CPC TEST BANK PRACTICE TEST 2026
QUESTIONS WITH SOLUTIONS
GRADED A+
A 46-year-old female had a previous biopsy that indicated positive
malignant margins anteriorly on the right side of her neck. A 0.5 cm
margin was drawn out and a 15 blade scalpel was used for full excision
of an 8 cm lesion. Layered closure was performed after the removal.
The specimen was sent for permanent histopathologic examination.
What are the CPT® code(s
for this procedure?
A. 11626
B. 11626, 12004-51
C. 11626, 12044-51
D. 11626, 13132-51, 13133.
Answer: C. 11626, 12044-51
➤ A 30-year-old female is having 15 sq cm debridement performed on
an infected ulcer with eschar on the right foot. Using sharp dissection,
the ulcer was debrided all the way to down to the bone of the foot. The
bone had to be minimally trimmed because of a sharp point at the end
of the metatarsal. After debriding the area, there was minimal bleeding
because of very poor circulation of the foot. It seems that the toes next
to the ulcer may have some involvement and cultures were taken. The
area was dressed with sterile saline and dressings and then wrapped.
What CPT® code should be reported?
A. 11043
B. 11012
C. 11044
D. 11042.
,Answer: C. 11044
➤ A 64-year-old female who has multiple sclerosis fell from her
walker and landed on a glass table. She lacerated her forehead, cheek
and chin and the total length of these lacerations was 6 cm. Her right
arm and left leg had deep cuts measuring 5 cm on each extremity. Her
right hand and right foot had a total of 3 cm lacerations. The ED
physician repaired the lacerations as follows: The forehead, cheek, and
chin had debridement and cleaning of glass debris with the lacerations
being closed with one layer closure, 6-0 Prolene sutures. The arm and
leg were repaired by layered closure, 6-0 Vicryl subcutaneous sutures
and Prolene sutures on the skin. The hand and foot were closed with
adhesive strips. Select the appropriate procedure codes for this visit.
A. 99283-25, 12014, 12034-59, 12002-59, 11042-51
B. 99283-25, 12053, 12034-59, 12002-59
C. 99283-25, 12014, 12034-59, 11042-51
D. 99283-25, 12053, 12034-59.
Answer: D. 99283-25, 12053, 12034-59
➤ A 52-year-old female has a mass growing on her right flank for
several years. It has finally gotten significantly larger and is beginning
to bother her. She is brought to the Operating Room for definitive
excision. An incision was made directly overlying the mass. The mass
was down into the subcutaneous tissue and the surgeon encountered a
well encapsulated lipoma approximately 4 centimeters. This was
excised primarily bluntly with a few attachments divided with
electrocautery. What CPT® and ICD-10-CM codes are reported?
A. 21932, D17.39
B. 21935, D17.1
C. 21931, D17.1
D. 21925, D17.9.
Answer: C. 21931, D17.1
,➤ Question 5
PREOPERATIVE DIAGNOSIS: Right scaphoid fracture. TYPE OF
PROCEDURE: Open reduction and internal fixation of right scaphoid
fracture. DESCRIPTION OF PROCEDURE: The patient was brought
to the operating room; anesthesia having been administered. The right
upper extremity was prepped and draped in a sterile manner. The limb
was elevated, exsanguinated, and a pneumatic arm tourniquet was
elevated. An incision was made over the dorsal radial aspect of the
right wrist. Skin flaps were elevated. Cutaneous nerve branches were
identified and very gently retracted. The interval between the second
and third dorsal compartment tendons was identified and entered. The
respective tendons were retracted. A dorsal capsulotomy incision was
made, and the fracture was visualized. There did not appear to be any
type of significant defect at the fracture site. A 0.045 Kirschner wire
was then used as a guidewire, extending from t.
Answer: A. 25628-RT
➤ An infant with genu valgum is brought to the operating room to
have a bilateral medial distal femur hemiepiphysiodesis done. On each
knee, the C-arm was used to localize the growth plate. With the growth
plate localized, an incision was made medially on both sides. This was
taken down to the fascia, which was opened. The periosteum was not
opened. The Orthofix® figure-of-eight plate was placed and checked
with X-ray. We then irrigated and closed the medial fascia with 0
Vicryl suture. The skin was closed with 2-0 Vicryl and 3-0
Monocryl®. What procedure code is reported?
