AAPC CPC Practice Questions
Study online at https://quizlet.com/_6imo7p
1. A 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 clo-
sure 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: C. 11626, 12044-51
2. 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 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: C. 11044
3. 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 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
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B. 99283-25, 12053, 12034-59, 12002-59
C. 99283-25, 12014, 12034-59, 11042-51
D. 99283-25, 12053, 12034-59: D. 99283-25, 12053, 12034-59
4. A 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: C. 21931, D17.1
5. Question 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 proximal pole of the scaphoid distal ward. The guidewire
was positioned appropriately and then measured. A 25-mm Acutrak® drill bit
was drilled to 25 mm. A 22.5-mm screw was selected and inserted and rigid
internal fixation was accomplished in this fashion. This was visualized under
the OEC imaging device in multiple projections. The wound was irrigated and
, AAPC CPC Practice Questions
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closed in layers. Sterile dressings were then applied. The patient tolerated the
procedure well and left the operating room in stable condition. What CPT®
code is reported for this procedure?
A. 25628-RT
B. 25624-RT
C. 25645-RT
D. 25651-RT: A. 25628-RT
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: 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 sub-
cutaneous pocket created just inferior to this. After tunneling, the introducer
was placed over the guide wire and the power port line was placed with the
introducer and the introducer was peeled away. The tip was placed in the
appropriate position under fluoroscopic guidance and the catheter trimmed
to the appropriate length and secured to the power port device. The locking
mechanism was fully engaged. The port was placed in the subcutaneous pocket
and everything sat very nicely fluoroscopically. It was secured to the underlying
soft tissue with 2-0 silk stitch. What CPT® code(s) is (are) reported for this
, AAPC CPC Practice Questions
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procedure?
A. 36556, 77001-26
B. 36558
C. 36561, 77001-26
D. 36571: C. 36561, 77001-26
8. Question 8
A CT scan identified moderate-sized right pleural effusion in a 50 year-old male.
This was estimated to be 800 cc in size and had an appearance of fluid on
the CT Scan. A needle is used to puncture through the chest tissues and enter
the pleural cavity to insert a guidewire under ultrasound guidance. A pigtail
catheter is then inserted at the length of the guidewire and secured by stitches.
The catheter will remain in the chest and is connected to drainage system to
drain the accumulated fluid. The CPT® code is:
A. 32557
B. 32555
C. 32556
D. 32550: A. 32557
9. The patient is a 59-year-old white male who underwent carotid endarterecto-
my for symptomatic left carotid stenosis a year ago. A carotid CT angiogram
showed a recurrent 90% left internal carotid artery stenosis extending into
the common carotid artery. He is taken to the operating room for re-do left
carotid endarterectomy. The left neck was prepped and the previous incision
was carefully reopened. Using sharp dissection, the common carotid artery and
its branches were dissected free. The patient was systematically heparinized
and after a few minutes, clamps were applied to the common carotid artery
and its branches. A longitudinal arteriotomy was carried out with findings of
extensive layering of intimal hyperplasia with no evidence of recurrent ather-
osclerosis. A silastic balloon-tip shunt was inserted first proximally and then
distally, with restoration of flow. Several layers of intima were removed and the
endarterectomized surfaces irrigated with heparinized saline. An oval Dacron
patch was then sewn into place with running 6-0 Prolene. Which CPT® code(s)
is/are reported?
Study online at https://quizlet.com/_6imo7p
1. A 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 clo-
sure 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: C. 11626, 12044-51
2. 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 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: C. 11044
3. 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 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
, AAPC CPC Practice Questions
Study online at https://quizlet.com/_6imo7p
B. 99283-25, 12053, 12034-59, 12002-59
C. 99283-25, 12014, 12034-59, 11042-51
D. 99283-25, 12053, 12034-59: D. 99283-25, 12053, 12034-59
4. A 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: C. 21931, D17.1
5. Question 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 proximal pole of the scaphoid distal ward. The guidewire
was positioned appropriately and then measured. A 25-mm Acutrak® drill bit
was drilled to 25 mm. A 22.5-mm screw was selected and inserted and rigid
internal fixation was accomplished in this fashion. This was visualized under
the OEC imaging device in multiple projections. The wound was irrigated and
, AAPC CPC Practice Questions
Study online at https://quizlet.com/_6imo7p
closed in layers. Sterile dressings were then applied. The patient tolerated the
procedure well and left the operating room in stable condition. What CPT®
code is reported for this procedure?
A. 25628-RT
B. 25624-RT
C. 25645-RT
D. 25651-RT: A. 25628-RT
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: 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 sub-
cutaneous pocket created just inferior to this. After tunneling, the introducer
was placed over the guide wire and the power port line was placed with the
introducer and the introducer was peeled away. The tip was placed in the
appropriate position under fluoroscopic guidance and the catheter trimmed
to the appropriate length and secured to the power port device. The locking
mechanism was fully engaged. The port was placed in the subcutaneous pocket
and everything sat very nicely fluoroscopically. It was secured to the underlying
soft tissue with 2-0 silk stitch. What CPT® code(s) is (are) reported for this
, AAPC CPC Practice Questions
Study online at https://quizlet.com/_6imo7p
procedure?
A. 36556, 77001-26
B. 36558
C. 36561, 77001-26
D. 36571: C. 36561, 77001-26
8. Question 8
A CT scan identified moderate-sized right pleural effusion in a 50 year-old male.
This was estimated to be 800 cc in size and had an appearance of fluid on
the CT Scan. A needle is used to puncture through the chest tissues and enter
the pleural cavity to insert a guidewire under ultrasound guidance. A pigtail
catheter is then inserted at the length of the guidewire and secured by stitches.
The catheter will remain in the chest and is connected to drainage system to
drain the accumulated fluid. The CPT® code is:
A. 32557
B. 32555
C. 32556
D. 32550: A. 32557
9. The patient is a 59-year-old white male who underwent carotid endarterecto-
my for symptomatic left carotid stenosis a year ago. A carotid CT angiogram
showed a recurrent 90% left internal carotid artery stenosis extending into
the common carotid artery. He is taken to the operating room for re-do left
carotid endarterectomy. The left neck was prepped and the previous incision
was carefully reopened. Using sharp dissection, the common carotid artery and
its branches were dissected free. The patient was systematically heparinized
and after a few minutes, clamps were applied to the common carotid artery
and its branches. A longitudinal arteriotomy was carried out with findings of
extensive layering of intimal hyperplasia with no evidence of recurrent ather-
osclerosis. A silastic balloon-tip shunt was inserted first proximally and then
distally, with restoration of flow. Several layers of intima were removed and the
endarterectomized surfaces irrigated with heparinized saline. An oval Dacron
patch was then sewn into place with running 6-0 Prolene. Which CPT® code(s)
is/are reported?
