CPC NEWEST 2026/2027 EXAM WITH QUESTIONS AND CORRECT
ANSWERS ALREADY GRADED A+ AND 100% GUARANTEE PASS
Patient has basal cell carcinoma on his upper back. A map was prepared to correspond to the area of
skin where the excisions of the tumour will be performed using Mohs micrographic surgery
technique. There were three tissue blocks that were prepared for cryostat, sectioned, and removed
in the first stage. Then a second stage had six tissue blocks which were also cut and stained for
microscopic examination. The entire base and margins of the excised pieces of tissue were examined
by the surgeon. No tumour was identified after the final stage of the microscopically controlled
surgery.
What procedure codes are reported? - ANSWER 17313, 17314, 17315
Rationale :
The patient is having Mohs Micrographic Surgery (MMS) being performed, only.
Mohs codes are based on the anatomic grouping by code, the number of stages taken, and the
number of blocks per stage. The surgery was on the back reporting code 17313 for stage 1 with three
blocks, add-on code 17314 is for stage 2 with five blocks, and add-on code 17315 is for the sixth
block in stage 2.
A 45-year-old male is in outpatient surgery to excise a basal cell carcinoma of the right nose and have
reconstruction with an advancement flap. The 1.2 cm lesion with an excised diameter of 1.5 cm was
excised with a 15-blade scalpel down to the level of the subcutaneous tissue, totalling a primary
defect of 1.8 cm. Electrocautery was used for homeostasis. An adjacent tissue transfer of 3 sq cm
was taken from the nasolabial fold and was advanced into the primary defect.
Which CPT code(s) is (are) reported? - ANSWER 14060
Rationale :
An adjacent tissue transfer (i.e. advancement flap) was used to repair a defect on the nose due to an
excision of a malignant lesion.
,The section guidelines in the CPT codebook for Adjacent Tissue or Rearrangement indicate that the
excision of a benign lesion (11400-11446) or a malignant lesion (11600-11646) are included in codes
for adjacent tissue transfer (14000-14302), and are not separately reported.
A 24-year-old patient had an abscess by her vulva which burst. She has developed a soft tissue
infection caused by gas gangrene. The area was debrided of necrotic infected tissue. All of the pus
was removed and irrigation was performed with a litre of saline until clear and clean. The infected
area was completely drained and the wound was packed gently with sterile saline moistened gauze
and pads were placed on top of this.
The correct CPT® code is : - ANSWER 11004
Rationale :
The abscess had already burst, with no need to perform an incision to open it.
The correct code is 11004 for debridement of necrotised infected tissue on the external genitalia.
A 76-year-old female had a recent mammography and ultrasound abnormality in the 6 o'clock
position of the left breast. She underwent core biopsies which showed the presence of a papilloma.
The plan now is for needle localisation with excisional biopsy to rule out occult malignancy. After
undergoing preoperative needle localisation with hookwire needle injection with methylene blue,
the patient was brought to the operating room and was placed on the operating room table in the
supine position where she underwent laryngeal mask airway (LMA) anaesthesia. The left breast was
prepped and draped in a sterile fashion. A radial incision was then made in the 6 o'clock position of
the left breast corresponding to the tip of the needle localising wire. Using blunt and sharp
dissection, we performed a generous excisional biopsy around the needle localising wire including all
of the methylene blue-stained tissues. The specimen wa - ANSWER 19125, D24.2
Rationale :
You can narrow your choices down by the diagnosis.
The beginning of the operative note documents that core biopsies showed "papilloma". In the ICD-
10-CM Alphabetic Index, look for "Papilloma-see also Neoplasm, benign, by site".
, Go to the Table of Neoplasms and look for "Neoplasm, neoplastic/breast/Benign" (column), referring
you to code D24.-. Turn to the Tabular List to complete the code, D24.2.
Procedure code 19125 is correct because preoperative placement of radiologic marker (i.e.
preoperative needle localisation with hookwire needle injection with methylene blue) was used to
excise the lesion.
The patient is a 66-year-old female who presents with Dupuytren's disease in the right palm and ring
finger. This results in a contracture of the ring digit MP joint. She is having a subtotal palmar
fasciectomy for Dupuytren's disease right ring digit and palm. A Brunner incision was then made
beginning in the proximal palm and extending to the ring finger PIP crease. This exposed a large
pretendinous cord arising from the palmar fascia extending distally over the flexor tendons of the
ring finger. The fascial attachments to the flexor tendon sheath were released. At the level of the
meta-carpophalangeal crease, one band arose from the central pretendinous cord-one coursing
toward the middle finger. The digital nerve was identified, and this diseased fascia was also excised.
What procedure code(s) is (are) used? - ANSWER 26123-RT, 26125-F7
Rationale :
The patient is having a fasciectomy, eliminating multiple choice ANSWERs C and D. The fasciectomy
was performed on the right hand supported by the documentation that states: "the fascial
attachments to the flexor tendon sheath were released" and "subtotal palmar fasciectomy."
Documentation also indicates the right middle finger ( modifier F7) had diseased fascia excised.
This is a 32-year-old female who presents today with sacroiliitis. On the physical exam there was pain
on palpation of the left and right sacroiliac joint and fluoroscopic guidance was done for the needle
positioning. Then 80 mg of Depo-Medrol and 1 mL of bupivacaine at 0.5% was injected into the left
and right sacroiliac joint with a 22 gauge needle. The patient was able to walk from the exam room
without difficulty. Follow up will be as needed.
What CPT coding is reported? - ANSWER 27096-50
Rationale :
The injection is being performed in the sacroiliac joint.
