AAPC CPC PRACTICE WITH 250
QUESTIONS (2026/2027) UPDATE|EXAM
QUESTIONS WITH MULTIPLE
CHOICES |VERIFIED & REVISED
ANSWERS (NEW)!!!
Am46-year-
oldmfemalemhadmampreviousmbiopsymthatmindicatedmpositivemmalignantmmarginsmanteriorlymonmthe
mrightmsidemofmhermneck.mAm0.5mcmmmarginmwasmdrawnmoutmandmam15mblademscalpelmwasmusedmfor
mfullmexcisionmofmanm8mcmmlesion.mLayeredmclosuremwasmperformedmaftermthemremoval.mThemspeci
menmwasmsentmformpermanentmhistopathologicmexamination.mWhatmaremthemCPT®mcode(s)mformthi
smprocedure?
A.m11626
B.m11626,m12004-51
C.m11626,m12044-51
D.m11626,m13132-51,m13133m-mCORRECTmANSWERmC.m11626,m12044-51
Am30-year-
oldmfemalemismhavingm15msqmcmmdebridementmperformedmonmanminfectedmulcermwithmescharmonmt
hemrightmfoot.mUsingmsharpmdissection,mthemulcermwasmdebridedmallmthemwaymtomdownmtomthembon
emofmthemfoot.mThembonemhadmtombemminimallymtrimmedmbecausemofmamsharpmpointmatmthemendmo
fmthemmetatarsal.mAftermdebridingmthemarea,mtheremwasmminimalmbleedingmbecausemofmverympoorm
circulationmofmthemfoot.mItmseemsmthatmthemtoesmnextmtomthemulcermmaymhavemsomeminvolvementm
andmculturesmweremtaken.mThemareamwasmdressedmwithmsterilemsalinemandmdressingsmandmthenmwr
apped.mWhatmCPT®mcodemshouldmbemreported?
A.m11043
B.m11012
C.m11044
D.m11042m-mCORRECTmANSWERmC.m11044
,Am64-year-
oldmfemalemwhomhasmmultiplemsclerosismfellmfrommhermwalkermandmlandedmonmamglassmtable.mSheml
aceratedmhermforehead,mcheekmandmchinmandmthemtotalmlengthmofmthesemlacerationsmwasm6mcm.mH
ermrightmarmmandmleftmlegmhadmdeepmcutsmmeasuringm5mcmmonmeachmextremity.mHermrightmhandma
ndmrightmfootmhadmamtotalmofm3mcmmlacerations.mThemEDmphysicianmrepairedmthemlacerationsmasmfol
lows:mThemforehead,mcheek,mandmchinmhadmdebridementmandmcleaningmofmglassmdebrismwithmtheml
acerationsmbeingmclosedmwithmonemlayermclosure,m6-
0mProlenemsutures.mThemarmmandmlegmweremrepairedmbymlayeredmclosure,m6-
0mVicrylmsubcutaneousmsuturesmandmProlenemsuturesmonmthemskin.mThemhandmandmfootmweremclos
edmwithmadhesivemstrips.mSelectmthemappropriatemproceduremcodesmformthismvisit.
A.m99283-25,m12014,m12034-59,m12002-59,m11042-51
B.m99283-25,m12053,m12034-59,m12002-59
C.m99283-25,m12014,m12034-59,m11042-51
D.m99283-25,m12053,m12034-59m-mCORRECTmANSWERmD.m99283-25,m12053,m12034-59
Am52-year-
oldmfemalemhasmammassmgrowingmonmhermrightmflankmformseveralmyears.mItmhasmfinallymgottenmsignif
icantlymlargermandmismbeginningmtombothermher.mShemismbroughtmtomthemOperatingmRoommformdefin
itivemexcision.mAnmincisionmwasmmademdirectlymoverlyingmthemmass.mThemmassmwasmdownmintomth
emsubcutaneousmtissuemandmthemsurgeonmencounteredmamwellmencapsulatedmlipomamapproximate
lym4mcentimeters.mThismwasmexcisedmprimarilymbluntlymwithmamfewmattachmentsmdividedmwithmelec
trocautery.mWhatmCPT®mandmICD-10-CMmcodesmaremreported?
