Most Important Questions for CPC Exam 2025

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Most Important Questions for CPC Exam 2025

 

Most Important Questions for CPC Exam 2025 : In this article, we collect important questions related to all series mock questions for cpc exams. This mock is very important for the Certified Professional Coder (CPC) exam. In this article we collect 100 questions in which medical terminology , medical anatomy , compliance , and cpt all series questions and also icd questions and 10 questions form cases . This mock is very important for your cpc exam. In cpc exam total 100 questions come i will give 100 questions for your practice , Most Important Questions for CPC Exam 2025

For CPC exam practice is very must to get 70% in exam, i will provide back to back 5 Mock questions and answers for cpc exam. CPC Exam Questions is very tricky , if you read carefully questions then you get right answers and get marks.

Most Important Questions for CPC Exam 2025

 

The AAPC’s Certified Professional Coder (CPC) exam is currently the gold standard of coding certifications. Let’s take a look at this certification exam now.

Let’s Start——–

1. During a regular checkup, Dr. Stevens discovered a suspicious lesion on the floor of Paul’s mouth and decided to perform an excision. Which CPT code covers the excision of an oral lesion?

A. 40800

B. 41105

C. 41113

D. 40804

 

2. While shaving, Robert accidentally caused a small cut on his chin that later became infected. He visited a healthcare provider who incised and drained the infected area. Which CPT code covers the incision and drainage of an infected cut?

A. 10080

B. 10021

C. 10060

D. 10160

 

3. Lucas, a professional swimmer, developed a cyst in his arm due to repetitive motion. The doctor decided to excise the  cyst. Which CPT code represents the excision of a cyst?

A. 20005

B. 20055

C. 20010

D. 20020

 

4. Ella’s doctor suspected she might have diabetes. He ordered a Hemoglobin A1c test to assess her average blood sugar levels over the past three months. Which CPT code represents the Hemoglobin A1c test?

A. 83036

B. 83033

C. 83035

D. 83034

 

5. Riley had an overactive thyroid and was recommended for a thyroid lobectomy. Which CPT code pertains to this procedure?

A. 60210

B. 60212

C. 60220

D. 60225

 

6. After a series of tests, Dr. Wright determined that Katie had a kidney stone and recommended a percutaneous nephrostolithotomy. Which CPT code corresponds to this procedure?

A. 50010

B. 50020

C. 50200

D. 50543

 

7. Ethan, experiencing persistent flank pain, underwent a diagnostic renal angiography. Which CPT code represents this procedure?

A. 50010

B. 50220

C. 50200

D. 50398

 

8. The Relative Value Unit (RVU) associated with a CPT code reflects:

A. The complexity of the procedure

B. The average time a procedure takes

C. The cost associated with performing the procedure

D. All of the above

 

9. What does the term “bradycardia” refer to?

A. Fast heartbeat

B. Slow heartbeat

C. Irregular heartbeat

D. Strong heartbeat

 

10. After weeks of sinus congestion, Olivia saw an ENT specialist. The doctor decided to perform a nasal endoscopy. Which CPT code describes this procedure?

A. 30000

B. 30140

C. 31231

D. 31237

 

11. During her yoga class, Claire felt a sharp pain in her thigh. The doctor diagnosed her with a seroma that needed drainage. Which CPT code should be used for the drainage of a seroma?

A. 20005

B. 20055

C. 20010

D. 20016

 

12. Jackson has been feeling pain and pressure in his sinuses. The ENT decided to perform a sinusotomy to improve drainage. Which CPT code represents this procedure?

A. 31020

B. 31256

C. 31287

D. 31288

 

13. During a routine check-up, Mark was diagnosed with essential (primary) hypertension. Which ICD-10-CM code represents this condition?

A. I10

B. I11.9

C. I12.9

D. I13.10

 

14. After tests indicated abnormal parathyroid function, Natalie underwent a parathyroidectomy. Which CPT code represents this procedure?

A. 60212

B. 60240

C. 60100

D. 60500

 

15. David uses a manual wheelchair due to his mobility limitations. Which HCPCS Level II code pertains to a standard manual wheelchair?