A. 27470-50
B. 27475-50
C. 27477-50
D. 27485-50.
Answer: D. 27485-50
➤ The patient is a 67-year-old gentleman with metastatic colon cancer
recently operated on for a brain metastasis, now for placement of an
, Infuse-A-Port for continued chemotherapy. The left subclavian vein
was located with a needle and a guide wire placed. This was confirmed
to be in the proper position fluoroscopically. A transverse incision was
made just inferior to this and a subcutaneous pocket created just
inferior to this. After tunneling, the introducer was placed over the
guide wire and the power port line was placed with the introducer and
the introducer was peeled away. The tip was placed in the appropriate
position under fluoroscopic guidance and the catheter trimmed to the
appropriate length and secured to the power port device. The locking
mechanism was fully engaged. The port was placed in the
subcutaneous pocket and everything sat very nicely fluoroscopically. It
was secured to the underlying soft tissue.
Answer: C. 36561, 77001-26
➤ Question 8
A CT scan identified moderate-sized right pleural effusion in a 50
year-old male. This was estimated to be 800 cc in size and had an
appearance of fluid on the CT Scan. A needle is used to puncture
through the chest tissues and enter the pleural cavity to insert a
guidewire under ultrasound guidance. A pigtail catheter is then inserted
at the length of the guidewire and secured by stitches. The catheter will
remain in the chest and is connected to drainage system to drain the
accumulated fluid. The CPT® code is:
A. 32557
B. 32555
C. 32556
D. 32550.
Answer: A. 32557
➤ The patient is a 59-year-old white male who underwent carotid
endarterectomy for symptomatic left carotid stenosis a year ago. A
carotid CT angiogram showed a recurrent 90% left internal carotid
artery stenosis extending into the common carotid artery. He is taken to
the operating room for re-do left carotid endarterectomy. The left neck
QUESTIONS WITH SOLUTIONS
GRADED A+
A 46-year-old female had a previous biopsy that indicated positive
malignant margins anteriorly on the right side of her neck. A 0.5 cm
margin was drawn out and a 15 blade scalpel was used for full excision
of an 8 cm lesion. Layered closure was performed after the removal.
The specimen was sent for permanent histopathologic examination.
What are the CPT® code(s
for this procedure?
A. 11626
B. 11626, 12004-51
C. 11626, 12044-51
D. 11626, 13132-51, 13133.
Answer: C. 11626, 12044-51
➤ A 30-year-old female is having 15 sq cm debridement performed on
an infected ulcer with eschar on the right foot. Using sharp dissection,
the ulcer was debrided all the way to down to the bone of the foot. The
bone had to be minimally trimmed because of a sharp point at the end
of the metatarsal. After debriding the area, there was minimal bleeding
because of very poor circulation of the foot. It seems that the toes next
to the ulcer may have some involvement and cultures were taken. The
area was dressed with sterile saline and dressings and then wrapped.
What CPT® code should be reported?
A. 11043
B. 11012
C. 11044
D. 11042.
,Answer: C. 11044
➤ A 64-year-old female who has multiple sclerosis fell from her
walker and landed on a glass table. She lacerated her forehead, cheek
and chin and the total length of these lacerations was 6 cm. Her right
arm and left leg had deep cuts measuring 5 cm on each extremity. Her
right hand and right foot had a total of 3 cm lacerations. The ED
physician repaired the lacerations as follows: The forehead, cheek, and
chin had debridement and cleaning of glass debris with the lacerations
being closed with one layer closure, 6-0 Prolene sutures. The arm and
leg were repaired by layered closure, 6-0 Vicryl subcutaneous sutures
and Prolene sutures on the skin. The hand and foot were closed with
adhesive strips. Select the appropriate procedure codes for this visit.
