CPC PRACTICE EXAM D QUESTIONS WITH COMPLETE
SOLUTIONS GUARANTEED PASS BRAND NEW 2025
Indication:
The patient has a hypertrophic scar on the posterior side of the left
leg, at the level of the knee. This has begun to restrict his mobility.
His physical therapy trial was unsuccessful.
Procedure:
After the proper induction of anesthesia, the subcutaneous tissue of
the patient's left leg beneath the scar was infiltrated with crystalloid
solution containing epinephrine to minimize blood loss. The scar was
then excised down to viable dermis. Hemostasis was obtained with
epinephrine-soaked pads.
Skin was harvested from the patient's thigh in a split thickness
fashion and was used to cover the 90 sq cm defect created by the
surgery. The graft was secured with skin staples, and then dressed
with fine mesh gauze followed by medication-soaked gauze. The
donor site was dressed with mesh followed by Adaptic, followed by a
dry dressing and an Ace wrap.
What are the CPT codes?
,15100, 15002
Rationale :
The physician is taking a split-thickness skin autograft from the thigh and
grafting it to the patient's left leg, which needs repair.
Look in the CPT® Index for Split/Grafts, you are referred to 15100-15101,
15120-15121.
Code 15100 is the correct code because there was less than 100 sq cm
taken from the leg (thigh).
The second procedure 15002 is reported because the patient had a
hypertrophic scar on the leg and the physician is preparing the recipient's
site by excising the scar, which left a 90 sq cm defect, to provide healthy
blood vessels onto which the skin graft will be placed.
The physician is called in to perform repairs for a 17 year-old girl
involved in a motor vehicle accident. She sustained an 8.6 cm
laceration to her forehead, a 5.5 cm laceration to her right cheek, a 4
cm laceration to her left cheek, a 4 cm laceration across her chin, and
a 12.5 cm laceration to her chest. The wound on her chin required a
layered closure. All other wounds required complex closure.
The CPT codes to report are:
13132, 13133 x 3, 13101, 13102, 12052
,Rationale :
First, list all lacerations by the anatomical site and/or the type of wound
closure. The only site that has a layered closure is the chin (4 cm), which is
coded 12052.
The remaining repairs are complex: (Forehead) 8.6 cm + (RT and LT
cheek) 9.5 cm = 18.1 cm, which is coded 13132, 13133 x 3 (13132 for the
first 7.5 cm and 13133 x 3 for the remaining 10.6 cm).
The last site is the chest at 12.5 cm, which is coded 13101, 13102.
A 36-year-old male presents to have multiple lesions destroyed. Three
benign lesions on his face are destroyed and five actinic keratoses on
his left arm are destroyed.
The CPT code(s) to report is (are) :
17000, 17003 x 4, 17110
Rationale :
Keywords in this scenario are "actinic keratoses," of which there are five.
Code 17000 is the correct code because the code description gives an
example of what a "premalignant lesion" is in parenthesis and it is reported
for the first lesion being destroyed.
Code 17003 has the word "each" in its code description, which indicates
, each of the four remaining actinic keratoses lesions is reported separately.
Code 17110 is the correct code for the destruction of the three benign
lesions. Code 17110 is not reported by each lesion separately destroyed
because the code description shows to report it once for destroying 1-14
lesions.
Patient is having ongoing back and hip pain. The physician elects to
perform a sacroiliac injection at an ambulatory surgery center. After
sterile prep, the patient is placed prone position. A needle is placed
under fluoroscopic guidance into the SI joint and a mixture of 20 mg
of Celestone and Marcaine is injected for pain relief.
Report the CPT code(s).
27096
Rationale :
27096 is the correct code because a steroid injection (Celestone and
Marcaine) is placed into the sacroiliac (SI) joint.
Fluoroscopic and computed tomography (CT) guidance is included and is
not reported separately. There is a parenthetical note under the code
description that states: (27096 is to be used only with CT or fluoroscopic
imaging confirmation of the intra-articular needle positioning).
