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AAPC CPC® Prep Online

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Results

Date: 19th Aug 2026Time Taken: 00:00:31

ICD-10-CM / Diagnosis

Answers Result

A 55-year-old male presents with persistent abdominal pain and rectal bleeding (hemoccult positive). A flexible sigmoidoscopy is performed, and four polyps are removed using hot biopsy forceps. Pathology the same day indicates benign intestinal polyps. Which coding is most appropriate for this encounter?

Incorrect

A.45333, K63.5
B.45384, K63.5
C.45331, K63.5
D.45333 x4, R10.9, K92.1, K63.5

A 67-year-old male presents with fatigue, shortness of breath, and ankle swelling. The provider documents congestive heart failure due to hypertension. No chronic kidney disease is documented, and the type of heart failure (systolic, diastolic, etc.) is not specified. Based on ICD-10-CM coding conventions for hypertensive heart disease, which code assignment best reports this patient’s condition, including the required additional code to identify the heart failure?

Correct

A.I13.0 and I50.9
B.I50.9 only
C.I11.0 and I50.9
D.I10 only

A 45-year-old female with stress urinary incontinence undergoes a robotic-assisted laparoscopic Burch-type colposuspension (bladder neck/urethral suspension) to treat incontinence. Which CPT code best matches the primary procedure performed?

Incorrect

A.51990 — Laparoscopy, surgical; urethral/bladder neck suspension for stress incontinence (e.g., Burch colposuspension)
B.57288 — Sling operation for stress incontinence (e.g., mid-urethral sling)
C.51999 — Unlisted laparoscopy procedure, bladder
D.52000 — Cystourethroscopy (diagnostic endoscopy)

Answers Result

Incorrect

A.45333, K63.5
B.45384, K63.5
C.45331, K63.5
D.45333 x4, R10.9, K92.1, K63.5

Flexible sigmoidoscopy with removal of polyp(s) using hot biopsy forceps is reported with the code describing sigmoidoscopic polypectomy by hot biopsy forceps/bipolar cautery, which is 45333. The procedure code is reported once for the session even if multiple polyps are removed, unless specific payer guidance instructs otherwise. For diagnosis coding, a confirmed finding of benign intestinal polyps is reported with K63.5. Symptoms such as abdominal pain and rectal bleeding are generally not additionally reported when they are attributable to the confirmed condition in this scenario. The choice with "45384" is incorrect because it describes a colonoscopy (not a flexible sigmoidoscopy). The choice with "45331" is incorrect because it describes a biopsy rather than polyp removal by hot biopsy forceps. The choice including "x4" and separate symptom codes is inappropriate for typical reporting of this service.

Correct

A.I13.0 and I50.9
B.I50.9 only
C.I11.0 and I50.9
D.I10 only

When heart failure is documented as due to hypertension, ICD-10-CM directs coding to hypertensive heart disease with heart failure and to use an additional I50.- code to identify the heart failure. I11.0 captures hypertensive heart disease with heart failure, and because the type of heart failure is not specified in the documentation, I50.9 (heart failure, unspecified) is added. The code set containing I13.0 is used only when both hypertensive heart disease and chronic kidney disease are documented. Coding only I50.9 or only I10 fails to report the documented causal relationship between hypertension and heart failure.

Incorrect

A.51990 — Laparoscopy, surgical; urethral/bladder neck suspension for stress incontinence (e.g., Burch colposuspension)
B.57288 — Sling operation for stress incontinence (e.g., mid-urethral sling)
C.51999 — Unlisted laparoscopy procedure, bladder
D.52000 — Cystourethroscopy (diagnostic endoscopy)

A robotic-assisted laparoscopic approach is reported using the appropriate laparoscopic CPT code when a specific laparoscopic code exists for the service performed; the robotic assistance itself does not change the base CPT selection. The choice describing laparoscopy, surgical; urethral/bladder neck suspension for stress incontinence (Burch colposuspension) matches the documented procedure and indication. The choice describing a sling operation is a different anti-incontinence procedure than a Burch-type colposuspension. The choice describing an unlisted laparoscopy procedure, bladder is used only when no specific CPT code describes the performed laparoscopic service. The choice describing cystourethroscopy is a diagnostic endoscopic procedure and does not represent a bladder neck/urethral suspension.

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Understand why,not only what.

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Every answer shapes what you study next.

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Are the questions on practice exams like the ones on the real AAPC CPC®?

How is this different from a prep book?

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Can I study on my phone?

What happens if I don't pass?

Understand why,
not only what.

Before you start,
you probably want to know…