AAPC CPC Practice Questions
Study online at https://quizlet.com/_6imo7p
1. A 46-year-old female had a previous biopsy that indicated positive malig-
nant 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
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
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
, AAPC CPC Practice Questions
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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
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
, AAPC CPC Practice Questions
Study online at https://quizlet.com/_6imo7p
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
subcutaneous pocket created just inferior to this. After tunneling, the intro-
ducer 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 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 endarterec-
tomy for symptomatic left carotid stenosis a year ago. A carotid CT angiogram
showed a recurrent 90% left internal carotid artery stenosis extending into the
, AAPC CPC Practice Questions
Study online at https://quizlet.com/_6imo7p
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?
A. 35301
B. 35301, 35390
C. 35302
D. 35311, 35390: B. 35301, 35390
10. A 52-year-old patient is admitted to the hospital for chronic cholecystitis
for which a laparoscopic cholecystectomy will be performed. A transverse
infraumbilical incision was made sharply dissecting to the subcutaneous
tissue down to the fascia using access under direct vision with a Vesi-Port and
a scope was placed into the abdomen. Three other ports were inserted under
direct vision. The fundus of the gallbladder was grasped through the lateral
port, where multiple adhesions to the gallbladder were taken down sharply
and bluntly: The gallbladder appeared chronically inflamed. Dissection was
carried out to the right of this identifying a small cystic duct and artery,
was clipped twice proximally, once distally and transected. The gallbladder
was then taken down from the bed using electrocautery, delivering it into an
endo-bag and removing it from the abdominal cavity with the umbilical port.
What CPT® and ICD-10-CM codes are reported?
A. 47564, K81.2
B. 47562, K81.1
C. 47610, K81.2
D. 47600, K81.1: B. 47562, K81.1
11. A 70-year-old female who has a history of symptomatic ventral hernia
was advised to undergo laparoscopic evaluation and repair. An incision
was made in the epigastrium and dissection was carried down through the
subcutaneous tissue. Two 5-mm trocars were placed, one in the left upper
quadrant and one in the left lower quadrant and the laparoscope was inserted.
Dissection was carried down to the area of the hernia where a small defect
Study online at https://quizlet.com/_6imo7p
1. A 46-year-old female had a previous biopsy that indicated positive malig-
nant 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
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
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
, AAPC CPC Practice Questions
Study online at https://quizlet.com/_6imo7p
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
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
, AAPC CPC Practice Questions
Study online at https://quizlet.com/_6imo7p
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
subcutaneous pocket created just inferior to this. After tunneling, the intro-
ducer 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 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 endarterec-
tomy for symptomatic left carotid stenosis a year ago. A carotid CT angiogram
showed a recurrent 90% left internal carotid artery stenosis extending into the
, AAPC CPC Practice Questions
Study online at https://quizlet.com/_6imo7p
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?
A. 35301
B. 35301, 35390
C. 35302
D. 35311, 35390: B. 35301, 35390
10. A 52-year-old patient is admitted to the hospital for chronic cholecystitis
for which a laparoscopic cholecystectomy will be performed. A transverse
infraumbilical incision was made sharply dissecting to the subcutaneous
tissue down to the fascia using access under direct vision with a Vesi-Port and
a scope was placed into the abdomen. Three other ports were inserted under
direct vision. The fundus of the gallbladder was grasped through the lateral
port, where multiple adhesions to the gallbladder were taken down sharply
and bluntly: The gallbladder appeared chronically inflamed. Dissection was
carried out to the right of this identifying a small cystic duct and artery,
was clipped twice proximally, once distally and transected. The gallbladder
was then taken down from the bed using electrocautery, delivering it into an
endo-bag and removing it from the abdominal cavity with the umbilical port.
What CPT® and ICD-10-CM codes are reported?
A. 47564, K81.2
B. 47562, K81.1
C. 47610, K81.2
D. 47600, K81.1: B. 47562, K81.1
11. A 70-year-old female who has a history of symptomatic ventral hernia
was advised to undergo laparoscopic evaluation and repair. An incision
was made in the epigastrium and dissection was carried down through the
subcutaneous tissue. Two 5-mm trocars were placed, one in the left upper
quadrant and one in the left lower quadrant and the laparoscope was inserted.
Dissection was carried down to the area of the hernia where a small defect