A. K0001

B. K0002

C. K0003

D. K0004

 

16. After a fall, Clara’s primary care doctor ordered an X-ray of her wrist. The radiologist took three views of her wrist. Which CPT code pertains to this X-ray?

A. 73110

B. 73100

C. 73120

D. 73115

 

17. While eating popcorn, Mike felt a sharp pain and found he had bitten the inside of his cheek, causing a mucocele. His dentist performed a removal of the mucocele. Which CPT code pertains to this procedure?

A. 40804

B. 40812

C. 41108

D. 40819

 

18. During a routine check-up, Brian was diagnosed with benign essential hypertension. What ICD-10-CM code should be used for this diagnosis?

A. I10

B. I15.0

C. I15.1

D. I15.2

 

19. Megan had been facing difficulty urinating. Her urologist performed a cystourethroscopy to diagnose the issue. Which CPT code describes this procedure?

A. 52000

B. 50250

C. 50200

D. 50395

 

20. Ryan has had chronic sinusitis for months. The doctor advised functional endoscopic sinus surgery (FESS) to clear the blockages. Which CPT code should be used for this procedure?

A. 31255

B. 31256

C. 31267

D. 31276

 

21. Which part of the brain is responsible for regulating vital functions like heartbeat and breathing?

A. Cerebellum

B. Medulla Oblongata

C. Cerebrum

D. Pons

 

22. After a trip to a tropical country, Jessica was diagnosed with Dengue fever without warning signs. Which ICD-10-CM code represents this diagnosis?

A. A90

B. A91

C. A92.0

D. A92.8

 

23. After a car accident, Liam required a retrograde pyelography to assess kidney damage. Which CPT code should be used for this procedure?

A. 50320

B. 50430

C. 50200

D. 50390

 

24. Olivia went to the pediatrician for her annual checkup. The doctor conducted a comprehensive review covering her past, family, and social history. Which CPT code represents this level of history-taking?

A. 99391

B. 99382

C. 99392

D. 99381

 

25. During his physical therapy, John was provided with a therapeutic elastic band. Which HCPCS Level II code represents the supply of this band?

A. A4450

B. A4465

C. A4466

D. A4470

 

26. Dr. Lewis suspected a liver issue with Lily and ordered a comprehensive metabolic panel. Which CPT code is for a comprehensive metabolic panel?

A. 80053

B. 80051

C. 80050

D. 80055

 

27. The heart is enclosed in a double-layered sac called the:

A. Pericardium

B. Myocardium

C. Endocardium

D. Epicardium

 

28. ‘Osteoporosis’ describes a condition where:

A. Bones become soft and bendable

B. Bone density is increased

C. Bones are broken easily

D. Bones become brittle and fragile due to loss of tissue

 

29. Leo had been experiencing difficulty breathing and went to a clinic. The doctor performed a procedure to remove nasal polyps. Which CPT code corresponds to this procedure?

A. 30110

B. 30140

C. 30220

D. 31237

 

30. For his severe back pain, Dr. Simmons administers an epidural injection to Mike. Which HCPCS Level II code corresponds to the supply of the injection?

A. J1020

B. J1030

C. J1040

D. J1050

 

31. Experiencing persistent headaches, Daniel was sent for an MRI of his brain. Which CPT code covers an MRI of the brain without contrast?

A. 70551

B. 70553

C. 70549

D. 70550

 

32. Dr. Johnson saw Sarah in the ER after she experienced a severe asthma attack. After stabilization, he conducted a comprehensive review of her systems and medical history. Which CPT code represents this level of history-taking?

A. 99221

B. 99218

C. 99223

D. 99220

 

33. Ella went to the doctor after experiencing pain from a swollen salivary gland. The doctor performed a sialolithotomy. Which CPT code represents this procedure?

A. 40810

B. 40812

C. 40819

D. 40820

 

34. During a follow-up visit, Dr. Allen asked Emily about the progress of her symptoms, her current medications, and performed a limited examination. Which CPT code represents this level of service?

A. 99212

B. 99214

C. 99213

D. 99215

 

35. In medical terminology, the prefix ‘osteo-‘ relates to which of the following?

A. Bone

B. Heart

C. Liver

D. Brain

 

36. Lucas went to the hospital after noticing blood in his urine. The doctor performed a renal biopsy. Which CPT code represents this procedure?

