(2025/2026)
/.Question 1
Patient has basal cell carcinoma on his upper back. A map was prepared to correspond
to the area of skin where the excisions of the tumor will be performed using Mohs
micrographic surgery technique. There were three tissue blocks that were prepared for
cryostat, sectioned, and removed in the first stage. Then a second stage had six tissue
blocks which were also cut and stained for microscopic examination. The entire base
and margins of the excised pieces of tissue were examined by the surgeon. No tumor
was identified after the final stage of the microscopically controlled surgery. What
procedure codes should be reported?
A. 17313, 17314 x 2
B. 17313, 17315
C. 17260, 17313, 17314
D. 17313,17314, 17315 -
/.Question 2
45-year-old male is in outpatient surgery to excise a basal cell carcinoma of the right
nose and have reconstruction with an advancement flap. The 1.2 cm lesion with an
excised diameter of 1.5 cm was excised with a 15-blade scalpel down to the level of the
subcutaneous tissue, totaling a primary defect of 1.8 cm. Electrocautery was used for
hemostasis. An adjacent tissue transfer of 3 sq cm was taken from the nasolabial fold
and was advanced into the primary defect. Which CPT® code(s) should be used?
A. 14060
B. 11642, 14060
C. 11642, 15115
D. 15574 -
/.Question 3
24-year-old patient had an abscess by her vulva which burst. She has developed a soft
tissue infection caused by gas gangrene. The area was debrided of necrotic infected
tissue. All of the pus was removed and irrigation was performed with a liter of saline
until clear and clean. The infected area was completely drained and the wound was
packed gently with sterile saline moistened gauze and pads were placed on top of this.
The correct CPT® code is:
A. 56405
B. 10061
C. 11004
D. 11042 -
/.Question 4
, 76-year-old female had a recent mammographic and ultrasound abnormality in the 6
o'clock position of the left breast. She underwent core biopsies which showed the
presence of a papilloma. The plan now is for needle localization with excisional biopsy
to rule out occult malignancy. After undergoing preoperative needle localization with
hookwire needle injection with methylene blue, the patient was brought to the operating
room and was placed on the operating room table in the supine position where she
underwent laryngeal mask airway (LMA) anesthesia. The left breast was prepped and
draped in a sterile fashion. A radial incision was then made in the 6 o'clock position of
the left breast corresponding to the tip of the needle localizing wire. Using blunt and
sharp dissection, we performed a generous excisional biopsy around the needle
localizing wire including all of the methylene blue-stained tissues. The sp - Answer-
/.Question 5
The patient is a 66-year-old female who presents with Dupuytren's disease in the right
palm and ring finger. This results in a contracture of the ring digit MP joint. She is having
a subtotal palmar fasciectomy for Dupuytren's disease right ring digit and palm. An
extensile Brunner incision was then made beginning in the proximal palm and extending
to the ring finger PIP crease. This exposed a large pretendinous cord arising from the
palmar fascia extending distally over the flexor tendons of the ring finger. The fascial
attachments to the flexor tendon sheath were released. At the level of the
metacarpophalangeal crease, one band arose from the central pretendinous cord-one
coursing toward the middle finger. The digital nerve was identified, and this diseased
fascia was also excised. What procedure code(s) should be used?
A. 26123-RT, 26125-F7
B. 26121-RT
C. 26035-RT
D. 26040-RT –
/.Question 6
This is a 32-year-old female who presents today with sacroilitis. On the physical exam
there was pain on palpation of the left and right sacroiliac joint and fluoroscopic
guidance was done for the needle positioning. Then 80 mg of Depo-Medrol and 1 mL of
bupivacaine at 0.5% was injected into the left and right sacroiliac joint with a 22 gauge
needle. The patient was able to walk from the exam room without difficulty. Follow up
will be as needed. The correct CPT® code(s) is (are):
A. 20611
B. 27096-50, 77012
C. 27096-50
D. 27096, 27096-51, 77012
/.Question 7
PREOPERATIVE DIAGNOSIS: Medial meniscus tear, right knee POSTOPERATIVE
DIAGNOSIS: Medial meniscus tear, extensive synovitis with an impingement medial
synovial plica, right knee TITLE OF PROCEDURE: Diagnostic operative arthroscopy,
partial medial meniscectomy and synovectomy, right knee The patent was brought to
the operating room, placed in the supine position after which he underwent general