AAPC CPC PRACTICE EXAM A QUESTIONS
WITH CORRECT ANSWERS 2025
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 excisio
n 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
According to CPT® guidelines "Repair of an excision of a malignant lesion requiring intermediate or
complex closure should be reported separately". The intermediate repair code is reported because
it was a layered closure.
A 30-year-
old female is having 15 sq cm debridement performed on an infected ulcer with eschar on the rig
ht foot. Using sharp dissection, the ulcer was debrided all the way to down to the bone of the fo
ot. 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. Th
e area was dressed with sterile saline and dressings and then wrapped. What CPT® code should b
e reported?
A. 11043
B. 11012
C. 11044
D. 11042 - CORRECT ANSWER -C
Debridement is not being performed on an open fracture/open dislocation eliminating multiple cho
ice answer B. The ulcer was debrided all the way to the bone of the foot, making multiple choice
answer C, the correct procedure.
Question 3
A 64-year-
old female who has multiple sclerosis fell from her walker and landed on a glass table. She lacerat
ed her forehead, cheek and chin and the total length of these lacerations was 6 cm. Her right ar
, m S and S left S leg S had S deep S cuts S measuring S 5 S cm S on S each S extremity. S Her S right S hand S and
S right S foot S ha Sd S a S total Sof S 3 S cm S lacerations. S The S ED S physician S repaired S the S lacerations S as
S follows: S The S forehead, S c Sheek, S and S chin S had S debridement S and S cleaning S of S glass S debris
S with S the S lacerations S being S closed S wit Sh S one S layer S closure, S 6-0 S Prolene S sutures. S The S arm
S and S leg S were S repaired S by S layered S closure, S 6-
0 S Vicryl S subcutaneous S sutures S and S Prolene S sutures S on S the S skin. S The S hand S and S foot S were
S closed S wit Sh S adhesive S strips. S Select S the S appropriate S procedure S codes S for S this S visit.
A. 99283-25, S 12014, S 12034-59, S 12002-59, S 11042-51
B. 99283-25, S 12053, S 12034-59, S 12002-59
C. 99283-25, S 12014, S 12034-59, S 11042-51
D. 99283-25, S 12053, S 12034-59 S - S CORRECT S ANSWER S -D
To Sstart Snarrowing Syour Schoices, Sthe Shand Sand Sfoot Swere Sclosed Swith Sadhesive Sstrips. SThe Ssection Sg
Suidelines S in S the S CPT® S codebook S for S Repair S (Closure) S states: S "Wound S closure S utilizing
S adhesive S strips Sas Sthe Ssole Srepair Smaterial Sshould Sbe Scoded Susing Sthe Sappropriate SE/M Scode."
SEliminating Smultiple S choice S answers S A S and S B. S The S lacerations S on S the S face S are
S intermediate S repairs, S because S debrideme Snt Sand Sglass Sdebris Swas Sremoved. SThe Sguidelines Sin
Sthe SCPT® Scodebook Sfor SRepair S(Closure) Sstates: S"Single-
layer S closure S of S heavily S contaminated S wounds S that S have S required S extensive S cleaning S or
S removal S of Sparticulate S matter S also S constitutes S intermediate S repair." S Eliminating S multiple
S choice S answer S C. S The S i Sntermediate S repair S of S the S lacerations S to S the S face S totaled S 6 S cm
S (12053). S The S right S arm S and S left S leg Shad S cuts S measuring S 5 S cm S each S which S totaled S 10
S cm S requiring S intermediate S repair S (12034).
Question S4
S A S 52-
year-
old S female S has S a S mass S growing S on S her S right S flank S for S several S years. S It S has S finally S gotten
S significantl Sy S larger S and S is S beginning S to S bother S her. S She S is S brought S to S the S Operating
S Room S for S definitive S excisi Son. S An S incision S was S made S directly S overlying S the S mass. S The
S mass S was S down S into S the S subcutaneous Stissue S and S the S surgeon S encountered S a S well
S encapsulated S lipoma S approximately S 4 S centimeters. S This Swas S excised S primarily S bluntly S with
S a S few S attachments S divided S with S electrocautery. S What S CPT® S and S I SCD-10-CM S codes S are
S reported?
A. 21932, S D17.39
B. 21935, S D17.1
C. 21931, S D17.1
D. 21925, S D17.9 S - S CORRECT S ANSWER S -C
The S mass S growing S turned S out S to S be S a S lipoma S found S in S the S subcutaneous S tissue S of S the
S flank. S In S the SICD-10-
CM S Alphabetic S Index, S look S for S Lipoma/subcutaneous/trunk. S You S are S referred S to S code S D17.1,
S elimina
WITH CORRECT ANSWERS 2025
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 excisio
n 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
According to CPT® guidelines "Repair of an excision of a malignant lesion requiring intermediate or
complex closure should be reported separately". The intermediate repair code is reported because
it was a layered closure.
