CPC Practice Exam - 150 Questions
with Correct Answers
99285 - Answer-A 25 year-old male is brought in by the EMS to the ER for nausea
and vomiting. The patient has elevated blood sugars per EMS. EMS and the
physician are unable to get a history due to patient's altered mental status. The ED
physician performed a comprehensive eight organ system exam and a high level
MDM. Patient was transferred to ICU in stable condition. Total critical care time 25
minutes. What CPT code is reported?
00832 - Answer-The correct anesthesia code for a ventral hernia repair on a 13
month old child is
01829 - Answer-A patient is placed under anesthesia to have an exploratory surgery
done on her wrist. The surgeon utilizes a small fiber optic scope and investigates the
radius, ulna, and surrounding wrist bones. What should the anesthesiologist code
for?
When the anesthesiologist begins preparing the patient for the induction of
anesthesia - Answer-When does anesthesia time begin?
00561 - Answer-A five month old is brought into the operating room for open heart
surgery. The surgeon performs a repair of a small hole that was found in the lining
surrounding the patient's heart. Anesthesia was provided as well as the assistance of
an oxygenator pump. Which is the correct code(s)?
01714-P3, 99100 - Answer-A 72 year old male with a history of severe asthma is
placed under anesthesia to have a long tendon in his upper arm repaired. Which is
the correct code(s)?
Capnography - Answer-Which of the following procedures can be coded separately
when performed by the anesthesiologist?
00126-P1 - Answer-A healthy five year old male is placed under anesthesia to have
a biopsy taken from his left ear drum. Which is the correct code(s)?
00851-P5, 99140 - Answer-A female who is 17 weeks pregnant is rushed into the
OR due to a ruptured tubal pregnancy. She has a severe hemorrhage and has an
emergency laparoscopic tubal ligation. Which is the correct code(s)?
12032, 12013-59, S51.802A, S41.001A, S01.81XA - Answer-John was in a fight at
the local bar and presents to the ER with multiple lacerations. The physician
evaluates John and determines that he has a 2.5 cm gash to his left forearm and a
4cm gash on his right shoulder, both which require layered closure. He also has a
simple 3cm laceration on his forehead that requires simple closure. What are the
correct codes for the laceration repairs?
,17273, 17000, 17110 - Answer-A patient presents to her dermatologists office with
three suspicious looking lesions. The dermatologist evaluates them and determines
that the 1.3cm lesion of the scalp is benign and the 1.5cm lesion of the neck is
premalignant. The 2.5 cm on the dorsal surface of the patient's hand is also
evaluated and is determined to be malignant. The dermatologist chooses to ablate
all three lesions using electrosurgery. Which is the correct code(s)?
19000 - Answer-An 18 year old female presents with a cyst of her left breast and her
physician performs a puncture aspiration. Which is the correct code(s)?
17311, 17315, 17312, 12002 - Answer-OPERATIVE REPORT
Preoperative Diagnosis: Basal Cell Carcinoma
Postoperative Diagnosis: Basal Cell Carcinoma
Location: Mid Parietal Scalp
Procedure: Prior to each surgical stage, the surgical site was tested for anesthesia
and re-anesthetized as needed, after which it was prepped and draped in a sterile
fashion.
The clinically-apparent tumor was carefully defined and de-bulked prior to the first
stage, determining the extent of the surgical excision. With each stage, a thin layer of
tumor-laden tissue was excised with a narrow margin of normal appearing skin,
using the Mohs fresh tissue technique. A map was prepared to correspond to the
area of skin from which it was excised. The tissue was prepared for the cryostat and
sectioned. Each section was coded, cut and stained for microscopic examination.
The entire base and margins of the excised piece of tissue were examined by the
surgeon. Areas noted to be positive on the previous stage (if applicable) were
removed with the Mohs technique and processed for analysis. No tumor was
identified after the final stage of microscopically controlled surgery. The patient
tolerated the procedure well without any complication. After discussion with the
patient regarding the various options, the best closure option for each defect was
selected for optimal functional and cosmetic results.