A.m21932,mD17.39
B.m21935,mD17.1
C.m21931,mD17.1
D.m21925,mD17.9m-mCORRECTmANSWERmC.m21931,mD17.1
Questionm5
PREOPERATIVEmDIAGNOSIS:mRightmscaphoidmfracture.mTYPEmOFmPROCEDURE:mOpenmreductionman
dminternalmfixationmofmrightmscaphoidmfracture.mDESCRIPTIONmOFmPROCEDURE:mThempatientmwasm
broughtmtomthemoperatingmroom;manesthesiamhavingmbeenmadministered.mThemrightmuppermextre
mitymwasmpreppedmandmdrapedminmamsterilemmanner.mThemlimbmwasmelevated,mexsanguinated,man
,dmampneumaticmarmmtourniquetmwasmelevated.mAnmincisionmwasmmademovermthemdorsalmradialmasp
ectmofmthemrightmwrist.mSkinmflapsmweremelevated.mCutaneousmnervembranchesmweremidentifiedman
dmverymgentlymretracted.mThemintervalmbetweenmthemsecondmandmthirdmdorsalmcompartmentmtend
onsmwasmidentifiedmandmentered.mThemrespectivemtendonsmweremretracted.mAmdorsalmcapsulotom
ymincisionmwasmmade,mandmthemfracturemwasmvisualized.mTheremdidmnotmappearmtombemanymtypemo
fmsignificantmdefectmatmthemfracturemsite.mAm0.045mKirschnermwiremwasmthenmusedmasmamguidewire,
mextendingmfrommtm-mCORRECTmANSWERmA.m25628-RT
Anminfantmwithmgenumvalgummismbroughtmtomthemoperatingmroommtomhavemambilateralmmedialmdista
lmfemurmhemiepiphysiodesismdone.mOnmeachmknee,mthemC-
armmwasmusedmtomlocalizemthemgrowthmplate.mWithmthemgrowthmplatemlocalized,manmincisionmwasm
mademmediallymonmbothmsides.mThismwasmtakenmdownmtomthemfascia,mwhichmwasmopened.mThempe
riosteummwasmnotmopened.mThemOrthofix®mfigure-of-
eightmplatemwasmplacedmandmcheckedmwithmX-
ray.mWemthenmirrigatedmandmclosedmthemmedialmfasciamwithm0mVicrylmsuture.mThemskinmwasmclosedm
withm2-0mVicrylmandm3-0mMonocryl®.mWhatmproceduremcodemismreported?
A.m27470-50
B.m27475-50
C.m27477-50
D.m27485-50m-mCORRECTmANSWERmD.m27485-50
Thempatientmismam67-year-
oldmgentlemanmwithmmetastaticmcolonmcancermrecentlymoperatedmonmformambrainmmetastasis,mnow
mformplacementmofmanmInfuse-A-
Portmformcontinuedmchemotherapy.mThemleftmsubclavianmveinmwasmlocatedmwithmamneedlemandmamg
uidemwiremplaced.mThismwasmconfirmedmtombeminmthempropermpositionmfluoroscopically.mAmtransver
semincisionmwasmmademjustminferiormtomthismandmamsubcutaneousmpocketmcreatedmjustminferiormtom
this.mAftermtunneling,mthemintroducermwasmplacedmovermthemguidemwiremandmthempowermportmlinem
wasmplacedmwithmthemintroducermandmthemintroducermwasmpeeledmaway.mThemtipmwasmplacedminmt
hemappropriatempositionmundermfluoroscopicmguidancemandmthemcathetermtrimmedmtomthemappro
priatemlengthmandmsecuredmtomthempowermportmdevice.mThemlockingmmechanismmwasmfullymengag
ed.mThemportmwasmplacedminmthemsubcutaneousmpocketmandmeverythingmsatmverymnicelymfluorosco
pically.mItmwasmsecuredmtomthemunderlyingmsoftmtissuem-mCORRECTmANSWERmC.m36561,m77001-26
, Questionm8
AmCTmscanmidentifiedmmoderate-sizedmrightmpleuralmeffusionminmam50myear-
oldmmale.mThismwasmestimatedmtombem800mccminmsizemandmhadmanmappearancemofmfluidmonmthemCTm
Scan.mAmneedlemismusedmtompuncturemthroughmthemchestmtissuesmandmentermthempleuralmcavitymtom
insertmamguidewiremundermultrasoundmguidance.mAmpigtailmcathetermismthenminsertedmatmthemlengt
