CORRECT ANSWERS 2025
A 46-year-
old female had a previous biopsy that indicated positive malignant margins anteriorly on the right side o
f her neck. A 0.5 cm margin was drawn out and a 15 blade scalpel was used for full excision of an 8 cm l
esion. Layered closure was performed after the removal. The specimen was sent for permanent histopat
hologic 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 - 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 h
ad to be minimally trimmed because of a sharp point at the end of the metatarsal. After debriding the a
rea, 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 culturesRwere taken. The area was dressed with sterile sal
ine and dressingsRand 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 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 footRhad a total of 3 cm lacer
ations. The ED physician repaired the lacerations as follows: The forehead, cheek, and chin had debride
ment 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 adh
esive strips. Select the appropriate procedure codes for this visit.
A. 99283-25, 12014, 12034-59, 12002-59, 11042-51
,B. 99283-25, I12053, I12034-59, I12002-59
C. 99283-25, I12014, I12034-59, I11042-51
D. 99283-25, I12053, I12034-59 I- ICORRECT IANSWER I-D. I99283-25, I12053, I12034-59
AR52-year-
old Ifemale Ihas Ia Imass Igrowing Ion Iher Iright Iflank Ifor Iseveral Iyears. IIt Ihas Ifinally Igotten Isignificantly
Ilarge Ir Iand Iis Ibeginning Ito Ibother Iher. IShe Iis Ibrought Ito Ithe IOperating IRoom Ifor Idefinitive Iexcision. IAn
Iincisio In Iwas Imade Idirectly Ioverlying Ithe Imass. IThe Imass Iwas Idown Iinto Ithe Isubcutaneous Itissue Iand
Ithe Isurge Ion Iencountered Ia Iwell Iencapsulated Ilipoma Iapproximately I4 Icentimeters. IThis Iwas Iexcised
Iprimarily Iblu Intly Iwith Ia Ifew Iattachments Idivided Iwith Ielectrocautery. IWhat ICPT® Iand IICD-10-
CM Icodes Iare Ireported?
A. 21932, ID17.39
B. 21935, ID17.1
C. 21931, ID17.1
D. 21925, ID17.9 I- ICORRECT IANSWER I-C. I21931, ID17.1
Question I5
PREOPERATIVE IDIAGNOSIS: IRight Iscaphoid Ifracture. ITYPE IOF IPROCEDURE: IOpen Ireduction Iand Iinternal
If Iixation Iof Iright Iscaphoid Ifracture. IDESCRIPTION IOF IPROCEDURE: IThe Ipatient Iwas Ibrought Ito Ithe
Ioperati Ing Iroom; Ianesthesia Ihaving Ibeen Iadministered. IThe Iright Iupper Iextremity Iwas Iprepped Iand
Idraped Iin Ia Isterile Imanner. IThe Ilimb Iwas Ielevated, Iexsanguinated, Iand Ia Ipneumatic Iarm Itourniquet
Iwas Ielevated. IA In Iincision Iwas Imade Iover Ithe Idorsal Iradial Iaspect Iof Ithe Iright Iwrist. ISkin Iflaps Iwere
Ielevated. ICutaneous Inerve Ibranches Iwere Iidentified Iand Ivery Igently Iretracted. IThe Iinterval Ibetween
Ithe Isecond Iand Ithird Ido Irsal Icompartment Itendons Iwas Iidentified Iand Ientered. IThe Irespective Itendons
Iwere Iretracted. IA Idorsal Icapsulotomy Iincision Iwas Imade, Iand Ithe Ifracture Iwas Ivisualized. IThere Idid
Inot Iappear Ito Ibe Iany Itype Iof Isignificant Idefect Iat Ithe Ifracture Isite. IA I0.045 IKirschner Iwire Iwas Ithen
Iused IasRa Iguidewire, Iextending Ifr Iom It I- ICORRECT IANSWER I-A. I25628-RT
An Iinfant Iwith Igenu Ivalgum Iis Ibrought Ito Ithe Ioperating Iroom Ito Ihave Ia Ibilateral Imedial Idistal Ifemur Ihe
Imiepiphysiodesis Idone. IOn Ieach Iknee, Ithe IC-
arm Iwas Iused Ito Ilocalize Ithe Igrowth Iplate. IWith Ithe Igrowth Iplate Ilocalized, Ian Iincision Iwas Imade
Imedial Ily Ion Iboth Isides. IThis Iwas Itaken Idown Ito Ithe Ifascia, Iwhich Iwas Iopened. IThe Iperiosteum Iwas Inot
Iopened
. IThe IOrthofix® Ifigure-of-eight Iplate Iwas Iplaced Iand Ichecked Iwith IX-
ray. IWe Ithen Iirrigated Iand Iclosed Ithe Imedial Ifascia Iwith I0 IVicryl Isuture. IThe Iskin Iwas Iclosed Iwith
I2- I0 IVicryl Iand I3-0 IMonocryl®. IWhat Iprocedure Icode Iis Ireported?