Preoperative Size: 1.5 x 2.9 cm
Postoperative Size: 2.7 x 2.9 cm
Closure: Simple Linear Closure, 3.5cm, scalp
Total # of Mohs Stages: 2
Stage Sections Positive
I61
II 2 0
Which is the correct code(s)?
15120 - Answer-A patient with a non-healing burn wound on her right cheek, and is
admitted to the OR for surgery. The physician had the patient prepped with a
Betadine scrub and draped in the normal sterile fashion. The cheek was
anesthetized with 1% Lidocaine with 1:800,000 epinephrine (6 cc), and SeptiCare
was applied. A skin graft of the epidermis and a small portion of the dermis was
taken with a Goulian Weck blade with a six-thousands-of-an-inch-thick shim on the
blade. The 25 sq cm graft was flipped and sewn to the adjacent defect with running
5-0 Vicryl. The wound was then dressed with Xeroform and the patient was taken to
recovery. Which is the correct code(s)?
, 12042-F6, 11740-F7 - Answer-A child is brought into the emergency department
after having her fingers on her right hand closed in a car door. The physician
evaluates the patient and diagnosis her with a 3cm laceration to her second finger
and a subungual hematoma to her third finger. The physician then proceeds to
cleanse the fingers with an iodine scrub and injects both digits with 2 mL of 1%
lidocaine with epinephrine. The wound on the second finger was then irrigated with
500 cc of NS and explored for foreign bodies or structural damage. No foreign
bodies were found, tendons and vessels were intact. The wound was then re-
approximated. Three 5-0 absorbable mattress sutures were used to close the
subcutaneous tissue and six 6-0 nylon interrupted sutures were used to close the
epidermis. The finger was then wrapped in sterile gauze and placed in an aluminum
finger splint. The physician then check that the digital block performed on the third
finger was still effective. After ensuring the patient's finger was still numb he then
proceeded to take an electronic cautery unit and created a small hole in the nail.
Pressing slightly on the nail he evacuated the hematoma. The hole was then
irrigated with 500cc of NS and the finger was wrapped in sterile gauze. The patient
tolerated both procedures well without complaint. Which is the correct code(s)?
Adding together the lesion diameter and the narrowest margins necessary to
adequately excise the lesion. - Answer-The size of an excision of a benign lesion is
determined by:
True - Answer-A simple, single layered laceration requires extensive cleaning due to
being heavily contaminated. The code selected would come from code range 12031-
12057.
Allograft - Answer-A skin graft where the donor skin comes from another human
(often a cadaver) is known as a(n)
16035, 16036 x2 - Answer-A patient is being treated for third degree burns to his left
leg and left arm which cover a total of 18 sq cm. The burns are scrubbed clean,
anesthetized, and three incisions are made with a #11 scalpel, through the tough
leathery tissue that is dead, in order to expose the fatty tissue below and avoid
compartment syndrome. The burns are then re-dressed with sterile gauze. Which is
the correct code(s)?
29883 - Answer-Medial and lateral meniscus repair performed arthroscopically.
Which is the correct code(s)?
99284-57-25, 25605-54-RT, 12031, S52.501B - Answer-A patient comes into the
emergency department complaining of sever wrist pain after falling onto her out
stretched hands. The physician evaluates the patient taking a detailed history, a
detailed exam, and medical decision making of moderate complexity. Upon
examination the physician notes that there is a small portion of bone protruding
through the skin. After ordering x-rays of the forearm and wrist the patient is
diagnosed with an open distal radius fracture of the right arm. The physician
provides an IV drip of morphine to the patient for pain and reduces the fracture. 5¬0
absorbable sutures were use to close the subcutaneous layer above the fracture and
the surface was closed with 6-0 nylon interrupted sutures. Wound length was
measured at 2.5 cm. It was then dressed with sterile gauze and the wrist was
with Correct Answers
99285 - Answer-A 25 year-old male is brought in by the EMS to the ER for nausea
and vomiting. The patient has elevated blood sugars per EMS. EMS and the
physician are unable to get a history due to patient's altered mental status. The ED
physician performed a comprehensive eight organ system exam and a high level
MDM. Patient was transferred to ICU in stable condition. Total critical care time 25
minutes. What CPT code is reported?
