CPC PRACTICE EXAM C QUESTIONS WITH
100% CORRECT ANSWERS .
7-year-
old,riding,his,bike,struck,a,tree,stump,throwing,him,off,his,bike.,He,received,multiple,lacerations.,He,had,a
,3,cm,dermis,laceration,on,his,scalp,with,two,0.5,cm,lacerations,on,his,face.,His,right,arm,had,a,5,cm,lacera
tion,and,right,leg,has,a,5cm,laceration.,The,physician,stapled,the,laceration,for,the,scalp.,Physician,used,st
eri-
strips,(adhesive,strips),to,close,the,wounds,on,the,face.,The,legs,and,arms,were,cleaned,by,heavily,irrigati
ng,them,with,normal,saline,and,removal,of,embedded,debris,performed,on,both,wounds,,followed,with,a
,single-layer,closure.,Select,the,repair,codes,to,report.,
A.,12032,,12032-59,,12011-59,,12002-59
B.,12002,,12002-59,,12011-59,,12002-59
C.,12005,,11042-59
D.,12034,,12002-59,,ANS,-D.,12034,,12002-59
The,two,face,lacerations,were,closed,with,steri-
strips,(adhesive,strips).,When,adhesive,strips,are,the,only,repair,material,used,to,close,an,open,wound,a,r
epair,code,is,not,reported.,According,to,CPT®,subsection,guidelines,for,Repair,(Closure),,when,wound,clos
ure,uses,adhesive,strips,as,the,only,repair,material,it,should,be,coded,using,the,appropriate,E/M,service.,C
ode,12011,is,inappropriate,to,report,for,this,scenario,,eliminating,multiple,choices,A,and,B.,The,repairs,for
,the,wounds,on,the,arm,and,leg,are,intermediate,closures.,According,to,CPT®,subsection,guidelines,for,Re
pair,(Closure),,single-
layer,closure,of,heavily,contaminated,wounds,that,have,required,extensive,cleaning,or,removal,of,particu
late,matter,also,constitutes,intermediate,repair.,This,eliminates,multiple,choice,C.,To,report,multiple,wou
nds,that,are,repaired,in,the,same,classification,and,from,the,anatomic,sites,that,are,grouped,together,into
,the,same,code,descriptor,,add,together,the,length,of,the,wounds.,The,subsection,guidelines,also,indicate
s,when,more,than,one,classification,of,wounds,is,repaired,,append,modifier,59,to,the,least,complicated,re
pair(s).
A,55-year-
old,male,presents,in,the,office,with,an,ingrown,toenail,on,the,right,and,left,foot.,The,procedure,was,discu
ssed,in,detail,and,the,patient,elected,to,have,it,performed.,The,right,foot,was,prepped,and,draped,in,steril
e,fashion.,The,right,great,toe,was,anesthetized,with,50/50,solution,of,2,percent,lidocaine,and,.05,percent,
Marcaine.,A,mini-
tourniquet,was,placed,around,the,toe,for,hemostasis,in,which,part,of,the,nail,plate,and,maxtrixectomy,we
re,performed.,Phenol,was,then,applied,,the,toe,was,then,flushed.,Tourniquet,was,released,and,dressing,a
pplied.,At,this,time,the,patient,elected,to,only,have,one,performed,and,will,return,in,two,weeks,for,the,lef
t,foot.,Code,the,procedure.
,A.,11765-T5
B.,11750-T5
C.,11752-T5
D.,11740-T5,,ANS,-B.,11750-T5
This,patient,is,coming,in,to,have,an,in-
grown,toe,nail,removed,,eliminating,multiple,choice,answer,D,(Evacuation,of,Subungual,Hematoma),,whi
ch,is,evacuating,blood,from,under,the,nail.,You,are,now,left,with,choices,A,,B,,and,C,that,involves,the,rem
oval,of,an,ingrown,toenail.,Code,11752,is,not,correct.,The,scenario,does,not,mention,an,amputation.,The,
clue,to,help,you,narrow,down,between,the,codes,11765,and,11750,is,that,there,is,a,partial,removal,of,the,
nail,and,nail,matrix,(matrixectomy).