A. 50200

B. 50220

C. 50225

D. 50230

 

37. Ryan had been experiencing chronic chest pain. During a diagnostic procedure, the anesthesiologist administered anesthesia to keep him comfortable. Which CPT code represents anesthesia for intrathoracic procedures?

A. 00520

B. 00522

C. 00524

D. 00526

 

38. While hiking, Alex slipped on a rock and hurt his ankle. At the hospital, they discovered a hematoma that needed to be incised and drained. Which CPT code represents this procedure?

A. 20005

B. 20055

C. 20000

D. 20025

 

39. Bianca visited an oral surgeon due to a cyst under her tongue. The surgeon decided to perform a marsupialization of the ranula. Which CPT code is appropriate for this procedure?

A. 40800

B. 41115

C. 40801

D. 40806

 

40. Sarah uses a continuous positive airway pressure (CPAP) device for her sleep apnea. Which HCPCS Level II code pertains to the CPAP device?

A. E0601

B. E0621

C. E0631

D. E0650

 

41. During a hernia repair, Dr. Stevens administered anesthesia to ensure Michael was comfortable and pain-free. Which CPT code represents anesthesia for an inguinal hernia repair?

A. 00102

B. 00144

C. 00145

D. 00148

 

42. Sophie, pregnant with her first child, went for an ultrasound in her second trimester. Which CPT code is appropriate for a routine obstetric ultrasound of a fetus?

A. 76805

B. 76810

C. 76815

D. 76816

 

43. Sophie, after a minor car accident, had a nosebleed that wouldn’t stop. The ER doctor performed a nasal endoscopy to control the posterior nosebleed. Which CPT code is appropriate for this procedure?

A. 30000

B. 31255

C. 31231

D. 30903

 

44. Ryan had been experiencing chronic chest pain. His cardiologist ordered a chest CT scan with contrast. Which CPT code represents a CT of the chest with contrast?

A. 71250

B. 71260

C. 71270

D. 71275

 

45. Nina, who had been dealing with depression, visited a psychiatrist who prescribed her a 30-minute psychotherapy session. Which CPT code is appropriate for individual psychotherapy for 30 minutes?

A. 90832

B. 90834

C. 90837

D. 90839

 

46. Tom was diagnosed with bilateral primary osteoarthritis of the knee. Which ICD-10-CM code is suitable for this diagnosis?

A. M17.0

B. M17.1

C. M17.2

D. M17.3

 

47. Samantha was diagnosed with acute sinusitis due to Streptococcus pneumoniae. What ICD-10-CM code corresponds to her condition?

A. J01.00

B. J01.10

C. J01.01

D. J01.11

 

48. Dr. Parker recommended a colonoscopy for Maria due to her family history of colorectal cancer. Which CPT code represents a diagnostic colonoscopy?

A. 45378

B. 45379

C. 45380

D. 45381

 

49. Lena, a 28-year-old, was diagnosed with a mild form of endometriosis. Which ICD-10-CM code corresponds to her diagnosis?

A. N80.0

B. N80.1

C. N80.2

D. N80.3

 

50. Leo visited a cardiologist due to chest pain. The doctor took an extended history, reviewed multiple systems, and performed a detailed examination. Which CPT code represents this level of service?

A. 99221

B. 99222

C. 99223

D. 99220

 

51. Robert visited an ophthalmologist after experiencing blurry vision. After examination, the doctor diagnosed him with cataracts. Which CPT code corresponds to a cataract removal with intraocular lens insertion?

A. 66982

B. 66984

C. 66983

D. 66985

 

52. The largest bone in the human body is the:

A. Humerus

B. Femur

C. Tibia

D. Fibula

 

53. Which organ is responsible for producing insulin?

A. Pancreas

B. Liver

C. Kidney

D. Spleen

 

54. With symptoms of anemia, Riley’s doctor ordered a complete blood count with differential. Which CPT code pertains to this test?

A. 85027

B. 85025

C. 85029

D. 85023

 

55. Sophie, pregnant with her first child, went for an ultrasound in her second trimester. The anesthesiologist administered anesthesia to keep her comfortable during the procedure. Which CPT code represents anesthesia for a routine obstetric ultrasound?