00832 - Answer-The correct anesthesia code for a ventral hernia repair on a 13
month old child is
01829 - Answer-A patient is placed under anesthesia to have an exploratory surgery
done on her wrist. The surgeon utilizes a small fiber optic scope and investigates the
radius, ulna, and surrounding wrist bones. What should the anesthesiologist code
for?
When the anesthesiologist begins preparing the patient for the induction of
anesthesia - Answer-When does anesthesia time begin?
00561 - Answer-A five month old is brought into the operating room for open heart
surgery. The surgeon performs a repair of a small hole that was found in the lining
surrounding the patient's heart. Anesthesia was provided as well as the assistance of
an oxygenator pump. Which is the correct code(s)?
01714-P3, 99100 - Answer-A 72 year old male with a history of severe asthma is
placed under anesthesia to have a long tendon in his upper arm repaired. Which is
the correct code(s)?
Capnography - Answer-Which of the following procedures can be coded separately
when performed by the anesthesiologist?
00126-P1 - Answer-A healthy five year old male is placed under anesthesia to have
a biopsy taken from his left ear drum. Which is the correct code(s)?
00851-P5, 99140 - Answer-A female who is 17 weeks pregnant is rushed into the
OR due to a ruptured tubal pregnancy. She has a severe hemorrhage and has an
emergency laparoscopic tubal ligation. Which is the correct code(s)?
12032, 12013-59, S51.802A, S41.001A, S01.81XA - Answer-John was in a fight at
the local bar and presents to the ER with multiple lacerations. The physician
evaluates John and determines that he has a 2.5 cm gash to his left forearm and a
4cm gash on his right shoulder, both which require layered closure. He also has a
simple 3cm laceration on his forehead that requires simple closure. What are the
correct codes for the laceration repairs?
,17273, 17000, 17110 - Answer-A patient presents to her dermatologists office with
three suspicious looking lesions. The dermatologist evaluates them and determines
that the 1.3cm lesion of the scalp is benign and the 1.5cm lesion of the neck is
premalignant. The 2.5 cm on the dorsal surface of the patient's hand is also
evaluated and is determined to be malignant. The dermatologist chooses to ablate
all three lesions using electrosurgery. Which is the correct code(s)?
19000 - Answer-An 18 year old female presents with a cyst of her left breast and her
physician performs a puncture aspiration. Which is the correct code(s)?
17311, 17315, 17312, 12002 - Answer-OPERATIVE REPORT
Preoperative Diagnosis: Basal Cell Carcinoma
Postoperative Diagnosis: Basal Cell Carcinoma
Location: Mid Parietal Scalp
Procedure: Prior to each surgical stage, the surgical site was tested for anesthesia
and re-anesthetized as needed, after which it was prepped and draped in a sterile
fashion.
The clinically-apparent tumor was carefully defined and de-bulked prior to the first
stage, determining the extent of the surgical excision. With each stage, a thin layer of
tumor-laden tissue was excised with a narrow margin of normal appearing skin,
using the Mohs fresh tissue technique. A map was prepared to correspond to the
area of skin from which it was excised. The tissue was prepared for the cryostat and
sectioned. Each section was coded, cut and stained for microscopic examination.
The entire base and margins of the excised piece of tissue were examined by the
surgeon. Areas noted to be positive on the previous stage (if applicable) were
removed with the Mohs technique and processed for analysis. No tumor was
identified after the final stage of microscopically controlled surgery. The patient
tolerated the procedure well without any complication. After discussion with the
patient regarding the various options, the best closure option for each defect was
selected for optimal functional and cosmetic results.