Procedure,Diagnosis:,Basal,cell,carcinoma,,left,chin.,Procedure:Wide,local,excision,of,3.0,cm,with,0.3,cm,
margin,basal,cell,carcinoma,of,the,left,chin,with,a,4,cm,closure.,Procedure:,The,patient's,left,chin,was,exa
mined.,The,site,of,intended,excision,was,marked,out.,The,site,was,then,prepped.,The,patient,was,then,pre
pped,and,draped,in,the,usual,fashion.,A,15,blade,scalpel,was,then,used,to,make,an,incision,in,the,previous
ly,marked,site.,It,was,carried,down,to,the,subcuticular,fat.,The,lesion,was,then,sharply,dissected,off,under
lying,tissue,bed,using,a,15-
blade,scalpel.,It,was,tagged,for,pathologic,orientation.,The,hyfrecator,was,used,for,hemostasis.,The,woun
d,was,then,closed,by,advancing,the,tissue,surrounding,the,lesion,and,closing,in,layers,with,3-
0,Vicryl,for,the,deep,layer,,followed,by,5-
0,Prolene,for,the,skin.,The,skin,closure,was,in,a,running,subcuticular,fashion.,Steri-
Strips,were,then,applied.,What,are,the,pro,,ANS,-A.,11644,,12052-51,,173.31
You,need,to,first,find,out,if,this,lesion,is,benign,or,malignant.,For,this,scenario,the,patient,has,a,basal,cell,c
arcinoma.,This,falls,under,malignant,lesion,,which,eliminates,multiple,choice,codes,C,and,D,as,they,deal,w
ith,benign,lesions.,Now,you,need,to,find,out,where,the,lesion,is,located,and,the,size,of,the,removal.,The,m
alignant,lesion,is,on,the,chin,(face),and,the,size,is,3.0,cm,+,.3,cm,+,.3,cm,=,3.6,cm,,leading,you,to,code,1164
4.,CPT®,subsection,guidelines,for,Excision-
Malignant,Lesions,state:,For,excision,of,malignant,lesion(s),requiring,intermediate,or,complex,closures,sh
ould,be,reported,separately.,For,this,scenario,the,wound,was,closed,in,two,layers,qualifying,the,closure,to
,be,coded,with,an,intermediate,repair,of,the,chin,(4,cm),,12052.,The,diagnosis,,basal,cell,carcinoma,of,the,
chin,,is,indexed,in,the,ICD-9-
CM,codebook,in,the,Neoplasm,Table,,under,Skin/face,NEC/basal,cell,carcinoma.
The,physician,removes,a,tumor,from,the,patient's,neck,using,the,Mohs,micrographic,surgery,technique.,D
uring,the,first,stage,,the,physician,takes,four,tissue,blocks,and,reviews,them,under,a,microscope.,The,exa
m,of,the,tissue,blocks,reveals,a,second,stage,is,necessary,to,remove,areas,where,the,tumor,is,still,present.
,The,physician,removes,two,additional,tissue,blocks.,What,are,the,appropriate,CPT®,codes,for,reporting,th
e,procedure?,
, A.,17311,,17312,,17315
B.,17313,,17315
C.,17313,,17314,,17315
D.,17311,,17312,,ANS,-D.,17311,,17312
For,narrowing,down,to,the,correct,procedure,code,for,the,Mohs,micrographic,surgery,,you,should,find,ou
t,where,on,the,body,the,tumor,was,removed.,For,this,scenario,,it,is,the,neck;,eliminating,multiple,choice,c
odes,B,and,C,,which,involve,the,trunk,,arms,or,legs.,The,tissue,block,removals,were,performed,in,two,stag
es,,coding,17311,and,17312.,Code,17315,is,not,coded,for,this,scenario,,because,the,physician,would,have,
to,remove,more,than,five,tissue,blocks,in,any,stage.,There,were,only,four,tissue,blocks,removed,in,the,firs
t,stage,and,two,tissue,blocks,removed,in,the,second,stage,,both,falling,short,of,six,or,more,tissue,blocks,re
moved,in,either,stage.
