AAPC CPC PRACTICE QUESTIONS AND
ANSWERS
A 46-year-
km
old female had a previous biopsy that indicated positive malignant margins anteriorly on the ri
km km km km km km km km km km km km km km
ght side of her neck. A 0.5 cm margin was drawn out and a 15 blade scalpel was used for full
km km km km km km km km km km km km km km km km km km km km km
excision of an 8 cm lesion. Layered closure was performed after the removal. The specimen
km km km km km km km km km km km km km km km
was sent for permanent histopathologic examination. What are the CPT® code(s) for this pro
km km km km km km km km km km km km km
cedure?
A. 11626 km
B. 11626, 12004-51
km km
C. 11626, 12044-51
km km
D. 11626, 13132-51, 13133 - ans-C. 11626, 12044-51
km km km km km km km
A 30-year-
km
old female is having 15 sq cm debridement performed on an infected ulcer with eschar on the
km km km km km km km km km km km km km km km km km
right foot. Using sharp dissection, the ulcer was debrided all the way to down to the bone of th
km km km km km km km km km km km km km km km km km km
e foot. The bone had to be minimally trimmed because of a sharp point at the end of the metat
km km km km km km km km km km km km km km km km km km km
arsal. After debriding the area, there was minimal bleeding because of very poor circulation of
km km km km km km km km km km km km km km
the foot. It seems that the toes next to the ulcer may have some involvement and cultures we
km km km km km km km km km km km km km km km km km km
re taken. The area was dressed with sterile saline and dressings and then wrapped. What CP
km km km km km km km km km km km km km km km
T® code should be reported?
km km km km
A. 11043 km
B. 11012 km
C. 11044 km
D. 11042 - ans-C. 11044
km km km km
A 64-year-
km
old female who has multiple sclerosis fell from her walker and landed on a glass table. She la
km km km km km km km km km km km km km km km km km
cerated her forehead, cheek and chin and the total length of these lacerations was 6 cm. Her
km km km km km km km km km km km km km km km km km
right arm and left leg had deep cuts measuring 5 cm on each extremity. Her right hand and rig
km km km km km km km km km km km km km km km km km km
ht foot had a total of 3 cm lacerations. The ED physician repaired the lacerations as follows: T
km km km km km km km km km km km km km km km km km
he forehead, cheek, and chin had debridement and cleaning of glass debris with the laceratio
km km km km km km km km km km km km km km
ns being closed with one layer closure, 6-
km km km km km km km
0 Prolene sutures. The arm and leg were repaired by layered closure, 6-
km km km km km km km km km km km km
0 Vicryl subcutaneous sutures and Prolene sutures on the skin. The hand and foot were close
km km km km km km km km km km km km km km km
d with adhesive strips. Select the appropriate procedure codes for this visit.
km km km km km km km km km km km
A. 99283-25, 12014, 12034-59, 12002-59, 11042-51
km km km km km
B. 99283-25, 12053, 12034-59, 12002-59
km km km km
C. 99283-25, 12014, 12034-59, 11042-51
km km km km
D. 99283-25, 12053, 12034-59 - ans-D. 99283-25, 12053, 12034-59
km km km km km km km km
A 52-year-
km
old female has a mass growing on her right flank for several years. It has finally gotten signific
km km km km km km km km km km km km km km km km km
antly larger and is beginning to bother her. She is brought to the Operating Room for definitiv
km km km km km km km km km km km km km km km km
e excision. An incision was made directly overlying the mass. The mass was down into the su
km km km km km km km km km km km km km km km km
bcutaneous tissue and the surgeon encountered a well encapsulated lipoma approximately 4
km km km km km km km km km km km k
,centimeters. This was excised primarily bluntly with a few attachments divided with electroca
m km km km km km km km km km km km km
utery. What CPT® and ICD-10-CM codes are reported?