A 30-year-
old female is having 15 sq cm debridement performed on an infected ulcer with eschar on the rig
ht foot. Using sharp dissection, the ulcer was debrided all the way to down to the bone of the fo
ot. 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. Th
e area was dressed with sterile saline and dressings and then wrapped. What CPT® code should b
e reported?
A. 11043
B. 11012
C. 11044
D. 11042 - CORRECT ANSWER -C
Debridement is not being performed on an open fracture/open dislocation eliminating multiple cho
ice answer B. The ulcer was debrided all the way to the bone of the foot, making multiple choice
answer C, the correct procedure.
Question 3
A 64-year-
old female who has multiple sclerosis fell from her walker and landed on a glass table. She lacerat
ed her forehead, cheek and chin and the total length of these lacerations was 6 cm. Her right ar
, m S and S left S leg S had S deep S cuts S measuring S 5 S cm S on S each S extremity. S Her S right S hand S and
S right S foot S ha Sd S a S total Sof S 3 S cm S lacerations. S The S ED S physician S repaired S the S lacerations S as
S follows: S The S forehead, S c Sheek, S and S chin S had S debridement S and S cleaning S of S glass S debris
S with S the S lacerations S being S closed S wit Sh S one S layer S closure, S 6-0 S Prolene S sutures. S The S arm
S and S leg S were S repaired S by S layered S closure, S 6-
0 S Vicryl S subcutaneous S sutures S and S Prolene S sutures S on S the S skin. S The S hand S and S foot S were
S closed S wit Sh S adhesive S strips. S Select S the S appropriate S procedure S codes S for S this S visit.
A. 99283-25, S 12014, S 12034-59, S 12002-59, S 11042-51
B. 99283-25, S 12053, S 12034-59, S 12002-59
C. 99283-25, S 12014, S 12034-59, S 11042-51
D. 99283-25, S 12053, S 12034-59 S - S CORRECT S ANSWER S -D
To Sstart Snarrowing Syour Schoices, Sthe Shand Sand Sfoot Swere Sclosed Swith Sadhesive Sstrips. SThe Ssection Sg
Suidelines S in S the S CPT® S codebook S for S Repair S (Closure) S states: S "Wound S closure S utilizing
S adhesive S strips Sas Sthe Ssole Srepair Smaterial Sshould Sbe Scoded Susing Sthe Sappropriate SE/M Scode."
SEliminating Smultiple S choice S answers S A S and S B. S The S lacerations S on S the S face S are
S intermediate S repairs, S because S debrideme Snt Sand Sglass Sdebris Swas Sremoved. SThe Sguidelines Sin
Sthe SCPT® Scodebook Sfor SRepair S(Closure) Sstates: S"Single-
layer S closure S of S heavily S contaminated S wounds S that S have S required S extensive S cleaning S or
S removal S of Sparticulate S matter S also S constitutes S intermediate S repair." S Eliminating S multiple
S choice S answer S C. S The S i Sntermediate S repair S of S the S lacerations S to S the S face S totaled S 6 S cm
S (12053). S The S right S arm S and S left S leg Shad S cuts S measuring S 5 S cm S each S which S totaled S 10
S cm S requiring S intermediate S repair S (12034).
Question S4
S A S 52-
year-
old S female S has S a S mass S growing S on S her S right S flank S for S several S years. S It S has S finally S gotten
S significantl Sy S larger S and S is S beginning S to S bother S her. S She S is S brought S to S the S Operating
S Room S for S definitive S excisi Son. S An S incision S was S made S directly S overlying S the S mass. S The
S mass S was S down S into S the S subcutaneous Stissue S and S the S surgeon S encountered S a S well
S encapsulated S lipoma S approximately S 4 S centimeters. S This Swas S excised S primarily S bluntly S with
S a S few S attachments S divided S with S electrocautery. S What S CPT® S and S I SCD-10-CM S codes S are
S reported?
A. 21932, S D17.39
B. 21935, S D17.1
C. 21931, S D17.1
D. 21925, S D17.9 S - S CORRECT S ANSWER S -C
The S mass S growing S turned S out S to S be S a S lipoma S found S in S the S subcutaneous S tissue S of S the
S flank. S In S the SICD-10-
CM S Alphabetic S Index, S look S for S Lipoma/subcutaneous/trunk. S You S are S referred S to S code S D17.1,
S elimina