This,45-year-
old,male,presents,to,the,operating,room,with,a,painful,mass,of,the,right,upper,arm.,General,anesthesia,w
as,induced.,Soft,tissue,dissection,was,carried,down,thru,the,proximal,aspect,of,the,teres,minor,muscle.,U
pon,further,dissection,a,large,mass,was,noted,just,distal,of,the,IGHL(inferior,glenohumeral,ligament),,whi
ch,appeared,to,be,benign,in,nature.,With,blunt,dissection,and,electrocautery,,the,4.5,cm,mass,was,remov
ed,en,bloc,and,sent,to,pathology.,The,wound,was,irrigated,,and,repair,of,the,teres,minor,with,subcutaneo
us,tissue,was,then,closed,with,triple-0,Vicryl.,Skin,was,closed,with,double-
0,Prolene,in,a,subcuticular,fashion.,What,is,the,correct,CPT®,code,for,this,service?
A.,23076
B.,23066
C.,23075
D.,23077,,ANS,-A.,23076
This,patient,is,having,a,mass,removed,from,the,shoulder,area,,eliminating,multiple,choice,B,,which,is,a,bio
psy.,This,is,not,a,radical,resection,because,that,includes,removal,of,the,entire,tumor,along,with,large,surr
ounding,tissue,,including,adjacent,lymph,nodes.,The,size,of,the,mass,that,was,excised,was,4.5,cm,,which,l
eads,you,to,code,23076.
Postoperative,Diagnosis:,1.,Impingement,syndrome,left,shoulder.,2.,AC,synovitis,left,shoulder,Procedure:,
Arthroscopy,with,subacromial,decompression,and,AC,resection,left,shoulder.,The,patient,was,placed,supi
ne,on,the,operating,table,and,prepped,and,draped,in,usual,sterile,fashion.,The,scope,was,introduced,from
,a,posterior,portal,and,the,joint,was,inspected.,The,rotator,cuff,looked,in,good,condition.,The,articular,sur
faces,looked,good.,The,bicep,also,was,in,good,condition.,We,went,subacromially,and,there,was,a,fair,amo
unt,of,bursal,inflammation,encountered.,We,did,a,thorough,bursectomy.,A,ligament,chisel,was,used,to,ta
ke,down,the,coracoacromial,ligament.,A,high-
100% CORRECT ANSWERS .
7-year-
old,riding,his,bike,struck,a,tree,stump,throwing,him,off,his,bike.,He,received,multiple,lacerations.,He,had,a
,3,cm,dermis,laceration,on,his,scalp,with,two,0.5,cm,lacerations,on,his,face.,His,right,arm,had,a,5,cm,lacera
tion,and,right,leg,has,a,5cm,laceration.,The,physician,stapled,the,laceration,for,the,scalp.,Physician,used,st
eri-
strips,(adhesive,strips),to,close,the,wounds,on,the,face.,The,legs,and,arms,were,cleaned,by,heavily,irrigati
ng,them,with,normal,saline,and,removal,of,embedded,debris,performed,on,both,wounds,,followed,with,a
,single-layer,closure.,Select,the,repair,codes,to,report.,
A.,12032,,12032-59,,12011-59,,12002-59
B.,12002,,12002-59,,12011-59,,12002-59
C.,12005,,11042-59
D.,12034,,12002-59,,ANS,-D.,12034,,12002-59
The,two,face,lacerations,were,closed,with,steri-
strips,(adhesive,strips).,When,adhesive,strips,are,the,only,repair,material,used,to,close,an,open,wound,a,r
epair,code,is,not,reported.,According,to,CPT®,subsection,guidelines,for,Repair,(Closure),,when,wound,clos
ure,uses,adhesive,strips,as,the,only,repair,material,it,should,be,coded,using,the,appropriate,E/M,service.,C
ode,12011,is,inappropriate,to,report,for,this,scenario,,eliminating,multiple,choices,A,and,B.,The,repairs,for
,the,wounds,on,the,arm,and,leg,are,intermediate,closures.,According,to,CPT®,subsection,guidelines,for,Re
pair,(Closure),,single-
layer,closure,of,heavily,contaminated,wounds,that,have,required,extensive,cleaning,or,removal,of,particu
late,matter,also,constitutes,intermediate,repair.,This,eliminates,multiple,choice,C.,To,report,multiple,wou
nds,that,are,repaired,in,the,same,classification,and,from,the,anatomic,sites,that,are,grouped,together,into
,the,same,code,descriptor,,add,together,the,length,of,the,wounds.,The,subsection,guidelines,also,indicate
s,when,more,than,one,classification,of,wounds,is,repaired,,append,modifier,59,to,the,least,complicated,re
pair(s).