hmofmthemguidewiremandmsecuredmbymstitches.mThemcathetermwillmremainminmthemchestmandmismcon
nectedmtomdrainagemsystemmtomdrainmthemaccumulatedmfluid.mThemCPT®mcodemis:
A.m32557
B.m32555
C.m32556
D.m32550m-mCORRECTmANSWERmA.m32557
Thempatientmismam59-year-
oldmwhitemmalemwhomunderwentmcarotidmendarterectomymformsymptomaticmleftmcarotidmstenosis
mamyearmago.mAmcarotidmCTmangiogrammshowedmamrecurrentm90%mleftminternalmcarotidmarterymsten
osismextendingmintomthemcommonmcarotidmartery.mHemismtakenmtomthemoperatingmroommformre-
domleftmcarotidmendarterectomy.mThemleftmneckmwasmpreppedmandmthempreviousmincisionmwasmcar
efullymreopened.mUsingmsharpmdissection,mthemcommonmcarotidmarterymandmitsmbranchesmweremdi
ssectedmfree.mThempatientmwasmsystematicallymheparinizedmandmaftermamfewmminutes,mclampsmwe
remappliedmtomthemcommonmcarotidmarterymandmitsmbranches.mAmlongitudinalmarteriotomymwasmca
rriedmoutmwithmfindingsmofmextensivemlayeringmofmintimalmhyperplasiamwithmnomevidencemofmrecurr
entmatherosclerosis.mAmsilasticmballoon-
tipmshuntmwasminsertedmfirstmproximallymandmthenmdistally,mwithmrestorationmofmflow.mSeveralmlaye
rsmofmintimamweremremovedmandmthemendartm-mCORRECTmANSWERmB.m35301,m35390
Am52-year-
oldmpatientmismadmittedmtomthemhospitalmformchronicmcholecystitismformwhichmamlaparoscopicmchol
ecystectomymwillmbemperformed.mAmtransverseminfraumbilicalmincisionmwasmmademsharplymdissecti
ngmtomthemsubcutaneousmtissuemdownmtomthemfasciamusingmaccessmundermdirectmvisionmwithmamVes
i-
Portmandmamscopemwasmplacedmintomthemabdomen.mThreemothermportsmwereminsertedmundermdirec
tmvision.mThemfundusmofmthemgallbladdermwasmgraspedmthroughmthemlateralmport,mwheremmultiplem
adhesionsmtomthemgallbladdermweremtakenmdownmsharplymandmbluntly:mThemgallbladdermappeared
mchronicallyminflamed.mDissectionmwasmcarriedmoutmtomthemrightmofmthismidentifyingmamsmallmcystic
QUESTIONS (2026/2027) UPDATE|EXAM
QUESTIONS WITH MULTIPLE
CHOICES |VERIFIED & REVISED
ANSWERS (NEW)!!!
Am46-year-
oldmfemalemhadmampreviousmbiopsymthatmindicatedmpositivemmalignantmmarginsmanteriorlymonmthe
mrightmsidemofmhermneck.mAm0.5mcmmmarginmwasmdrawnmoutmandmam15mblademscalpelmwasmusedmfor
mfullmexcisionmofmanm8mcmmlesion.mLayeredmclosuremwasmperformedmaftermthemremoval.mThemspeci
menmwasmsentmformpermanentmhistopathologicmexamination.mWhatmaremthemCPT®mcode(s)mformthi
smprocedure?
A.m11626
B.m11626,m12004-51
C.m11626,m12044-51
D.m11626,m13132-51,m13133m-mCORRECTmANSWERmC.m11626,m12044-51
Am30-year-
oldmfemalemismhavingm15msqmcmmdebridementmperformedmonmanminfectedmulcermwithmescharmonmt
hemrightmfoot.mUsingmsharpmdissection,mthemulcermwasmdebridedmallmthemwaymtomdownmtomthembon
emofmthemfoot.mThembonemhadmtombemminimallymtrimmedmbecausemofmamsharpmpointmatmthemendmo
fmthemmetatarsal.mAftermdebridingmthemarea,mtheremwasmminimalmbleedingmbecausemofmverympoorm
circulationmofmthemfoot.mItmseemsmthatmthemtoesmnextmtomthemulcermmaymhavemsomeminvolvementm
andmculturesmweremtaken.mThemareamwasmdressedmwithmsterilemsalinemandmdressingsmandmthenmwr
apped.mWhatmCPT®mcodemshouldmbemreported?