The patient is seen in the hospital's outpatient surgical area with a
diagnosis of a displaced comminuted closed fracture of the lateral
condyle, right elbow. An ORIF procedure was performed, which
SOLUTIONS GUARANTEED PASS BRAND NEW 2025
Indication:
The patient has a hypertrophic scar on the posterior side of the left
leg, at the level of the knee. This has begun to restrict his mobility.
His physical therapy trial was unsuccessful.
Procedure:
After the proper induction of anesthesia, the subcutaneous tissue of
the patient's left leg beneath the scar was infiltrated with crystalloid
solution containing epinephrine to minimize blood loss. The scar was
then excised down to viable dermis. Hemostasis was obtained with
epinephrine-soaked pads.
Skin was harvested from the patient's thigh in a split thickness
fashion and was used to cover the 90 sq cm defect created by the
surgery. The graft was secured with skin staples, and then dressed
with fine mesh gauze followed by medication-soaked gauze. The
donor site was dressed with mesh followed by Adaptic, followed by a
dry dressing and an Ace wrap.
What are the CPT codes?
,15100, 15002
Rationale :
The physician is taking a split-thickness skin autograft from the thigh and
grafting it to the patient's left leg, which needs repair.
Look in the CPT® Index for Split/Grafts, you are referred to 15100-15101,
15120-15121.
Code 15100 is the correct code because there was less than 100 sq cm
taken from the leg (thigh).
The second procedure 15002 is reported because the patient had a
hypertrophic scar on the leg and the physician is preparing the recipient's
site by excising the scar, which left a 90 sq cm defect, to provide healthy
blood vessels onto which the skin graft will be placed.
The physician is called in to perform repairs for a 17 year-old girl
involved in a motor vehicle accident. She sustained an 8.6 cm
laceration to her forehead, a 5.5 cm laceration to her right cheek, a 4
cm laceration to her left cheek, a 4 cm laceration across her chin, and
a 12.5 cm laceration to her chest. The wound on her chin required a
layered closure. All other wounds required complex closure.
The CPT codes to report are:
13132, 13133 x 3, 13101, 13102, 12052
,Rationale :
First, list all lacerations by the anatomical site and/or the type of wound
closure. The only site that has a layered closure is the chin (4 cm), which is
coded 12052.
The remaining repairs are complex: (Forehead) 8.6 cm + (RT and LT
cheek) 9.5 cm = 18.1 cm, which is coded 13132, 13133 x 3 (13132 for the
first 7.5 cm and 13133 x 3 for the remaining 10.6 cm).
The last site is the chest at 12.5 cm, which is coded 13101, 13102.
A 36-year-old male presents to have multiple lesions destroyed. Three
benign lesions on his face are destroyed and five actinic keratoses on
his left arm are destroyed.
The CPT code(s) to report is (are) :
17000, 17003 x 4, 17110
Rationale :
Keywords in this scenario are "actinic keratoses," of which there are five.
Code 17000 is the correct code because the code description gives an
example of what a "premalignant lesion" is in parenthesis and it is reported
for the first lesion being destroyed.
Code 17003 has the word "each" in its code description, which indicates
, each of the four remaining actinic keratoses lesions is reported separately.
Code 17110 is the correct code for the destruction of the three benign
lesions. Code 17110 is not reported by each lesion separately destroyed
because the code description shows to report it once for destroying 1-14
lesions.
Patient is having ongoing back and hip pain. The physician elects to
perform a sacroiliac injection at an ambulatory surgery center. After
sterile prep, the patient is placed prone position. A needle is placed
under fluoroscopic guidance into the SI joint and a mixture of 20 mg
of Celestone and Marcaine is injected for pain relief.
Report the CPT code(s).
27096
Rationale :
27096 is the correct code because a steroid injection (Celestone and
Marcaine) is placed into the sacroiliac (SI) joint.
Fluoroscopic and computed tomography (CT) guidance is included and is
not reported separately. There is a parenthetical note under the code
description that states: (27096 is to be used only with CT or fluoroscopic
imaging confirmation of the intra-articular needle positioning).
The patient is seen in the hospital's outpatient surgical area with a
diagnosis of a displaced comminuted closed fracture of the lateral
condyle, right elbow. An ORIF procedure was performed, which
