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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 is the CPT® code(s) for this procedure?
A. 11626
B. 11626, 12004-51
C. 11626, 12044-51
D. 11626, 13132-51, 13133 Correct Answer: 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 Correct Answer: C. 11044
A 64-year-old female who has multiple sclerosis fell from her walker and landed
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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 Correct Answer: 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
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B. 21935, D17.1
C. 21931, D17.1
D. 21925, D17.9 Correct Answer: C. 21931, D17.1
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
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B. 25624-RT
C. 25645-RT
D. 25651-RT Correct Answer: 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 Correct Answer: 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
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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 is the CPT® code(s) for this procedure?
A. 11626
B. 11626, 12004-51
C. 11626, 12044-51
D. 11626, 13132-51, 13133 Correct Answer: 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 Correct Answer: C. 11044
A 64-year-old female who has multiple sclerosis fell from her walker and landed
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,AAPC CPC Practice Questions with 100% Correct
Answers guaranteed success Rated A+
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 Correct Answer: 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
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,AAPC CPC Practice Questions with 100% Correct
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B. 21935, D17.1
C. 21931, D17.1
D. 21925, D17.9 Correct Answer: C. 21931, D17.1
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
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, AAPC CPC Practice Questions with 100% Correct
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B. 25624-RT
C. 25645-RT
D. 25651-RT Correct Answer: 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 Correct Answer: 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
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