CPC Practice Test / Revised Questions
and Answers / Sure A+
A 14 year-old boy was thrown against the window of the car on impact. The resulting injury was a star-
shaped pattern cut to the top of his head. In the ED, the MD on call for plastic surgery was asked to
evaluate the injury and repair it. The total length of the intermediate repair was 5+4+4+5 cm (18 cm
total). The star-like shape allowed the surgeon to pull the wound edges together nicely in a natural Y-
plasty in two spots. What CPT® code is reported for the repair?
a. 14041
b. 14040
c. 131.21
d. 12035 - d. 12035
A 22 year-old patient status post-surgery developed a postoperative infection. The patient quickly
deteriorated and became septic, developed gas gangrene (gas bacillus infection) and went into
postprocedural septic shock. With aggressive intravenous antibiotic management, the patient improved.
What ICD-10-CM codes are reported?
a. T81.12XA, R65.21, A48.0
c. R65.21, A48.0, T81.12XA
b. A48.0, R65.21, T81.44XA
d. T81.44XA, A48.0, T81.12XA - d. T81.44XA, A48.0, T81.12XA
A 26 year-old gravida 2 para 1 female has been spotting and has been on bed rest. She awoke this
morning with severe cramping and bleeding. Her husband brought her to the hospital. After
examination, it was determined she has an incomplete early spontaneous abortion. She is in the 12th
week of her pregnancy. She was taken to the OR and a dilation and curettage (D&C) was performed.
There were no complications from the procedure. She will follow-up with me in the office. She has had
four antepartum visits during her pregnancy.
a. 59812, 59425, O03.9 c. 58120, 59425, O03.1
b. 59812, 59425, O03.4 d. 58120, 59425, O03.9 - b. 59812, 59425, O03.4
A 30 year-old patient had anesthesia for an extensive spinal procedure with instrumentation under
general anesthesia. The anesthesiologist performed all required steps for medical direction while
,directing one CRNA. What modifier(s) and CPT® code(s) is/are reported for the anesthesiologist and
CRNA services?
a. 00670-AA
b. 00670-QK and 00670-QX
c. 00670-QK and 00670-QZ
d. 00670-QY and 00670-QX - d. 00670-QY and 00670-QX
A 32 year-old patient with cervical cancer is in an outpatient facility to have HDR brachytherapy. The
cervix is dilated and under ultrasound guidance six applicators are inserted with iridium via the vagina to
release its radiation dose. The placement is in the cervical cavity (intracavitary). What CPT® code is
reported for the physician service?
a. 77761-26
b. 77762-26
c. 77799-26
d. 77789-26 - b. 77762-26
A 37 year-old woman presents with abdominal pain, bleeding unrelated to menses and an abnormal pap
showing LGSIL (low grade squamous intraepithelial lesion). Treatment is hysteroscopy with
thermoablation of the endometrium and cryocautery of the cervix. This is performed without difficulty.
What are the CPT® and ICD-10-CM codes reported for this procedure?
a. 58555, 58353-51, C54.9
b. 58565, 57511-51, R87.612
c. 58350, 57510-51, C54.9
d. 58563, 57511-51, R87.612 - d. 58563, 57511-51, R87.612
A 40 year-old female has cholelithiasis with chronic cholecystitis. She is in the Ambulatory Surgical
Center to have a laparoscopic cholecystectomy. A dye was injected to perform an intraoperative
cholangiogram. The surgeon who performed the procedure included a separate report with his
interpretation of the cholangiogram that indicated there was normal, free flow into the duodenum, with
no evidence of filling defects with no stones or strictures seen. What CPT® codes are reported for the
professional services of the surgeon?
a. 47562, 74300
b. 47563, 74300
, c. 47563, 74300-26
d. 47562, 74300-26 - c. 47563, 74300-26
A 40 year-old female is scheduled for a routine screening baseline bilateral mammogram with
computer-aided detection (CAD). What are the CPT® and ICD-10-CM codes reported?
a. 77062, 77063, Z12.31
b. 77067, R92.2
c. 77067, Z12.31
d. 77066, Z12.31 - c. 77067, Z12.31
A 40 year-old male patient is in the surgical suite to have an incarcerated hernia of his belly button
repaired. What are the correct CPT® and ICD-10-CM codes reported?
a. 49582, K42.0 c. 49590, K42.9
b. 49587, K42.0 d. 49572, K42.9 - b. 49587, K42.0
A 41 year-old female has carpal tunnel syndrome in her left hand. The patient underwent release of the
carpal ligament with internal neurolysis. An incision was made directly over the carpal ligament through
the skin to the carpal ligament. Under direct vision the carpal ligament was divided then internal
neurolysis of the median nerve was performed using a magnifying loupes. What CPT® code is reported?
a. 64704-LT
b. 64719-LT
c. 64721-LT
d. 64722-LT - c. 64721-LT
A 44 year-old male with biplanar deformity, acquired limb length discrepancies and tibial nonunion has
undergone deformity correction. He now requires exchange of an external fixation strut 45 days
postoperatively. One of the struts for his multiplane external fixation device is removed and then
replaced with an adjustable strut. The intraoperative mounting parameters, deformity parameters and
initial strut settings are entered into the computer prior to Jim's discharge and a daily schedule is
generated for him to perform the gradual deformity correction necessary. What CPT® code(s) is/are
reported?
a. 20696
and Answers / Sure A+
A 14 year-old boy was thrown against the window of the car on impact. The resulting injury was a star-
shaped pattern cut to the top of his head. In the ED, the MD on call for plastic surgery was asked to
evaluate the injury and repair it. The total length of the intermediate repair was 5+4+4+5 cm (18 cm
total). The star-like shape allowed the surgeon to pull the wound edges together nicely in a natural Y-
plasty in two spots. What CPT® code is reported for the repair?
a. 14041
b. 14040
c. 131.21
d. 12035 - d. 12035
A 22 year-old patient status post-surgery developed a postoperative infection. The patient quickly
deteriorated and became septic, developed gas gangrene (gas bacillus infection) and went into
postprocedural septic shock. With aggressive intravenous antibiotic management, the patient improved.
