AAPC CPC Certification Exam | High-Yield Questions
and Correct Answers, CPT®, ICD-10-CM, HCPCS Level II
, E/M Coding & Comprehensive Study Guide |Frequently
Most Tested Questions ,Updated and Reviewed |
Latest Exam and Brand new Version!!!!
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
CORRECT ANSWER: C. 11626, 12044-51
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
CORRECT ANSWER: C. 21931, D17.1
,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
CORRECT ANSWER: C. 11044
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
CORRECT ANSWER: D. 99283-25, 12053, 12034-59
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
CORRECT ANSWER: A. 25628-RT
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
D. 27485-50
CORRECT ANSWER: D. 27485-50
The patient is a 67-year-old gentleman with metastatic colon cancer recently
operated on for a brain metastasis, now for placement of an Infuse-A-Port for
continued chemotherapy. The left subclavian vein was located with a needle and
a guide wire placed. This was confirmed to be in the proper position
fluoroscopically. A transverse incision was made just inferior to this and a
subcutaneous pocket created just inferior to this. After tunneling, the introducer
was placed over the guide wire and the power port line was placed with the
introducer and the introducer was peeled away. The tip was placed in the
appropriate position under fluoroscopic guidance and the catheter trimmed to
, the appropriate length and secured to the power port device. The locking
mechanism was fully engaged. The port was placed in the subcutaneous pocket
and everything sat very nicely fluoroscopically. It was secured to the underlying
soft tissue with 2-0 silk stitch. What CPT® code(s) is (are) reported for this
procedure?
A. 36556, 77001-26
B. 36558
C. 36561, 77001-26
D. 36571
CORRECT ANSWER: C. 36561, 77001-26
Question 8
A CT scan identified moderate-sized right pleural effusion in a 50 year-old male.
This was estimated to be 800 cc in size and had an appearance of fluid on the CT
Scan. A needle is used to puncture through the chest tissues and enter the
pleural cavity to insert a guidewire under ultrasound guidance. A pigtail
catheter is then inserted at the length of the guidewire and secured by stitches.
The catheter will remain in the chest and is connected to drainage system to
drain the accumulated fluid. The CPT® code is:
A. 32557
B. 32555
C. 32556
D. 32550
CORRECT ANSWER: A. 32557
The patient is a 59-year-old white male who underwent carotid endarterectomy
for symptomatic left carotid stenosis a year ago. A carotid CT angiogram
showed a recurrent 90% left internal carotid artery stenosis extending into the
common carotid artery. He is taken to the operating room for re-do left carotid
endarterectomy. The left neck was prepped and the previous incision was
carefully reopened. Using sharp dissection, the common carotid artery and its
branches were dissected free. The patient was systematically heparinized and
after a few minutes, clamps were applied to the common carotid artery and its
branches. A longitudinal arteriotomy was carried out with findings of extensive
layering of intimal hyperplasia with no evidence of recurrent atherosclerosis. A
silastic balloon-tip shunt was inserted first proximally and then distally, with
restoration of flow. Several layers of intima were removed and the
endarterectomized surfaces irrigated with heparinized saline. An oval Dacron
patch was then sewn into place with running 6-0 Prolene. Which CPT® code(s)
is/are reported?
and Correct Answers, CPT®, ICD-10-CM, HCPCS Level II
, E/M Coding & Comprehensive Study Guide |Frequently
Most Tested Questions ,Updated and Reviewed |
Latest Exam and Brand new Version!!!!
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
CORRECT ANSWER: C. 11626, 12044-51
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
CORRECT ANSWER: C. 21931, D17.1
,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
CORRECT ANSWER: C. 11044
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
CORRECT ANSWER: D. 99283-25, 12053, 12034-59
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
CORRECT ANSWER: A. 25628-RT
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
D. 27485-50
CORRECT ANSWER: D. 27485-50
The patient is a 67-year-old gentleman with metastatic colon cancer recently
operated on for a brain metastasis, now for placement of an Infuse-A-Port for
continued chemotherapy. The left subclavian vein was located with a needle and
a guide wire placed. This was confirmed to be in the proper position
fluoroscopically. A transverse incision was made just inferior to this and a
subcutaneous pocket created just inferior to this. After tunneling, the introducer
was placed over the guide wire and the power port line was placed with the
introducer and the introducer was peeled away. The tip was placed in the
appropriate position under fluoroscopic guidance and the catheter trimmed to
, the appropriate length and secured to the power port device. The locking
mechanism was fully engaged. The port was placed in the subcutaneous pocket
and everything sat very nicely fluoroscopically. It was secured to the underlying
soft tissue with 2-0 silk stitch. What CPT® code(s) is (are) reported for this
procedure?
A. 36556, 77001-26
B. 36558
C. 36561, 77001-26
D. 36571
CORRECT ANSWER: C. 36561, 77001-26
Question 8
A CT scan identified moderate-sized right pleural effusion in a 50 year-old male.
This was estimated to be 800 cc in size and had an appearance of fluid on the CT
Scan. A needle is used to puncture through the chest tissues and enter the
pleural cavity to insert a guidewire under ultrasound guidance. A pigtail
catheter is then inserted at the length of the guidewire and secured by stitches.
The catheter will remain in the chest and is connected to drainage system to
drain the accumulated fluid. The CPT® code is:
A. 32557
B. 32555
C. 32556
D. 32550
CORRECT ANSWER: A. 32557
The patient is a 59-year-old white male who underwent carotid endarterectomy
for symptomatic left carotid stenosis a year ago. A carotid CT angiogram
showed a recurrent 90% left internal carotid artery stenosis extending into the
common carotid artery. He is taken to the operating room for re-do left carotid
endarterectomy. The left neck was prepped and the previous incision was
carefully reopened. Using sharp dissection, the common carotid artery and its
branches were dissected free. The patient was systematically heparinized and
after a few minutes, clamps were applied to the common carotid artery and its
branches. A longitudinal arteriotomy was carried out with findings of extensive
layering of intimal hyperplasia with no evidence of recurrent atherosclerosis. A
silastic balloon-tip shunt was inserted first proximally and then distally, with
restoration of flow. Several layers of intima were removed and the
endarterectomized surfaces irrigated with heparinized saline. An oval Dacron
patch was then sewn into place with running 6-0 Prolene. Which CPT® code(s)
is/are reported?