km km km km km km km
A. 21932, D17.39
km km
B. 21935, D17.1
km km
C. 21931, D17.1
km km
D. 21925, D17.9 - ans-C. 21931, D17.1
km km km km km km
Question 5 km
PREOPERATIVE DIAGNOSIS: Right scaphoid fracture. TYPE OF PROCEDURE: Open red km km km km km km km km km
uction and internal fixation of right scaphoid fracture. DESCRIPTION OF PROCEDURE: The
km km km km km km km km km km km km
patient was brought to the operating room; anesthesia having been administered. The right u
km km km km km km km km km km km km km
pper extremity was prepped and draped in a sterile manner. The limb was elevated, exsangui
km km km km km km km km km km km km km km
nated, and a pneumatic arm tourniquet was elevated. An incision was made over the dorsal r
km km km km km km km km km km km km km km km
adial aspect of the right wrist. Skin flaps were elevated. Cutaneous nerve branches were iden
km km km km km km km km km km km km km km
tified and very gently retracted. The interval between the second and third dorsal compartme
km km km km km km km km km km km km km
nt tendons was identified and entered. The respective tendons were retracted. A dorsal caps
km km km km km km km km km km km km km
ulotomy incision was made, and the fracture was visualized. There did not appear to be any t
km km km km km km km km km km km km km km km km
ype of significant defect at the fracture site. A 0.045 Kirschner wire was then used as a guide
km km km km km km km km km km km km km km km km km
wire, extending from t - ans-A. 25628-RT
km km km km km km
An infant with genu valgum is brought to the operating room to have a bilateral medial distal f
km km km km km km km km km km km km km km km km km
emur hemiepiphysiodesis done. On each knee, the C-
km km km km km km km
arm was used to localize the growth plate. With the growth plate localized, an incision was ma
km km km km km km km km km km km km km km km km
de medially on both sides. This was taken down to the fascia, which was opened. The periost
km km km km km km km km km km km km km km km km
eum was not opened. The Orthofix® figure-of-eight plate was placed and checked with X-
km km km km km km km km km km km km km
ray. We then irrigated and closed the medial fascia with 0 Vicryl suture. The skin was closed
km km km km km km km km km km km km km km km km km
with 2-0 Vicryl and 3-0 Monocryl®. What procedure code is reported?
km km km km km km km km km km
A. 27470-50
km
B. 27475-50
km
C. 27477-50
km
D. 27485-50 - ans-D. 27485-50
km km km km
The patient is a 67-year-km km km km
old gentleman with metastatic colon cancer recently operated on for a brain metastasis, now f
km km km km km km km km km km km km km km
or placement of an Infuse-A-
km km km km
Port for continued chemotherapy. The left subclavian vein was located with a needle and a gu
km km km km km km km km km km km km km km km
ide wire placed. This was confirmed to be in the proper position fluoroscopically. A transverse
km km km km km km km km km km km km km km k
mincision was made just inferior to this and a subcutaneous pocket created just inferior to this.
km km km km km km km km km km km km km km km km
After tunneling, the introducer was placed over the guide wire and the power port line was pla
km km km km km km km km km km km km km km km km
ced with the introducer and the introducer was peeled away. The tip was placed in the approp
km km km km km km km km km km km km km km km km
riate position under fluoroscopic guidance and the catheter trimmed to the appropriate length
km km km km km km km km km km km km km
and secured to the power port device. The locking mechanism was fully engaged. The port w
km km km km km km km km km km km km km km km
as placed in the subcutaneous pocket and everything sat very nicely fluoroscopically. It was s
km km km km km km km km km km km km km km
ecured to the underlying soft tissue - ans-C. 36561, 77001-26
km km km km km km km km km
Question 8 km
A CT scan identified moderate-sized right pleural effusion in a 50 year-
km km km km km km km km km km km
old male. This was estimated to be 800 cc in size and had an appearance of fluid on the CT S
km km km km km km km km km km km km km km km km km km km km
can. A needle is used to puncture through the chest tissues and enter the pleural cavity to ins
