AAPC CHAPTER 14 EXAM QUESTIONS
AND ANSWERS
A patient has a right thyroid lobectomy for a thyroid follicular lesion. An incision is made
2 cm above the sternal notch and carried through the platysma. The right thyroid was
dissected free from the surrounding tissues. The isthmus was divided from the left
thyroid lobe. The left thyroid lobe was explored revealing a single nodule. The right
thyroid lobe was completely removed from the trachea and surrounding tissues. It was
marked and sent off the table as a specimen. What CPT® code is reported? - Answer-
60220
A patient with McCune-Albright syndrome has a fibrous tissue neoplasm of the frontal
bone (skull of cranium) extending into the orbit on the left. The surgeon excises the
fibrous tissue neoplasm off the bone and down through the dura mater. Prophylactic
decompression of the optic nerve was also performed. What CPT® and ICD-10-CM
codes are reported? - Answer- 61564, Q78.1
A 26 year-old patient presents with headache, neck pain and fever and is concerned he
may have meningitis. The patient was placed in the sitting position and given 0.5 mg
Ativan IV. His back was prepped and a 20-gauge needle punctured the spine between
L4 and L5 with the return of clear fluid. The cerebrospinal fluid was reviewed and
showed no sign of meningitis. What CPT® code is reported? - Answer- 62270
A patient with a status post (after or following) lumbar puncture headache receives an
epidural blood patch. The patient's venous blood is injected into the lumbar epidural
space; this blood forms a clot sealing the leak of CSF from the lumbar puncture. What
CPT® and ICD-10-CM codes are reported? - Answer- 62273, G97.1
A patient has a total thyroidectomy to remove thyroid cancer. Removal of all the lymph
nodes along with the spinal accessory nerve, jugular vein and sternocleidomastoid
muscles are performed to remove a malignant lymphatic chain. What CPT® and ICD-
10-CM codes are reported? - Answer- 60254, C73
A patient is receiving pain management treatment for chronic cervical pain caused by a
motor vehicle accident. What ICD-10-CM code(s) and sequencing is/are reported? -
Answer- G89.21, M54.2
What ICD-10-CM code is reported for Ataxia telangiectasia? - Answer- G11.3
AND ANSWERS
A patient has a right thyroid lobectomy for a thyroid follicular lesion. An incision is made
2 cm above the sternal notch and carried through the platysma. The right thyroid was
dissected free from the surrounding tissues. The isthmus was divided from the left
thyroid lobe. The left thyroid lobe was explored revealing a single nodule. The right
thyroid lobe was completely removed from the trachea and surrounding tissues. It was
marked and sent off the table as a specimen. What CPT® code is reported? - Answer-
60220
A patient with McCune-Albright syndrome has a fibrous tissue neoplasm of the frontal
bone (skull of cranium) extending into the orbit on the left. The surgeon excises the
fibrous tissue neoplasm off the bone and down through the dura mater. Prophylactic
decompression of the optic nerve was also performed. What CPT® and ICD-10-CM
codes are reported? - Answer- 61564, Q78.1
A 26 year-old patient presents with headache, neck pain and fever and is concerned he
may have meningitis. The patient was placed in the sitting position and given 0.5 mg
Ativan IV. His back was prepped and a 20-gauge needle punctured the spine between
L4 and L5 with the return of clear fluid. The cerebrospinal fluid was reviewed and
showed no sign of meningitis. What CPT® code is reported? - Answer- 62270
A patient with a status post (after or following) lumbar puncture headache receives an
epidural blood patch. The patient's venous blood is injected into the lumbar epidural
space; this blood forms a clot sealing the leak of CSF from the lumbar puncture. What
CPT® and ICD-10-CM codes are reported? - Answer- 62273, G97.1
A patient has a total thyroidectomy to remove thyroid cancer. Removal of all the lymph
nodes along with the spinal accessory nerve, jugular vein and sternocleidomastoid
muscles are performed to remove a malignant lymphatic chain. What CPT® and ICD-
10-CM codes are reported? - Answer- 60254, C73
A patient is receiving pain management treatment for chronic cervical pain caused by a
motor vehicle accident. What ICD-10-CM code(s) and sequencing is/are reported? -
Answer- G89.21, M54.2
What ICD-10-CM code is reported for Ataxia telangiectasia? - Answer- G11.3
