AAPC CPC Chapter 7 Test Questions with Verified Answers
A patient arrives at the hospital from a nursing
home with a stage 3 bed sore on his left hip. List A patient presents to the primary care physician
the ICD-10-CM code for the bedsore. with multiple skin tags. After a complete
A) L89.209 examination of the skin, the provider discusses
B) L89.223 with the patient the removal of 18 skin tags
C) L97.823 located on the patient's neck and shoulder area.
D) L89.323 - ANSWER -B Patient consent is obtained and the provider
removes all 18 skin tags by scissoring technique.
Select the CPT® code(s) for this procedure.
A provider performs a punch biopsy of two pre- A) 11201
cancerous lesions on the patient's back, which B) 11200, 11201-51
he has determined to be actinic keratosis (AK). C) 17000
List the ICD-10-CM code for the AK. D) 11200, 11201 - ANSWER -D
A) D49.2
B) C44.519
C) D23.5 Operative Report:
D) L57.0 - ANSWER -D INDICATIONS FOR SURGERY: The patient is a
72-year-old male with a biopsy-proven squamous
cell carcinoma of his left forearm. With his
Patient presents with a cyst on the arm. Upon permission, I marked my planned excision and
examination the physician decides to incise and my best guess at the resultant scar, which
drain the cyst. The site is prepped and the included a rhomboid flap repair. The patient
physician takes a scalpel and cuts into the cyst. observed these markings in a mirror, so he could
Purulent fluid is extracted from the cyst and a understand the surgery, agree on the location
sample of the fluid is sent to the laboratory for and I proceeded.
evaluation. The wound is irrigated with normal
saline and is covered with a bandage. The DESCRIPTION OF PROCEDURE: The patient
patient is to return in a week to ten days to re- was given 1 g of IV Ancef. The area was
examine the wound. Select the CPT® code for infiltrated with local anesthetic. The forearm was
this procedure. prepped and draped in a sterile fashion. I excised
A) 10060 this lesion measuring 1.2 cm diameter as drawn
B) 11400 into the subcutaneous fat. A suture was used to
C) 11100 mark this specimen at its proximal tip and this
D) 10061 - ANSWER -A was labeled at 12 o'clock. Negative margins were
then given. Meticulous hemostasis was achieved
using a Bovie cautery. I incised my planned
A patient presents for tattooing of the nipple and rhomboid flap measuring 2cm x 2cm. I elevated
areola of both breasts after undergoing breast the flap with a full-t - ANSWER -C
reconstruction. The total area for the right breast
is 11.5 cm2 and for the left breast of 10.5 cm2.
Select the CPT® code(s) for this procedure. A patient presents to her doctor with three
A) 11921, 11922 medium sized suspicious lesions on her leg. The
B) 11921-50 physician uses a saw type instrument and slices
C) 19350 horizontally to remove the lesions. The lesions
D) 19120-50 - ANSWER -A are sent for pathology. What CPT® code(s)
should be reported for this example?
, AAPC CPC Chapter 7 Test Questions with Verified Answers
A) 11000, 11101 x 2 A 32-year-old female is having excision of a
B) 11300, 11300-51 x 2 mass in her left breast. The physician makes a
C) 11302 x 3 curved incision along the inferior and medial
D)11303 - ANSWER -B aspect of the left areola. A breast nodule,
measuring approximately 1 cm in diameter, was
identified. It appeared to be benign. It was firm,
A patient has a squamous cell carcinoma on the gray, and discrete. It was completely excised.
tip of the nose. After prepping the patient and There was no gross evidence of malignancy. The
site, the physician removes the tumor (first stage) bleeding was controlled with electrocautery. The
and divides it into seven blocks for examination. skin edges were approximated with a continuous
Seeing positive margins, he removes a second subcuticular 4-0 Vicryl suture. Indermil tissue
stage, which he divides into five blocks. The adhesive was applied to the skin as well as a dry
physician again identifies positive margins. He gauze dressing. What is the correct CPT® code
performs a third stage and divides the specimen to report for this example?
into three blocks proving to be clear of the skin A) 19120-LT
cancer. B) 19125-LT
C) 19301-LT
What are the correct CPT® codes to report for D) 19370-LT - ANSWER -A
this example?
