AAPC CPC FINAL EXAM QUESTIONS WITH
CORRECT ANSWERS HIGHLIGHTED TESTED AND
APPROVED EXAM NEW MODIFIED 2026 LATEST
The patient is a 59-year-old white male who underwent carotid endarterectomy 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
atherosclerosis. 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?
35301
35301, 35390
35302
35311, 35390 - B. 35301, 35390
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
Page 1 of 122
,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 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?
25628-RT
25624-RT
25645-RT
25651-RT - A. 25628-RT
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?
27470-50
27475-50
27477-50
27485-50 - D. 27485-50
Page 2 of 122
,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 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 - 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 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?
11043
11012
11044
11042 - 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
Page 3 of 122
, 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.
99283-25, 12014, 12034-59, 12002-59, 11042-51
99283-25, 12053, 12034-59, 12002-59
99283-25, 12014, 12034-59, 11042-51
99283-25, 12053, 12034-59 - D. 99283-25, 12053, 12034-59
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
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
subcutaneous 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
Page 4 of 122
CORRECT ANSWERS HIGHLIGHTED TESTED AND
APPROVED EXAM NEW MODIFIED 2026 LATEST
The patient is a 59-year-old white male who underwent carotid endarterectomy 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
atherosclerosis. 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?
35301
35301, 35390
35302
35311, 35390 - B. 35301, 35390
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
Page 1 of 122
,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 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?
25628-RT
25624-RT
25645-RT
25651-RT - A. 25628-RT
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?
27470-50
27475-50
27477-50
27485-50 - D. 27485-50
Page 2 of 122
,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 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 - 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 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?
11043
11012
11044
11042 - 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
Page 3 of 122
, 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.
99283-25, 12014, 12034-59, 12002-59, 11042-51
99283-25, 12053, 12034-59, 12002-59
99283-25, 12014, 12034-59, 11042-51
99283-25, 12053, 12034-59 - D. 99283-25, 12053, 12034-59
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
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
subcutaneous 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
Page 4 of 122