A. 99283-25, 12014, 12034-59, 12002-59, 11042-51
B. 99283-25, 12053, 12034-59, 12002-59
C. 99283-25, 12014, 12034-59, 11042-51
D. 99283-25, 12053, 12034-59.
Answer: D. 99283-25, 12053, 12034-59
➤ A 52-year-old female has a mass growing on her right flank for
several years. It has finally gotten significantly larger and is beginning
to bother her. She is brought to the Operating Room for definitive
excision. An incision was made directly overlying the mass. The mass
was down into the subcutaneous tissue and the surgeon encountered a
well encapsulated lipoma approximately 4 centimeters. This was
excised primarily bluntly with a few attachments divided with
electrocautery. What CPT® and ICD-10-CM codes are reported?
A. 21932, D17.39
B. 21935, D17.1
C. 21931, D17.1
D. 21925, D17.9.
Answer: C. 21931, D17.1
,➤ Question 5
PREOPERATIVE DIAGNOSIS: Right scaphoid fracture. TYPE OF
PROCEDURE: Open reduction and internal fixation of right scaphoid
fracture. DESCRIPTION OF PROCEDURE: The patient was brought
to the operating room; anesthesia having been administered. The right
upper extremity was prepped and draped in a sterile manner. The limb
was elevated, exsanguinated, and a pneumatic arm tourniquet was
elevated. An incision was made over the dorsal radial aspect of the
right wrist. Skin flaps were elevated. Cutaneous nerve branches were
identified and very gently retracted. The interval between the second
and third dorsal compartment tendons was identified and entered. The
respective tendons were retracted. A dorsal capsulotomy incision was
made, and the fracture was visualized. There did not appear to be any
type of significant defect at the fracture site. A 0.045 Kirschner wire
was then used as a guidewire, extending from t.
Answer: A. 25628-RT
➤ An infant with genu valgum is brought to the operating room to
have a bilateral medial distal femur hemiepiphysiodesis done. On each
knee, the C-arm was used to localize the growth plate. With the growth
plate localized, an incision was made medially on both sides. This was
taken down to the fascia, which was opened. The periosteum was not
opened. The Orthofix® figure-of-eight plate was placed and checked
with X-ray. We then irrigated and closed the medial fascia with 0
Vicryl suture. The skin was closed with 2-0 Vicryl and 3-0
Monocryl®. What procedure code is reported?
A. 27470-50
B. 27475-50
C. 27477-50
D. 27485-50.
Answer: D. 27485-50
➤ The patient is a 67-year-old gentleman with metastatic colon cancer
recently operated on for a brain metastasis, now for placement of an
, Infuse-A-Port for continued chemotherapy. The left subclavian vein
was located with a needle and a guide wire placed. This was confirmed
to be in the proper position fluoroscopically. A transverse incision was
made just inferior to this and a subcutaneous pocket created just
inferior to this. After tunneling, the introducer was placed over the
guide wire and the power port line was placed with the introducer and
the introducer was peeled away. The tip was placed in the appropriate
position under fluoroscopic guidance and the catheter trimmed to the
appropriate length and secured to the power port device. The locking
mechanism was fully engaged. The port was placed in the
subcutaneous pocket and everything sat very nicely fluoroscopically. It
was secured to the underlying soft tissue.
Answer: C. 36561, 77001-26
➤ Question 8
A CT scan identified moderate-sized right pleural effusion in a 50
year-old male. This was estimated to be 800 cc in size and had an
appearance of fluid on the CT Scan. A needle is used to puncture
through the chest tissues and enter the pleural cavity to insert a
guidewire under ultrasound guidance. A pigtail catheter is then inserted
at the length of the guidewire and secured by stitches. The catheter will
remain in the chest and is connected to drainage system to drain the
accumulated fluid. The CPT® code is:
A. 32557
B. 32555
C. 32556
D. 32550.
Answer: A. 32557
➤ The patient is a 59-year-old white male who underwent carotid
endarterectomy for symptomatic left carotid stenosis a year ago. A
carotid CT angiogram showed a recurrent 90% left internal carotid
artery stenosis extending into the common carotid artery. He is taken to
the operating room for re-do left carotid endarterectomy. The left neck
