AAPC CPC PRACTICE EXAM 234 QUESTIONS
ACTUAL QUESTIONS & VERIFIED ANSWERS A+ GRADE 100%
GUARANTEE
1. A 46-year-old female had a previous biopsy that indicated positive malig-
nant 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 excision 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
ANS >> 11626, 12044-51
2. A 30-year-old female is having 15 sq cm debridement performed on an
infected ulcer with eschar on the right foot. Using sharp dissection, the ulcer
was debrided all the way to down to the bone of the foot.The bone had to
1/
,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.The area was dressed with sterile saline
and dressings and then wrapped. What CPT® code should be reported?
A. 11043
B. 11012
C. 11044
D. 11042
ANS >> 11044
3. A 64-year-old female who has multiple sclerosis fell from her walker and
landed on a glass table. She lacerated her forehead, cheek and chin and the
total length of these lacerations was 6 cm. Her right arm and left leg had deep
cuts measuring 5 cm on each extremity. Her right hand and right foot had a
total of 3 cm lacerations.The ED physician repaired the lacerations as follows:
The forehead, cheek, and chin had debridement and cleaning of glass debris
with the lacerations being closed with one layer closure, 6-0 Prolene sutures.
The arm and leg were repaired by layered closure, 6-0 Vicryl subcutaneous
sutures and Prolene sutures on the skin.The hand and foot were closed with
2/
,adhesive strips. Select the appropriate procedure codes for this visit.
A. 99283-25, 12014, 12034-59, 12002-59, 11042-51
B. 99283-25, 12053, 12034-59, 12002-59
C. 99283-25, 12014, 12034-59, 11042-51
D. 99283-25, 12053, 12034-59
ANS >> 99283-25, 12053, 12034-59
4. A 52-year-old female has a mass growing on her right flank for several years. It
has finally gotten significantly larger and is beginning to bother her. She is
brought to the Operating Room for definitive excision. An incision was made
directlyoverlying the mass.The masswas down into the subcutaneous tissue
and the surgeon encountered a well encapsulated lipoma approximately 4
centimeters.This was excised primarilybluntlywith a few attachments divided
with electrocautery. What CPT® and ICD-10-CM codes are reported?
A. 21932, D17.39
B. 21935, D17.1
C. 21931, D17.1
D. 21925, D17.9 ANS >>
21931, D17.1
5. Question 5
3 N/
, PREOPERATIVE DIAGNOSIS: Right scaphoid fracture.TYPE OF PROCEDURE: N N N N N N
N Open reduction and internal fixation of right scaphoid fracture. DESCRIPTION
N N N N N N N N N
N OF PROCEDURE:The patient was brought to the operating room; anesthesia
N N N N N N N N N
N having been administered.The right upper extremitywas prepped and draped
N N N N N N N N
N in a sterile manner.The limb was elevated, exsanguinated, and a pneumatic
N N N N N N N N N N
N arm tourniquet was elevated. An incision was made over the dorsal radial
N N N N N N N N N N N
N aspect of the right wrist. Skin flaps were elevated. Cutaneous nerve branches
N N N N N N N N N N N
N were identified and verygentlyretracted.The interval between the second and
N N N N N N N N
N third dorsal compartment tendons was identified and entered.The respective
N N N N N N N N
N tendons were retracted. A dorsal capsulotomy incision was made, and the
N N N N N N N N N N
N fracture was visualized. There did not appear to be any type of significant
N N N N N N N N N N N N
N defect at the fracture site. A0.045 Kirschnerwirewas thenused as aguidewire,
N N N N N N N N N
N extending from the proximal pole of the scaphoid distal ward.The guidewire
N N N N N N N N N N
N was positioned appropriately and then measured. A 25-mm Acutrak® drill bit
N N N N N N N N N N
N was drilled to 25 mm. A 22.5-mm screw was selected and inserted and rigid
N N N N N N N N N N N N N
N internal fixation was accomplished in this fashion.This was visualized under
N N N N N N N N N
N the OEC imaging device in multiple projections.The wound was irrigated and
N N N N N N N N N N
N closed in layers. Sterile dressings were then applied.The patient tolerated the
N N N N N N N N N N
N procedure well and left the operating room in stable condition. What CPT®
N N N N N N N N N N N
4 N/
ACTUAL QUESTIONS & VERIFIED ANSWERS A+ GRADE 100%
GUARANTEE
1. A 46-year-old female had a previous biopsy that indicated positive malig-
nant 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 excision 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
ANS >> 11626, 12044-51
2. A 30-year-old female is having 15 sq cm debridement performed on an
infected ulcer with eschar on the right foot. Using sharp dissection, the ulcer
was debrided all the way to down to the bone of the foot.The bone had to
1/
,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.The area was dressed with sterile saline
and dressings and then wrapped. What CPT® code should be reported?