A. 00860

B. 00864

C. 00862

D. 00868

 

56. Which U.S. federal regulation protects the privacy and security of patients’ medical information?

A. Affordable Care Act (ACA)

B. Clinical Laboratory Improvement Amendments (CLIA)

C. Health Information Technology for Economic and Clinical Health (HITECH) Act

D. Health Insurance Portability and Accountability Act (HIPAA)

 

57. After her morning run, Maria noticed a painful abscess on her thigh. She immediately went to the clinic, where the doctor performed an incision and drainage. Which CPT code represents the incision and drainage of an abscess?

A. 10080

B. 10021

C. 10060

D. 10160

 

58. James had difficulty breathing and underwent a pulmonary function test to assess his lung function. Which CPT code represents a simple pulmonary function test?

A. 94010

B. 94060

C. 94070

D. 94015

 

59. After a minor car accident, Emma was taken to the emergency room. They found a hematoma in her shoulder that needed incision and drainage. Which CPT code pertains to this procedure?

A. 20005

B. 20010

C. 20016

D. 20100

 

60. For outpatient coding, when coding for a condition that is both acute and chronic and separate subentries exist in the alphabetic index, which code should be sequenced first?

A. Acute

B. Chronic

C. Either – based on the severity

D. The condition that is being treated during the visit

 

61. Alex was diagnosed with type 1 diabetes mellitus without complications. Which ICD-10-CM code represents this diagnosis?

A. E10.9

B. E11.9

C. E13.9

D. E08.9

 

62. John, an avid gardener, discovered a wart on his finger. Concerned about its appearance, he consulted a physician who recommended its removal. Which CPT code covers the excision of a wart?

A. 10021

B. 10040

C. 10060

D. 10120

 

63. According to CPT guidelines, if a code exists that describes a certain service or procedure, you should:

A. Use a similar code that might fit

B. Use the exact code describing the service

C. Use an unspecified code

D. Use any code as long as it’s from the correct section

 

64. Dr. Lewis found a nodule in Chloe’s thyroid and decided to perform a core needle biopsy. Which CPT code covers this procedure?

A. 60100

B. 60240

C. 60271

D. 60101

 

65. Grace required a knee replacement. The anesthesiologist administered anesthesia specific to the lower leg procedure. Which CPT code is suitable for anesthesia during a knee replacement?

A. 01402

B. 01400

C. 01404

D. 01406

 

66. During a routine checkup, a physician noticed a suspicious lesion on Peter’s back. To ensure it was benign, the doctor performed a punch biopsy. Which CPT code is appropriate for a punch biopsy of the skin?

A. 10040

B. 10005

C. 11104

D. 11100

 

67. Elena visited the ER with a severe migraine without aura, not intractable. What ICD-10-CM code corresponds to her condition?

A. G43.009

B. G43.109

C. G43.209

D. G43.309″

 

68. Michael had always had a large mole on his arm. However, recently he observed changes in its appearance. On the advice of his friend, he visited a dermatologist who biopsied the mole. Which CPT code pertains to the biopsy of a lesion?

A. 10040

B. 10005

C. 10060

D. 11100

 

69. What is the purpose of the National Correct Coding Initiative (NCCI)?

A. Ensure appropriate coding based on the medical record

B. Prevent improper payment of procedures that should not

be billed together

C. Assign specific dollar amounts to procedures

D. Monitor fraudulent billing practices across states

 

70. Peter visited a dermatologist for a persistent rash. The doctor diagnosed him with atopic dermatitis of the hands. What ICD-10-CM code represents this diagnosis?

A. L20.81

B. L20.82

C. L20.83

D. L20.84

 

71. Sophia went to a dermatologist for a facial consultation. The doctor noticed a milia near her eye and removed it. Which CPT code represents the removal of milia?

A. 10021

B. 10030

C. 10040

D. 10120

 

72. Owen was diagnosed with thyroid cancer. His oncologist recommended a total thyroidectomy. Which CPT code shouldbe used for this procedure?

A. 60212

B. 60240

C. 60100

D. 60252

 

73. According to the ICD-10-CM guidelines, when a patient has both an acute and chronic condition, which one should be sequenced first?

