Free AAPC CPC Practice Exam with Questions & Answers

Pressure ulcer excision with bone involvement → CPT 15937 (sacral, with ostectomy)

Stage 4 pressure ulcer → L89.156 (sacral region with necrosis of bone)

11200 = removal of up to 15 skin tags

11201 = each additional 10 lesions or part thereof

26 lesions = 15 + 11 → 11201 ×2

Anesthesiaphysical status modifiersare the ASA modifiersP1–P6, which describe the patient’s overall systemic health (e.g., P1 = normal healthy patient; P2 = mild systemic disease; up to P6 = brain-dead patient whose organs are being removed for donor purposes). Among the choices,P1is the only ASA physical status modifier.QSis an anesthesia modifier indicatingMonitored Anesthesia Care (MAC), not physical status.AAidentifies the anesthesia service performedpersonally by an anesthesiologist, which is a provider/service modifier, not a physical status.2Pis not an ASA physical status modifier; physical status modifiers are specifically formatted asP1–P6. CPC exam tip: separate anesthesia modifiers into categories: (1)physical status(P1–P6), (2)who provided/medical direction(AA, QK, QX, QY, etc.), and (3)service circumstancemodifiers (like QS for MAC when applicable). Here, the question explicitly asks for physical status—soP1is correct.

Frozen section pathology coding rules:

88331 – Frozen section, first tissue block, each specimen

88332 – Frozen section, each additional tissue block, same specimen

Breakdown:

Specimen 1

Block 1 → 88331 × 1

Block 2 → 88332 × 1

Specimen 2

Block 1 → 88331 × 1

Block 2 → 88332 × 1

However, multiple frozen sections per tissue block are separately reportable:

Total first blocks = 4 frozen sections → 88331 × 4

Total additional blocks = 3 frozen sections → 88332 × 3

CPT® pathology guidelines require coding by tissue block and specimen, not by polyp alone.

89258 = Thawing of cryopreserved embryos

89250 = Culture of embryos, per day (reported once per encounter)

Service location = campground → domiciliary/home visit

Patient is new

99344 = New patient domiciliary visit, moderate MDM

Prolonged Services:

Additional 25 minutes beyond base time

99417 is used for prolonged services with office/home E/M codes

Why others are incorrect:

99349 – Established patient

99204 – Office visit (wrong location)

The code 99471 is used for initial inpatient neonatal critical care, per day, for the evaluation and management of a critically ill infant or young child. Given the scenario where a 4-year-old critically ill child is admitted to the PICU and requires intensive care management, this code is appropriate as it reflects the critical care provided beyond the emergency department services. References: CPT® Professional Edition (current year), AMA.

For a follow-up examination after the removal of polyps with no new polyps found, the appropriate diagnosis codes are:

Z09: Encounter for follow-up examination after completed treatment for conditions other than malignant neoplasm.

Z86.010: Personal history of colonic polyps.

Using Z09 indicates that the follow-up exam is to check the patient after treatment, and Z86.010 indicates a history of colonic polyps, which is relevant to the patient's medical history.

ICD-10-CM guidelines

AMA's CPT® Professional Edition (current year)

Atranstympanic(intratympanic) injection involves placing medication through the tympanic membrane into the middle ear space. CPT69801is used to report this transtympanic injection/tympanocentesis-type service as represented in CPC-style questions. Because the physician performed the injection inboth earsduring the same session, the appropriate bilateral reporting method in this answer set ismodifier -50to indicate abilateral procedure. Reporting69801 × 2is a common trap; many payers require either modifier 50 or RT/LT rather than two units, and the CPC exam typically follows modifier logic as presented in the options. Modifier-22(increased procedural services) would require unusual extra work beyond typical complexity and is not supported by the vignette. Reporting only a single unilateral code (option A) would underreport the bilateral nature. Therefore, the best answer is69801-50, reflecting the same service performed on paired organs during the same encounter.