AAPC CPC Practice Questions
i i i
Ai46-year-
oldifemaleihadiaipreviousibiopsyithatiindicatedipositiveimalignantimarginsianteriorlyionitheirightisideiofi
herineck.iAi0.5icmimarginiwasidrawnioutiandiai15ibladeiscalpeliwasiusediforifulliexcisioniofiani8icmilesion.
iLayerediclosureiwasiperformediafteritheiremoval.iTheispecimeniwasisentiforipermanentihistopathologi
ciexamination.iWhatiareitheiCPT®icode(s)iforithisiprocedure?
A.i11626
B.i11626,i12004-51
C.i11626,i12044-51
D.i11626,i13132-51,i13133i-i
i ✅C.i11626,i12044-51
Ai30-year-
oldifemaleiisihavingi15isqicmidebridementiperformedionianiinfectediulceriwithiescharionitheirightifoot.iU
singisharpidissection,itheiulceriwasidebridediallitheiwayitoidownitoitheiboneiofitheifoot.iTheiboneihaditoi
beiminimallyitrimmedibecauseiofiaisharpipointiatitheiendiofitheimetatarsal.iAfteridebridingitheiarea,ithe
reiwasiminimalibleedingibecauseiofiveryipooricirculationiofitheifoot.iItiseemsithatitheitoesinextitoitheiulc
erimayihaveisomeiinvolvementiandiculturesiwereitaken.iTheiareaiwasidressediwithisterileisalineiandidre
ssingsianditheniwrapped.iWhatiCPT®icodeishouldibeireported?
A.i11043
B.i11012
C.i11044
D.i11042i-i
i ✅C.i11044
Ai64-year-
oldifemaleiwhoihasimultipleisclerosisifellifromiheriwalkeriandilandedioniaiglassitable.iSheilaceratediherifo
rehead,icheekiandichinianditheitotalilengthiofitheseilacerationsiwasi6icm.iHerirightiarmiandileftilegihadid
eepicutsimeasuringi5icmionieachiextremity.iHerirightihandiandirightifootihadiaitotaliofi3icmilacerations.iT
heiEDiphysicianirepaireditheilacerationsiasifollows:iTheiforehead,icheek,iandichinihadidebridementiandi
cleaningiofiglassidebrisiwithitheilacerationsibeingiclosediwithioneilayericlosure,i6-
0iProleneisutures.iTheiarmiandilegiwereirepairedibyilayerediclosure,i6-
0iVicrylisubcutaneousisuturesiandiProleneisuturesionitheiskin.iTheihandiandifootiwereiclosediwithiadhes
iveistrips.iSelectitheiappropriateiprocedureicodesiforithisivisit.
A.i99283-25,i12014,i12034-59,i12002-59,i11042-51
B.i99283-25,i12053,i12034-59,i12002-59
1i|iP a g e
,C.i99283-25,i12014,i12034-59,i11042-51
D.i99283-25,i12053,i12034-59i-i
i ✅D.i99283-25,i12053,i12034-59
Ai52-year-
oldifemaleihasiaimassigrowingioniherirightiflankiforiseveraliyears.iItihasifinallyigottenisignificantlyilargeria
ndiisibeginningitoibotheriher.iSheiisibroughtitoitheiOperatingiRoomiforidefinitiveiexcision.iAniincisioniwa
simadeidirectlyioverlyingitheimass.iTheimassiwasidowniintoitheisubcutaneousitissueianditheisurgeonienc
ounterediaiwelliencapsulatedilipomaiapproximatelyi4icentimeters.iThisiwasiexcisediprimarilyibluntlyiwit
hiaifewiattachmentsidividediwithielectrocautery.iWhatiCPT®iandiICD-10-CMicodesiareireported?