A. Acute condition

B. Chronic condition

C. Either – based on the severity

D. The condition that is being treated during the visit

 

74. The term “hepatomegaly” refers to:

A. Inflammation of the liver

B. Enlargement of the liver

C. Disease of the liver

D. Absence of the liver

 

75. Jake came to the clinic for a routine checkup. The doctor asked him basic questions about his current health without going into a detailed history or review of systems. What CPT code represents this level of history-taking?

A. 99201

B. 99212

C. 99203

D. 99204

 

76. During her beach vacation, Lisa noticed a skin tag on her neck. Wanting to wear her new necklace without any obstructions, she decided to visit a dermatologist to have it removed. Which CPT code represents the removal of a skin tag?

A. 10021

B. 10030

C. 10060

D. 11200

 

77. Ava was having persistent nosebleeds. The ENT decided to cauterize the bleeding vessel in her nasal cavity. Which CPT code describes this procedure?

A. 30000

B. 30901

C. 31231

D. 31237

 

78. During a dental cleaning, Dr. Adams noticed a white patch inside Hannah’s mouth. She suggested a biopsy of the oral mucosa. Which CPT code covers a biopsy of the oral mucosa?

A. 40000

B. 41105

C. 40100

D. 40804

 

79. After experiencing rapid heartbeats, Karen underwent an electrophysiology study. Which CPT code pertains to this procedure?

A. 93619

B. 93620

C. 93621

D. 93622

 

80. While gardening, Chloe got a thorn embedded in her hand. She went to a healthcare provider who removed the foreign body. Which CPT code covers the removal of a foreign body from soft tissue?

A. 20005

B. 20055

C. 20010

D. 10120

 

81. During a football match, Ethan had a collision and developed a hematoma in his upper arm. The doctor performed an incision to drain it. Which CPT code is appropriate for this procedure?

A. 20005

B. 20002

C. 20010

D. 20100

 

82. The term “hyperglycemia” means:

A. Low blood sugar level

B. Normal blood sugar level

C. High blood sugar level

D. Blood without sugar

 

83. Julie was diagnosed with iron-deficiency anemia secondary to chronic blood loss. Which ICD-10-CM code is appropriate for this diagnosis?

A. D50.0

B. D50.1

C. D50.8

D. D50.9

 

84. Nathan visited the clinic with flu-like symptoms. The doctor took a brief history, focusing mainly on the respiratory system. Which CPT code represents this level of history-taking?

A. 99201

B. 99202

C. 99203

D. 99204

 

85. Dr. Harris diagnosed Grace with hyperthyroidism and recommended a partial thyroidectomy. Which CPT code describes this procedure?

A. 60210

B. 60212

C. 60100

D. 60225

 

86. According to Medicare, the “Three-Day Payment Window Rule” refers to:

A. The time frame in which a patient must pay their bill

B. Services provided to a patient 3 days prior to their inpatient admission

C. The time frame in which Medicare must process a claim

D. The period within which a patient can dispute a charge

 

87. In ICD-10-CM, how should unspecified codes be utilized?

A. Frequently; as they are easy to use

B. Only when the documentation doesn’t provide more specific information

C. When the coder is unsure about the specifics of the condition

D. In any situation where a quick code is needed

 

88. Sophia had recurrent UTIs. To determine the cause, her physician performed a cystography. Which CPT code pertains

A. 50395

B. 50250

C. 50200

D. 51600

 

89. In CPT coding, what does a modifier -25 indicate?

A. Repeat procedure by the same physician

B. Bilateral procedure

C. Multiple procedures

D. Significant and separately identifiable evaluation and management service by the same physician on the same day of the procedure

 

90. What does the term “cardiomyopathy” refer to?

A. Inflammation of the heart muscle

B. Enlargement of the heart

C. Disease of the heart muscle

D. Blockage in the heart’s arteries

 

91. James noticed a lump in his armpit and visited a physician who diagnosed it as an abscess. The doctor performed an incision and drainage. Which CPT code corresponds to this procedure?

A. 20002

B. 20060

C. 20000

D. 20005

 

92. George received an infusion of Remicade for his Crohn’s disease. What HCPCS Level II code corresponds to the Remicade infusion?

