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AAPC practice exams QUESTIONS AND CORRECT ANSWERS(VERIFIED ANSWERS)|A+ GRADE 2025/2026
AAPC practice exams QUESTIONS AND CORRECT ANSWERS(VERIFIED ANSWERS)|A+ GRADE 2025/2026
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AAPC practice examsA Question 30
The manner of putting a balloon catheter right into a slim or occluded blood vessel to dilate the
vessel by way of inflating the balloon describes what manner?
A. Coronary angiography
B. Arteriotomy
C. Arthrography
D. Angioplasty - ANS-D The dilation and remolding of the vessel both via putting a
balloon-tipped catheter to unblock it, or with the aid of reconstructing or changing part of the
vessel is angioplasty.
Exam A Question 1
What is a colporrhaphy?
A. A surgical restore of the colon
B. Plastic surgical operation of the vagina
C. A surgical restore of the cornea
D. A surgical repair of a defect inside the vaginal wall - ANS-D Colporrhaphy is a surgical repair
of a disorder inside the vaginal wall. This system is also done while the vagina is sutured to slim
it, and to repair a rupture of the vagina by means of excision and suturing of the edges of a tear.
Exam A Question 10
The running microscope is blanketed in these codes
A. 63075-63078
B. 15740-15750
C. 15820-15823
D. 22554-22558 - ANS-A There is a list of technique codes in parenthesis that consist of the
usage of the Operating Microscope code in which it must no longer be reported one after the
other, placed above code 69990. The simplest set of codes that is accurate is 63075-63078.
Exam A Question 11
How are Status Indicator E offerings paid?
A. At 100% of the billed fees
B. At 50 % of the billed charges
C. As a part of the APC ordinary charge
D. They are non-protected tactics, and therefore now not taken into consideration - ANS-D
Status indicator E is assigned to noncovered services and not taken into consideration for
charge underneath APC tips.
Exam A Question 12
The Ambulatory Payment Classification (APC) a couple of technique reduction guidelines
include which of the following?
A. The primary procedure paid at 100% and each additional procedure paid at 75%
B. The number one procedure paid at one hundred% and every extra technique paid at 25%
C. The number one technique paid at 100% and the second one at 75% and the 0.33 at 50%
,D. The primary method paid at a hundred% and every additional manner paid at 50% - ANS-D
The APC a couple of method discount is in region to assure that the number one method is
reimbursed at a hundred% of the APC charge and every extra procedure is reimbursed at 50%
of the APC price.
Exam A Question 13
Administrative Law Judge hearings for the Medicare appeals system are commonly held by
using phone or video conferencing. At the belief of the hearing, how many days until the issuer
is knowledgeable of a decision?
A. 60 days
B. 30 days
C. 120 days
D. 90 days - ANS-D The ALJ will commonly difficulty a choice inside ninety days of the receipt of
the hearing request, consistent with the CMS website.
Exam A Question 14
Timely filing is a demand of all claims for full consideration of price. What entity sets the timely
submitting guidelines?
A. Individual states, sure shrunk payers, and government payers
B. Individual states and the authorities payers
C. Individual states, HMOs, authorities payers and nearby counties
D. Individual states, authorities laws, and malpractice regulation - ANS-Timely filing is set with
the aid of nation statute, where supplied, and within the phrases of the authorities payers for
Medicare and Medicaid. Each individual payer also can set timely filing necessities in contracts
with companies.
Exam A Question 15
In what circumstance might the circumstance code 21 be used?
A. The company is soliciting for a denial observe from Medicare to bill Medicaid or other insurers
B. The provider desires a denial so that you can bill the patient
C. Medicare is paying the whole bill
D. The company insists on billing a denied carrier - ANS-ACondition code 21 is suggested whilst
the company is asking for a denial notice from Medicare to invoice Medicaid or different
insurers.
Exam A Question 16
What is the time period for intentional downcoding of strategies?
A. Fraud
B. Abuse
C. Compliance
D. Misuse of encoder application - ANS-A Downcoding or upcoding intentionally are each
examples of fraud.
Exam A Question 17
What are the forms of declare audits that a practice or facility can do for themselves?
A. Internal and outside
B. Legal and statutory
C. Prospective and retrospective
,D. Daily and month-to-month - ANS-C Prospective audits are achieved on claims earlier than
they go away the facility. Retrospective audits are completed after the claim has been
adjudicated for fee. Either is a manner for the practice or facility to audit and keep compliance.
Exam A Question 18
Patient was dealt with within the ER and underwent surgical treatment after suffering a torn ACL
of the proper knee whilst playing basketball at home. The harm took place whilst the patient
tried to plant his proper foot whilst reducing to the left and twisted it in a one-on-one recreation
against his brother. Which set of diagnosis codes is accurate for this scenario?
A. S83.511A, W18.49XA, Y92.009, Y93.Sixty seven
B. S83.419A, Y93.67, Y92.099
C. S83.511A, Y93.Forty nine, Y93.Sixty seven, Y92.310
D. S83.819A, Y93.Sixty seven, W18.30XA - ANS-A Look in the ICD-10-CM Alphabetic Index for
Tear, torn (disturbing) referring you to see additionally Laceration. Look in the Alphabetic Index
for Laceration/ligament referring you to peer also Sprain/knee/cruciate ligament/anterior guiding
you to S83.511A. The outside reason codes are mentioned to establish the reason of the twist of
fate, the place of incidence, and the pastime. Look in the ICD-10-CM Index to External Causes
of Injuries for Stumbling/over/with out fall/because of /unique NEC main you to W18.Forty nine.
