QUESTIONS AND VERIFIED ANSWERS|
100% CORRECT| GRADE A+
AAPC CPC EXAM PRACTICE
AAPC CPC
(AMERICAN ACADEMY OF PROFESSIONAL CODERS) (CERTIFIED
PROFESSIONAL CODER)
EXAM PRACTICE:
,PT® Coding Question: Excision of Malignant Lesion with Layered Closure
Question
A 46-year-old female previously underwent a biopsy of a lesion on the right side of her
neck. The pathology report showed positive malignant margins anteriorly. The
physician marked a 0.5 cm margin around the lesion and used a 15-blade scalpel to
perform a full-thickness excision of an 8 cm lesion. Following removal, a layered
closure was performed, and the specimen was sent for permanent histopathologic
examination.
What are the correct CPT® code(s) for this procedure?
A. 11626
B. 11626, 12004-51
C. 11626, 12044-51
D. 11626, 13132-51, 13133 - CORRECT-ANSWERS--C. 11626, 12044-51
CPT® Coding Question: Debridement of an Infected Foot Ulcer Involving Bone
Question
A 30-year-old female undergoes debridement of an infected ulcer on the right foot.
The ulcer measures 15 sq cm and contains eschar. Using sharp dissection, the
physician debrides the wound through the soft tissue and down to the bone of the
foot. The bone is minimally trimmed due to a sharp metatarsal prominence. Cultures
are obtained, and the wound is dressed with sterile saline dressings and wrapped.
Which CPT® code should be reported?
A. 11043
B. 11012
C. 11044
D. 11042 - CORRECT-ANSWERS--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.
Forehead, cheek, and chin: Total laceration length of 6 cm
o Debridement and removal of glass fragments performed
o Closed with a single-layer repair using 6-0 Prolene sutures
Right arm and left leg: Deep lacerations measuring 5 cm each (total of 10 cm)
o Repaired using layered closure
o 6-0 Vicryl subcutaneous sutures and Prolene skin sutures used
Right hand and right foot: Combined laceration length of 3 cm
o Closed using adhesive strips only
Which CPT® codes should be reported 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 - CORRECT-ANSWERS--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?
During surgery:
An incision is made directly over the mass.
The mass is located in the subcutaneous tissue.
The surgeon identifies a well-encapsulated lipoma measuring approximately 4 cm.
The lipoma is removed primarily by blunt dissection, with a few attachments divided
using electrocautery.
What CPT® and ICD-10-CM codes should be reported?
A. 21932, D17.39
B. 21935, D17.1
C. 21931, D17.1
D. 21925, D17.9 - CORRECT-ANSWERS--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 - CORRECT-ANSWERS--
Operative Summary
The patient receives anesthesia.