AAPC CPC Practice Exam A - 082016
1: forty six-year-antique woman had a previous biopsy that indicated wonderful malignant
margins anteriorly at the right aspect of her neck. A zero.5 cm margin was drawn out and a
fifteen blade scalpel changed into used for full excision of an 8cm lesion. Layered closure
become executed after the removal. The specimen turned into sent for permanent
histopathologic examination. What are the code(s) for this method?
A. 11626
B. 11626, 12004-fifty one
C. 11626, 12044-fifty one
D. 11626, 13132-51, 13133 - ANS-
2: 30-12 months-vintage woman is having 15 squarecm debridement finished on an infected
ulcer with eschar on the right foot. Using sharp dissection, the ulcer become debrided all of
the manner to all the way down to the bone of the foot. The bone needed to be minimally
trimmed due to a sharp point on the give up of the metatarsal. After debriding the vicinity,
there has been minimal bleeding due to very negative circulate of the foot. It appears that
the feet subsequent to the ulcer may additionally have a few involvement and cultures have
been taken. The place became dressed with sterile saline and dressings and then wrapped.
What CPT® code should be said?
A. 11043
B. 11012
C. 11044
D. 11042 - ANS-
3: 64-yr-old lady who has a couple of sclerosis fell from her walker and landed on a glass
table. She lacerated her brow, cheek and chin and the full period of those lacerations
became 6 cm. Her proper arm and left leg had deep cuts measuring five cm on each
extremity. Her right hand and proper foot had a total of 3 cm lacerations. The ED physician
repaired the lacerations as follows: The brow, cheek, and chin had debridement and
cleansing of glass particles with the lacerations being closed with one layer closure, 6-0
Prolene sutures. The arm and leg had been repaired through layered closure, 6-0 Vicryl
subcutaneous sutures and prolene sutures on the pores and skin. The hand and foot have
been closed with adhesive strips. Select an appropriate procedure codes for this go to.
A. 99283-25, 12014, 12034-59, 12002-59, 11042-fifty one
B. 99283-25, 12053, 12034-fifty nine, 12002-fifty nine
C. 99283-25, 12014, 12034-59, 11042-51
D. 99283-25, 12053, 12034-59 - ANS-
4: fifty two-yr-antique female has a mass growing on her right flank for several years. It has
ultimately gotten notably large and is beginning to hassle her. She is delivered to the
Operating Room for definitive excision. An incision turned into made without delay overlying
the mass. The mass changed into down into the subcutaneous tissue and the medical
professional encountered a properly encapsulated lipoma about four centimeters. This
, become excised on the whole bluntly with a few attachments divided with electrocautery.
What CPT® have to be suggested?
A. 21932, D17.39
B. 21935, D17.1
C. 21931, D17.1
D. 21925, D17.Nine - ANS-
5: PREOPERATIVE DIAGNOSIS: Right scaphoid fracture. TYPE OF PROCEDURE: Open
reduction and internal fixation of proper scaphoid fracture. DESCRIPTION OF
PROCEDURE: The affected person turned into introduced to the operating room, anesthesia
having been administered. The proper upper extremity turned into prepped and draped in a
sterile way. The limb turned into expanded, exsanguinated, and a pneumatic arm tourniquet
turned into extended. An incision was made over the dorsal radial aspect of the right wrist.
Skin flaps were expanded. Cutaneous nerve branches had been diagnosed and really lightly
retracted. The interval between the second one and 0.33 dorsal compartment tendons
become recognized and entered. The respective tendons were retracted. A dorsal
capsulotomy incision became made, and the fracture became visualized. There did not look
like any type of great illness at the fracture web site. A 0.1/2 Kirschner wire become then
used as a guidewire, extending from the proxi - ANS-
6: An toddler with genu valgum is introduced to the operating room to have a bilateral medial
distal femur hemiepiphysiodesis executed. On each knee, the C-arm became used to
localize the increase plate. With the increase plate localized, an incision turned into made
medially on each sides. This changed into taken all the way down to the fascia, which was
opened. The periosteum changed into not opened. The Orthofix figure-of-8 plate changed
into located and checked with X-ray. We then irrigated and closed the medial fascia with 0
Vicryl suture. The pores and skin became closed with 2-zero Vicryl and three-0 Monocryl.
What system code is stated?
A. 27470-50
B. 27475-50
C. 27477-50
D. 27485-50 - ANS-
7: The affected person is a sixty seven-12 months-vintage gentleman with metastatic colon
cancer these days operated on for a brain metastasis, now for placement of an Infuse-A-Port
for endured chemotherapy. The left subclavian vein was located with a needle and a manual
cord positioned. This become showed to be inside the right position fluoroscopically. A
transverse incision changed into made just not as good as this and a subcutaneous pocket
created simply not so good as this. After tunneling, the introducer became located over the
manual twine and the electricity port line become positioned with the introducer and the
introducer was peeled away. The tip turned into positioned in the proper role under
fluoroscopic steerage and the catheter trimmed to the correct length and secured to the
electricity port device. The locking mechanism turned into completely engaged. The port was
positioned within the subcutaneous pocket and the whole lot sat very nicely fluoroscopically.