A.i21932,iD17.39
B.i21935,iD17.1
C.i21931,iD17.1
D.i21925,iD17.9i-i
i ✅C.i21931,iD17.1
Questioni5
PREOPERATIVEiDIAGNOSIS:iRightiscaphoidifracture.iTYPEiOFiPROCEDURE:iOpenireductioniandiinternalif
ixationiofirightiscaphoidifracture.iDESCRIPTIONiOFiPROCEDURE:iTheipatientiwasibroughtitoitheioperatin
giroom;ianesthesiaihavingibeeniadministered.iTheirightiupperiextremityiwasipreppediandidrapediiniaiste
rileimanner.iTheilimbiwasielevated,iexsanguinated,iandiaipneumaticiarmitourniquetiwasielevated.iAniin
cisioniwasimadeioveritheidorsaliradialiaspectiofitheirightiwrist.iSkiniflapsiwereielevated.iCutaneousinerv
eibranchesiwereiidentifiediandiveryigentlyiretracted.iTheiintervalibetweenitheisecondiandithirdidorsalic
ompartmentitendonsiwasiidentifiediandientered.iTheirespectiveitendonsiwereiretracted.iAidorsalicapsu
lotomyiincisioniwasimade,ianditheifractureiwasivisualized.iThereididinotiappearitoibeianyitypeiofisignific
antidefectiatitheifractureisite.iAi0.045iKirschneriwireiwasitheniusediasiaiguidewire,iextendingifromiti-i
i ✅A.i25628-RT
Aniinfantiwithigenuivalgumiisibroughtitoitheioperatingiroomitoihaveiaibilateralimedialidistalifemurihemie
piphysiodesisidone.iOnieachiknee,itheiC-
armiwasiuseditoilocalizeitheigrowthiplate.iWithitheigrowthiplateilocalized,ianiincisioniwasimadeimediallyi
onibothisides.iThisiwasitakenidownitoitheifascia,iwhichiwasiopened.iTheiperiosteumiwasinotiopened.iTh
eiOrthofix®ifigure-of-eightiplateiwasiplacediandicheckediwithiX-
ray.iWeitheniirrigatediandicloseditheimedialifasciaiwithi0iVicrylisuture.iTheiskiniwasiclosediwithi2-
0iVicryliandi3-0iMonocryl®.iWhatiprocedureicodeiisireported?
A.i27470-50
B.i27475-50
2i|iP a g e
,C.i27477-50
D.i27485-50i-i
i ✅D.i27485-50
Theipatientiisiai67-year-
oldigentlemaniwithimetastaticicolonicancerirecentlyioperatedioniforiaibrainimetastasis,inowiforiplacem
entiofianiInfuse-A-
Portiforicontinuedichemotherapy.iTheileftisubclavianiveiniwasilocatediwithiaineedleiandiaiguideiwireipla
ced.iThisiwasiconfirmeditoibeiinitheiproperipositionifluoroscopically.iAitransverseiincisioniwasimadeijusti
inferioritoithisiandiaisubcutaneousipocketicreatedijustiinferioritoithis.iAfteritunneling,itheiintroduceriwa
siplacedioveritheiguideiwireianditheipoweriportilineiwasiplacediwithitheiintroducerianditheiintroduceriw
asipeelediaway.iTheitipiwasiplacediinitheiappropriateipositioniunderifluoroscopiciguidanceianditheicathe
teritrimmeditoitheiappropriateilengthiandisecureditoitheipoweriportidevice.iTheilockingimechanismiwasi
fullyiengaged.iTheiportiwasiplacediinitheisubcutaneousipocketiandieverythingisativeryinicelyifluoroscopi
cally.iItiwasisecureditoitheiunderlyingisoftitissuei-i
i ✅C.i36561,i77001-26
Questioni8
AiCTiscaniidentifiedimoderate-sizedirightipleuralieffusioniiniai50iyear-
oldimale.iThisiwasiestimateditoibei800icciinisizeiandihadianiappearanceiofifluidionitheiCTiScan.iAineedleiisi
useditoipunctureithroughitheichestitissuesiandienteritheipleuralicavityitoiinsertiaiguidewireiunderiultras
oundiguidance.iAipigtailicatheteriisitheniinsertediatitheilengthiofitheiguidewireiandisecuredibyistitches.iT
heicatheteriwilliremainiinitheichestiandiisiconnecteditoidrainageisystemitoidrainitheiaccumulatedifluid.iT
heiCPT®icodeiis:
A.i32557
B.i32555
C.i32556
D.i32550i-i
i ✅A.i32557
Theipatientiisiai59-year-
oldiwhiteimaleiwhoiunderwenticarotidiendarterectomyiforisymptomaticilefticarotidistenosisiaiyeariago.i
AicarotidiCTiangiogramishowediairecurrenti90%ileftiinternalicarotidiarteryistenosisiextendingiintoitheico