ANSWERS ALREADY GRADED A+ AND 100% GUARANTEE PASS
Patient has basal cell carcinoma on his upper back. A map was prepared to correspond to the area of
skin where the excisions of the tumour will be performed using Mohs micrographic surgery
technique. There were three tissue blocks that were prepared for cryostat, sectioned, and removed
in the first stage. Then a second stage had six tissue blocks which were also cut and stained for
microscopic examination. The entire base and margins of the excised pieces of tissue were examined
by the surgeon. No tumour was identified after the final stage of the microscopically controlled
surgery.
What procedure codes are reported? - ANSWER 17313, 17314, 17315
Rationale :
The patient is having Mohs Micrographic Surgery (MMS) being performed, only.
Mohs codes are based on the anatomic grouping by code, the number of stages taken, and the
number of blocks per stage. The surgery was on the back reporting code 17313 for stage 1 with three
blocks, add-on code 17314 is for stage 2 with five blocks, and add-on code 17315 is for the sixth
block in stage 2.
A 45-year-old male is in outpatient surgery to excise a basal cell carcinoma of the right nose and have
reconstruction with an advancement flap. The 1.2 cm lesion with an excised diameter of 1.5 cm was
excised with a 15-blade scalpel down to the level of the subcutaneous tissue, totalling a primary
defect of 1.8 cm. Electrocautery was used for homeostasis. An adjacent tissue transfer of 3 sq cm
was taken from the nasolabial fold and was advanced into the primary defect.
Which CPT code(s) is (are) reported? - ANSWER 14060
Rationale :
An adjacent tissue transfer (i.e. advancement flap) was used to repair a defect on the nose due to an
excision of a malignant lesion.
,The section guidelines in the CPT codebook for Adjacent Tissue or Rearrangement indicate that the
excision of a benign lesion (11400-11446) or a malignant lesion (11600-11646) are included in codes
for adjacent tissue transfer (14000-14302), and are not separately reported.
A 24-year-old patient had an abscess by her vulva which burst. She has developed a soft tissue
infection caused by gas gangrene. The area was debrided of necrotic infected tissue. All of the pus
was removed and irrigation was performed with a litre of saline until clear and clean. The infected
area was completely drained and the wound was packed gently with sterile saline moistened gauze
and pads were placed on top of this.
The correct CPT® code is : - ANSWER 11004
Rationale :
The abscess had already burst, with no need to perform an incision to open it.
The correct code is 11004 for debridement of necrotised infected tissue on the external genitalia.
A 76-year-old female had a recent mammography and ultrasound abnormality in the 6 o'clock
position of the left breast. She underwent core biopsies which showed the presence of a papilloma.
The plan now is for needle localisation with excisional biopsy to rule out occult malignancy. After
undergoing preoperative needle localisation with hookwire needle injection with methylene blue,
the patient was brought to the operating room and was placed on the operating room table in the
supine position where she underwent laryngeal mask airway (LMA) anaesthesia. The left breast was
prepped and draped in a sterile fashion. A radial incision was then made in the 6 o'clock position of
the left breast corresponding to the tip of the needle localising wire. Using blunt and sharp
dissection, we performed a generous excisional biopsy around the needle localising wire including all
of the methylene blue-stained tissues. The specimen wa - ANSWER 19125, D24.2
Rationale :
You can narrow your choices down by the diagnosis.
The beginning of the operative note documents that core biopsies showed "papilloma". In the ICD-
10-CM Alphabetic Index, look for "Papilloma-see also Neoplasm, benign, by site".
, Go to the Table of Neoplasms and look for "Neoplasm, neoplastic/breast/Benign" (column), referring
you to code D24.-. Turn to the Tabular List to complete the code, D24.2.
Procedure code 19125 is correct because preoperative placement of radiologic marker (i.e.
preoperative needle localisation with hookwire needle injection with methylene blue) was used to
excise the lesion.
The patient is a 66-year-old female who presents with Dupuytren's disease in the right palm and ring
finger. This results in a contracture of the ring digit MP joint. She is having a subtotal palmar
fasciectomy for Dupuytren's disease right ring digit and palm. A Brunner incision was then made
beginning in the proximal palm and extending to the ring finger PIP crease. This exposed a large
pretendinous cord arising from the palmar fascia extending distally over the flexor tendons of the
ring finger. The fascial attachments to the flexor tendon sheath were released. At the level of the
meta-carpophalangeal crease, one band arose from the central pretendinous cord-one coursing
toward the middle finger. The digital nerve was identified, and this diseased fascia was also excised.
What procedure code(s) is (are) used? - ANSWER 26123-RT, 26125-F7
Rationale :
The patient is having a fasciectomy, eliminating multiple choice ANSWERs C and D. The fasciectomy
was performed on the right hand supported by the documentation that states: "the fascial
attachments to the flexor tendon sheath were released" and "subtotal palmar fasciectomy."
Documentation also indicates the right middle finger ( modifier F7) had diseased fascia excised.
This is a 32-year-old female who presents today with sacroiliitis. On the physical exam there was pain
on palpation of the left and right sacroiliac joint and fluoroscopic guidance was done for the needle
positioning. Then 80 mg of Depo-Medrol and 1 mL of bupivacaine at 0.5% was injected into the left
and right sacroiliac joint with a 22 gauge needle. The patient was able to walk from the exam room
without difficulty. Follow up will be as needed.
What CPT coding is reported? - ANSWER 27096-50
Rationale :
The injection is being performed in the sacroiliac joint.