A) 17311, 17312, 17312, 17315, 17315
B) 17311, 17312, 17312 When coding multiple burns, which is correct?
C) 11640 x 3 A) Sequence first the code reflecting the largest
D) 11440 x 3 - ANSWER -A area in rule of nines with this degree of burn
B) Sequence first the circumstance of the burn
occurrence
Patient presents to the dermatologist for the C) Sequence first the code reflecting the highest
removal of warts on his hands. Upon evaluation it degree of burn
is noted the patient has nine warts on his right D) Sequence first the code identifying burns to
hand and 10 on his left hand, all of which he has the head and neck - ANSWER -C
indicated he would like removed today. After
discussion with the patient regarding the
destruction method and aftercare the patient A patient presents to the Dermatologist with a
agreed to proceed. Using cryosurgery the suspicious lesion on her left arm and another one
physician applied two squirts of liquid nitrogen on on her right arm. After examination the physician
each of the warts on his right and left hand. feels these lesions present as highly suspicious
Aftercare instructions were given to the patient's and obtains consent to perform punch biopsies
wife. The patient tolerated the procedure well. on both sites. After prepping the area, the
physician injects the sites with Lidocaine 1% and
What CPT® code(s) should be reported for this .05% Epi. A 3 mm punch biopsy of the lesion of
example? the left arm and a 4mm punch biopsy of the
A) 17110, 17111 lesion of the right arm is taken. The sites are
B) 17111 closed with a simple one-layer closure and the
C) 17004 patient is to return in 10 days for suture removal
D) 17111 x 19 - ANSWER -B and to discuss the pathology results. The patient
tolerated the procedure well. Select the CPT®
code(s) for this procedure.
A patient arrives at the hospital from a nursing
home with a stage 3 bed sore on his left hip. List A patient presents to the primary care physician
the ICD-10-CM code for the bedsore. with multiple skin tags. After a complete
A) L89.209 examination of the skin, the provider discusses
B) L89.223 with the patient the removal of 18 skin tags
C) L97.823 located on the patient's neck and shoulder area.
D) L89.323 - ANSWER -B Patient consent is obtained and the provider
removes all 18 skin tags by scissoring technique.
Select the CPT® code(s) for this procedure.
A provider performs a punch biopsy of two pre- A) 11201
cancerous lesions on the patient's back, which B) 11200, 11201-51
he has determined to be actinic keratosis (AK). C) 17000
List the ICD-10-CM code for the AK. D) 11200, 11201 - ANSWER -D
A) D49.2
B) C44.519
C) D23.5 Operative Report:
D) L57.0 - ANSWER -D INDICATIONS FOR SURGERY: The patient is a
72-year-old male with a biopsy-proven squamous
cell carcinoma of his left forearm. With his
Patient presents with a cyst on the arm. Upon permission, I marked my planned excision and
examination the physician decides to incise and my best guess at the resultant scar, which
drain the cyst. The site is prepped and the included a rhomboid flap repair. The patient
physician takes a scalpel and cuts into the cyst. observed these markings in a mirror, so he could
Purulent fluid is extracted from the cyst and a understand the surgery, agree on the location
sample of the fluid is sent to the laboratory for and I proceeded.
