AAPC CPC Practice Questions
A 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 - C. 11626, 12044-51
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 - 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 - 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 - 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 the proximal pole of the
scaphoid distal ward. The guidewire was positioned appropriately and then measured. A
25-mm Acutrak® drill bit was drilled to 25 mm. A 22.5-mm screw was selected and
inserted and rigid internal fixation was accomplished in this fashion. This was visualized
under the OEC imaging device in multiple projections. The wound was irrigated and closed
in layers. Sterile dressings were then applied. The patient tolerated the procedure well and
left the operating room in stable condition. What CPT® code is reported for this
procedure?
A. 25628-RT
B. 25624-RT
C. 25645-RT
D. 25651-RT - 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 - 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 with 2-0 silk stitch. What CPT® code(s) is (are)
reported for this procedure?
A. 36556, 77001-26
B. 36558
C. 36561, 77001-26
D. 36571 - 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 connected
to drainage system to drain the accumulated fluid. The CPT® code is:
A. 32557
B. 32555
C. 32556
D. 32550 - A. 32557
A 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 - C. 11626, 12044-51
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 - 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 - 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 - 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 the proximal pole of the
scaphoid distal ward. The guidewire was positioned appropriately and then measured. A
25-mm Acutrak® drill bit was drilled to 25 mm. A 22.5-mm screw was selected and
inserted and rigid internal fixation was accomplished in this fashion. This was visualized
under the OEC imaging device in multiple projections. The wound was irrigated and closed
in layers. Sterile dressings were then applied. The patient tolerated the procedure well and
left the operating room in stable condition. What CPT® code is reported for this
procedure?
A. 25628-RT
B. 25624-RT
C. 25645-RT
D. 25651-RT - 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 - 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 with 2-0 silk stitch. What CPT® code(s) is (are)
reported for this procedure?
A. 36556, 77001-26
B. 36558
C. 36561, 77001-26
D. 36571 - 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 connected
to drainage system to drain the accumulated fluid. The CPT® code is:
A. 32557
B. 32555
C. 32556
D. 32550 - A. 32557
