AAPC CPC Practice Exam A – 082016
Questions And Answers.
1: 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 8cm lesion. Layered closure was performed after
the removal. The specimen was sent for permanent histopathologic examination. What
are the code(s) for this procedure?
A. 11626
B. 11626, 12004-51
C. 11626, 12044-51
D. 11626, 13132-51, 13133 -
\
2: 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 -
\
3: 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 -
\
, 4: 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® should be
reported?
A. 21932, D17.39
B. 21935, D17.1
C. 21931, D17.1
D. 21925, D17.9 -
\
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 proxi -
\
6: 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 -
\
7: 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
Questions And Answers.
1: 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 8cm lesion. Layered closure was performed after
the removal. The specimen was sent for permanent histopathologic examination. What
are the code(s) for this procedure?
A. 11626
B. 11626, 12004-51
C. 11626, 12044-51
D. 11626, 13132-51, 13133 -
\
2: 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 -
\
3: 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 -
\
, 4: 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® should be
reported?
A. 21932, D17.39
B. 21935, D17.1
C. 21931, D17.1
D. 21925, D17.9 -
\
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 proxi -
\
6: 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 -
\
7: 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