mmonicarotidiartery.iHeiisitakenitoitheioperatingiroomiforire-
doilefticarotidiendarterectomy.iTheileftineckiwasipreppedianditheipreviousiincisioniwasicarefullyireopen
ed.iUsingisharpidissection,itheicommonicarotidiarteryiandiitsibranchesiwereidissectedifree.iTheipatienti
wasisystematicallyiheparinizediandiafteriaifewiminutes,iclampsiwereiapplieditoitheicommonicarotidiarte
ryiandiitsibranches.iAilongitudinaliarteriotomyiwasicarriedioutiwithifindingsiofiextensiveilayeringiofiintim
alihyperplasiaiwithinoievidenceiofirecurrentiatherosclerosis.iAisilasticiballoon-
3i|iP a g e
, tipishuntiwasiinsertedifirstiproximallyiandithenidistally,iwithirestorationiofiflow.iSeveralilayersiofiintimai
wereiremovedianditheiendarti-i
i ✅B.i35301,i35390
Ai52-year-
oldipatientiisiadmitteditoitheihospitaliforichronicicholecystitisiforiwhichiailaparoscopicicholecystectomyi
willibeiperformed.iAitransverseiinfraumbilicaliincisioniwasimadeisharplyidissectingitoitheisubcutaneousi
tissueidownitoitheifasciaiusingiaccessiunderidirectivisioniwithiaiVesi-
Portiandiaiscopeiwasiplacediintoitheiabdomen.iThreeiotheriportsiwereiinsertediunderidirectivision.iTheif
undusiofitheigallbladderiwasigraspedithroughitheilateraliport,iwhereimultipleiadhesionsitoitheigallbladd
eriwereitakenidownisharplyiandibluntly:iTheigallbladderiappearedichronicallyiinflamed.iDissectioniwasic
arriedioutitoitheirightiofithisiidentifyingiaismallicysticiductiandiartery,iwasiclippeditwiceiproximally,ioncei
distallyianditransected.iTheigallbladderiwasithenitakenidownifromitheibediusingielectrocautery,ideliveri
ngiitiintoianiendo-
bagiandiremovingiitifromitheiabdominalicavityiwithitheiumbilicaliport.iWhatiCPT®iandiICD-10-Ci-i
i ✅B.i47562,iK81.1
Ai70-year-
oldifemaleiwhoihasiaihistoryiofisymptomaticiventraliherniaiwasiadviseditoiundergoilaparoscopicievaluati
oniandirepair.iAniincisioniwasimadeiinitheiepigastriumiandidissectioniwasicarriedidownithroughitheisubc
utaneousitissue.iTwoi5-
mmitrocarsiwereiplaced,ioneiinitheileftiupperiquadrantiandioneiinitheileftiloweriquadrantianditheilaparo
scopeiwasiinserted.iDissectioniwasicarriedidownitoitheiareaiofitheiherniaiwhereiaismallidefectiwasiclearl
yivisualized.iThereiwasisomeiomentum,iwhichiwasiadhereditoitheiherniaiandithisiwasideliveredibackiinto
itheiperitonealicavity.iTheimeshiwasitackedionitoicoveritheidefect.iWhatiprocedureicode(s)iisi(are)ireport
ed?
A.i49560,i49568
B.i49652
C.i49653
D.i49652,i49568i-i
i ✅B.i49652
Theipatientiisiai50-year-
oldigentlemaniwhoipresenteditoitheiemergencyiroomiwithisignsiandisymptomsiofiacuteiappendicitisiwit
hipossibleirupture.iHeihasibeenibroughtitoitheioperatingiroom.iAniinfraumbilicaliincisioniwasimadeiwhic
hiai5-mmiVersaStep™itrocariwasiinserted.iAi5-mmi0-idegreeilaparoscopeiwasiintroduced.iAisecondi5-
mmitrocariwasiplacedisuprapubicallyiandiai12-
mmitrocariinitheileftiloweriquadrant.iAiwindowiwasimadeiinitheimesoappendixiusingibluntidissectioniwi
thinoiruptureinoted.iTheibaseiofitheiappendixiwasithenidividediandiplacediintoianiEndo-
catchibagiandithei12-mmidefectiwasibroughtiout.iSelectitheiappropriateicodeiforithisiprocedure:
4i|iP a g e
i i i
Ai46-year-
oldifemaleihadiaipreviousibiopsyithatiindicatedipositiveimalignantimarginsianteriorlyionitheirightisideiofi
herineck.iAi0.5icmimarginiwasidrawnioutiandiai15ibladeiscalpeliwasiusediforifulliexcisioniofiani8icmilesion.
iLayerediclosureiwasiperformediafteritheiremoval.iTheispecimeniwasisentiforipermanentihistopathologi
ciexamination.iWhatiareitheiCPT®icode(s)iforithisiprocedure?