A.m11043
B.m11012
C.m11044
D.m11042m-mCORRECTmANSWERmC.m11044
,Am64-year-
oldmfemalemwhomhasmmultiplemsclerosismfellmfrommhermwalkermandmlandedmonmamglassmtable.mSheml
aceratedmhermforehead,mcheekmandmchinmandmthemtotalmlengthmofmthesemlacerationsmwasm6mcm.mH
ermrightmarmmandmleftmlegmhadmdeepmcutsmmeasuringm5mcmmonmeachmextremity.mHermrightmhandma
ndmrightmfootmhadmamtotalmofm3mcmmlacerations.mThemEDmphysicianmrepairedmthemlacerationsmasmfol
lows:mThemforehead,mcheek,mandmchinmhadmdebridementmandmcleaningmofmglassmdebrismwithmtheml
acerationsmbeingmclosedmwithmonemlayermclosure,m6-
0mProlenemsutures.mThemarmmandmlegmweremrepairedmbymlayeredmclosure,m6-
0mVicrylmsubcutaneousmsuturesmandmProlenemsuturesmonmthemskin.mThemhandmandmfootmweremclos
edmwithmadhesivemstrips.mSelectmthemappropriatemproceduremcodesmformthismvisit.
A.m99283-25,m12014,m12034-59,m12002-59,m11042-51
B.m99283-25,m12053,m12034-59,m12002-59
C.m99283-25,m12014,m12034-59,m11042-51
D.m99283-25,m12053,m12034-59m-mCORRECTmANSWERmD.m99283-25,m12053,m12034-59
Am52-year-
oldmfemalemhasmammassmgrowingmonmhermrightmflankmformseveralmyears.mItmhasmfinallymgottenmsignif
icantlymlargermandmismbeginningmtombothermher.mShemismbroughtmtomthemOperatingmRoommformdefin
itivemexcision.mAnmincisionmwasmmademdirectlymoverlyingmthemmass.mThemmassmwasmdownmintomth
emsubcutaneousmtissuemandmthemsurgeonmencounteredmamwellmencapsulatedmlipomamapproximate
lym4mcentimeters.mThismwasmexcisedmprimarilymbluntlymwithmamfewmattachmentsmdividedmwithmelec
trocautery.mWhatmCPT®mandmICD-10-CMmcodesmaremreported?
A.m21932,mD17.39
B.m21935,mD17.1
C.m21931,mD17.1
D.m21925,mD17.9m-mCORRECTmANSWERmC.m21931,mD17.1
Questionm5
PREOPERATIVEmDIAGNOSIS:mRightmscaphoidmfracture.mTYPEmOFmPROCEDURE:mOpenmreductionman
dminternalmfixationmofmrightmscaphoidmfracture.mDESCRIPTIONmOFmPROCEDURE:mThempatientmwasm
broughtmtomthemoperatingmroom;manesthesiamhavingmbeenmadministered.mThemrightmuppermextre
mitymwasmpreppedmandmdrapedminmamsterilemmanner.mThemlimbmwasmelevated,mexsanguinated,man
,dmampneumaticmarmmtourniquetmwasmelevated.mAnmincisionmwasmmademovermthemdorsalmradialmasp
ectmofmthemrightmwrist.mSkinmflapsmweremelevated.mCutaneousmnervembranchesmweremidentifiedman
dmverymgentlymretracted.mThemintervalmbetweenmthemsecondmandmthirdmdorsalmcompartmentmtend
onsmwasmidentifiedmandmentered.mThemrespectivemtendonsmweremretracted.mAmdorsalmcapsulotom
ymincisionmwasmmade,mandmthemfracturemwasmvisualized.mTheremdidmnotmappearmtombemanymtypemo
fmsignificantmdefectmatmthemfracturemsite.mAm0.045mKirschnermwiremwasmthenmusedmasmamguidewire,
mextendingmfrommtm-mCORRECTmANSWERmA.m25628-RT
Anminfantmwithmgenumvalgummismbroughtmtomthemoperatingmroommtomhavemambilateralmmedialmdista
lmfemurmhemiepiphysiodesismdone.mOnmeachmknee,mthemC-
armmwasmusedmtomlocalizemthemgrowthmplate.mWithmthemgrowthmplatemlocalized,manmincisionmwasm
mademmediallymonmbothmsides.mThismwasmtakenmdownmtomthemfascia,mwhichmwasmopened.mThempe
riosteummwasmnotmopened.mThemOrthofix®mfigure-of-
eightmplatemwasmplacedmandmcheckedmwithmX-
ray.mWemthenmirrigatedmandmclosedmthemmedialmfasciamwithm0mVicrylmsuture.mThemskinmwasmclosedm
withm2-0mVicrylmandm3-0mMonocryl®.mWhatmproceduremcodemismreported?
