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AAPC CPC Chapter 11
A - ANS-A 43-year-old male has a chronic posterior anal fissure. The posterior anal fissure was
excised down to the internal sphincter muscle. Which CPT® code is reported?
A) 46200
B) 46261
C) 46270
D) 46275
A - ANS-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 - ANS-A patient presents for esophageal dilation. The physician begins dilation by using a
bougie. This attempt was unsuccessful. The physician then dilates the esophagus
transendoscopically using a balloon (25mm). What CPT® code(s) is/are reported?
A) 43220
B) 43450-53, 43220
C) 43450, 43220
D) 43220, 43450-52
A - ANS-A patient presents with a 2 cm benign lip lesion. The provider decides to remove the
lesion along with a portion of the lip by performing a wedge excision. Single-layer suture repair
is performed. What CPT® code(s) is/are reported for this service?
A) 40510
B) 11442, 12011-51
C) 40510, 12011-51
D) 11442, 40510
A - ANS-A patient with hypertension is scheduled for same day surgery for removal of her
gallbladder due to chronic gallstones. She is examined preoperatively by her cardiologist to be
cleared for surgery.
What ICD-10-CM codes are reported by the cardiologist?
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A) Z01.810, K80.20, I10
B) I10, Z01.818, K80.20
C) K80.20, I10, Z01.810
D) K80.21, Z01.89, I10
A - ANS-Code intraoral incision and drainage of hematoma of tongue, submandibular space.
What CPT® code is reported?
A) 41008
B) 41009
C) 41015
D) 41017
A - ANS-Code proximal subtotal pancreatectomy, with total duodenectomy, partial gastrectomy,
choledochoenterostomy, and gastrojejunostomy, with pancreatojejunostomy. What CPT® code
is reported?
A) 48150
B) 48152
C) 48153
D) 48154
A - ANS-How many lobes are in the liver?
A) 4 lobes
B) 3 lobes
C) 2 lobes
D) 5 lobes
A - ANS-Operative Report
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.
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Plan: Check on biopsy, continue Prilosec for at least another 30 days. At that time, a repeat
endoscopy and final dilation will be accomplished. He will almost certainly need chronic H2
blocker therapy to avoid recurrence of this divesting complicated ulcer.
What CPT® and ICD-10-CM codes are reported?
A) 43245, 43239-51, K31.1, Z87.11
B) 43235, 43239-51, K31.4, Z87.19
C) 43248, 43239-59, K31.5, Z87.19
D) 43236, 43239-59, K31.1, Z87.11
A - ANS-What are the two processes of digestion?
A) Mechanical and chemical
B) Chewing and absorption
C) Ingestion and defecation
D) Secretion and propulsion
A - ANS-What is the correct CPT® coding for a partial distal gastrectomy with Roux-en-Y
reconstruction with vagotomy?
A) 43633, 43635
B) 43634, 43635
C) 43621, 43635
D) 43633, 43640-51
A - ANS-What is the correct ICD-10-CM code for a patient with IBS?
A) K58.9
B) K59.2
C) K58.0
D) K59.8
B - ANS-A 12 year-old patient had an adenoidectomy in 2013 and a second adenoidectomy this
year. What CPT® code(s) is/are reported for the second adenoidectomy performed this year?
A) 42826
B) 42836
C) 42831, 42836
D) 42831
B - ANS-A 33 year-old male patient presents to the endoscopy suite to determine if he has an
ulcer. The physician performs a diagnostic scope through the esophagus, stomach and into the
duodenum and jejunum. During the scope the patient has a severe drop in blood pressure and
the physician discontinues the procedure, but not before observing and diagnosing a bleeding
ulcer on the stomach lining as well a perforated ulcer in the jejunum. A repeat examination is
planned.
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AAPC CPC Chapter 11.pdfhttps://www.stuvia.com/user/allatopnotch
https://www.stuvia.com/user/allatopnotch
AAPC CPC Chapter 11
A - ANS-A 43-year-old male has a chronic posterior anal fissure. The posterior anal fissure was
excised down to the internal sphincter muscle. Which CPT® code is reported?