A.i11626
B.i11626,i12004-51
C.i11626,i12044-51
D.i11626,i13132-51,i13133i-i
i ✅C.i11626,i12044-51
Ai30-year-
oldifemaleiisihavingi15isqicmidebridementiperformedionianiinfectediulceriwithiescharionitheirightifoot.iU
singisharpidissection,itheiulceriwasidebridediallitheiwayitoidownitoitheiboneiofitheifoot.iTheiboneihaditoi
beiminimallyitrimmedibecauseiofiaisharpipointiatitheiendiofitheimetatarsal.iAfteridebridingitheiarea,ithe
reiwasiminimalibleedingibecauseiofiveryipooricirculationiofitheifoot.iItiseemsithatitheitoesinextitoitheiulc
erimayihaveisomeiinvolvementiandiculturesiwereitaken.iTheiareaiwasidressediwithisterileisalineiandidre
ssingsianditheniwrapped.iWhatiCPT®icodeishouldibeireported?
A.i11043
B.i11012
C.i11044
D.i11042i-i
i ✅C.i11044
Ai64-year-
oldifemaleiwhoihasimultipleisclerosisifellifromiheriwalkeriandilandedioniaiglassitable.iSheilaceratediherifo
rehead,icheekiandichinianditheitotalilengthiofitheseilacerationsiwasi6icm.iHerirightiarmiandileftilegihadid
eepicutsimeasuringi5icmionieachiextremity.iHerirightihandiandirightifootihadiaitotaliofi3icmilacerations.iT
heiEDiphysicianirepaireditheilacerationsiasifollows:iTheiforehead,icheek,iandichinihadidebridementiandi
cleaningiofiglassidebrisiwithitheilacerationsibeingiclosediwithioneilayericlosure,i6-
0iProleneisutures.iTheiarmiandilegiwereirepairedibyilayerediclosure,i6-
0iVicrylisubcutaneousisuturesiandiProleneisuturesionitheiskin.iTheihandiandifootiwereiclosediwithiadhes
iveistrips.iSelectitheiappropriateiprocedureicodesiforithisivisit.
A.i99283-25,i12014,i12034-59,i12002-59,i11042-51
B.i99283-25,i12053,i12034-59,i12002-59
1i|iP a g e
,C.i99283-25,i12014,i12034-59,i11042-51
D.i99283-25,i12053,i12034-59i-i
i ✅D.i99283-25,i12053,i12034-59
Ai52-year-
oldifemaleihasiaimassigrowingioniherirightiflankiforiseveraliyears.iItihasifinallyigottenisignificantlyilargeria
ndiisibeginningitoibotheriher.iSheiisibroughtitoitheiOperatingiRoomiforidefinitiveiexcision.iAniincisioniwa
simadeidirectlyioverlyingitheimass.iTheimassiwasidowniintoitheisubcutaneousitissueianditheisurgeonienc
ounterediaiwelliencapsulatedilipomaiapproximatelyi4icentimeters.iThisiwasiexcisediprimarilyibluntlyiwit
hiaifewiattachmentsidividediwithielectrocautery.iWhatiCPT®iandiICD-10-CMicodesiareireported?
