AAPC CPC Practice Exam - 150 Questions
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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 - Answer-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 - Answer-C. 21931, D17.1
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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 t -
Answer-A. 25628-RT
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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 - Answer-D. 27485-50
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