Right Q&A in AAPC CPC Exam Questions

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| Section | Weight | Objectives |
|---|
| Modifiers | 5-7% | |
| HCPCS Level II Coding | 5-7% | |
| CPT® Coding | 45-50% | - Evaluation & Management (E/M) - Radiology, Pathology/Laboratory, Medicine - Surgery (10000–69999)
|
| Medical Terminology & Anatomy | 8-10% | |
| Reimbursement & Revenue Cycle | 5-7% | |
| ICD-10-CM Coding | 15-17% | - Code selection & sequencing - Diagnosis coding guidelines
|
| Compliance & Regulations | 8-10% | - HIPAA, fraud & abuse - Reimbursement rules
|
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AAPC Certified Professional Coder (CPC) Exam Sample Questions (Q207-Q212):
NEW QUESTION # 207
A patient presents with fever, cough, SOB, and a recent history of COVID-19. A PCR test was positive for COVID-19. The provider documents a final diagnosis of "pneumonia with history of COVID-19." What ICD-10-CM coding is reported?
- A. J18.9, U09.9
- B. U07.1, J20.9
- C. J18.9, Z86.16
- D. U07.1, J22
Answer: C
Explanation:
The provider documents history of COVID-19, not active COVID-19.
Z86.16 = Personal history of COVID-19
J18.9 = Pneumonia, unspecified organism
Codes U07.1 and U09.9 are for current or post-COVID conditions, which are not documented here. Therefore, A is correct.
NEW QUESTION # 208
(A patient training for a marathon collapsed due to heat exhaustion on a very hot day and is treated at a nonfacility urgent care center. The physician diagnoses heat exhaustion and dehydration and begins IV therapy of normal saline (pre-packaged fluid and electrolytes). The hydration lasts1 hour and 30 minutes.
What CPT coding is reported?)
- A. 96360, 96361
- B. 96365, 96366
- C. 0
- D. 1
Answer: A
Explanation:
IV hydration is coded byduration. CPT96360is forinitial intravenous hydration(typically the first hour).
CPT96361is an add-on code foreach additional hourbeyond the initial hour, reported when the hydration time exceeds 60 minutes and meets the additional-hour threshold. The scenario documents hydration for1 hour and
30 minutes (90 minutes). That supports reporting theinitial hour(96360) plusone additional hour(96361) because the infusion extends beyond the initial hour and reaches the qualifying threshold for an additional hour as defined by CPT time rules (time is rounded/assigned based on midpoints, not per minute). The other options usetherapeutic infusioncodes (96365/96366), which are for medications/drugs, not for hydration with normal saline when the primary purpose is hydration. CPC exam tip: if the service is specifically "hydration" and the fluid is normal saline for dehydration/heat exhaustion, use96360/96361and apply time-based logic.
NEW QUESTION # 209
The patient came in with an inflamed seborrheic keratosis on her nose for a shave removal. After applying local anesthesia, a 0.7 cm dermal lesion was removed using an 11 blade.
What CPT and ICD-10-CM codes are reported?
- A. 11401, L82.1
- B. 11311, L82.0
- C. 11421, L82.0
- D. 11306, L82.1
Answer: B
Explanation:
Shave removal → CPT 11300-11313, not excision (11400-11646).
Face (nose) → 11310-11313
0.6-1.0 cm → 11311
Inflamed seborrheic keratosis → L82.0
NEW QUESTION # 210
Repeat three-view imaging of both hips and pelvis is performed on the same day due to a new fall, interpreted by the same radiologist.
What CPT coding is reported?
- A. 73523, 73523-77
- B. 73523-76, 73523-51
- C. 73522, 73522-76
- D. 73522-76, 73522-51
Answer: D
Explanation:
73522 = Bilateral hips with pelvis, 3-4 views
Modifier -76 = Repeat procedure by the same physician
Modifier -51 identifies multiple procedures
NEW QUESTION # 211
The CPT code book provides full descriptions of medical procedures, although some descriptions require the use of a semicolon (;) to distinguish among closely related procedures.
What is the full description of CPT code 69644?
- A. Without ossicular chain reconstruction with intact or reconstructed canal wall, with ossicular chain reconstruction
- B. Tympanoplasty with mastoidectomy (including canalplasty. middle ear surgery, tympanic membrane repair); with intact or reconstructed canal wall, with ossicular chain reconstruction
- C. With intact or reconstructed canal wall with ossicular chain reconstruction
- D. Tympanoplasty with mastoidectomy (including canalplasty. middle ear surgery, tympanic membrane repair); without ossicular chain reconstruction with intact or reconstructed canal wall, with ossicular chain reconstruction
Answer: B
NEW QUESTION # 212
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