AAPC CPC Practice Questions fully solv
g g g g g
ed & updated
g g
Ag46-year-
oldgfemaleghadgagpreviousgbiopsygthatgindicatedgpositivegmalignantgma
rginsganteriorlygongthegrightgsidegofghergneck.gAg0.5gcmgmargingwasgdra
wngoutgandgag15gbladegscalpelgwasgusedgforgfullgexcisiongofgang8gcmglesi
on.gLayeredgclosuregwasgperformedgaftergthegremoval.gThegspecimeng
wasgsentgforgpermanentghistopathologicgexamination.gWhatgaregthegC
PT®gcode(s)gforgthisgprocedure?
A.g11626
B.g11626,g12004-51
C.g11626,g12044-51
D.g11626,g13132-51,g13133g-gANSWER-C.g11626,g12044-51
Ag30-year-
oldgfemalegisghavingg15gsqgcmgdebridementgperformedgonganginfectedg
ulcergwithgeschargongthegrightgfoot.gUsinggsharpgdissection,gthegulcergw
asgdebridedgallgthegwaygtogdowngtogthegbonegofgthegfoot.gThegbonegha
dgtogbegminimallygtrimmedgbecausegofgagsharpgpointgatgthegendgofgtheg
metatarsal.gAftergdebridinggthegarea,gtheregwasgminimalgbleedinggbeca
usegofgverygpoorgcirculationgofgthegfoot.gItgseemsgthatgthegtoesgnextgtog
thegulcergmayghavegsomeginvolvementgandgculturesgweregtaken.gThegar
eagwasgdressedgwithgsterilegsalinegandgdressingsgandgthengwrapped.gW
hatgCPT®gcodegshouldgbegreported?
A.g11043
B.g11012
C.g11044
,AAPC CPC Practice Questions fully solv
g g g g g
ed & updated
g g
D.g11042g-gANSWER-C.g11044
Ag64-year-
oldgfemalegwhoghasgmultiplegsclerosisgfellgfromghergwalkergandglandedg
ongagglassgtable.gSheglaceratedghergforehead,gcheekgandgchingandgthegt
otalglengthgofgtheseglacerationsgwasg6gcm.gHergrightgarmgandgleftgleggha
dgdeepgcutsgmeasuringg5gcmgongeachgextremity.gHergrightghandgandgrig
htgfootghadgagtotalgofg3gcmglacerations.gThegEDgphysiciangrepairedgthegl
acerationsgasgfollows:gThegforehead,gcheek,gandgchinghadgdebridemen
tgandgcleaninggofgglassgdebrisgwithgtheglacerationsgbeinggclosedgwithgo
neglayergclosure,g6-
0gProlenegsutures.gThegarmgandgleggweregrepairedgbyglayeredgclosure,g
6-
0gVicrylgsubcutaneousgsuturesgandgProlenegsuturesgongthegskin.gThegha
ndgandgfootgweregclosedgwithgadhesivegstrips.gSelectgthegappropriategp
roceduregcodesgforgthisgvisit.
A.g99283-25,g12014,g12034-59,g12002-59,g11042-51
B.g99283-25,g12053,g12034-59,g12002-59
C.g99283-25,g12014,g12034-59,g11042-51
D.g99283-25,g12053,g12034-59g-gANSWER-D.g99283-25,g12053,g12034-
59
Ag52-year-
oldgfemaleghasgagmassggrowinggonghergrightgflankgforgseveralgyears.gItgh
asgfinallyggottengsignificantlyglargergandgisgbeginninggtogbothergher.gShe
gisgbroughtgtogthegOperatinggRoomgforgdefinitivegexcision.gAngincisiong
,AAPC CPC Practice Questions fully solv
g g g g g
ed & updated
g g
wasgmadegdirectlygoverlyinggthegmass.gThegmassgwasgdowngintogthegsu
bcutaneousgtissuegandgthegsurgeongencounteredgagwellgencapsulatedgl
ipomagapproximatelyg4gcentimeters.gThisgwasgexcisedgprimarilygbluntl
ygwithgagfewgattachmentsgdividedgwithgelectrocautery.gWhatgCPT®gandg
ICD-10-CMgcodesgaregreported?
