CPC PRACTICE EXAM 2024-2025 WITH COMPLETE
SOLUTIONS GUARANTEED PASS
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 ->According to CPT®
guidelines "Repair of an excision of a malignant lesion requiring
intermediate or complex closure should be reported
separately". The intermediate repair code is reported because
it was a layered closure. Answer C
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 ->Debridement is not being performed on
an open fracture/open dislocation eliminating multiple choice
answer B. The ulcer was debrided all the way to the bone of the
foot, making multiple choice answer C, the correct procedure.
Answer C
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 ->To start narrowing
your choices down, the hand and foot were closed with
adhesive strips. The Section Guidelines in the CPT® manual for
Repair (Closure) states: "Wound closure utilizing adhesive strips
,as the sole repair material should be coded using the
appropriate E/M code." Eliminating multiple choice answers A
and B. The lacerations on the face are intermediate repairs,
because debridement and glass debris was removed. The
guidelines in the CPT® codebook for Repair (Closure) states:
"Single-layer closure of heavily contaminated wounds that have
required extensive cleaning or removal of particulate matter
also constitutes intermediate repair." Eliminating multiple
choice answer C. The intermediate repair of the lacerations to
the face totaled 6 cm (12053). The right arm and left leg had
cuts measuring 5 cm each which totaled 10 cm requiring
intermediate repair (12034). Answer D
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 ->The mass growing turned out to
be a lipoma found in the subcutaneous tissue of the flank. In
the ICD-10-CM Alphabetic Index, look for
Lipoma/subcutaneous/trunk. You are referred to code D17.1,
, eliminating multiple choice answers A and D. Because the 4 cm
tumor was found in the subcutaneous tissue code 21931 is the
correct CPT® code to report. Answer C
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 the proximal - ANSWER -
>Patient had an open reduction, meaning an incision was made
to get to the fracture, eliminating multiple choice answer B. The
fracture site was the scaphoid of the wrist (carpal), eliminating
multiple choices C and D. Answer A
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
SOLUTIONS GUARANTEED PASS
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 ->According to CPT®
guidelines "Repair of an excision of a malignant lesion requiring
intermediate or complex closure should be reported
separately". The intermediate repair code is reported because
it was a layered closure. Answer C
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 ->Debridement is not being performed on
an open fracture/open dislocation eliminating multiple choice
answer B. The ulcer was debrided all the way to the bone of the
foot, making multiple choice answer C, the correct procedure.
Answer C
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 ->To start narrowing
your choices down, the hand and foot were closed with
adhesive strips. The Section Guidelines in the CPT® manual for
Repair (Closure) states: "Wound closure utilizing adhesive strips
,as the sole repair material should be coded using the
appropriate E/M code." Eliminating multiple choice answers A
and B. The lacerations on the face are intermediate repairs,
because debridement and glass debris was removed. The
guidelines in the CPT® codebook for Repair (Closure) states:
"Single-layer closure of heavily contaminated wounds that have
required extensive cleaning or removal of particulate matter
also constitutes intermediate repair." Eliminating multiple
choice answer C. The intermediate repair of the lacerations to
the face totaled 6 cm (12053). The right arm and left leg had
cuts measuring 5 cm each which totaled 10 cm requiring
intermediate repair (12034). Answer D
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 ->The mass growing turned out to
be a lipoma found in the subcutaneous tissue of the flank. In
the ICD-10-CM Alphabetic Index, look for
Lipoma/subcutaneous/trunk. You are referred to code D17.1,
, eliminating multiple choice answers A and D. Because the 4 cm
tumor was found in the subcutaneous tissue code 21931 is the
correct CPT® code to report. Answer C
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 the proximal - ANSWER -
>Patient had an open reduction, meaning an incision was made
to get to the fracture, eliminating multiple choice answer B. The
fracture site was the scaphoid of the wrist (carpal), eliminating
multiple choices C and D. Answer A
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