It turned into secured to the underlying soft tis - ANS-
eight: A CT test identified slight-sized right pleural effusion in a 50-year-antique male. This
changed into anticipated to be 800 cc in length and had an look of fluid on the CT Scan. A
1: forty six-year-antique woman had a previous biopsy that indicated wonderful malignant
margins anteriorly at the right aspect of her neck. A zero.5 cm margin was drawn out and a
fifteen blade scalpel changed into used for full excision of an 8cm lesion. Layered closure
become executed after the removal. The specimen turned into sent for permanent
histopathologic examination. What are the code(s) for this method?
A. 11626
B. 11626, 12004-fifty one
C. 11626, 12044-fifty one
D. 11626, 13132-51, 13133 - ANS-
2: 30-12 months-vintage woman is having 15 squarecm debridement finished on an infected
ulcer with eschar on the right foot. Using sharp dissection, the ulcer become debrided all of
the manner to all the way down to the bone of the foot. The bone needed to be minimally
trimmed due to a sharp point on the give up of the metatarsal. After debriding the vicinity,
there has been minimal bleeding due to very negative circulate of the foot. It appears that
the feet subsequent to the ulcer may additionally have a few involvement and cultures have
been taken. The place became dressed with sterile saline and dressings and then wrapped.
What CPT® code should be said?
A. 11043
B. 11012
C. 11044
D. 11042 - ANS-
3: 64-yr-old lady who has a couple of sclerosis fell from her walker and landed on a glass
table. She lacerated her brow, cheek and chin and the full period of those lacerations
became 6 cm. Her proper arm and left leg had deep cuts measuring five cm on each
extremity. Her right hand and proper foot had a total of 3 cm lacerations. The ED physician
repaired the lacerations as follows: The brow, cheek, and chin had debridement and
cleansing of glass particles with the lacerations being closed with one layer closure, 6-0
Prolene sutures. The arm and leg had been repaired through layered closure, 6-0 Vicryl
subcutaneous sutures and prolene sutures on the pores and skin. The hand and foot have
been closed with adhesive strips. Select an appropriate procedure codes for this go to.
A. 99283-25, 12014, 12034-59, 12002-59, 11042-fifty one
B. 99283-25, 12053, 12034-fifty nine, 12002-fifty nine
C. 99283-25, 12014, 12034-59, 11042-51
D. 99283-25, 12053, 12034-59 - ANS-
4: fifty two-yr-antique female has a mass growing on her right flank for several years. It has
ultimately gotten notably large and is beginning to hassle her. She is delivered to the
Operating Room for definitive excision. An incision turned into made without delay overlying
the mass. The mass changed into down into the subcutaneous tissue and the medical
professional encountered a properly encapsulated lipoma about four centimeters. This
, become excised on the whole bluntly with a few attachments divided with electrocautery.
What CPT® have to be suggested?
A. 21932, D17.39
B. 21935, D17.1
C. 21931, D17.1
D. 21925, D17.Nine - ANS-
5: PREOPERATIVE DIAGNOSIS: Right scaphoid fracture. TYPE OF PROCEDURE: Open
reduction and internal fixation of proper scaphoid fracture. DESCRIPTION OF
PROCEDURE: The affected person turned into introduced to the operating room, anesthesia
having been administered. The proper upper extremity turned into prepped and draped in a
sterile way. The limb turned into expanded, exsanguinated, and a pneumatic arm tourniquet
turned into extended. An incision was made over the dorsal radial aspect of the right wrist.
Skin flaps were expanded. Cutaneous nerve branches had been diagnosed and really lightly
retracted. The interval between the second one and 0.33 dorsal compartment tendons
become recognized and entered. The respective tendons were retracted. A dorsal
capsulotomy incision became made, and the fracture became visualized. There did not look
like any type of great illness at the fracture web site. A 0.1/2 Kirschner wire become then
used as a guidewire, extending from the proxi - ANS-
6: An toddler with genu valgum is introduced to the operating room to have a bilateral medial
distal femur hemiepiphysiodesis executed. On each knee, the C-arm became used to
localize the increase plate. With the increase plate localized, an incision turned into made
medially on each sides. This changed into taken all the way down to the fascia, which was
opened. The periosteum changed into not opened. The Orthofix figure-of-8 plate changed
into located and checked with X-ray. We then irrigated and closed the medial fascia with 0
Vicryl suture. The pores and skin became closed with 2-zero Vicryl and three-0 Monocryl.
What system code is stated?
A. 27470-50
B. 27475-50
C. 27477-50
D. 27485-50 - ANS-
7: The affected person is a sixty seven-12 months-vintage gentleman with metastatic colon
cancer these days operated on for a brain metastasis, now for placement of an Infuse-A-Port
for endured chemotherapy. The left subclavian vein was located with a needle and a manual
cord positioned. This become showed to be inside the right position fluoroscopically. A
transverse incision changed into made just not as good as this and a subcutaneous pocket
created simply not so good as this. After tunneling, the introducer became located over the
manual twine and the electricity port line become positioned with the introducer and the
introducer was peeled away. The tip turned into positioned in the proper role under
fluoroscopic steerage and the catheter trimmed to the correct length and secured to the
electricity port device. The locking mechanism turned into completely engaged. The port was
positioned within the subcutaneous pocket and the whole lot sat very nicely fluoroscopically.
It turned into secured to the underlying soft tis - ANS-
eight: A CT test identified slight-sized right pleural effusion in a 50-year-antique male. This
changed into anticipated to be 800 cc in length and had an look of fluid on the CT Scan. A