A.g21932,gD17.39
B.g21935,gD17.1
C.g21931,gD17.1
D.g21925,gD17.9g-gANSWER-C.g21931,gD17.1
Questiong5
PREOPERATIVEgDIAGNOSIS:gRightgscaphoidgfracture.gTYPEgOFgPROCED
URE:gOpengreductiongandginternalgfixationgofgrightgscaphoidgfracture.g
DESCRIPTIONgOFgPROCEDURE:gThegpatientgwasgbroughtgtogthegoperati
nggroom;ganesthesiaghavinggbeengadministered.gThegrightguppergextre
mitygwasgpreppedgandgdrapedgingagsterilegmanner.gTheglimbgwasgelevat
ed,gexsanguinated,gandgagpneumaticgarmgtourniquetgwasgelevated.gAng
incisiongwasgmadegovergthegdorsalgradialgaspectgofgthegrightgwrist.gSkin
gflapsgweregelevated.gCutaneousgnervegbranchesgweregidentifiedgandgv
eryggentlygretracted.gThegintervalgbetweengthegsecondgandgthirdgdorsa
lgcompartmentgtendonsgwasgidentifiedgandgentered.gThegrespectivegte
ndonsgweregretracted.gAgdorsalgcapsulotomygincisiongwasgmade,gandgt
hegfracturegwasgvisualized.gTheregdidgnotgappeargtogbeganygtypegofgsign
ificantgdefectgatgthegfracturegsite.gAg0.045gKirschnergwiregwasgthenguse
dgasgagguidewire,gextendinggfromgtg-gANSWER-A.g25628-RT
, AAPC CPC Practice Questions fully solv
g g g g g
ed & updated
g g
Anginfantgwithggenugvalgumgisgbroughtgtogthegoperatinggroomgtoghaveg
agbilateralgmedialgdistalgfemurghemiepiphysiodesisgdone.gOngeachgkne
e,gthegC-
armgwasgusedgtoglocalizegtheggrowthgplate.gWithgtheggrowthgplateglocal
ized,gangincisiongwasgmadegmediallygongbothgsides.gThisgwasgtakengdo
wngtogthegfascia,gwhichgwasgopened.gThegperiosteumgwasgnotgopened.
gThegOrthofix®gfigure-of-eightgplategwasgplacedgandgcheckedgwithgX-
ray.gWegthengirrigatedgandgclosedgthegmedialgfasciagwithg0gVicrylgsutur
e.gThegskingwasgclosedgwithg2-0gVicrylgandg3-
0gMonocryl®.gWhatgproceduregcodegisgreported?
A.g27470-50
B.g27475-50
C.g27477-50
D.g27485-50g-gANSWER-D.g27485-50
Thegpatientgisgag67-year-
oldggentlemangwithgmetastaticgcolongcancergrecentlygoperatedgongforg
agbraingmetastasis,gnowgforgplacementgofgangInfuse-A-
Portgforgcontinuedgchemotherapy.gThegleftgsubclaviangveingwasglocate
dgwithgagneedlegandgagguidegwiregplaced.gThisgwasgconfirmedgtogbegingt
hegpropergpositiongfluoroscopically.gAgtransversegincisiongwasgmadegju
stginferiorgtogthisgandgagsubcutaneousgpocketgcreatedgjustginferiorgtogth
is.gAftergtunneling,gthegintroducergwasgplacedgovergthegguidegwiregandg
thegpowergportglinegwasgplacedgwithgthegintroducergandgthegintroduce
rgwasgpeeledgaway.gThegtipgwasgplacedgingthegappropriategpositiongund
ergfluoroscopicgguidancegandgthegcathetergtrimmedgtogthegappropriate
glengthgandgsecuredgtogthegpowergportgdevice.gTheglockinggmechanism
g g g g g
ed & updated
g g
Ag46-year-
oldgfemaleghadgagpreviousgbiopsygthatgindicatedgpositivegmalignantgma
rginsganteriorlygongthegrightgsidegofghergneck.gAg0.5gcmgmargingwasgdra
wngoutgandgag15gbladegscalpelgwasgusedgforgfullgexcisiongofgang8gcmglesi
on.gLayeredgclosuregwasgperformedgaftergthegremoval.gThegspecimeng
wasgsentgforgpermanentghistopathologicgexamination.gWhatgaregthegC
PT®gcode(s)gforgthisgprocedure?