km km km km km km km km km km km km km km km km km
ert a guidewire under ultrasound guidance. A pigtail catheter is then inserted at the length of t
km km km km km km km km km km km km km km km km
he guidewire and secured by stitches. The catheter will remain in the chest and is connected t
km km km km km km km km km km km km km km km km
o drainage system to drain the accumulated fluid. The CPT® code is:
km km km km km km km km km km km
A. 32557 km
B. 32555 km
,C. 32556 km
D. 32550 - ans-A. 32557
km km km km
The patient is a 59-year-
km km km km
old white male who underwent carotid endarterectomy for symptomatic left carotid stenosis a
km km km km km km km km km km km km km
year ago. A carotid CT angiogram showed a recurrent 90% left internal carotid artery stenosis
km km km km km km km km km km km km km km
extending into the common carotid artery. He is taken to the operating room for re-
km km km km km km km km km km km km km km km
do left carotid endarterectomy. The left neck was prepped and the previous incision was caref
km km km km km km km km km km km km km km
ully reopened. Using sharp dissection, the common carotid artery and its branches were diss
km km km km km km km km km km km km km
ected free. The patient was systematically heparinized and after a few minutes, clamps were
km km km km km km km km km km km km km km
applied to the common carotid artery and its branches. A longitudinal arteriotomy was carried
km km km km km km km km km km km km km km
out with findings of extensive layering of intimal hyperplasia with no evidence of recurrent ath
km km km km km km km km km km km km km km
erosclerosis. A silastic balloon- km km km
tip shunt was inserted first proximally and then distally, with restoration of flow. Several layers
km km km km km km km km km km km km km km k
mof intima were removed and the endart - ans-B. 35301, 35390
km km km km km km km km km km
A 52-year-
km
old patient is admitted to the hospital for chronic cholecystitis for which a laparoscopic cholec
km km km km km km km km km km km km km km
ystectomy will be performed. A transverse infraumbilical incision was made sharply dissectin
km km km km km km km km km km km
g to the subcutaneous tissue down to the fascia using access under direct vision with a Vesi-
km km km km km km km km km km km km km km km km
Port and a scope was placed into the abdomen. Three other ports were inserted under direct
km km km km km km km km km km km km km km km km
vision. The fundus of the gallbladder was grasped through the lateral port, where multiple adh
km km km km km km km km km km km km km km
esions to the gallbladder were taken down sharply and bluntly: The gallbladder appeared chr
km km km km km km km km km km km km km
onically inflamed. Dissection was carried out to the right of this identifying a small cystic duct
km km km km km km km km km km km km km km km km
and artery, was clipped twice proximally, once distally and transected. The gallbladder was th
km km km km km km km km km km km km km
en taken down from the bed using electrocautery, delivering it into an endo-
km km km km km km km km km km km km
bag and removing it from the abdominal cavity with the umbilical port. What CPT® and ICD-
km km km km km km km km km km km km km km km
10-C - ans-B. 47562, K81.1 km km km km
A 70-year-
km
old female who has a history of symptomatic ventral hernia was advised to undergo laparosc
km km km km km km km km km km km km km km
opic evaluation and repair. An incision was made in the epigastrium and dissection was carrie
km km km km km km km km km km km km km km
d down through the subcutaneous tissue. Two 5-
km km km km km km km
mm trocars were placed, one in the left upper quadrant and one in the left lower quadrant and
km km km km km km km km km km km km km km km km km k
the laparoscope was inserted. Dissection was carried down to the area of the hernia where a
m km km km km km km km km km km km km km km km km
small defect was clearly visualized. There was some omentum, which was adhered to the her
km km km km km km km km km km km km km km
nia and this was delivered back into the peritoneal cavity. The mesh was tacked on to cover t
km km km km km km km km km km km km km km km km km
he defect. What procedure code(s) is (are) reported?