evaluation. The wound is irrigated with normal
saline and is covered with a bandage. The DESCRIPTION OF PROCEDURE: The patient
patient is to return in a week to ten days to re- was given 1 g of IV Ancef. The area was
examine the wound. Select the CPT® code for infiltrated with local anesthetic. The forearm was
this procedure. prepped and draped in a sterile fashion. I excised
A) 10060 this lesion measuring 1.2 cm diameter as drawn
B) 11400 into the subcutaneous fat. A suture was used to
C) 11100 mark this specimen at its proximal tip and this
D) 10061 - ANSWER -A was labeled at 12 o'clock. Negative margins were
then given. Meticulous hemostasis was achieved
using a Bovie cautery. I incised my planned
A patient presents for tattooing of the nipple and rhomboid flap measuring 2cm x 2cm. I elevated
areola of both breasts after undergoing breast the flap with a full-t - ANSWER -C
reconstruction. The total area for the right breast
is 11.5 cm2 and for the left breast of 10.5 cm2.
Select the CPT® code(s) for this procedure. A patient presents to her doctor with three
A) 11921, 11922 medium sized suspicious lesions on her leg. The
B) 11921-50 physician uses a saw type instrument and slices
C) 19350 horizontally to remove the lesions. The lesions
D) 19120-50 - ANSWER -A are sent for pathology. What CPT® code(s)
should be reported for this example?
, AAPC CPC Chapter 7 Test Questions with Verified Answers
A) 11000, 11101 x 2 A 32-year-old female is having excision of a
B) 11300, 11300-51 x 2 mass in her left breast. The physician makes a
C) 11302 x 3 curved incision along the inferior and medial
D)11303 - ANSWER -B aspect of the left areola. A breast nodule,
measuring approximately 1 cm in diameter, was
identified. It appeared to be benign. It was firm,
A patient has a squamous cell carcinoma on the gray, and discrete. It was completely excised.
tip of the nose. After prepping the patient and There was no gross evidence of malignancy. The
site, the physician removes the tumor (first stage) bleeding was controlled with electrocautery. The
and divides it into seven blocks for examination. skin edges were approximated with a continuous
Seeing positive margins, he removes a second subcuticular 4-0 Vicryl suture. Indermil tissue
stage, which he divides into five blocks. The adhesive was applied to the skin as well as a dry
physician again identifies positive margins. He gauze dressing. What is the correct CPT® code
performs a third stage and divides the specimen to report for this example?
into three blocks proving to be clear of the skin A) 19120-LT
cancer. B) 19125-LT
C) 19301-LT
What are the correct CPT® codes to report for D) 19370-LT - ANSWER -A
this example?
A) 17311, 17312, 17312, 17315, 17315
B) 17311, 17312, 17312 When coding multiple burns, which is correct?
C) 11640 x 3 A) Sequence first the code reflecting the largest
D) 11440 x 3 - ANSWER -A area in rule of nines with this degree of burn
B) Sequence first the circumstance of the burn
occurrence
Patient presents to the dermatologist for the C) Sequence first the code reflecting the highest
removal of warts on his hands. Upon evaluation it degree of burn
is noted the patient has nine warts on his right D) Sequence first the code identifying burns to
hand and 10 on his left hand, all of which he has the head and neck - ANSWER -C
indicated he would like removed today. After
discussion with the patient regarding the
destruction method and aftercare the patient A patient presents to the Dermatologist with a
agreed to proceed. Using cryosurgery the suspicious lesion on her left arm and another one
physician applied two squirts of liquid nitrogen on on her right arm. After examination the physician
each of the warts on his right and left hand. feels these lesions present as highly suspicious
Aftercare instructions were given to the patient's and obtains consent to perform punch biopsies
wife. The patient tolerated the procedure well. on both sites. After prepping the area, the
physician injects the sites with Lidocaine 1% and
What CPT® code(s) should be reported for this .05% Epi. A 3 mm punch biopsy of the lesion of
example? the left arm and a 4mm punch biopsy of the
A) 17110, 17111 lesion of the right arm is taken. The sites are
B) 17111 closed with a simple one-layer closure and the
C) 17004 patient is to return in 10 days for suture removal
D) 17111 x 19 - ANSWER -B and to discuss the pathology results. The patient
tolerated the procedure well. Select the CPT®
code(s) for this procedure.