A.g11626
B.g11626,g12004-51
C.g11626,g12044-51
D.g11626,g13132-51,g13133g-gANSWER-C.g11626,g12044-51
Ag30-year-
oldgfemalegisghavingg15gsqgcmgdebridementgperformedgonganginfectedg
ulcergwithgeschargongthegrightgfoot.gUsinggsharpgdissection,gthegulcergw
asgdebridedgallgthegwaygtogdowngtogthegbonegofgthegfoot.gThegbonegha
dgtogbegminimallygtrimmedgbecausegofgagsharpgpointgatgthegendgofgtheg
metatarsal.gAftergdebridinggthegarea,gtheregwasgminimalgbleedinggbeca
usegofgverygpoorgcirculationgofgthegfoot.gItgseemsgthatgthegtoesgnextgtog
thegulcergmayghavegsomeginvolvementgandgculturesgweregtaken.gThegar
eagwasgdressedgwithgsterilegsalinegandgdressingsgandgthengwrapped.gW
hatgCPT®gcodegshouldgbegreported?
A.g11043
B.g11012
C.g11044
,AAPC CPC Practice Questions fully solv
g g g g g
ed & updated
g g
D.g11042g-gANSWER-C.g11044
Ag64-year-
oldgfemalegwhoghasgmultiplegsclerosisgfellgfromghergwalkergandglandedg
ongagglassgtable.gSheglaceratedghergforehead,gcheekgandgchingandgthegt
otalglengthgofgtheseglacerationsgwasg6gcm.gHergrightgarmgandgleftgleggha
dgdeepgcutsgmeasuringg5gcmgongeachgextremity.gHergrightghandgandgrig
htgfootghadgagtotalgofg3gcmglacerations.gThegEDgphysiciangrepairedgthegl
acerationsgasgfollows:gThegforehead,gcheek,gandgchinghadgdebridemen
tgandgcleaninggofgglassgdebrisgwithgtheglacerationsgbeinggclosedgwithgo
neglayergclosure,g6-
0gProlenegsutures.gThegarmgandgleggweregrepairedgbyglayeredgclosure,g
6-
0gVicrylgsubcutaneousgsuturesgandgProlenegsuturesgongthegskin.gThegha
ndgandgfootgweregclosedgwithgadhesivegstrips.gSelectgthegappropriategp
roceduregcodesgforgthisgvisit.
A.g99283-25,g12014,g12034-59,g12002-59,g11042-51
B.g99283-25,g12053,g12034-59,g12002-59
C.g99283-25,g12014,g12034-59,g11042-51
D.g99283-25,g12053,g12034-59g-gANSWER-D.g99283-25,g12053,g12034-
59
Ag52-year-
oldgfemaleghasgagmassggrowinggonghergrightgflankgforgseveralgyears.gItgh
asgfinallyggottengsignificantlyglargergandgisgbeginninggtogbothergher.gShe
gisgbroughtgtogthegOperatinggRoomgforgdefinitivegexcision.gAngincisiong
,AAPC CPC Practice Questions fully solv
g g g g g
ed & updated
g g
wasgmadegdirectlygoverlyinggthegmass.gThegmassgwasgdowngintogthegsu
bcutaneousgtissuegandgthegsurgeongencounteredgagwellgencapsulatedgl
ipomagapproximatelyg4gcentimeters.gThisgwasgexcisedgprimarilygbluntl
ygwithgagfewgattachmentsgdividedgwithgelectrocautery.gWhatgCPT®gandg
ICD-10-CMgcodesgaregreported?