A. 27470-50
,B. 27475-50
C. 27477-50
D. 27485-50 I- ICORRECT IANSWER I-D. I27485-50
The Ipatient Iis Ia I67-year-
old Igentleman Iwith Imetastatic Icolon Icancer Irecently Ioperated Ion Ifor Ia Ibrain Imetastasis, Inow Ifor
Iplacem Ient Iof Ian IInfuse-A-
Port Ifor Icontinued Ichemotherapy. IThe Ileft Isubclavian Ivein Iwas Ilocated Iwith Ia Ineedle Iand Ia Iguide Iwire
Ipl Iaced. IThis Iwas Iconfirmed Ito Ibe Iin Ithe Iproper Iposition Ifluoroscopically. IA Itransverse Iincision Iwas
Imade Ij Iust Iinferior Ito Ithis Iand Ia Isubcutaneous Ipocket Icreated Ijust Iinferior Ito Ithis. IAfter Itunneling, Ithe
Iintroduce Ir Iwas Iplaced Iover Ithe Iguide Iwire Iand Ithe Ipower Iport Iline Iwas Iplaced Iwith Ithe Iintroducer
Iand Ithe Iintrod Iucer Iwas Ipeeled Iaway. IThe Itip Iwas Iplaced Iin Ithe Iappropriate Iposition Iunder
Ifluoroscopic Iguidance Iand It Ihe Icatheter Itrimmed Ito Ithe Iappropriate Ilength Iand Isecured Ito Ithe Ipower
Iport Idevice. IThe Ilocking Imech Ianism Iwas Ifully Iengaged. IThe Iport Iwas Iplaced Iin Ithe Isubcutaneous
Ipocket Iand Ieverything Isat Ivery Inicely Ifluoroscopically. IIt Iwas Isecured Ito Ithe Iunderlying Isoft Itissue I-
ICORRECT IANSWER I-C. I36561, I77001-26
Question I8
A ICT Iscan Iidentified Imoderate-sized Iright Ipleural Ieffusion Iin Ia I50 Iyear-
old Imale. IThis Iwas Iestimated Ito Ibe I800 Icc Iin Isize Iand Ihad Ian Iappearance Iof Ifluid Ion Ithe ICT IScan. IA
Ineed Ile Iis Iused Ito Ipuncture Ithrough Ithe Ichest Itissues Iand Ienter Ithe Ipleural Icavity Ito Iinsert Ia Iguidewire
Iunder Iultrasound Iguidance. IA Ipigtail Icatheter Iis Ithen Iinserted Iat Ithe Ilength Iof Ithe Iguidewire Iand
Isecured Iby Isti Itches. IThe Icatheter Iwill Iremain Iin Ithe Ichest Iand Iis Iconnected Ito Idrainage Isystem Ito
Idrain Ithe Iaccumulat Ied Ifluid. IThe ICPT® Icode Iis:
A. 32557
B. 32555
C. 32556
D. 32550 I- ICORRECT IANSWER I-A. I32557
The Ipatient Iis Ia I59-year-
old Iwhite Imale Iwho Iunderwent Icarotid Iendarterectomy Ifor Isymptomatic Ileft Icarotid Istenosis Ia Iyear
Iago. IA Icarotid ICT Iangiogram Ishowed Ia Irecurrent I90% Ileft Iinternal Icarotid Iartery Istenosis Iextending
Iinto Ithe Icommon Icarotid Iartery. IHe Iis Itaken Ito Ithe Ioperating Iroom Ifor Ire-
do Ileft Icarotid Iendarterectomy. IThe Ileft Ineck Iwas Iprepped Iand Ithe Iprevious Iincision Iwas Icarefully
Ireope Ined. IUsingRsharp Idissection, Ithe Icommon Icarotid Iartery Iand Iits Ibranches Iwere Idissected Ifree.