km km km km km km km
A. 49560, 49568
km km
B. 49652 km
C. 49653 km
D. 49652, 49568 - ans-B. 49652
km km km km km
The patient is a 50-year-
km km km km
old gentleman who presented to the emergency room with signs and symptoms of acute app
km km km km km km km km km km km km km km
endicitis with possible rupture. He has been brought to the operating room. An infraumbilical i
km km km km km km km km km km km km km km
ncision was made which a 5-mm VersaStep™ trocar was inserted. A 5-mm 0-
km km km km km km km km km km km km
degree laparoscope was introduced. A second 5-
km km km km km km km
mm trocar was placed suprapubically and a 12-
km km km km km km km
mm trocar in the left lower quadrant. A window was made in the mesoappendix using blunt di
km km km km km km km km km km km km km km km km
ssection with no rupture noted. The base of the appendix was then divided and placed into an
km km km km km km km km km km km km km km km km k
Endo-catch bag and the 12-
m km km km km
mm defect was brought out. Select the appropriate code for this procedure:
km km km km km km km km km km km
A. 44970 km
, B. 44950
km
C. 44960
km
D. 44979 - ans-A. 44970
km km km km
A 45-year-
km
old male is going to donate his kidney to his son. Operating ports where placed in standard po
km km km km km km km km km km km km km km km km km
sition and the scope was inserted. Dissection of the renal artery and vein was performed isola
km km km km km km km km km km km km km km km
ting the kidney. The kidney was suspended only by the renal artery and vein as well as the ur
km km km km km km km km km km km km km km km km km km
eter. A stapler was used to divide the vein just above the aorta and three clips across the uret
km km km km km km km km km km km km km km km km km km
er, extracting the kidney. This was placed on ice and sent to the recipient room. The correct C
km km km km km km km km km km km km km km km km km
PT® code is: km km
A. 50543
km
B. 50547
km
C. 50300
km
D. 50320 - ans-B. 50547
km km km km
A 67-year-
km
old female having urinary incontinence with intrinsic sphincter deficiency is having a cystosco
km km km km km km km km km km km km
py performed with a placement of a sling. An incision was made over the mid urethra dissecte
km km km km km km km km km km km km km km km km
d laterally to urethropelvic ligament. Cystoscopy revealed no penetration of the bladder. The
km km km km km km km km km km km km km
edges of the sling were weaved around the junction of the urethra and brought up to the supr
km km km km km km km km km km km km km km km km km
apubic incision. A hemostat was then placed between the sling and the urethra, ensuring no t
km km km km km km km km km km km km km km km
ension. What CPT® code(s) is (are) reported?
km km km km km km
A. 57288
km
B. 57287
km
C. 57288, 52000-51
km km
D. 51992, 52000-51 - ans-A. 57288
km km km km km
A 16-day-
km
old male baby is in the OR for a repeat circumcision due to redundant foreskin that caused cir
km km km km km km km km km km km km km km km km km
cumferential scarring from the original circumcision. Anesthetic was injected and an incision
km km km km km km km km km km km km
was made at base of the foreskin. Foreskin was pulled back and the excess foreskin was take
km km km km km km km km km km km km km km km km
n off and the two raw skin surfaces were sutured together to create a circumferential anastom
km km km km km km km km km km km km km km km
osis. Select the appropriate code for this surgery:
km km km km km km km
A. 54150
km
B. 54160
km
C. 54163
km
D. 54164 - ans-C. 54163
km km km km
5 year-
km
old female has a history of post void dribbling. She was found to have extensive labial adhesi
km km km km km km km km km km km km km km km km
ons, which have been unresponsive to topical medical management. She is brought to the op
km km km km km km km km km km km km km km
erating suite in a supine position. Under general anesthesia the labia majora is retracted and t
km km km km km km km km km km km km km km km
he granulating chronic adhesions were incised midline both anteriorly and posteriorly. The ad
km km km km km km km km km km km km
herent granulation tissue was excised on either side. What code should be used for this proce
km km km km km km km km km km km km km km km
dure?
