AAPC CPC Practice exam Questions
with verified solutions .
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 ANSWER~✓✓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 ANSWER~✓✓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 ANSWER~✓✓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 ANSWER~✓✓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 ANSWER~✓✓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 ANSWER~✓✓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 ANSWER~✓✓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 ANSWER~✓✓A. 32557
The patient is a 59-year-old white male who underwent carotid endarterectomy for
symptomatic left carotid stenosis a year ago. A carotid CT angiogram showed a
recurrent 90% left internal carotid artery stenosis extending into the common
carotid artery. He is taken to the operating room for re-do left carotid
endarterectomy. The left neck was prepped and the previous incision was carefully
reopened. Using sharp dissection, the common carotid artery and its branches were
dissected free. The patient was systematically heparinized and after a few minutes,
with verified solutions .
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 ANSWER~✓✓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 ANSWER~✓✓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 ANSWER~✓✓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 ANSWER~✓✓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 ANSWER~✓✓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 ANSWER~✓✓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 ANSWER~✓✓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 ANSWER~✓✓A. 32557
The patient is a 59-year-old white male who underwent carotid endarterectomy for
symptomatic left carotid stenosis a year ago. A carotid CT angiogram showed a
recurrent 90% left internal carotid artery stenosis extending into the common
carotid artery. He is taken to the operating room for re-do left carotid
endarterectomy. The left neck was prepped and the previous incision was carefully
reopened. Using sharp dissection, the common carotid artery and its branches were
dissected free. The patient was systematically heparinized and after a few minutes,
