AAPC CPC Practice Questions UPDATED
Study Guide QUESTIONS AND
CORRECT ANSWERS
- 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 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 - CORRECT ANSWERS C.
11626, 12044-51
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 - CORRECT ANSWERS C. 11044
,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 - CORRECT ANSWERS 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 - CORRECT ANSWERS C. 21931, D17.1
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 - CORRECT
ANSWERS A. 25628-RT
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 - CORRECT ANSWERS D. 27485-50
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 introducer 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 -
CORRECT ANSWERS C. 36561, 77001-26
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 - CORRECT ANSWERS A. 32557
Study Guide QUESTIONS AND
CORRECT ANSWERS
- 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 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 - CORRECT ANSWERS C.
11626, 12044-51
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 - CORRECT ANSWERS C. 11044
,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 - CORRECT ANSWERS 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 - CORRECT ANSWERS C. 21931, D17.1
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 - CORRECT
ANSWERS A. 25628-RT
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 - CORRECT ANSWERS D. 27485-50
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 introducer 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 -
CORRECT ANSWERS C. 36561, 77001-26
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 - CORRECT ANSWERS A. 32557