A. 58660
km
B. 58740
km
C. 57061
km
D. 56441 - ans-D. 56441
km km km km
The patient is a 64 year-
km km km km km
old female who is undergoing a removal of a previously implanted Medtronic pain pump and c
km km km km km km km km km km km km km km km
atheter due to a possible infection. The back was incised; dissection was carried down to the
km km km km km km km km km km km km km km km km
ANSWERS
A 46-year-
km
old female had a previous biopsy that indicated positive malignant margins anteriorly on the ri
km km km km km km km km km km km km km km
ght side of her neck. A 0.5 cm margin was drawn out and a 15 blade scalpel was used for full
km km km km km km km km km km km km km km km km km km km km km
excision of an 8 cm lesion. Layered closure was performed after the removal. The specimen
km km km km km km km km km km km km km km km
was sent for permanent histopathologic examination. What are the CPT® code(s) for this pro
km km km km km km km km km km km km km
cedure?
A. 11626 km
B. 11626, 12004-51
km km
C. 11626, 12044-51
km km
D. 11626, 13132-51, 13133 - ans-C. 11626, 12044-51
km km km km km km km
A 30-year-
km
old female is having 15 sq cm debridement performed on an infected ulcer with eschar on the
km km km km km km km km km km km km km km km km km
right foot. Using sharp dissection, the ulcer was debrided all the way to down to the bone of th
km km km km km km km km km km km km km km km km km km
e foot. The bone had to be minimally trimmed because of a sharp point at the end of the metat
km km km km km km km km km km km km km km km km km km km
arsal. After debriding the area, there was minimal bleeding because of very poor circulation of
km km km km km km km km km km km km km km
the foot. It seems that the toes next to the ulcer may have some involvement and cultures we
km km km km km km km km km km km km km km km km km km
re taken. The area was dressed with sterile saline and dressings and then wrapped. What CP
km km km km km km km km km km km km km km km
T® code should be reported?
km km km km
A. 11043 km
B. 11012 km
C. 11044 km
D. 11042 - ans-C. 11044
km km km km
A 64-year-
km
old female who has multiple sclerosis fell from her walker and landed on a glass table. She la
km km km km km km km km km km km km km km km km km
cerated her forehead, cheek and chin and the total length of these lacerations was 6 cm. Her
km km km km km km km km km km km km km km km km km
right arm and left leg had deep cuts measuring 5 cm on each extremity. Her right hand and rig
km km km km km km km km km km km km km km km km km km
ht foot had a total of 3 cm lacerations. The ED physician repaired the lacerations as follows: T
km km km km km km km km km km km km km km km km km
he forehead, cheek, and chin had debridement and cleaning of glass debris with the laceratio
km km km km km km km km km km km km km km
ns being closed with one layer closure, 6-
km km km km km km km
0 Prolene sutures. The arm and leg were repaired by layered closure, 6-
km km km km km km km km km km km km
0 Vicryl subcutaneous sutures and Prolene sutures on the skin. The hand and foot were close
km km km km km km km km km km km km km km km
d with adhesive strips. Select the appropriate procedure codes for this visit.
km km km km km km km km km km km
A. 99283-25, 12014, 12034-59, 12002-59, 11042-51
km km km km km
B. 99283-25, 12053, 12034-59, 12002-59
km km km km
C. 99283-25, 12014, 12034-59, 11042-51
km km km km
D. 99283-25, 12053, 12034-59 - ans-D. 99283-25, 12053, 12034-59
km km km km km km km km
A 52-year-
km
old female has a mass growing on her right flank for several years. It has finally gotten signific
km km km km km km km km km km km km km km km km km
antly larger and is beginning to bother her. She is brought to the Operating Room for definitiv
km km km km km km km km km km km km km km km km
e excision. An incision was made directly overlying the mass. The mass was down into the su
km km km km km km km km km km km km km km km km
bcutaneous tissue and the surgeon encountered a well encapsulated lipoma approximately 4
km km km km km km km km km km km k
,centimeters. This was excised primarily bluntly with a few attachments divided with electroca
m km km km km km km km km km km km km
utery. What CPT® and ICD-10-CM codes are reported?