A.g21932,gD17.39
B.g21935,gD17.1
C.g21931,gD17.1
D.g21925,gD17.9g-gANSWER-C.g21931,gD17.1
Questiong5
PREOPERATIVEgDIAGNOSIS:gRightgscaphoidgfracture.gTYPEgOFgPROCED
URE:gOpengreductiongandginternalgfixationgofgrightgscaphoidgfracture.g
DESCRIPTIONgOFgPROCEDURE:gThegpatientgwasgbroughtgtogthegoperati
nggroom;ganesthesiaghavinggbeengadministered.gThegrightguppergextre
mitygwasgpreppedgandgdrapedgingagsterilegmanner.gTheglimbgwasgelevat
ed,gexsanguinated,gandgagpneumaticgarmgtourniquetgwasgelevated.gAng
incisiongwasgmadegovergthegdorsalgradialgaspectgofgthegrightgwrist.gSkin
gflapsgweregelevated.gCutaneousgnervegbranchesgweregidentifiedgandgv
eryggentlygretracted.gThegintervalgbetweengthegsecondgandgthirdgdorsa
lgcompartmentgtendonsgwasgidentifiedgandgentered.gThegrespectivegte
ndonsgweregretracted.gAgdorsalgcapsulotomygincisiongwasgmade,gandgt
hegfracturegwasgvisualized.gTheregdidgnotgappeargtogbeganygtypegofgsign
ificantgdefectgatgthegfracturegsite.gAg0.045gKirschnergwiregwasgthenguse
dgasgagguidewire,gextendinggfromgtg-gANSWER-A.g25628-RT
, AAPC CPC Practice Questions fully solv
g g g g g
ed & updated
g g
Anginfantgwithggenugvalgumgisgbroughtgtogthegoperatinggroomgtoghaveg
agbilateralgmedialgdistalgfemurghemiepiphysiodesisgdone.gOngeachgkne
e,gthegC-
armgwasgusedgtoglocalizegtheggrowthgplate.gWithgtheggrowthgplateglocal
ized,gangincisiongwasgmadegmediallygongbothgsides.gThisgwasgtakengdo
wngtogthegfascia,gwhichgwasgopened.gThegperiosteumgwasgnotgopened.
gThegOrthofix®gfigure-of-eightgplategwasgplacedgandgcheckedgwithgX-
ray.gWegthengirrigatedgandgclosedgthegmedialgfasciagwithg0gVicrylgsutur
e.gThegskingwasgclosedgwithg2-0gVicrylgandg3-
0gMonocryl®.gWhatgproceduregcodegisgreported?
A.g27470-50
B.g27475-50
C.g27477-50
D.g27485-50g-gANSWER-D.g27485-50
Thegpatientgisgag67-year-
oldggentlemangwithgmetastaticgcolongcancergrecentlygoperatedgongforg
agbraingmetastasis,gnowgforgplacementgofgangInfuse-A-
Portgforgcontinuedgchemotherapy.gThegleftgsubclaviangveingwasglocate
dgwithgagneedlegandgagguidegwiregplaced.gThisgwasgconfirmedgtogbegingt
hegpropergpositiongfluoroscopically.gAgtransversegincisiongwasgmadegju
stginferiorgtogthisgandgagsubcutaneousgpocketgcreatedgjustginferiorgtogth
is.gAftergtunneling,gthegintroducergwasgplacedgovergthegguidegwiregandg
thegpowergportglinegwasgplacedgwithgthegintroducergandgthegintroduce
rgwasgpeeledgaway.gThegtipgwasgplacedgingthegappropriategpositiongund
ergfluoroscopicgguidancegandgthegcathetergtrimmedgtogthegappropriate
glengthgandgsecuredgtogthegpowergportgdevice.gTheglockinggmechanism
