AAPC CPC 問題集

試験コード：CPC

試験名称：Certified Professional Coder (CPC) Exam

最近更新時間：2026-06-30

問題と解答：全455問

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質問 1：
(What modifier is appended to indicate that during thepostoperative period, a procedure is performed that wasplanned,more extensivethan the original procedure, or done fortherapeutic reasons?)
A. 26
B. 58
C. 56
D. 78
正解：B
解説: (Topexam メンバーにのみ表示されます)

質問 2：
A 32-year-old is in the outpatient clinic for an esophagoscopy due to increased difficulty swallowing with his eosinophilic esophagitis. The flexible scope is inserted in the mouth and into the esophagus. Examination of the esophagus noted narrowing in the distal esophagus. Following an injection of Kenalog, a transendoscopic balloon dilation was performed in the area of stenosis. Inflation was repeated eventually reaching 18 mm in diameter. What CPTcoding is reported for this procedure?
A. 43220, 43201
B. 43220, 43204
C. 43220, 43200-59
D. 43214, 43201
正解：A

質問 3：
Which is a malignant neoplasm originating in the skin?
A. Hemangioma
B. Melanoma
C. Osteosarcoma
D. Lymphoma
正解：B
解説: (Topexam メンバーにのみ表示されます)

質問 4：
A 50-year-old patient presented with a persistent cough has not responded to standard treatments. The patient ' s physician decides to perform a flexible bronchoscopy with bronchial biopsies to further investigate the cause. A flexible bronchoscope is inserted through the patient ' s mouth and into the bronchial tubes. Five biopsies are taken for further testing. The biopsies were sent to the lab for analysis to determine the next steps in the patient ' s treatment plan.
What CPTcoding is reported?
A. 31625 x 5
B. 31628 x 5
C. 31628
D. 31625
正解：D
解説: (Topexam メンバーにのみ表示されます)

質問 5：
When a provider ' s documentation refers to use, abuse, and dependence of the same substance (e.g. alcohol), which statement is correct?
A. If both use and dependence are documented, assign only the code for dependence.
B. If use, abuse, and dependence are documented, report all three codes separately.
C. If both abuse and dependence are documented, assign only the code for abuse.
D. If both use and abuse are documented, assign abuse as the first code and use as the additional code.
正解：A
解説: (Topexam メンバーにのみ表示されます)

質問 6：
The pulmonologist performs a bronchoscopy with fluoroscopic guidance. The scope is introduced into the right nostril and advanced to the vocal cords and into the trachea. The scope is advanced to the right upper lobe and a lung nodule is noted. An endobronchial biopsy is performed.
What CPTcode is reported for the procedure?
A. 31624
B. 31628
C. 31625
D. 31622
正解：C
解説: (Topexam メンバーにのみ表示されます)

質問 7：
(A provider states that all of their office visits should be reported asmoderate levelsbecause they treat patients with high-complexity problems. Would this be considered a compliance problem?)
A. No, high-complexity problems represent a low level
B. No, a provider can bill for any level they choose
C. Yes, it is considered waste
D. Yes, it is considered abuse
正解：D
解説: (Topexam メンバーにのみ表示されます)

質問 8：
Day 1 - A provider admits the patient to observation care for type 2 diabetes mellitus with hyperglycemia.
The provider orders a HbA1c, a urine (microalbumin), and kidney function lab tests.
Blood sugar is high and poorly controlled. The provider discusses the case with the patient ' s endocrinologist.
The provider prescribes an IV insulin drip, along with SQ insulin and keeps the patient in observation overnight.
Day 2 - Patient is in observation care and the provider orders a blood glucose test. The patient ' s glucose levels have improved. The provider places an order for the dietitian to see the patient.
Provider
documents spending a total time of 25 minutes with the patient.
Day 3 - Patient has a blood glucose test. The patient ' s glucose level is back to normal. The provider documents spending 15 minutes with the patient. The provider discharges the patient.
What E/M coding is reported by the physician for the patient in observation care?
A. 99235, 99231, 99238
B. 99222, 99231, 99238
C. 99235, 99238
D. 99221, 99232, 99239
正解：A
解説: (Topexam メンバーにのみ表示されます)

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AAPC CPC 認定試験の出題範囲：

トピック	出題範囲
トピック 1	Musculoskeletal System: This section of the exam measures the skills of coding specialists and focuses on coding procedures involving bones, joints, muscles, and tendons. It covers surgeries, reductions, arthroscopies, and fracture treatments, emphasizing accurate mapping of procedures to anatomical areas.
トピック 2	Integumentary System: This section of the exam measures the skills of medical coders and covers procedures related to the skin and related structures. Topics include excisions, biopsies, repairs, and destruction services, focusing on accurate code selection and modifier usage for integumentary interventions.
トピック 3	Overview of ICD-10-CM: This section of the exam measures the skills of medical coders and introduces the structure, format, and usage of the ICD-10-CM coding system. It reviews the purpose of ICD-10-CM in diagnosis reporting and prepares candidates to interpret chapters, code ranges, and conventions embedded in the system.
トピック 4	Radiology: This section of the exam measures the skills of coding specialists and focuses on diagnostic imaging procedures including X-rays, CT scans, MRIs, ultrasounds, and nuclear medicine. It emphasizes proper selection of codes based on anatomical site and modality used.
トピック 5	Digestive System: This section of the exam measures the skills of coding specialists and evaluates the coding of surgeries and procedures involving the oral cavity, pharynx, esophagus, stomach, intestines, liver, pancreas, and related organs. Understanding endoscopic procedures is particularly critical here.
トピック 6	Review of Anatomy: This section of the exam measures the skills of coding specialists and covers a high-level understanding of human anatomy. It includes organs, systems, directional terminology, and anatomical locations, enabling coders to link procedures and diagnoses to the correct bodily structures with accuracy and consistency.
トピック 7	Endocrine System and Nervous System: This section of the exam measures the skills of medical coders and assesses the ability to assign codes for surgeries involving glands, the brain, spinal cord, and peripheral nerves. Procedures like resections and electrical stimulation are part of the evaluated content.
トピック 8	Respiratory System: This section of the exam measures the skills of medical coders and evaluates the ability to code procedures involving the nose, sinuses, larynx, trachea, bronchi, and lungs. Attention is given to services like endoscopies, excisions, and resections within the respiratory tract.
トピック 9	Accurate ICD-10-CM Coding: This section of the exam measures the skills of medical coders and focuses on the precise assignment of diagnosis codes using the ICD-10-CM system. The goal is to ensure accurate representation of patient conditions, proper sequencing, and a clear linkage between diagnoses and services.
トピック 10	Pathology & Laboratory: This section of the exam measures the skills of medical coders and includes lab tests, specimen analysis, and pathological examination procedures. It ensures that coders understand how to apply codes for chemistry panels, cultures, and histopathological diagnostics.
トピック 11	Introduction to CPT®, HCPCS Level II, and Modifiers: This section of the exam measures the skills of coding specialists and introduces candidates to CPT® coding for procedures, HCPCS Level II for supplies and services, and the correct use of modifiers. It helps learners distinguish between different code sets and understand their place in medical billing.