This calls for the seventh character A for the initial come across W18.49XA. Next, appearance
inside the Index to External Causes for Place of occurrence/domestic referring you to Y92.009.
Look on this equal Index for Activity/basketball main you to Y93.67. Verify inside the Tabular
List. Look in the ICD-10-CM Alphabetic Index for Tear, torn (disturbing) referring you to see
additionally Laceration. Look inside the Alphabetic Index for Laceration/ligament referring you to
look additionally Sprain/knee/cruciate ligament/anterior guiding you to S83.511A. The external
reason codes are stated to set up the reason of the twist of fate, the location of incidence, and
the activity. Look within the ICD-10-CM Index to External Causes of Injuries for
Stumbling/over/without fall/due to /unique NEC main you to W18.Forty nine. This requires the
7th individual A for the initial stumble upon W18.49XA. Next, look within the Index to External
Causes for Place of prevalence/home referring you to Y92.009. Look in this equal Index for
Activity/basketball main you to Y93.Sixty seven. Verify within the Tabular List.
Exam A Question 19
What is the proper ICD-10-CM coding for a Type 1 insulin-established diabetic man visible in the
ER with multiple open fractures to the left arm resulting when he fell off his horse when riding at
his own family home belongings inside the yard?
A. S42.302B, E10.Nine, V80.010A, Y92.017
B. E10.Nine, Z79.4, S42.302B, Y93.Fifty two, Y92.Seventy nine
C. E10.Nine, Z79.Four, S62.90XB, V80.11XA, Y92.017
D. S62.90XA, E10.Nine, V88.9XXA, Y92.79 - ANS-A The affected person is being seen for open
fractures in the arm, therefore, the fracture is number one, and the diabetes is secondary. Look
inside the ICD-10-CM Alphabetic Index for Fracture, demanding/arm directing you to look also
Fracture, humerus, shaft. Look in the Alphabetic Index for Fracture, annoying/humerus/shaft
referring you to S42.30. Report the 6th individual 2 for the left side and 7th person B for the
initial encounter of an open fracture. Next, appearance within the Alphabetic Index for
Diabetes/kind 1 referring you to E10.Nine. Do now not document Z79.4 with type 1 diabetes,
best type 2. The outside motive codes represent the type of twist of fate and the area of
, prevalence, and the pastime on the time of the coincidence. Look in the ICD-10-CM Index to
External Causes of Injuries for Accident/delivery/animal-rider/noncollision/unique as horse-rider
directing you to V80.010. The 7th individual A is required for the initial stumble upon V80.010A.
Next, within the External Causes of Injuries Index, look for Place of occurrence/residence
(non-institutional) (personal)/house, unmarried circle of relatives/backyard referring you to
Y92.017.
Exam A Question 2
What does the combining form my/o imply?
A. Muscle
B. Bone
C. Mandible
D. Ear drum - ANS-A My/o is the combining form of muscle.
Exam A Question 20
When need to a neoplasm of uncertain conduct code be assigned?
A. When the tumor does now not invade adjacent structures
B. When the tumor suggests each benign and malignant conduct, primarily based on a
pathologist's file
C. When a mass is dominated out as being malignant
D. When the tumor is present process malignant changes but isn't extending past factor of origin
- ANS-B Tumors might also show both benign and malignant conduct, and require extra take a
look at to decide a final prognosis. A analysis of "uncertain conduct" (the 5th column of the Table
of Neoplasms) is based totally at the pathologist's document.
Exam A Question 21
What does a code enclosed in brackets indicate to the coder while encountered in the
ICD-10-CM Alphabetic Index?
A. To handiest record the code in the brackets
B. Not to report the code inside the brackets
C. To record the code in brackets as a further code with the code earlier than the brackets
because the primary code.
D. None of the above - ANS-C When codes are enclosed in brackets inside the ICD-10-CM
Alphabetic Index, the coder need to use each codes and inside the specified order of the
guidelines. An example of this is Disease, diseased/Alzheimer's/with behavioral disturbance
G30.9 [F02.81]. The order of the codes ought to be G30.9, F02.81.
Exam A Question 22
Patient gives to ER with 3rd diploma burns on anterior aspect of higher arm, shoulder and
scapula (5%); and second diploma burns of again and buttocks (5%). Correctly code and
classify the TBSA involved. What ICD-10-CM burn codes are stated?
A. T22.329A, T22.349A, T22.359A, T21.30XA, T31.10, Y93.9, Y92.Seventy nine
B. T22.399A, T21.23XA, T21.25XA, T31.10
C. T22.329A, T22.359A, T22.269A, T21.20XA, T31.11
D. T22.399A, T21.20XA, T31.20 - ANS-B T22.399A is for the 1/3 degree burns placed on more
than one web sites of the upper limb. Codes T21.23A and T21.25XA are stated for the second
diploma burns of each higher again and buttocks. Category code T31 is for the whole
percentage of frame floor burned (10%) with five% third-diploma burns. Look within the
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