A. J1745

B. J1750

C. J1756

D. J1760

 

93. When it comes to Medicare fraud and abuse, what does “upcoding” refer to?

A. Billing for services not rendered

B. Billing a higher service code than what was performed

C. Billing for unnecessary services

D. Assigning a lower code to save the patient money

 

94. Max complained of fatigue and frequent infections. His doctor ordered an immunoglobulin test to check his immune system’s health. Which CPT code corresponds to the immunoglobulin test?

A. 82784

B. 82782

C. 82785

D. 82783

 

95. When a patient is admitted to the hospital for a high fever and is later diagnosed with sepsis, what should be the primary diagnosis according to ICD-10-CM guidelines?

A. Fever

B. Sepsis

C. Both can be primary

D. The condition that prompted the admission

 

96. Jason went to the clinic after noticing a sore that wouldn’t heal inside his mouth. The doctor performed an excision of the oral lesion. Which CPT code represents this procedure?

A. 41108

B. 41110

C. 40100

D. 40819

 

97. Nancy was fitted with a below-the-knee artificial limb after her leg amputation. Which HCPCS Level II code represents this prosthetic?

A. L5631

B. L5637

C. L5645

D. L5650

 

98. Tyler had a lump on his thyroid. The endocrinologist performed a fine needle aspiration biopsy. Which CPT code pertains to this procedure?

A. 60100

B. 60240

C. 60220

D. 60212

 

99. Lily felt a sudden blockage in her nose. The doctor diagnosed a deviated septum and recommended a septoplasty. Which CPT code pertains to this procedure?

A. 31231

B. 31000

C. 31254

D. 30520

 

100. Anna received an injection of Botox for her chronic migraines. Which HCPCS Level II code represents the Botox injection?

A. J0585

B. J0586

C. J0587

D. J0588

 

Answer key

 

1. C. 41113

2. C. 10060

3. D. 20020

4. A. 83036

5. C. 60220

6. D. 50543

7. A. 50010

8. D. All of the above

9. B. Slow heartbeat

10. C. 31231

11. C. 20010

12. B. 31256

13. A. I10

14. D. 60500

15. A. K0001

16. A. 73110

17. A. 40804

18. A. I10

19. A. 52000

20. B. 31256

21. B. Medulla Oblongata

22. A. A90

23. B. 50430

24. D. 99381

25. B. A4465

26. A. 80053

27. A. Pericardium

28. D. Bones become brittle and fragile due to loss of tissue

29. A. 30110

30. C. J1040

31. A. 70551

32. C. 99223

33. D. 40820

34. C. 99213

35. A. Bone

36. A. 50200

37. C. 00524

38. A. 20005

39. B. 41115

40. A. E0601

41. B. 0014

42. A. 76805

43. D. 30903

44. B. 71260

45. A. 90832

46. B. M17.1

47. D. J01.11

48. A. 45378

49. A. N80.0

50. C. 99223

51. B. 66984

52. B. Femur

53. A. Pancreas

54. B. 85025

55. A. 00860

56. D. Health Insurance Portability and Accountability Act

(HIPAA)

57. A. 10080

58. A. 94010

59. D. 20100

60. A. Acute

61. A. E10.9

62. B. 10040

63. B. Use the exact code describing the service

64. D. 60101

65. B. 01400

66. C. 11104

67. A. G43.009

68. D. 11100

69. B. Prevent improper payment of procedures that

should not be billed together

70. B. L20.82

71. C. 10040

72. B. 60240

73. A. Acute condition

74. B. Enlargement of the liver

75. A. 99201

76. D. 11200

77. B. 30901

78. B. 41105

79. B. 93620

80. D. 10120

81. A. 20005

82. C. High blood sugar level

83. A. D50.0

84. B. 99202

85. A. 60210

86. B. Services provided to a patient 3 days prior to their

inpatient admission

87. B. Only when the documentation doesn’t provide more

specific information

88. D. 51600

89. D. Significant and separately identifiable evaluation

and management service by the same physician on the same

day of the procedure

90. C. Disease of the heart muscle

91. A. 20002

92. A. J1745

93. B. Billing a higher service code than what was performed

94. A. 82784

95. B. Sepsis

96. B. 41110

97. B. L5637

98. A. 60100

99. D. 30520

100. A. J0585

 


 

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