A.i21932,iD17.39
B.i21935,iD17.1
C.i21931,iD17.1
D.i21925,iD17.9i-i
i ✅C.i21931,iD17.1
Questioni5
PREOPERATIVEiDIAGNOSIS:iRightiscaphoidifracture.iTYPEiOFiPROCEDURE:iOpenireductioniandiinternalif
ixationiofirightiscaphoidifracture.iDESCRIPTIONiOFiPROCEDURE:iTheipatientiwasibroughtitoitheioperatin
giroom;ianesthesiaihavingibeeniadministered.iTheirightiupperiextremityiwasipreppediandidrapediiniaiste
rileimanner.iTheilimbiwasielevated,iexsanguinated,iandiaipneumaticiarmitourniquetiwasielevated.iAniin
cisioniwasimadeioveritheidorsaliradialiaspectiofitheirightiwrist.iSkiniflapsiwereielevated.iCutaneousinerv
eibranchesiwereiidentifiediandiveryigentlyiretracted.iTheiintervalibetweenitheisecondiandithirdidorsalic
ompartmentitendonsiwasiidentifiediandientered.iTheirespectiveitendonsiwereiretracted.iAidorsalicapsu
lotomyiincisioniwasimade,ianditheifractureiwasivisualized.iThereididinotiappearitoibeianyitypeiofisignific
antidefectiatitheifractureisite.iAi0.045iKirschneriwireiwasitheniusediasiaiguidewire,iextendingifromiti-i
i ✅A.i25628-RT
Aniinfantiwithigenuivalgumiisibroughtitoitheioperatingiroomitoihaveiaibilateralimedialidistalifemurihemie
piphysiodesisidone.iOnieachiknee,itheiC-
armiwasiuseditoilocalizeitheigrowthiplate.iWithitheigrowthiplateilocalized,ianiincisioniwasimadeimediallyi
onibothisides.iThisiwasitakenidownitoitheifascia,iwhichiwasiopened.iTheiperiosteumiwasinotiopened.iTh
eiOrthofix®ifigure-of-eightiplateiwasiplacediandicheckediwithiX-
ray.iWeitheniirrigatediandicloseditheimedialifasciaiwithi0iVicrylisuture.iTheiskiniwasiclosediwithi2-
0iVicryliandi3-0iMonocryl®.iWhatiprocedureicodeiisireported?
A.i27470-50
B.i27475-50
2i|iP a g e
,C.i27477-50
D.i27485-50i-i
i ✅D.i27485-50
Theipatientiisiai67-year-
oldigentlemaniwithimetastaticicolonicancerirecentlyioperatedioniforiaibrainimetastasis,inowiforiplacem
entiofianiInfuse-A-
Portiforicontinuedichemotherapy.iTheileftisubclavianiveiniwasilocatediwithiaineedleiandiaiguideiwireipla
ced.iThisiwasiconfirmeditoibeiinitheiproperipositionifluoroscopically.iAitransverseiincisioniwasimadeijusti
inferioritoithisiandiaisubcutaneousipocketicreatedijustiinferioritoithis.iAfteritunneling,itheiintroduceriwa
siplacedioveritheiguideiwireianditheipoweriportilineiwasiplacediwithitheiintroducerianditheiintroduceriw
asipeelediaway.iTheitipiwasiplacediinitheiappropriateipositioniunderifluoroscopiciguidanceianditheicathe
teritrimmeditoitheiappropriateilengthiandisecureditoitheipoweriportidevice.iTheilockingimechanismiwasi
fullyiengaged.iTheiportiwasiplacediinitheisubcutaneousipocketiandieverythingisativeryinicelyifluoroscopi
cally.iItiwasisecureditoitheiunderlyingisoftitissuei-i
i ✅C.i36561,i77001-26
Questioni8
AiCTiscaniidentifiedimoderate-sizedirightipleuralieffusioniiniai50iyear-
oldimale.iThisiwasiestimateditoibei800icciinisizeiandihadianiappearanceiofifluidionitheiCTiScan.iAineedleiisi
useditoipunctureithroughitheichestitissuesiandienteritheipleuralicavityitoiinsertiaiguidewireiunderiultras
oundiguidance.iAipigtailicatheteriisitheniinsertediatitheilengthiofitheiguidewireiandisecuredibyistitches.iT
heicatheteriwilliremainiinitheichestiandiisiconnecteditoidrainageisystemitoidrainitheiaccumulatedifluid.iT
heiCPT®icodeiis:
A.i32557
B.i32555
C.i32556
D.i32550i-i
i ✅A.i32557
Theipatientiisiai59-year-