What ICD-10-CM codes are reported?
a. T81.12XA, R65.21, A48.0
c. R65.21, A48.0, T81.12XA
b. A48.0, R65.21, T81.44XA
d. T81.44XA, A48.0, T81.12XA - d. T81.44XA, A48.0, T81.12XA
A 26 year-old gravida 2 para 1 female has been spotting and has been on bed rest. She awoke this
morning with severe cramping and bleeding. Her husband brought her to the hospital. After
examination, it was determined she has an incomplete early spontaneous abortion. She is in the 12th
week of her pregnancy. She was taken to the OR and a dilation and curettage (D&C) was performed.
There were no complications from the procedure. She will follow-up with me in the office. She has had
four antepartum visits during her pregnancy.
a. 59812, 59425, O03.9 c. 58120, 59425, O03.1
b. 59812, 59425, O03.4 d. 58120, 59425, O03.9 - b. 59812, 59425, O03.4
A 30 year-old patient had anesthesia for an extensive spinal procedure with instrumentation under
general anesthesia. The anesthesiologist performed all required steps for medical direction while
,directing one CRNA. What modifier(s) and CPT® code(s) is/are reported for the anesthesiologist and
CRNA services?
a. 00670-AA
b. 00670-QK and 00670-QX
c. 00670-QK and 00670-QZ
d. 00670-QY and 00670-QX - d. 00670-QY and 00670-QX
A 32 year-old patient with cervical cancer is in an outpatient facility to have HDR brachytherapy. The
cervix is dilated and under ultrasound guidance six applicators are inserted with iridium via the vagina to
release its radiation dose. The placement is in the cervical cavity (intracavitary). What CPT® code is
reported for the physician service?
a. 77761-26
b. 77762-26
c. 77799-26
d. 77789-26 - b. 77762-26
A 37 year-old woman presents with abdominal pain, bleeding unrelated to menses and an abnormal pap
showing LGSIL (low grade squamous intraepithelial lesion). Treatment is hysteroscopy with
thermoablation of the endometrium and cryocautery of the cervix. This is performed without difficulty.
What are the CPT® and ICD-10-CM codes reported for this procedure?
a. 58555, 58353-51, C54.9
b. 58565, 57511-51, R87.612
c. 58350, 57510-51, C54.9
d. 58563, 57511-51, R87.612 - d. 58563, 57511-51, R87.612
A 40 year-old female has cholelithiasis with chronic cholecystitis. She is in the Ambulatory Surgical
Center to have a laparoscopic cholecystectomy. A dye was injected to perform an intraoperative
cholangiogram. The surgeon who performed the procedure included a separate report with his
interpretation of the cholangiogram that indicated there was normal, free flow into the duodenum, with
no evidence of filling defects with no stones or strictures seen. What CPT® codes are reported for the
professional services of the surgeon?
a. 47562, 74300
b. 47563, 74300
, c. 47563, 74300-26
d. 47562, 74300-26 - c. 47563, 74300-26
A 40 year-old female is scheduled for a routine screening baseline bilateral mammogram with
computer-aided detection (CAD). What are the CPT® and ICD-10-CM codes reported?
a. 77062, 77063, Z12.31
b. 77067, R92.2
c. 77067, Z12.31
d. 77066, Z12.31 - c. 77067, Z12.31
A 40 year-old male patient is in the surgical suite to have an incarcerated hernia of his belly button
repaired. What are the correct CPT® and ICD-10-CM codes reported?
a. 49582, K42.0 c. 49590, K42.9
b. 49587, K42.0 d. 49572, K42.9 - b. 49587, K42.0
A 41 year-old female has carpal tunnel syndrome in her left hand. The patient underwent release of the
carpal ligament with internal neurolysis. An incision was made directly over the carpal ligament through
the skin to the carpal ligament. Under direct vision the carpal ligament was divided then internal
neurolysis of the median nerve was performed using a magnifying loupes. What CPT® code is reported?
a. 64704-LT
b. 64719-LT
c. 64721-LT
d. 64722-LT - c. 64721-LT
A 44 year-old male with biplanar deformity, acquired limb length discrepancies and tibial nonunion has
undergone deformity correction. He now requires exchange of an external fixation strut 45 days
postoperatively. One of the struts for his multiplane external fixation device is removed and then
replaced with an adjustable strut. The intraoperative mounting parameters, deformity parameters and
initial strut settings are entered into the computer prior to Jim's discharge and a daily schedule is
generated for him to perform the gradual deformity correction necessary. What CPT® code(s) is/are
reported?
a. 20696
