1|Page
AAPC CPC CHAPTER 11|
COMPREHENSIVE QUESTIONS
WITH CORRECT ANSWERS 2026
B - correct-answer - An 11 year-old patient is seen in the OR for a secondary
palatoplasty for complete unilateral cleft palate. Shortly after general anesthesia
is administered, the patient begins to seize. The surgeon quickly terminates the
surgery in order to stabilize the patient. What CPT® and ICD-10-CM codes are
reported for the surgeon?
A) 42220-52, Q35.7, R56.9
B) 42220-53, Q35.9, R56.9
C) 42215-76, Q35.7, R56.9
D) 42215-53, Q35.9, R56.9
C - correct-answer - A 28 year-old female had symptoms of RLQ abdominal pain,
fever and vomiting. She was diagnosed with acute appendicitis. The surgeon
,2|Page
makes an abdominal incision to remove the appendix. The appendix was not
ruptured. The incision is closed. What are the correct CPT® and ICD-10-CM codes
for this encounter?
A) 44950, R10.31, R50.9, R11.10, K35.80
B) 44970, K35.80
C) 44950, K35.80
D) 44970, K37
C - correct-answer - A 20 year-old patient presented to the hospital for a
sigmoidoscopy due to a history of bloody stools for three weeks' duration. The
patient was prepped for the sigmoidoscopy and the sigmoidoscope was passed
without difficulty to about 40 cm. The entire mucosal lining was erythematosus.
There was no friability of the overlying mucosa and no bleeding noted. No pseudo
polyps were identified. Biopsies were taken at about 30 cm; these were thought
to be representative of the mucosa in general. The scope was retracted; no other
abnormalities were seen. What CPT® and ICD-10-CM codes are reported?
A) 45330, 45331, K62.5
B) 45333, Z12.11, K62.5
,3|Page
C) 45331, K92.1
D) 45305, K92.1
A - correct-answer - A 45 year-old patient with liver cancer is scheduled for a liver
transplant. The patient's brother is a perfect match and will be donating a portion
of his liver for a graft. Segments II and III will be taken from the brother and then
the backbench reconstruction of the graft will be performed, both a venous and
arterial anastomosis. The orthotopic allotransplantation will then be performed
on the patient.
What CPT® codes are reported?
A) 47140, 47146, 47147, 47135
B) 47141, 47146, 47135
C) 47140, 47147, 47146, 47399
D) 47141, 47146, 47399
A - correct-answer - Operative Report
, 4|Page
Indications: This is a third follow-up EGD dilation on this 40 year-old patient for a
pyloric channel ulcer which has been slow to heal with resulting pyloric stricture.
This is a repeat evaluation and dilation.
Medications: Intravenous Versed 2 mg. Posterior pharyngeal Cetacaine spray.
Procedure: With the patient in the left lateral decubitus position, the Olympus
GIFXQ10 was inserted into the proximal esophagus and advanced to the Z-line.
The esophageal mucosa was unremarkable. Stomach was entered revealing
normal gastric mucosa. Mild erythema was seen in the antrum. The pyloric
channel was again widened. The ulcer, as previously seen, was well healed with a
scar. The pyloric stricture was still present. With some probing, the 11 mm
endoscope could be introduced into the second portion of the duodenum,
revealing normal mucosa. Marked deformity and scarring was seen in the
proximal bulb. Following the diagnostic exam, a 15 mm balloon was placed across
the stricture, dilated to maximum pressure, and withdrawn. There was minimal
bleeding post-op. Much easier access into the duodenum was accomplished after
the dilation. Follow-up biopsies were also taken to evaluate Helicobacter noted
on a previous exam. The patient tolerated the procedure well.
Impressions: Pyloric stricture secondary to healed pyloric channel ulcer, dilated.
AAPC CPC CHAPTER 11|
COMPREHENSIVE QUESTIONS
WITH CORRECT ANSWERS 2026
B - correct-answer - An 11 year-old patient is seen in the OR for a secondary
palatoplasty for complete unilateral cleft palate. Shortly after general anesthesia
is administered, the patient begins to seize. The surgeon quickly terminates the
surgery in order to stabilize the patient. What CPT® and ICD-10-CM codes are
reported for the surgeon?
A) 42220-52, Q35.7, R56.9
B) 42220-53, Q35.9, R56.9
C) 42215-76, Q35.7, R56.9
D) 42215-53, Q35.9, R56.9
C - correct-answer - A 28 year-old female had symptoms of RLQ abdominal pain,
fever and vomiting. She was diagnosed with acute appendicitis. The surgeon
,2|Page
makes an abdominal incision to remove the appendix. The appendix was not
ruptured. The incision is closed. What are the correct CPT® and ICD-10-CM codes
for this encounter?
A) 44950, R10.31, R50.9, R11.10, K35.80
B) 44970, K35.80
C) 44950, K35.80
D) 44970, K37
C - correct-answer - A 20 year-old patient presented to the hospital for a
sigmoidoscopy due to a history of bloody stools for three weeks' duration. The
patient was prepped for the sigmoidoscopy and the sigmoidoscope was passed
without difficulty to about 40 cm. The entire mucosal lining was erythematosus.
There was no friability of the overlying mucosa and no bleeding noted. No pseudo
polyps were identified. Biopsies were taken at about 30 cm; these were thought
to be representative of the mucosa in general. The scope was retracted; no other
abnormalities were seen. What CPT® and ICD-10-CM codes are reported?
A) 45330, 45331, K62.5
B) 45333, Z12.11, K62.5
,3|Page
C) 45331, K92.1
D) 45305, K92.1
A - correct-answer - A 45 year-old patient with liver cancer is scheduled for a liver
transplant. The patient's brother is a perfect match and will be donating a portion
of his liver for a graft. Segments II and III will be taken from the brother and then
the backbench reconstruction of the graft will be performed, both a venous and
arterial anastomosis. The orthotopic allotransplantation will then be performed
on the patient.
What CPT® codes are reported?
A) 47140, 47146, 47147, 47135
B) 47141, 47146, 47135
C) 47140, 47147, 47146, 47399
D) 47141, 47146, 47399
A - correct-answer - Operative Report
, 4|Page
Indications: This is a third follow-up EGD dilation on this 40 year-old patient for a
pyloric channel ulcer which has been slow to heal with resulting pyloric stricture.
This is a repeat evaluation and dilation.
Medications: Intravenous Versed 2 mg. Posterior pharyngeal Cetacaine spray.
Procedure: With the patient in the left lateral decubitus position, the Olympus
GIFXQ10 was inserted into the proximal esophagus and advanced to the Z-line.
The esophageal mucosa was unremarkable. Stomach was entered revealing
normal gastric mucosa. Mild erythema was seen in the antrum. The pyloric
channel was again widened. The ulcer, as previously seen, was well healed with a
scar. The pyloric stricture was still present. With some probing, the 11 mm
endoscope could be introduced into the second portion of the duodenum,
revealing normal mucosa. Marked deformity and scarring was seen in the
proximal bulb. Following the diagnostic exam, a 15 mm balloon was placed across
the stricture, dilated to maximum pressure, and withdrawn. There was minimal
bleeding post-op. Much easier access into the duodenum was accomplished after
the dilation. Follow-up biopsies were also taken to evaluate Helicobacter noted
on a previous exam. The patient tolerated the procedure well.
Impressions: Pyloric stricture secondary to healed pyloric channel ulcer, dilated.