oldiwhiteimaleiwhoiunderwenticarotidiendarterectomyiforisymptomaticilefticarotidistenosisiaiyeariago.i
AicarotidiCTiangiogramishowediairecurrenti90%ileftiinternalicarotidiarteryistenosisiextendingiintoitheico
mmonicarotidiartery.iHeiisitakenitoitheioperatingiroomiforire-
doilefticarotidiendarterectomy.iTheileftineckiwasipreppedianditheipreviousiincisioniwasicarefullyireopen
ed.iUsingisharpidissection,itheicommonicarotidiarteryiandiitsibranchesiwereidissectedifree.iTheipatienti
wasisystematicallyiheparinizediandiafteriaifewiminutes,iclampsiwereiapplieditoitheicommonicarotidiarte
ryiandiitsibranches.iAilongitudinaliarteriotomyiwasicarriedioutiwithifindingsiofiextensiveilayeringiofiintim
alihyperplasiaiwithinoievidenceiofirecurrentiatherosclerosis.iAisilasticiballoon-
3i|iP a g e
, tipishuntiwasiinsertedifirstiproximallyiandithenidistally,iwithirestorationiofiflow.iSeveralilayersiofiintimai
wereiremovedianditheiendarti-i
i ✅B.i35301,i35390
Ai52-year-
oldipatientiisiadmitteditoitheihospitaliforichronicicholecystitisiforiwhichiailaparoscopicicholecystectomyi
willibeiperformed.iAitransverseiinfraumbilicaliincisioniwasimadeisharplyidissectingitoitheisubcutaneousi
tissueidownitoitheifasciaiusingiaccessiunderidirectivisioniwithiaiVesi-
Portiandiaiscopeiwasiplacediintoitheiabdomen.iThreeiotheriportsiwereiinsertediunderidirectivision.iTheif
undusiofitheigallbladderiwasigraspedithroughitheilateraliport,iwhereimultipleiadhesionsitoitheigallbladd
eriwereitakenidownisharplyiandibluntly:iTheigallbladderiappearedichronicallyiinflamed.iDissectioniwasic
arriedioutitoitheirightiofithisiidentifyingiaismallicysticiductiandiartery,iwasiclippeditwiceiproximally,ioncei
distallyianditransected.iTheigallbladderiwasithenitakenidownifromitheibediusingielectrocautery,ideliveri
ngiitiintoianiendo-
bagiandiremovingiitifromitheiabdominalicavityiwithitheiumbilicaliport.iWhatiCPT®iandiICD-10-Ci-i
i ✅B.i47562,iK81.1
Ai70-year-
oldifemaleiwhoihasiaihistoryiofisymptomaticiventraliherniaiwasiadviseditoiundergoilaparoscopicievaluati
oniandirepair.iAniincisioniwasimadeiinitheiepigastriumiandidissectioniwasicarriedidownithroughitheisubc
utaneousitissue.iTwoi5-
mmitrocarsiwereiplaced,ioneiinitheileftiupperiquadrantiandioneiinitheileftiloweriquadrantianditheilaparo
scopeiwasiinserted.iDissectioniwasicarriedidownitoitheiareaiofitheiherniaiwhereiaismallidefectiwasiclearl
yivisualized.iThereiwasisomeiomentum,iwhichiwasiadhereditoitheiherniaiandithisiwasideliveredibackiinto
itheiperitonealicavity.iTheimeshiwasitackedionitoicoveritheidefect.iWhatiprocedureicode(s)iisi(are)ireport
ed?
A.i49560,i49568
B.i49652
C.i49653
D.i49652,i49568i-i
i ✅B.i49652
Theipatientiisiai50-year-
oldigentlemaniwhoipresenteditoitheiemergencyiroomiwithisignsiandisymptomsiofiacuteiappendicitisiwit
hipossibleirupture.iHeihasibeenibroughtitoitheioperatingiroom.iAniinfraumbilicaliincisioniwasimadeiwhic
hiai5-mmiVersaStep™itrocariwasiinserted.iAi5-mmi0-idegreeilaparoscopeiwasiintroduced.iAisecondi5-
mmitrocariwasiplacedisuprapubicallyiandiai12-
mmitrocariinitheileftiloweriquadrant.iAiwindowiwasimadeiinitheimesoappendixiusingibluntidissectioniwi
thinoiruptureinoted.iTheibaseiofitheiappendixiwasithenidividediandiplacediintoianiEndo-
catchibagiandithei12-mmidefectiwasibroughtiout.iSelectitheiappropriateicodeiforithisiprocedure:
4i|iP a g e
