lOMoAR cPSD| 25973474
2023/2024 UPDATED AAPC PRACTICE
QUESTIONS WITH CORRECT ANSWERS
GUARANTEED SUCCESS RATED A+
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 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
appropriate position under fluoroscopic guidance and the
AAPC PRACTICE QUESTIONS WITH CORRECT
ANSWERS GUARANTEED SUCCESS RATED A+
, 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 Correct Answer: 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 Correct Answer: A. 32557
The patient is a 59-year-old white male who underwent carotid endarterectomy for
symptomatic left carotid stenosis a year ago. A carotid CT angiogram showed a
AAPC PRACTICE QUESTIONS WITH CORRECT
ANSWERS GUARANTEED SUCCESS RATED A+
2023/2024 UPDATED AAPC PRACTICE
QUESTIONS WITH CORRECT ANSWERS
GUARANTEED SUCCESS RATED A+
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 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
appropriate position under fluoroscopic guidance and the
AAPC PRACTICE QUESTIONS WITH CORRECT
ANSWERS GUARANTEED SUCCESS RATED A+
, 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 Correct Answer: 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 Correct Answer: A. 32557
The patient is a 59-year-old white male who underwent carotid endarterectomy for
symptomatic left carotid stenosis a year ago. A carotid CT angiogram showed a
AAPC PRACTICE QUESTIONS WITH CORRECT
ANSWERS GUARANTEED SUCCESS RATED A+
