AAPC CPC Practice Exam A Questions and Answers
1. A 46-year-old female had a previous biopsy that indicated positive
malig- nant 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 a full excision
of an 8 cm lesion. Layered closure was performed after the removal. The
specimen was sent for permanent histopathologic examination.
What is the CPT code(s) for this procedure✔✔ 11626,
12044-51 Rationale :
11620 - 11626 refers to the excision of a malignant lesion located on
the scalp, neck, hands, feet, & genitalia. As the excision (margins
included) was a total of 8.5 cm, 11626 is most appropriate.
As the repair was layered, it thus qualifies as an intermediate repair
and in accordance with CPT Guidelines must be reported separately.
12041-12047 refers to the intermediate repair of wounds of the neck,
scalp, hands feet, and/or genitals
; the 8.5 cm repair makes 12044 most appropriate, and the modifier "-
51" is applied to indicate multiple procedures.
2. 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
1/
, 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✔✔
11044 Rationale :
11042 - 11047 refers to debridement, reported by depth & surface
area of tissue removed. As the patient's foot was debrided to the bone
with a surface area of 15 sq cm, 11044 is the most appropriate choice.
3. 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
2/
1. A 46-year-old female had a previous biopsy that indicated positive
malig- nant 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 a full excision
of an 8 cm lesion. Layered closure was performed after the removal. The
specimen was sent for permanent histopathologic examination.
What is the CPT code(s) for this procedure✔✔ 11626,
12044-51 Rationale :
11620 - 11626 refers to the excision of a malignant lesion located on
the scalp, neck, hands, feet, & genitalia. As the excision (margins
included) was a total of 8.5 cm, 11626 is most appropriate.
As the repair was layered, it thus qualifies as an intermediate repair
and in accordance with CPT Guidelines must be reported separately.
12041-12047 refers to the intermediate repair of wounds of the neck,
scalp, hands feet, and/or genitals
; the 8.5 cm repair makes 12044 most appropriate, and the modifier "-
51" is applied to indicate multiple procedures.
2. 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
1/
, 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✔✔
11044 Rationale :
11042 - 11047 refers to debridement, reported by depth & surface
area of tissue removed. As the patient's foot was debrided to the bone
with a surface area of 15 sq cm, 11044 is the most appropriate choice.
3. 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
2/
