MEDICAL CODING TRAINING AAPC CPC
EXAM SCRIPT 2026 TEST PAPER
QUESTIONS AND SOLUTIONS GRADED A+
●● 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
EXAM SCRIPT 2026 TEST PAPER
QUESTIONS AND SOLUTIONS GRADED A+
●● 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