A,55-year-
old,male,presents,in,the,office,with,an,ingrown,toenail,on,the,right,and,left,foot.,The,procedure,was,discu
ssed,in,detail,and,the,patient,elected,to,have,it,performed.,The,right,foot,was,prepped,and,draped,in,steril
e,fashion.,The,right,great,toe,was,anesthetized,with,50/50,solution,of,2,percent,lidocaine,and,.05,percent,
Marcaine.,A,mini-
tourniquet,was,placed,around,the,toe,for,hemostasis,in,which,part,of,the,nail,plate,and,maxtrixectomy,we
re,performed.,Phenol,was,then,applied,,the,toe,was,then,flushed.,Tourniquet,was,released,and,dressing,a
pplied.,At,this,time,the,patient,elected,to,only,have,one,performed,and,will,return,in,two,weeks,for,the,lef
t,foot.,Code,the,procedure.
,A.,11765-T5
B.,11750-T5
C.,11752-T5
D.,11740-T5,,ANS,-B.,11750-T5
This,patient,is,coming,in,to,have,an,in-
grown,toe,nail,removed,,eliminating,multiple,choice,answer,D,(Evacuation,of,Subungual,Hematoma),,whi
ch,is,evacuating,blood,from,under,the,nail.,You,are,now,left,with,choices,A,,B,,and,C,that,involves,the,rem
oval,of,an,ingrown,toenail.,Code,11752,is,not,correct.,The,scenario,does,not,mention,an,amputation.,The,
clue,to,help,you,narrow,down,between,the,codes,11765,and,11750,is,that,there,is,a,partial,removal,of,the,
nail,and,nail,matrix,(matrixectomy).
Procedure,Diagnosis:,Basal,cell,carcinoma,,left,chin.,Procedure:Wide,local,excision,of,3.0,cm,with,0.3,cm,
margin,basal,cell,carcinoma,of,the,left,chin,with,a,4,cm,closure.,Procedure:,The,patient's,left,chin,was,exa
mined.,The,site,of,intended,excision,was,marked,out.,The,site,was,then,prepped.,The,patient,was,then,pre
pped,and,draped,in,the,usual,fashion.,A,15,blade,scalpel,was,then,used,to,make,an,incision,in,the,previous
ly,marked,site.,It,was,carried,down,to,the,subcuticular,fat.,The,lesion,was,then,sharply,dissected,off,under
lying,tissue,bed,using,a,15-
blade,scalpel.,It,was,tagged,for,pathologic,orientation.,The,hyfrecator,was,used,for,hemostasis.,The,woun
d,was,then,closed,by,advancing,the,tissue,surrounding,the,lesion,and,closing,in,layers,with,3-
0,Vicryl,for,the,deep,layer,,followed,by,5-
0,Prolene,for,the,skin.,The,skin,closure,was,in,a,running,subcuticular,fashion.,Steri-
Strips,were,then,applied.,What,are,the,pro,,ANS,-A.,11644,,12052-51,,173.31
You,need,to,first,find,out,if,this,lesion,is,benign,or,malignant.,For,this,scenario,the,patient,has,a,basal,cell,c
arcinoma.,This,falls,under,malignant,lesion,,which,eliminates,multiple,choice,codes,C,and,D,as,they,deal,w
ith,benign,lesions.,Now,you,need,to,find,out,where,the,lesion,is,located,and,the,size,of,the,removal.,The,m
alignant,lesion,is,on,the,chin,(face),and,the,size,is,3.0,cm,+,.3,cm,+,.3,cm,=,3.6,cm,,leading,you,to,code,1164
4.,CPT®,subsection,guidelines,for,Excision-
Malignant,Lesions,state:,For,excision,of,malignant,lesion(s),requiring,intermediate,or,complex,closures,sh
ould,be,reported,separately.,For,this,scenario,the,wound,was,closed,in,two,layers,qualifying,the,closure,to
,be,coded,with,an,intermediate,repair,of,the,chin,(4,cm),,12052.,The,diagnosis,,basal,cell,carcinoma,of,the,
chin,,is,indexed,in,the,ICD-9-
CM,codebook,in,the,Neoplasm,Table,,under,Skin/face,NEC/basal,cell,carcinoma.