A.m27470-50
B.m27475-50
C.m27477-50
D.m27485-50m-mCORRECTmANSWERmD.m27485-50
Thempatientmismam67-year-
oldmgentlemanmwithmmetastaticmcolonmcancermrecentlymoperatedmonmformambrainmmetastasis,mnow
mformplacementmofmanmInfuse-A-
Portmformcontinuedmchemotherapy.mThemleftmsubclavianmveinmwasmlocatedmwithmamneedlemandmamg
uidemwiremplaced.mThismwasmconfirmedmtombeminmthempropermpositionmfluoroscopically.mAmtransver
semincisionmwasmmademjustminferiormtomthismandmamsubcutaneousmpocketmcreatedmjustminferiormtom
this.mAftermtunneling,mthemintroducermwasmplacedmovermthemguidemwiremandmthempowermportmlinem
wasmplacedmwithmthemintroducermandmthemintroducermwasmpeeledmaway.mThemtipmwasmplacedminmt
hemappropriatempositionmundermfluoroscopicmguidancemandmthemcathetermtrimmedmtomthemappro
priatemlengthmandmsecuredmtomthempowermportmdevice.mThemlockingmmechanismmwasmfullymengag
ed.mThemportmwasmplacedminmthemsubcutaneousmpocketmandmeverythingmsatmverymnicelymfluorosco
pically.mItmwasmsecuredmtomthemunderlyingmsoftmtissuem-mCORRECTmANSWERmC.m36561,m77001-26
, Questionm8
AmCTmscanmidentifiedmmoderate-sizedmrightmpleuralmeffusionminmam50myear-
oldmmale.mThismwasmestimatedmtombem800mccminmsizemandmhadmanmappearancemofmfluidmonmthemCTm
Scan.mAmneedlemismusedmtompuncturemthroughmthemchestmtissuesmandmentermthempleuralmcavitymtom
insertmamguidewiremundermultrasoundmguidance.mAmpigtailmcathetermismthenminsertedmatmthemlengt
hmofmthemguidewiremandmsecuredmbymstitches.mThemcathetermwillmremainminmthemchestmandmismcon
nectedmtomdrainagemsystemmtomdrainmthemaccumulatedmfluid.mThemCPT®mcodemis:
A.m32557
B.m32555
C.m32556
D.m32550m-mCORRECTmANSWERmA.m32557
Thempatientmismam59-year-
oldmwhitemmalemwhomunderwentmcarotidmendarterectomymformsymptomaticmleftmcarotidmstenosis
mamyearmago.mAmcarotidmCTmangiogrammshowedmamrecurrentm90%mleftminternalmcarotidmarterymsten
osismextendingmintomthemcommonmcarotidmartery.mHemismtakenmtomthemoperatingmroommformre-
domleftmcarotidmendarterectomy.mThemleftmneckmwasmpreppedmandmthempreviousmincisionmwasmcar
efullymreopened.mUsingmsharpmdissection,mthemcommonmcarotidmarterymandmitsmbranchesmweremdi
ssectedmfree.mThempatientmwasmsystematicallymheparinizedmandmaftermamfewmminutes,mclampsmwe
remappliedmtomthemcommonmcarotidmarterymandmitsmbranches.mAmlongitudinalmarteriotomymwasmca
rriedmoutmwithmfindingsmofmextensivemlayeringmofmintimalmhyperplasiamwithmnomevidencemofmrecurr
entmatherosclerosis.mAmsilasticmballoon-
tipmshuntmwasminsertedmfirstmproximallymandmthenmdistally,mwithmrestorationmofmflow.mSeveralmlaye
rsmofmintimamweremremovedmandmthemendartm-mCORRECTmANSWERmB.m35301,m35390
Am52-year-
oldmpatientmismadmittedmtomthemhospitalmformchronicmcholecystitismformwhichmamlaparoscopicmchol
ecystectomymwillmbemperformed.mAmtransverseminfraumbilicalmincisionmwasmmademsharplymdissecti
ngmtomthemsubcutaneousmtissuemdownmtomthemfasciamusingmaccessmundermdirectmvisionmwithmamVes
i-
Portmandmamscopemwasmplacedmintomthemabdomen.mThreemothermportsmwereminsertedmundermdirec
tmvision.mThemfundusmofmthemgallbladdermwasmgraspedmthroughmthemlateralmport,mwheremmultiplem
adhesionsmtomthemgallbladdermweremtakenmdownmsharplymandmbluntly:mThemgallbladdermappeared
mchronicallyminflamed.mDissectionmwasmcarriedmoutmtomthemrightmofmthismidentifyingmamsmallmcystic