A) 46200
B) 46261
C) 46270
D) 46275
A - ANS-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 - ANS-A patient presents for esophageal dilation. The physician begins dilation by using a
bougie. This attempt was unsuccessful. The physician then dilates the esophagus
transendoscopically using a balloon (25mm). What CPT® code(s) is/are reported?
A) 43220
B) 43450-53, 43220
C) 43450, 43220
D) 43220, 43450-52
A - ANS-A patient presents with a 2 cm benign lip lesion. The provider decides to remove the
lesion along with a portion of the lip by performing a wedge excision. Single-layer suture repair
is performed. What CPT® code(s) is/are reported for this service?
A) 40510
B) 11442, 12011-51
C) 40510, 12011-51
D) 11442, 40510
A - ANS-A patient with hypertension is scheduled for same day surgery for removal of her
gallbladder due to chronic gallstones. She is examined preoperatively by her cardiologist to be
cleared for surgery.
What ICD-10-CM codes are reported by the cardiologist?
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AAPC CPC Chapter 11.pdfhttps://www.stuvia.com/user/allatopnotch
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AAPC CPC Chapter 11.pdfhttps://www.stuvia.com/user/allatopnotch
https://www.stuvia.com/user/allatopnotch
A) Z01.810, K80.20, I10
B) I10, Z01.818, K80.20
C) K80.20, I10, Z01.810
D) K80.21, Z01.89, I10
A - ANS-Code intraoral incision and drainage of hematoma of tongue, submandibular space.
What CPT® code is reported?
A) 41008
B) 41009
C) 41015
D) 41017
A - ANS-Code proximal subtotal pancreatectomy, with total duodenectomy, partial gastrectomy,
choledochoenterostomy, and gastrojejunostomy, with pancreatojejunostomy. What CPT® code
is reported?
A) 48150
B) 48152
C) 48153
D) 48154
A - ANS-How many lobes are in the liver?
A) 4 lobes
B) 3 lobes
C) 2 lobes
D) 5 lobes
A - ANS-Operative Report
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.
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AAPC CPC Chapter 11.pdfhttps://www.stuvia.com/user/allatopnotch
, https://www.stuvia.com/user/allatopnotch
AAPC CPC Chapter 11.pdfhttps://www.stuvia.com/user/allatopnotch
https://www.stuvia.com/user/allatopnotch
Plan: Check on biopsy, continue Prilosec for at least another 30 days. At that time, a repeat
endoscopy and final dilation will be accomplished. He will almost certainly need chronic H2
blocker therapy to avoid recurrence of this divesting complicated ulcer.
What CPT® and ICD-10-CM codes are reported?
A) 43245, 43239-51, K31.1, Z87.11
B) 43235, 43239-51, K31.4, Z87.19
C) 43248, 43239-59, K31.5, Z87.19
D) 43236, 43239-59, K31.1, Z87.11
A - ANS-What are the two processes of digestion?
A) Mechanical and chemical
B) Chewing and absorption
C) Ingestion and defecation
D) Secretion and propulsion
A - ANS-What is the correct CPT® coding for a partial distal gastrectomy with Roux-en-Y
reconstruction with vagotomy?
A) 43633, 43635
B) 43634, 43635
C) 43621, 43635
D) 43633, 43640-51
A - ANS-What is the correct ICD-10-CM code for a patient with IBS?
A) K58.9
B) K59.2
C) K58.0
D) K59.8
B - ANS-A 12 year-old patient had an adenoidectomy in 2013 and a second adenoidectomy this
year. What CPT® code(s) is/are reported for the second adenoidectomy performed this year?
A) 42826
B) 42836
C) 42831, 42836
D) 42831
B - ANS-A 33 year-old male patient presents to the endoscopy suite to determine if he has an
ulcer. The physician performs a diagnostic scope through the esophagus, stomach and into the
duodenum and jejunum. During the scope the patient has a severe drop in blood pressure and
the physician discontinues the procedure, but not before observing and diagnosing a bleeding
ulcer on the stomach lining as well a perforated ulcer in the jejunum. A repeat examination is
planned.
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