Question 1
33 year-old male was admitted to the hospital on 12/17/XX from the ER, following a motor vehicle accident. His spleen was severely damaged and a splenectomy was performed.. The patient is being discharged from the hospital on 12/20/XX. During his hospitalization the patient experienced pain and shortness of breath, but with an antibiotic regimen of Levaquin, he improved. The attending physician performed a final examination and reviewed the chest X-ray revealing possible infiltrates and a CT of the abdomen ruled out any abscess. He was given a prescription of Zosyn. The patient was told to follow up with his PCP or return to the ER for any pain or bleeding. The physician spent 20 minutes on the date of discharge.What CPT® code is reported for the 12/20 visit?
Correct Answer:
99238
Explanation:
Rationale: The patient is being discharged from the hospital. Hospital discharge codes are determined based on the time documented the physician spent providing services to discharge the patient. The provider documented 20 minutes, which is reported with 99238
Question 2
60-year-old woman is seeking help to quit smoking. She makes an appointment to see Dr. Lung for an initial visit. The patient has a constant cough due to smoking and some shortness of breath. No night sweats, weight loss, night fever, CP, headache, or dizziness. She has tried patches and nicotine gum, which has not helped. Patient has been smoking for 40 years and smokes 2 packs per day. She has a family history of emphysema. A limited three system exam was performed. Dr Lung discussed in detail the pros and cons of medications used to quit smoking. Counseling and education was done for 20 minutes of the 30 minute visit. Prescriptions for Chantrix and Tetracylcine were given. The patient to follow up in 1 month. A chest X-ray and cardiac work up was ordered. Select the appropriate CPT code(s) for this visit:. 99202 99203 99203, 99354 99214, 99354
Correct Answer:
99203 based on the total time of the visit
Explanation:
Rationale: Patient is coming to the doctor’s office for help to to quit smoking. The patient is new. The physician documents 20 minutes of the 30 minute visit was spent counseling the patient. E/M Guidelines identify when time is considered the key or controlling factor to qualify for a E/M service. When counseling and/or coordination of care is more than 50% face to face time in the office or other outpatient setting, time may be used to determine the level of E/M. The correct code is 99203 based on the total time of the visit which is 30 minutes
Question 3
The physician was called to the hospital floor for the medical management of a 56-year-old patient admitted one day ago with aspiration pneumonia and COPD. No chest pain at present, but still SOB and some swelling in his lower extremities. Patient was tachypenic yesterday; lungs reveal course crackles in both bases, right worse than left. The physician writes instructions to continue with intravenous antibiotic treatment and respiratory support He reviewed chest X-ray and labs. Patient is improving and a pulmonary consultation has been requested. What CPT® code is reported?
Correct Answer:
99231
Explanation:
Rationale: Physician is providing subsequent hospital care to an inpatient. The physician performed an expanded problem focused interval history (brief HPI, pertinent ROS since last assessment) + problem focused exam (1 system) + low MDM (prescription drug management, two data points and established diagnosis is improving. Subsequent hospital codes require two out of three key components. The code documented is a 99231
Question 4
An established 47-year-old patient presents to the physician’s office after falling last night at her home when she slipped in water on the kitchen floor. She is complaining of back pain and no tingling or numbness. Physician documents that she has full range motion of the spine, with discomfort. Her gait is within normal limits. Straight leg raising is negative. She requested no medication. It is recommended to use heat, such as a hot water bottle. Doctor’s Assessment: Back Strain. What E/M and ICD-9-CM codes are reported for this service? 99212, 847.9, E888.8, E849.0 99213, 846.9, E885.8, E849.0 99212, 847.9, E885.9, E849.0 99213, 847.9, E888.9, E849.0 View Correct Answer Answer Key: B
Correct Answer:
B
Explanation:
Correct answer: B
Question 5
5-year-old is brought to the Emergency Department by ambulance, He had been found floating in a pool for an unknown amount of time. EMS started CPR which was continued by the ED physician along with endotracheal intubation and placement of a CVP. The ER physician spent 1 hour with the critically ill patient. The ED physician makes a notation the 1 hour does not include the time for the other separate billable. What CPT® codes should be reported? 92950, 99291-25, 36556, 31603 92950, 99291 92950, 99291-25, 36556, 31500 92950, 99285-25, 36556, 31500 View Correct Answer Answer Key: C
Correct Answer:
C
Explanation:
Correct answer: C
Question 1
Exam overview

About this Exam

The Certified Professional Coder (CPC) certification is widely recognized as the premier standard for medical coding in physician office settings. The AAPC CPC Evaluation & Management Practice Test 2026 is a highly specialized study resource focused on mastering one of the most critical and heavily-weighted sections of the CPC exam. This practice test is designed for ambitious medical coding students, recent graduates, and professionals aiming to secure their CPC designation in 2026. It targets the complexities of Evaluation and Management (E/M) coding, ensuring candidates can accurately assign codes based on physician documentation, medical necessity, and complexity.

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What the Course Entails and Exam Details

This practice module is not a full preparatory course but a targeted exam simulation. It drills into the core Evaluation & Management section of the final CPC examination. The full CPC syllabus covers a comprehensive range of medical coding concepts, including ICD-10-CM, CPT (with significant emphasis on Evaluation & Management, Anesthesia, Surgery, Radiology, Pathology, and Medicine), and HCPCS Level II. The Evaluation and Management section requires specific skills, which this practice test focuses on: interpreting complex official E/M guidelines, determining the correct level of service using key components (history, examination, and Medical Decision Making), applying time-based coding rules, and analyzing physician documentation for compliant coding.


What to Expect in the Final Exam

The final Certified Professional Coder (CPC) exam is a rigorous and comprehensive test. It is a 100-question multiple-choice exam. The full examination is designed to be completed within a single sitting. To earn the CPC credential, candidates must achieve a passing score of 70% or higher. The official CPC exam has a strict time limit of 4 hours. It is an open-book exam, allowing candidates to use their current approved coding books during the test: the AMA CPT Professional Edition, ICD-10-CM, and HCPCS Level II. No other references are permitted.


How to Study and Exam Centers

Preparation for the specialized E/M content requires focused effort. Candidates should deeply study the official CPT Evaluation and Management guidelines. A key strategy is to analyze practice questions thoroughly, understanding the rationale for correct and incorrect answers. Special attention must be paid to mastering the Medical Decision Making (MDM) table, as it is foundational for leveling E/M services. Efficient time management is crucial when taking the full CPC exam due to its length.

The official CPC exam is administered by AAPC (American Academy of Professional Coders). When registering, candidates can choose from multiple pathways. The exam is held physically at various designated testing centers, authorized educational institutions, and occasionally through local AAPC chapter meetings where the exam is officially proctored. Furthermore, AAPC offers a convenient online proctored option for the CPC exam, enabling candidates to take the test from home using a computer and webcam. The practice test itself is typically accessed online through the AAPC student or member portal.


Job Opportunities from the Course

Earning the CPC certification significantly boosts employability in the healthcare field. Individuals who successfully pass the CPC exam can pursue a wide array of roles, including:

  • Medical Coder

  • Outpatient Coder

  • Evaluation & Management (E/M) Auditor

  • Physician Coder

  • Billing and Coding Specialist

  • Compliance Auditor

  • Insurance Claims Handler

  • Health Information Technician (HIT)

  • Medical Coding Instructor

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