km km km km km km km
A. 21932, D17.39
km km
B. 21935, D17.1
km km
C. 21931, D17.1
km km
D. 21925, D17.9 - ans-C. 21931, D17.1
km km km km km km
Question 5 km
PREOPERATIVE DIAGNOSIS: Right scaphoid fracture. TYPE OF PROCEDURE: Open red km km km km km km km km km
uction and internal fixation of right scaphoid fracture. DESCRIPTION OF PROCEDURE: The
km km km km km km km km km km km km
patient was brought to the operating room; anesthesia having been administered. The right u
km km km km km km km km km km km km km
pper extremity was prepped and draped in a sterile manner. The limb was elevated, exsangui
km km km km km km km km km km km km km km
nated, and a pneumatic arm tourniquet was elevated. An incision was made over the dorsal r
km km km km km km km km km km km km km km km
adial aspect of the right wrist. Skin flaps were elevated. Cutaneous nerve branches were iden
km km km km km km km km km km km km km km
tified and very gently retracted. The interval between the second and third dorsal compartme
km km km km km km km km km km km km km
nt tendons was identified and entered. The respective tendons were retracted. A dorsal caps
km km km km km km km km km km km km km
ulotomy incision was made, and the fracture was visualized. There did not appear to be any t
km km km km km km km km km km km km km km km km
ype of significant defect at the fracture site. A 0.045 Kirschner wire was then used as a guide
km km km km km km km km km km km km km km km km km
wire, extending from t - ans-A. 25628-RT
km km km km km km
An infant with genu valgum is brought to the operating room to have a bilateral medial distal f
km km km km km km km km km km km km km km km km km
emur hemiepiphysiodesis done. On each knee, the C-
km km km km km km km
arm was used to localize the growth plate. With the growth plate localized, an incision was ma
km km km km km km km km km km km km km km km km
de medially on both sides. This was taken down to the fascia, which was opened. The periost
km km km km km km km km km km km km km km km km
eum was not opened. The Orthofix® figure-of-eight plate was placed and checked with X-
km km km km km km km km km km km km km
ray. We then irrigated and closed the medial fascia with 0 Vicryl suture. The skin was closed
km km km km km km km km km km km km km km km km km
with 2-0 Vicryl and 3-0 Monocryl®. What procedure code is reported?
km km km km km km km km km km
A. 27470-50
km
B. 27475-50
km
C. 27477-50
km
D. 27485-50 - ans-D. 27485-50
km km km km
The patient is a 67-year-km km km km
old gentleman with metastatic colon cancer recently operated on for a brain metastasis, now f
km km km km km km km km km km km km km km
or placement of an Infuse-A-
km km km km
Port for continued chemotherapy. The left subclavian vein was located with a needle and a gu
km km km km km km km km km km km km km km km
ide wire placed. This was confirmed to be in the proper position fluoroscopically. A transverse
km km km km km km km km km km km km km km k
mincision was made just inferior to this and a subcutaneous pocket created just inferior to this.
km km km km km km km km km km km km km km km km
After tunneling, the introducer was placed over the guide wire and the power port line was pla
km km km km km km km km km km km km km km km km
ced with the introducer and the introducer was peeled away. The tip was placed in the approp
km km km km km km km km km km km km km km km km
riate position under fluoroscopic guidance and the catheter trimmed to the appropriate length
km km km km km km km km km km km km km
and secured to the power port device. The locking mechanism was fully engaged. The port w
km km km km km km km km km km km km km km km
as placed in the subcutaneous pocket and everything sat very nicely fluoroscopically. It was s
km km km km km km km km km km km km km km
ecured to the underlying soft tissue - ans-C. 36561, 77001-26
km km km km km km km km km
Question 8 km
A CT scan identified moderate-sized right pleural effusion in a 50 year-
km km km km km km km km km km km
old male. This was estimated to be 800 cc in size and had an appearance of fluid on the CT S
km km km km km km km km km km km km km km km km km km km km
can. A needle is used to puncture through the chest tissues and enter the pleural cavity to ins