IThe Ipatie Int Iwas Isystematically Iheparinized Iand Iafter Ia Ifew Iminutes, Iclamps Iwere Iapplied Ito Ithe
Icommon Icarotid Iartery Iand Iits Ibranches. IA Ilongitudinal Iarteriotomy Iwas Icarried Iout Iwith Ifindings Iof
Iextensive Ilayering Iof Iintimal Ihyperplasia Iwith Ino Ievidence Iof Irecurrent Iatherosclerosis. IA Isilastic
Iballoon-
, tip Ishunt Iwas Iinserted IfirstRproximally Iand Ithen Idistally, Iwith Irestoration Iof Iflow. ISeveral Ilayers Iof Iintima
Iwere Iremoved Iand Ithe Iendart I- ICORRECT IANSWER I-B. I35301, I35390
A I52-year-
old Ipatient Iis Iadmitted Ito Ithe Ihospital Ifor Ichronic Icholecystitis Ifor Iwhich Ia Ilaparoscopic
Icholecystectomy Iwill Ibe Iperformed. IA Itransverse Iinfraumbilical Iincision Iwas Imade Isharply Idissecting Ito
Ithe Isubcutaneou I s Itissue Idown Ito Ithe Ifascia Iusing Iaccess Iunder Idirect Ivision Iwith Ia IVesi-
Port Iand Ia Iscope Iwas Iplaced Iinto Ithe Iabdomen. IThree Iother Iports Iwere Iinserted Iunder Idirect Ivision.
ITh I e Ifundus Iof Ithe Igallbladder Iwas Igrasped Ithrough Ithe Ilateral Iport, Iwhere Imultiple Iadhesions Ito Ithe
Igallbl Iadder Iwere Itaken Idown Isharply Iand Ibluntly: IThe Igallbladder Iappeared Ichronically Iinflamed.
IDissection Iwas Icarried Iout Ito Ithe Iright Iof Ithis Iidentifying Ia Ismall Icystic Iduct Iand Iartery, Iwas Iclipped
Itwice Iproximall Iy, Ionce Idistally Iand Itransected. IThe Igallbladder Iwas Ithen Itaken Idown Ifrom Ithe Ibed
Iusing Ielectrocautery, Idelivering Iit Iinto Ian Iendo-
bag Iand Iremoving Iit Ifrom Ithe Iabdominal Icavity Iwith Ithe Iumbilical Iport. IWhat ICPT® Iand IICD-10-C I-
ICORRECT IANSWER I-B. I47562, IK81.1
AR70-year-
old Ifemale Iwho Ihas Ia Ihistory Iof Isymptomatic Iventral Ihernia Iwas Iadvised Ito Iundergo
IlaparoscopicRevalua Ition Iand Irepair. IAn Iincision Iwas Imade Iin Ithe Iepigastrium Iand Idissection Iwas
Icarried Idown Ithrough Ithe Is Iubcutaneous Itissue. ITwo I5-
mm Itrocars Iwere Iplaced, Ione Iin Ithe Ileft Iupper Iquadrant Iand Ione Iin Ithe Ileft Ilower Iquadrant Iand Ithe
Ilapa Iroscope Iwas Iinserted. IDissection Iwas Icarried Idown Ito Ithe Iarea Iof Ithe Ihernia Iwhere Ia Ismall Idefect
Iwas Icl Iearly Ivisualized. IThere IwasRsome Iomentum, Iwhich Iwas Iadhered Ito Ithe Ihernia Iand Ithis Iwas
Idelivered Ibac Ik Iinto Ithe Iperitoneal Icavity. IThe Imesh Iwas Itacked Ion Ito Icover Ithe Idefect. IWhat
Iprocedure Icode(s) Iis I(are
) Ireported?
A. 49560, I49568
B. 49652
C. 49653
D. 49652, I49568 I-RCORRECT IANSWER I-B. I49652
The Ipatient Iis Ia I50-year-
old Igentleman Iwho Ipresented Ito Ithe Iemergency Iroom Iwith Isigns Iand Isymptoms Iof Iacute Iappendicitis
Iw Iith Ipossible Irupture. IHe Ihas Ibeen Ibrought Ito Ithe Ioperating Iroom. IAn Iinfraumbilical Iincision Iwas
Imade Iw Ihich Ia I5-mm IVersaStep™ Itrocar Iwas Iinserted. IA I5-mm I0-
degree Ilaparoscope Iwas Iintroduced. IA Isecond I5-mm Itrocar Iwas Iplaced Isuprapubically Iand Ia I12-
mm Itrocar Iin Ithe Ileft Ilower Iquadrant. IA Iwindow Iwas Imade Iin Ithe Imesoappendix Iusing Iblunt
Idissection Iwith Ino Irupture Inoted. IThe Ibase Iof Ithe Iappendix Iwas Ithen Idivided Iand Iplaced Iinto Ian
IEndo-
catch Ibag Iand Ithe I12-mm Idefect Iwas Ibrought Iout. ISelect Ithe Iappropriate Icode Ifor Ithis Iprocedure: