AAPC CPC Practice Questions and
Answers
1. 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 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 C. 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 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 C. 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 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 D. 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 directly overlying
,the mass. The mass was down into the subcutaneous tissue and the surgeon
encountered a well encapsulated lipoma approximately 4 centimeters. This was
excised primarily bluntly with 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 C. 21931, D17.1
5. Question 5
PREOPERATIVE DIAGNOSIS
Right scaphoid fracture. TYPE OF PROCEDURE
Open reduction and internal fixation of right scaphoid fracture. DESCRIPTION OF
PROCEDURE
The patient was brought to the operating room; anesthesia having been administered.
The right upper extremity was prepped and draped in a sterile manner. The limb was
elevated, exsanguinated, and a pneumatic arm tourniquet was elevated. An incision
was made over the dorsal radial aspect of the right wrist. Skin flaps were elevated.
Cutaneous nerve branches were identified and very gently retracted. The interval
between the second and third dorsal compartment tendons was identified and entered.
The respective tendons were retracted. A dorsal capsulotomy incision was made, and
the fracture was visualized. There did not appear to be any type of significant defect at
the fracture site. A 0.045 Kirschner wire was then used as a guidewire, extending from
the proximal pole of the scaphoid distal ward. The guidewire was positioned
, appropriately and then measured. A 25-mm Acutrak® drill bit was drilled to 25 mm.
A 22.5-mm screw was selected and inserted and rigid internal fixation was
accomplished in this fashion. This was visualized under the OEC imaging device in
multiple projections. The wound was irrigated and
closed in layers. Sterile dressings were then applied. The patient tolerated the
procedure well and left the operating room in stable condition. What CPT® code is
reported for this procedure?
A. 25628-RT
B. 25624-RT
C. 25645-RT
D. 25651-RT
ANS A. 25628-RT
6. An infant with genu valgum is brought to the operating room to have a
bilateral medial distal femur hemiepiphysiodesis done. On each knee, the
C-arm was used to localize the growth plate. With the growth plate localized, an
incision was made medially on both sides. This was taken down to the fascia, which
was opened. The periosteum was not opened. The Orthofix® figure-of-eight plate was
placed and checked with X-ray. We then irrigated and closed the medial fascia with 0
Vicryl suture. The skin was closed with 2-0 Vicryl and 3-0 Monocryl®. What
procedure code is reported?
A. 27470-50
B. 27475-50
C. 27477-50
Answers
1. 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 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 C. 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 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 C. 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 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 D. 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 directly overlying
,the mass. The mass was down into the subcutaneous tissue and the surgeon
encountered a well encapsulated lipoma approximately 4 centimeters. This was
excised primarily bluntly with 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 C. 21931, D17.1
5. Question 5
PREOPERATIVE DIAGNOSIS
Right scaphoid fracture. TYPE OF PROCEDURE
Open reduction and internal fixation of right scaphoid fracture. DESCRIPTION OF
PROCEDURE
The patient was brought to the operating room; anesthesia having been administered.
The right upper extremity was prepped and draped in a sterile manner. The limb was
elevated, exsanguinated, and a pneumatic arm tourniquet was elevated. An incision
was made over the dorsal radial aspect of the right wrist. Skin flaps were elevated.
Cutaneous nerve branches were identified and very gently retracted. The interval
between the second and third dorsal compartment tendons was identified and entered.
The respective tendons were retracted. A dorsal capsulotomy incision was made, and
the fracture was visualized. There did not appear to be any type of significant defect at
the fracture site. A 0.045 Kirschner wire was then used as a guidewire, extending from
the proximal pole of the scaphoid distal ward. The guidewire was positioned
, appropriately and then measured. A 25-mm Acutrak® drill bit was drilled to 25 mm.
A 22.5-mm screw was selected and inserted and rigid internal fixation was
accomplished in this fashion. This was visualized under the OEC imaging device in
multiple projections. The wound was irrigated and
closed in layers. Sterile dressings were then applied. The patient tolerated the
procedure well and left the operating room in stable condition. What CPT® code is
reported for this procedure?
A. 25628-RT
B. 25624-RT
C. 25645-RT
D. 25651-RT
ANS A. 25628-RT
6. An infant with genu valgum is brought to the operating room to have a
bilateral medial distal femur hemiepiphysiodesis done. On each knee, the
C-arm was used to localize the growth plate. With the growth plate localized, an
incision was made medially on both sides. This was taken down to the fascia, which
was opened. The periosteum was not opened. The Orthofix® figure-of-eight plate was
placed and checked with X-ray. We then irrigated and closed the medial fascia with 0
Vicryl suture. The skin was closed with 2-0 Vicryl and 3-0 Monocryl®. What
procedure code is reported?
A. 27470-50
B. 27475-50
C. 27477-50
