2026 FULL MEDICAL CODING QUESTIONS
AND ACCURATE ANSWERS
◉ 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