AAPC CPC Practice Exam D| Updated Q&A 2025| Rated 100%
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AAPC CPC
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AAPC CPC
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 cl...
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
be reported separately. If ultrasound guidance is used for a liver biopsy, it is billable. X-rays
performed and interpreted by a physician in their office do not need modifier 26, as the physician
owns the equipment and bills the global service. Additional lab tests can be included in a lab
panel even if they are not listed in the panel.
What place of service code should be used for fracture care provided by an orthopedic physician
in the emergency department?
23
Place of service codes are used on claim forms to identify where services are provided. Since the
services are delivered in the emergency department, place of service code 23 should be reported.
You can find the place of service codes in the CPT® codebook.
1
, What is the full description for CPT® code 61535?
Craniotomy with elevation of bone flap; for removal of epidural or subdural electrode array,
without excision of cerebral tissue (separate procedure)
In the CPT® codebook, the description for code 61535 is an expansion of code 61533, starting
with the description up to the semicolon, which forms the complete description for 61535.
Which Z code category can only be reported as the primary diagnosis?
Z03
The ICD-10-CM Coding Guidelines specify certain Z code categories that must be reported as
the first listed diagnosis. You can find these guidelines under I.C.21.c.16 in the ICD-10-CM
codebook.
A patient has a history of symptomatic HIV and has been treated for an HIV-related illness.
Which ICD-10-CM code should be reported?
B20
When "history" is used in documentation, it does not always match ICD-10-CM language. A
physician may document "history" of a disease, which could imply that the disease has been
treated or resolved. However, in the case of symptomatic HIV, once a patient has been diagnosed
2
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