km km km km km km km km km km km km km km km km km
ert a guidewire under ultrasound guidance. A pigtail catheter is then inserted at the length of t
km km km km km km km km km km km km km km km km
he guidewire and secured by stitches. The catheter will remain in the chest and is connected t
km km km km km km km km km km km km km km km km
o drainage system to drain the accumulated fluid. The CPT® code is:
km km km km km km km km km km km
A. 32557 km
B. 32555 km
,C. 32556 km
D. 32550 - ans-A. 32557
km km km km
The patient is a 59-year-
km km km km
old white male who underwent carotid endarterectomy for symptomatic left carotid stenosis a
km km km km km km km km km km km km km
year ago. A carotid CT angiogram showed a recurrent 90% left internal carotid artery stenosis
km km km km km km km km km km km km km km
extending into the common carotid artery. He is taken to the operating room for re-
km km km km km km km km km km km km km km km
do left carotid endarterectomy. The left neck was prepped and the previous incision was caref
km km km km km km km km km km km km km km
ully reopened. Using sharp dissection, the common carotid artery and its branches were diss
km km km km km km km km km km km km km
ected free. The patient was systematically heparinized and after a few minutes, clamps were
km km km km km km km km km km km km km km
applied to the common carotid artery and its branches. A longitudinal arteriotomy was carried
km km km km km km km km km km km km km km
out with findings of extensive layering of intimal hyperplasia with no evidence of recurrent ath
km km km km km km km km km km km km km km
erosclerosis. A silastic balloon- km km km
tip shunt was inserted first proximally and then distally, with restoration of flow. Several layers
km km km km km km km km km km km km km km k
mof intima were removed and the endart - ans-B. 35301, 35390
km km km km km km km km km km
A 52-year-
km
old patient is admitted to the hospital for chronic cholecystitis for which a laparoscopic cholec
km km km km km km km km km km km km km km
ystectomy will be performed. A transverse infraumbilical incision was made sharply dissectin
km km km km km km km km km km km
g to the subcutaneous tissue down to the fascia using access under direct vision with a Vesi-
km km km km km km km km km km km km km km km km
Port and a scope was placed into the abdomen. Three other ports were inserted under direct
km km km km km km km km km km km km km km km km
vision. The fundus of the gallbladder was grasped through the lateral port, where multiple adh
km km km km km km km km km km km km km km
esions to the gallbladder were taken down sharply and bluntly: The gallbladder appeared chr
km km km km km km km km km km km km km
onically inflamed. Dissection was carried out to the right of this identifying a small cystic duct
km km km km km km km km km km km km km km km km
and artery, was clipped twice proximally, once distally and transected. The gallbladder was th
km km km km km km km km km km km km km
en taken down from the bed using electrocautery, delivering it into an endo-
km km km km km km km km km km km km
bag and removing it from the abdominal cavity with the umbilical port. What CPT® and ICD-
km km km km km km km km km km km km km km km
10-C - ans-B. 47562, K81.1 km km km km
A 70-year-
km
old female who has a history of symptomatic ventral hernia was advised to undergo laparosc
km km km km km km km km km km km km km km
opic evaluation and repair. An incision was made in the epigastrium and dissection was carrie
km km km km km km km km km km km km km km
d down through the subcutaneous tissue. Two 5-
km km km km km km km
mm trocars were placed, one in the left upper quadrant and one in the left lower quadrant and
km km km km km km km km km km km km km km km km km k
the laparoscope was inserted. Dissection was carried down to the area of the hernia where a
m km km km km km km km km km km km km km km km km
small defect was clearly visualized. There was some omentum, which was adhered to the her
km km km km km km km km km km km km km km
nia and this was delivered back into the peritoneal cavity. The mesh was tacked on to cover t
km km km km km km km km km km km km km km km km km
he defect. What procedure code(s) is (are) reported?