The,physician,removes,a,tumor,from,the,patient's,neck,using,the,Mohs,micrographic,surgery,technique.,D
uring,the,first,stage,,the,physician,takes,four,tissue,blocks,and,reviews,them,under,a,microscope.,The,exa
m,of,the,tissue,blocks,reveals,a,second,stage,is,necessary,to,remove,areas,where,the,tumor,is,still,present.
,The,physician,removes,two,additional,tissue,blocks.,What,are,the,appropriate,CPT®,codes,for,reporting,th
e,procedure?,
, A.,17311,,17312,,17315
B.,17313,,17315
C.,17313,,17314,,17315
D.,17311,,17312,,ANS,-D.,17311,,17312
For,narrowing,down,to,the,correct,procedure,code,for,the,Mohs,micrographic,surgery,,you,should,find,ou
t,where,on,the,body,the,tumor,was,removed.,For,this,scenario,,it,is,the,neck;,eliminating,multiple,choice,c
odes,B,and,C,,which,involve,the,trunk,,arms,or,legs.,The,tissue,block,removals,were,performed,in,two,stag
es,,coding,17311,and,17312.,Code,17315,is,not,coded,for,this,scenario,,because,the,physician,would,have,
to,remove,more,than,five,tissue,blocks,in,any,stage.,There,were,only,four,tissue,blocks,removed,in,the,firs
t,stage,and,two,tissue,blocks,removed,in,the,second,stage,,both,falling,short,of,six,or,more,tissue,blocks,re
moved,in,either,stage.
This,45-year-
old,male,presents,to,the,operating,room,with,a,painful,mass,of,the,right,upper,arm.,General,anesthesia,w
as,induced.,Soft,tissue,dissection,was,carried,down,thru,the,proximal,aspect,of,the,teres,minor,muscle.,U
pon,further,dissection,a,large,mass,was,noted,just,distal,of,the,IGHL(inferior,glenohumeral,ligament),,whi
ch,appeared,to,be,benign,in,nature.,With,blunt,dissection,and,electrocautery,,the,4.5,cm,mass,was,remov
ed,en,bloc,and,sent,to,pathology.,The,wound,was,irrigated,,and,repair,of,the,teres,minor,with,subcutaneo
us,tissue,was,then,closed,with,triple-0,Vicryl.,Skin,was,closed,with,double-
0,Prolene,in,a,subcuticular,fashion.,What,is,the,correct,CPT®,code,for,this,service?
A.,23076
B.,23066
C.,23075
D.,23077,,ANS,-A.,23076
This,patient,is,having,a,mass,removed,from,the,shoulder,area,,eliminating,multiple,choice,B,,which,is,a,bio
psy.,This,is,not,a,radical,resection,because,that,includes,removal,of,the,entire,tumor,along,with,large,surr
ounding,tissue,,including,adjacent,lymph,nodes.,The,size,of,the,mass,that,was,excised,was,4.5,cm,,which,l
eads,you,to,code,23076.
Postoperative,Diagnosis:,1.,Impingement,syndrome,left,shoulder.,2.,AC,synovitis,left,shoulder,Procedure:,
Arthroscopy,with,subacromial,decompression,and,AC,resection,left,shoulder.,The,patient,was,placed,supi
ne,on,the,operating,table,and,prepped,and,draped,in,usual,sterile,fashion.,The,scope,was,introduced,from
,a,posterior,portal,and,the,joint,was,inspected.,The,rotator,cuff,looked,in,good,condition.,The,articular,sur
faces,looked,good.,The,bicep,also,was,in,good,condition.,We,went,subacromially,and,there,was,a,fair,amo
unt,of,bursal,inflammation,encountered.,We,did,a,thorough,bursectomy.,A,ligament,chisel,was,used,to,ta
ke,down,the,coracoacromial,ligament.,A,high-
