AAPC AAPC-CPC Online Practice Questions and Exam Preparation

AAPC AAPC-CPC Online Questions & Answers

• Question 151:

  The epididymis is part of which organ system?

  A. Reproductive
  B. Musculoskeleta
  C. Cardiovascular
  D. Urinary
  A. Reproductive

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  Explanation

  The epididymis is a structure attached to the testes that stores and transports sperm.

  It is part of the male reproductive system, not the urinary system.

  This concept falls under anatomy and physiology, a core CPC exam domain.

• Question 152:

  A 40-year-old patient has symptoms of dysphagia and reflux. The gastroenterologist introduces a rigid scope through the mouth to examine the esophagus, where he observes a stricture. He then introduces and performs 25 mm balloon dilation.

  What CPT code is reported for this procedure?

  A. 43450
  B. 43220
  C. 43195
  D. 43249
  C. 43195

• Question 153:

  A patient receives 200 mg IM Depo-Testosterone.

  What HCPCS Level II coding is reported?

  A. J1071, 90471
  B. J1071 x 200, 96372
  C. J1071, 96372
  D. J1071 x 200, 90471
  C. J1071, 96372

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  Explanation

  J1071 = Injection, testosterone cypionate, 1 mg.

  A 200 mg dose is reported as J1071 x 200.

  96372 = Therapeutic intramuscular injection.

  Vaccine administration codes do not apply.

• Question 154:

  A catheter was placed into the abdominal aorta via the right common femoral artery access. An abdominal aortography was performed. The right and left renal artery were adequately visualized. The catheter was used to selectively catheterize the right and left renal artery. Selective right and left renal angiography were then performed, demonstrating a widely patent right and left renal artery.

  What CPT coding is reported?

  A. 36251
  B. 36252
  C. 36253, 75625-26
  D. 36252, 75625-26
  B. 36252

• Question 155:

  A 60-year-old male suffering from degenerative disc disease at the L3-L4 and L5-S1 levels was placed under general anesthesia. Using an anterior approach, the L3-L4 disc space was exposed. Using blunt dissection, the disc space was cleaned. The disc space was then sized and trialed. Excellent placement and insertion of the artificial disc at L3-L4 was noted. The area was inspected and there was no compression of any nerve roots. Same procedure was performed on L5-S1 level. Peritoneum was then allowed to return to normal anatomic position and entire area was copiously irrigated. The wound was closed in a layered fashion. The patient tolerated the discectomy and arthroplasty well and was returned to recovery in good condition.

  What CPT coding is reported for this procedure?

  A. 22857 x 2
  B. 22857, 22860
  C. 22857
  D. 22899
  B. 22857, 22860

• Question 156:

  A Medicare patient that is on dialysis for ESRD is seen by the nurse for a Hep B vaccination. This patient is given a dialysis patient dosage as part of a three-dose schedule. The nurse administers the Hep B vaccine in the right deltoid. The physician reviews the chart and signs off on the nurse's note.

  What procedure and diagnosis codes are reported for the scheduled vaccine injection for this Medicare patient?

  A. 90471, 90746, Z23, N18.6, Z99.2
  B. G0010, 90740, Z23, N18.6, Z99.2
  C. 90471, 90746, Z23, B19.10, N18.6, Z99.2
  D. 99211-25, G0010, 90740, B19.10, N18.6, Z99.2
  B. G0010, 90740, Z23, N18.6, Z99.2

• Question 157:

  A patient has five biopsies performed on the duodenum.

  What CPT(R) coding is reported?

  A. 44010 x5
  B. 44020 x5
  C. 44010
  D. 44020
  C. 44010

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  Explanation

  44010 = Biopsy of small intestine, single or multiple.

  Reported once regardless of number of biopsies.

• Question 158:

  The provider orders a bilirubin test for a patient with bowel flora disturbance. The lab determines the presence of bilirubin in a fecal sample.

  What CPT(R) code is reported for the test?

  A. 82252
  B. 82247
  C. 82239
  D. 82248
  A. 82252

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  Explanation

  82252 = Bilirubin, feces.

  82247 and 82248 = Serum bilirubin.

  82239 = Fecal fat.

• Question 159:

  What does NCCI stand for, and what is its purpose?

  A. National Coding Compliance Index; it lists CPT(R) codes that must always be billed together, which eliminates the need for modifiers in coding.
  B. National Code Collection Information; it lists CPT(R) codes and specifies which codes are allowed for a repeat procedure by the same provider.
  C. National Coding Compliance Index; it lists CPT(R) codes that can be appended with modifier 51 to bypass an edit and what other codes can be used instead for reimbursement.
  D. National Correct Coding Initiative; it lists CPT(R) codes that are bundled or not reported separately together, which promotes accurate coding and prevents improper reimbursement.
  D. National Correct Coding Initiative; it lists CPT(R) codes that are bundled or not reported separately together, which promotes accurate coding and prevents improper reimbursement.

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  Explanation

  NCCI stands for the National Correct Coding Initiative. Its purpose is to promote correct coding by identifying code pairs that should not be reported together in most circumstances, helping prevent unbundling and improper payment. The NCCI includes Procedure-to-Procedure (PTP) edits and guidance that reflect common clinical coding conventions, for example, when one service is considered integral to another. Importantly, NCCI edits do not eliminate the need for modifiers; rather, they clarify when a modifier, such as -59 or an appropriate X{EPSU} modifier, may be allowed only when documentation supports that the services were truly distinct, such as a different site, session, lesion, or other qualifying circumstance.

  Options A and C incorrectly name the initiative and misstate its function, and option B is not the correct expansion or purpose. For CPC exam readiness, understand NCCI as a primary Medicare edit set widely used as a reference by many payers, supporting consistent and accurate reporting and reducing payment errors.

• Question 160:

  Mr. Roland has difficulty breathing and congestion with a productive cough. The physician takes frontal and lateral view chest X-rays in the office (the equipment is owned by the physician group). The physician reads the X-rays and determines a diagnosis of walking pneumonia. The physician's interpretation is placed in the patient's chart.

  How does the physician bill for the chest X-ray?

  A. 71046-26
  B. 71046-26-TC
  C. 71046-TC
  D. 71046
  A. 71046-26