These CPC practice questions target coding guidelines. The complete CPC deck holds 1041 flashcards, 170 of them dedicated to this topic. Study the free samples below, then unlock the whole collection for a one-time $7.
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In NCCI PTP edits, what is the primary significance of a code being listed in Column 2 versus Column 1?
Show answer →Column 1 contains the comprehensive code, while Column 2 contains the component or bundled code. If both are reported for the same session, the Column 2 code is generally not paid. If the Correct Coding Modifier (CCM) indicator is 1, a modifier (e.g., 59, XS) may be used to bypass the edit.
A patient is seen for a follow-up visit after completing treatment for a stage II malignant melanoma of the back. No evidence of recurrence is found. What is the sequencing?
Show answer →When a patient has completed treatment and there is no evidence of a remaining malignancy, sequence a code from category Z08 (Follow-up examination after completed treatment for malignant neoplasm) first. Follow this with a code from category Z85 (Personal history of malignant neoplasm). Exam Tip: Do not code the active malignancy (C43.59) if the treatment is finished and the cancer is gone. Use the Z85 history code instead.
A toddler is brought to the ED after swallowing a coin while playing in the sandbox at a public park. Which Place of Occurrence code is most accurate?
Show answer →The correct code is Y92.830 (Public park). Within the Y92.83 category (Public recreation area), there are codes for specific areas. If the sandbox is not specifically listed, Y92.830 is the best choice. AAPC Exam Tip: For pediatric cases, place of occurrence is high-yield. Distinguish between Y92.0 (Home), Y92.21 (School), and Y92.83 (Park). If the documentation just says playground, check if it's a school playground (Y92.21) or a park playground (Y92.83).
An initial hospital visit (99223) takes 110 minutes of total physician time on the date of encounter. Using CPT 2026 guidelines, how many units of 99418 should be reported?
Show answer →2 units. The 99223 threshold is 75 mins. 99418 is reported for each FULL 15 mins beyond the base. Calculation: 110 (total) - 75 (base) = 35 mins excess. 35 / 15 = 2.33. Only full increments count, so 2 units are billed. AAPC Tip: Always subtract from the maximum time of the base code's range.
A patient is scheduled for surgery at 8:00 AM. Due to a surgeon's delay, the case starts at 2:00 AM the next day. Can +99140 be used because it is after hours?
Show answer →Answer: No. Timing or after-hours scheduling does not constitute an emergency for +99140. An emergency is defined by the clinical situation where a delay in treatment would significantly increase the threat to life or body part. Coding based only on time of day is a common distractor. For +99140, the record must reflect a clinical emergency, not just a scheduling inconvenience.
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Try 30 free CPC cards firstThe full CPC deck contains 1041 flashcards, and 170 of them focus on coding guidelines. This page shows 5 free samples.
Our CPC deck dedicates 170 of 1041 cards (16%) to coding guidelines — always cross-check the official AAPC exam outline for the current blueprint weighting.
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