CPC Practice Exam 1 | All Questions and Correct
Answers | Graded A+ | Verified Answers | Just
Released
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 are the CPT® code(s) for this procedure?
A. 11626
B. 11626, 12004-51
C. 11626, 12044-51
D. 11626, 13132-51, 13133 - (ANSWER)According to CPT® guidelines "Repair of
an excision of a malignant lesion requiring intermediate or complex closure
should be reported separately". The intermediate repair code is reported because
it was a layered closure. Answer C
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 - (ANSWER)Debridement is not being performed on an open
fracture/open dislocation eliminating multiple choice answer B. The ulcer was
debrided all the way to the bone of the foot, making multiple choice answer C,
the correct procedure. Answer C
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 - (ANSWER)To start narrowing your choices down,
the hand and foot were closed with adhesive strips. The Section Guidelines in the
CPT® manual for Repair (Closure) states: "Wound closure utilizing adhesive strips
as the sole repair material should be coded using the appropriate E/M code."
Eliminating multiple choice answers A and B. The lacerations on the face are
intermediate repairs, because debridement and glass debris was removed. The
guidelines in the CPT® codebook for Repair (Closure) states: "Single-layer closure
of heavily contaminated wounds that have required extensive cleaning or removal
of particulate matter also constitutes intermediate repair." Eliminating multiple
choice answer C. The intermediate repair of the lacerations to the face totaled 6
cm (12053). The right arm and left leg had cuts measuring 5 cm each which
totaled 10 cm requiring intermediate repair (12034). Answer D
, 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
B. 21935, D17.1
C. 21931, D17.1
D. 21925, D17.9 - (ANSWER)The mass growing turned out to be a lipoma found in
the subcutaneous tissue of the flank. In the ICD-10-CM Alphabetic Index, look for
Lipoma/subcutaneous/trunk. You are referred to code D17.1, eliminating multiple
choice answers A and D. Because the 4 cm tumor was found in the subcutaneous
tissue code 21931 is the correct CPT® code to report. Answer C
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
Answers | Graded A+ | Verified Answers | Just
Released
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 are the CPT® code(s) for this procedure?
A. 11626
B. 11626, 12004-51
C. 11626, 12044-51
D. 11626, 13132-51, 13133 - (ANSWER)According to CPT® guidelines "Repair of
an excision of a malignant lesion requiring intermediate or complex closure
should be reported separately". The intermediate repair code is reported because
it was a layered closure. Answer C
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 - (ANSWER)Debridement is not being performed on an open
fracture/open dislocation eliminating multiple choice answer B. The ulcer was
debrided all the way to the bone of the foot, making multiple choice answer C,
the correct procedure. Answer C
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 - (ANSWER)To start narrowing your choices down,
the hand and foot were closed with adhesive strips. The Section Guidelines in the
CPT® manual for Repair (Closure) states: "Wound closure utilizing adhesive strips
as the sole repair material should be coded using the appropriate E/M code."
Eliminating multiple choice answers A and B. The lacerations on the face are
intermediate repairs, because debridement and glass debris was removed. The
guidelines in the CPT® codebook for Repair (Closure) states: "Single-layer closure
of heavily contaminated wounds that have required extensive cleaning or removal
of particulate matter also constitutes intermediate repair." Eliminating multiple
choice answer C. The intermediate repair of the lacerations to the face totaled 6
cm (12053). The right arm and left leg had cuts measuring 5 cm each which
totaled 10 cm requiring intermediate repair (12034). Answer D
, 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
B. 21935, D17.1
C. 21931, D17.1
D. 21925, D17.9 - (ANSWER)The mass growing turned out to be a lipoma found in
the subcutaneous tissue of the flank. In the ICD-10-CM Alphabetic Index, look for
Lipoma/subcutaneous/trunk. You are referred to code D17.1, eliminating multiple
choice answers A and D. Because the 4 cm tumor was found in the subcutaneous
tissue code 21931 is the correct CPT® code to report. Answer C
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
