguards to prevent unauthorized access to protected health 
information. 
c. Practices should only provide minimal necessary informatio...
- Exam (elaborations)
- • 102 pages •
AAPC CPC Foundational Practice Set 
Questions and Answers Verified 2025 
The minimum necessary rule ensures that protected health information is only used or disclosed 
when absolutely required to fulfill a specific purpose or task. What does this mean? 
a. Staff members are allowed unrestricted access to any medical record 
b. Providers should implement safeguards to prevent unauthorized access to protected health 
information. 
c. Practices should only provide minimal necessary informatio...
AAPC CPC FINALIST’S Exam 2025 with All Questions and Answers| Rated A
AAPC CPC FINALIST’S Exam 2025 with 
All Questions and Answers| Rated A 
A 45-year-old female with malignant Mullerian duct cancer is receiving her first chemotherapy 
treatment. What diagnosis codes are reported? 
 Z51.11, C57.7 
A 12-month-old with muscle weakness is referred for a right biceps muscle biopsy due to an 
unknown etiology. What diagnosis code is reported? 
 M62.81 
For a pre-employment physical, the provider orders CBC, comprehensive metabolic panel, 
thyroid-stimulating...
- Exam (elaborations)
- • 14 pages •
AAPC CPC FINALIST’S Exam 2025 with 
All Questions and Answers| Rated A 
A 45-year-old female with malignant Mullerian duct cancer is receiving her first chemotherapy 
treatment. What diagnosis codes are reported? 
 Z51.11, C57.7 
A 12-month-old with muscle weakness is referred for a right biceps muscle biopsy due to an 
unknown etiology. What diagnosis code is reported? 
 M62.81 
For a pre-employment physical, the provider orders CBC, comprehensive metabolic panel, 
thyroid-stimulating...
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