A. 11043
B. 11012
C. 11044
D. 11042
ANS >> 11044
3. A 64-year-old female who has multiple sclerosis fell from her walker and
landed on a glass table. She lacerated her forehead, cheek and chin and the
total length of these lacerations was 6 cm. Her right arm and left leg had deep
cuts measuring 5 cm on each extremity. Her right hand and right foot had a
total of 3 cm lacerations.The ED physician repaired the lacerations as follows:
The forehead, cheek, and chin had debridement and cleaning of glass debris
with the lacerations being closed with one layer closure, 6-0 Prolene sutures.
The arm and leg were repaired by layered closure, 6-0 Vicryl subcutaneous
sutures and Prolene sutures on the skin.The hand and foot were closed with
2/
,adhesive strips. Select the appropriate procedure codes for this visit.
A. 99283-25, 12014, 12034-59, 12002-59, 11042-51
B. 99283-25, 12053, 12034-59, 12002-59
C. 99283-25, 12014, 12034-59, 11042-51
D. 99283-25, 12053, 12034-59
ANS >> 99283-25, 12053, 12034-59
4. A 52-year-old female has a mass growing on her right flank for several years. It
has finally gotten significantly larger and is beginning to bother her. She is
brought to the Operating Room for definitive excision. An incision was made
directlyoverlying the mass.The masswas down into the subcutaneous tissue
and the surgeon encountered a well encapsulated lipoma approximately 4
centimeters.This was excised primarilybluntlywith a few attachments divided
with electrocautery. What CPT® and ICD-10-CM codes are reported?
A. 21932, D17.39
B. 21935, D17.1
C. 21931, D17.1
D. 21925, D17.9 ANS >>
21931, D17.1
5. Question 5
3 N/
, PREOPERATIVE DIAGNOSIS: Right scaphoid fracture.TYPE OF PROCEDURE: N N N N N N
N Open reduction and internal fixation of right scaphoid fracture. DESCRIPTION
N N N N N N N N N
N OF PROCEDURE:The patient was brought to the operating room; anesthesia
N N N N N N N N N
N having been administered.The right upper extremitywas prepped and draped
N N N N N N N N
N in a sterile manner.The limb was elevated, exsanguinated, and a pneumatic
N N N N N N N N N N
N arm tourniquet was elevated. An incision was made over the dorsal radial
N N N N N N N N N N N
N aspect of the right wrist. Skin flaps were elevated. Cutaneous nerve branches
N N N N N N N N N N N
N were identified and verygentlyretracted.The interval between the second and
N N N N N N N N
N third dorsal compartment tendons was identified and entered.The respective
N N N N N N N N
N tendons were retracted. A dorsal capsulotomy incision was made, and the
N N N N N N N N N N
N fracture was visualized. There did not appear to be any type of significant
N N N N N N N N N N N N
N defect at the fracture site. A0.045 Kirschnerwirewas thenused as aguidewire,
N N N N N N N N N
N extending from the proximal pole of the scaphoid distal ward.The guidewire
N N N N N N N N N N
N was positioned appropriately and then measured. A 25-mm Acutrak® drill bit
N N N N N N N N N N
N was drilled to 25 mm. A 22.5-mm screw was selected and inserted and rigid
N N N N N N N N N N N N N
N internal fixation was accomplished in this fashion.This was visualized under
N N N N N N N N N
N the OEC imaging device in multiple projections.The wound was irrigated and
N N N N N N N N N N
N closed in layers. Sterile dressings were then applied.The patient tolerated the
N N N N N N N N N N
N procedure well and left the operating room in stable condition. What CPT®
N N N N N N N N N N N
4 N/
