100% Pass 2026 CPC - Certified Professional Coder (CPC) Exam Latest Test Bootcamp
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AAPC Certified Professional Coder (CPC) Exam Sample Questions (Q180-Q185):
NEW QUESTION # 180
A retinal specialist diagnoses type 2 diabetic mild nonproliferative retinopathy with macular edema, bilateral. Diabetes is secondary to Cushing's syndrome and controlled with oral hypoglycemics. What ICD-10-CM codes are reported?
- A. E24.9, E08.3213, Z79.84
- B. E11.3213, E24.9, Z79.4
- C. E08.3213, E24.9, Z79.84
- D. E24.9, E11.3213, Z79.84
Answer: A
Explanation:
E08.3213 = Diabetes due to underlying condition with mild NPDR with macular edema, bilateral E24.9 = Cushing's syndrome (underlying condition) Z79.84 = Long-term use of oral hypoglycemic drugs Sequencing follows ICD-10-CM guidelines for secondary diabetes.
NEW QUESTION # 181
A patient who has colon adenocarcinoma undergoes an open partial colectomy. The surgeon removes the proximal colon and terminal ileum and reconnects the cut ends of the distal ileum and remaining colon.
What procedure and diagnosis codes are reported?
- A. 44160, C18.2
- B. 44205, C18.9
- C. 44204, C18.2
- D. 44140, C18.9
Answer: A
Explanation:
1. Procedure and CPTCode Selection:
The patient underwent an open partial colectomy involving the removal of the proximal colon and terminal ileum with reconnection of the distal ileum to the remaining colon.
CPTCode 44160 is specific for an open partial colectomy with removal of a portion of the colon and the terminal ileum with an ileocolostomy (reconnection of the ileum to the colon). This accurately describes the procedure performed.
Code 44140 is for a partial colectomy without removal of the terminal ileum, making it inappropriate in this case.
Codes 44205 and 44204 involve laparoscopic approaches for colectomy procedures, but since this procedure was open, these codes are not suitable.
2. Diagnosis and ICD-10-CM Code Selection:
ICD-10-CM Code C18.2 is for a malignant neoplasm of the ascending colon, which is specified in this case as colon adenocarcinoma.
Code C18.9 represents an unspecified malignant neoplasm of the colon, which is less specific than C18.2.
Therefore, C18.2 is the most accurate choice based on the location of the adenocarcinoma.
3. AAPC and CPTCoding Guidelines:
Per AAPC guidelines, selecting the correct colectomy code involves identifying the specific approach (open vs. laparoscopic) and anatomical structures resected, both of which align with 44160 for this open ileocolic resection.
Thus, the correct answer, based on CPTand ICD-10-CM guidelines, is D. 44160, C18.2.
NEW QUESTION # 182
(What doesNCCIstand for, and what is its purpose?)
- A. National Coding Compliance Index; it lists CPT codes that can be appended with modifier 51 to bypass an edit and what other codes can be used instead for reimbursement
- B. National Coding Compliance Index; it lists CPT codes that must always be billed together which eliminates the need for modifiers in coding
- C. National Code Collection Information; it lists CPT codes and specifies which codes are allowed for a repeat procedure by the same provider
- D. National Correct Coding Initiative; it lists CPT codes that are bundled or not reported separately together which promotes accurate coding and prevents improper reimbursement
Answer: D
Explanation:
NCCIstands for theNational Correct Coding Initiative. Its purpose is to promote correct coding by identifying code pairs that shouldnotbe reported together in most circumstances, helping preventunbundlingand improper payment. The NCCI includesProcedure-to-Procedure (PTP) editsand 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-59or an appropriate X{EPSU} modifier) may be allowedonly whendocumentation supports that the services were truly distinct (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.
NEW QUESTION # 183 

Refer to the supplemental information when answering this question:
View MR 874276
What E/M code is reported?
- A. 0
- B. 1
- C. 2
- D. 3
Answer: D
Explanation:
To accurately code this emergency department visit, we need to assess the three key components: history, examination, and medical decision making (MDM).
* History:
* The documentation supports an expanded problem-focused history. This includes a chief complaint, a brief history of present illness (HPI), a review of systems (ROS) with pertinent positives and negatives, and a past medical history.
* Examination:
* The examination is also expanded problem-focused. The physician focused on the relevant systems (constitutional, HENT, respiratory) and documented specific findings related to the chief complaint (appears tired).
* Medical Decision Making:
* The MDM complexity is low. The physician is assessing a new problem (shortness of breath and weakness) with a low level of risk. No further testing or treatment is documented in this encounter.
Based on these components, 99283 is the most appropriate code.
Why other options are incorrect:
* 99282: Requires a problem-focused history and examination, which is less comprehensive than what was documented.
* 99284 and 99285: Require a higher level of MDM (moderate or high complexity) and/or a more detailed examination. The documentation doesn't support this level of service.
References:
* CPT Codes 99281-99285: Emergency department visits
* 1995 and 1997 Documentation Guidelines for Evaluation and Management Services: These guidelines provide detailed criteria for selecting the appropriate E/M code based on history, examination, and MDM.
* AAPC Coder's Desk Reference: This resource provides detailed information on coding guidelines and procedures.
NEW QUESTION # 184
A patient with three thyroid nodules is seen for an FNA biopsy. Using ultrasonic guidance, the provider inserts a 25-gauge needle into each nodule. Nodular tissue is aspirated and sent to pathology.
What CPT coding reported?
- A. 10005, 10006 x 2
- B. 10006 x 3
- C. 10005, 10006 x 2, 76942
- D. 10021, 10004 x 2, 76942
Answer: A
Explanation:
The CPT code 10005 is for fine needle aspiration biopsy, including ultrasound guidance, for the first lesion.
CPT code 10006 is for each additional lesion with ultrasound guidance. Since the provider aspirated tissue from three nodules, the coding should be 10005 for the first nodule and 10006 x 2 for the additional two nodules.References: AMA's CPT Professional Edition (current year)
NEW QUESTION # 185
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