Preoperative Size: 1.5 x 2.9 cm
Postoperative Size: 2.7 x 2.9 cm
Closure: Simple Linear Closure, 3.5cm, scalp
Total # of Mohs Stages: 2
Stage Sections Positive
I61
II 2 0
Which is the correct code(s)?
15120 - Answer-A patient with a non-healing burn wound on her right cheek, and is
admitted to the OR for surgery. The physician had the patient prepped with a
Betadine scrub and draped in the normal sterile fashion. The cheek was
anesthetized with 1% Lidocaine with 1:800,000 epinephrine (6 cc), and SeptiCare
was applied. A skin graft of the epidermis and a small portion of the dermis was
taken with a Goulian Weck blade with a six-thousands-of-an-inch-thick shim on the
blade. The 25 sq cm graft was flipped and sewn to the adjacent defect with running
5-0 Vicryl. The wound was then dressed with Xeroform and the patient was taken to
recovery. Which is the correct code(s)?
, 12042-F6, 11740-F7 - Answer-A child is brought into the emergency department
after having her fingers on her right hand closed in a car door. The physician
evaluates the patient and diagnosis her with a 3cm laceration to her second finger
and a subungual hematoma to her third finger. The physician then proceeds to
cleanse the fingers with an iodine scrub and injects both digits with 2 mL of 1%
lidocaine with epinephrine. The wound on the second finger was then irrigated with
500 cc of NS and explored for foreign bodies or structural damage. No foreign
bodies were found, tendons and vessels were intact. The wound was then re-
approximated. Three 5-0 absorbable mattress sutures were used to close the
subcutaneous tissue and six 6-0 nylon interrupted sutures were used to close the
epidermis. The finger was then wrapped in sterile gauze and placed in an aluminum
finger splint. The physician then check that the digital block performed on the third
finger was still effective. After ensuring the patient's finger was still numb he then
proceeded to take an electronic cautery unit and created a small hole in the nail.
Pressing slightly on the nail he evacuated the hematoma. The hole was then
irrigated with 500cc of NS and the finger was wrapped in sterile gauze. The patient
tolerated both procedures well without complaint. Which is the correct code(s)?
Adding together the lesion diameter and the narrowest margins necessary to
adequately excise the lesion. - Answer-The size of an excision of a benign lesion is
determined by:
True - Answer-A simple, single layered laceration requires extensive cleaning due to
being heavily contaminated. The code selected would come from code range 12031-
12057.
Allograft - Answer-A skin graft where the donor skin comes from another human
(often a cadaver) is known as a(n)
16035, 16036 x2 - Answer-A patient is being treated for third degree burns to his left
leg and left arm which cover a total of 18 sq cm. The burns are scrubbed clean,
anesthetized, and three incisions are made with a #11 scalpel, through the tough
leathery tissue that is dead, in order to expose the fatty tissue below and avoid
compartment syndrome. The burns are then re-dressed with sterile gauze. Which is
the correct code(s)?
29883 - Answer-Medial and lateral meniscus repair performed arthroscopically.
Which is the correct code(s)?
99284-57-25, 25605-54-RT, 12031, S52.501B - Answer-A patient comes into the
emergency department complaining of sever wrist pain after falling onto her out
stretched hands. The physician evaluates the patient taking a detailed history, a
detailed exam, and medical decision making of moderate complexity. Upon
examination the physician notes that there is a small portion of bone protruding
through the skin. After ordering x-rays of the forearm and wrist the patient is
diagnosed with an open distal radius fracture of the right arm. The physician
provides an IV drip of morphine to the patient for pain and reduces the fracture. 5¬0
absorbable sutures were use to close the subcutaneous layer above the fracture and
the surface was closed with 6-0 nylon interrupted sutures. Wound length was
measured at 2.5 cm. It was then dressed with sterile gauze and the wrist was