km km km km km km km
A. 49560, 49568
km km
B. 49652 km
C. 49653 km
D. 49652, 49568 - ans-B. 49652
km km km km km
The patient is a 50-year-
km km km km
old gentleman who presented to the emergency room with signs and symptoms of acute app
km km km km km km km km km km km km km km
endicitis with possible rupture. He has been brought to the operating room. An infraumbilical i
km km km km km km km km km km km km km km
ncision was made which a 5-mm VersaStep™ trocar was inserted. A 5-mm 0-
km km km km km km km km km km km km
degree laparoscope was introduced. A second 5-
km km km km km km km
mm trocar was placed suprapubically and a 12-
km km km km km km km
mm trocar in the left lower quadrant. A window was made in the mesoappendix using blunt di
km km km km km km km km km km km km km km km km
ssection with no rupture noted. The base of the appendix was then divided and placed into an
km km km km km km km km km km km km km km km km k
Endo-catch bag and the 12-
m km km km km
mm defect was brought out. Select the appropriate code for this procedure:
km km km km km km km km km km km
A. 44970 km
, B. 44950
km
C. 44960
km
D. 44979 - ans-A. 44970
km km km km
A 45-year-
km
old male is going to donate his kidney to his son. Operating ports where placed in standard po
km km km km km km km km km km km km km km km km km
sition and the scope was inserted. Dissection of the renal artery and vein was performed isola
km km km km km km km km km km km km km km km
ting the kidney. The kidney was suspended only by the renal artery and vein as well as the ur
km km km km km km km km km km km km km km km km km km
eter. A stapler was used to divide the vein just above the aorta and three clips across the uret
km km km km km km km km km km km km km km km km km km
er, extracting the kidney. This was placed on ice and sent to the recipient room. The correct C
km km km km km km km km km km km km km km km km km
PT® code is: km km
A. 50543
km
B. 50547
km
C. 50300
km
D. 50320 - ans-B. 50547
km km km km
A 67-year-
km
old female having urinary incontinence with intrinsic sphincter deficiency is having a cystosco
km km km km km km km km km km km km
py performed with a placement of a sling. An incision was made over the mid urethra dissecte
km km km km km km km km km km km km km km km km
d laterally to urethropelvic ligament. Cystoscopy revealed no penetration of the bladder. The
km km km km km km km km km km km km km
edges of the sling were weaved around the junction of the urethra and brought up to the supr
km km km km km km km km km km km km km km km km km
apubic incision. A hemostat was then placed between the sling and the urethra, ensuring no t
km km km km km km km km km km km km km km km
ension. What CPT® code(s) is (are) reported?
km km km km km km
A. 57288
km
B. 57287
km
C. 57288, 52000-51
km km
D. 51992, 52000-51 - ans-A. 57288
km km km km km
A 16-day-
km
old male baby is in the OR for a repeat circumcision due to redundant foreskin that caused cir
km km km km km km km km km km km km km km km km km
cumferential scarring from the original circumcision. Anesthetic was injected and an incision
km km km km km km km km km km km km
was made at base of the foreskin. Foreskin was pulled back and the excess foreskin was take
km km km km km km km km km km km km km km km km
n off and the two raw skin surfaces were sutured together to create a circumferential anastom
km km km km km km km km km km km km km km km
osis. Select the appropriate code for this surgery:
km km km km km km km
A. 54150
km
B. 54160
km
C. 54163
km
D. 54164 - ans-C. 54163
km km km km
5 year-
km
old female has a history of post void dribbling. She was found to have extensive labial adhesi
km km km km km km km km km km km km km km km km
ons, which have been unresponsive to topical medical management. She is brought to the op
km km km km km km km km km km km km km km
erating suite in a supine position. Under general anesthesia the labia majora is retracted and t
km km km km km km km km km km km km km km km
he granulating chronic adhesions were incised midline both anteriorly and posteriorly. The ad
km km km km km km km km km km km km
herent granulation tissue was excised on either side. What code should be used for this proce
km km km km km km km km km km km km km km km
dure?
A. 58660
km
B. 58740
km
C. 57061
km
D. 56441 - ans-D. 56441
km km km km
The patient is a 64 year-
km km km km km
old female who is undergoing a removal of a previously implanted Medtronic pain pump and c
km km km km km km km km km km km km km km km
atheter due to a possible infection. The back was incised; dissection was carried down to the
km km km km km km km km km km km km km km km km
