AAPC CPC PRACTICE EXAM A QUESTIONS
WITH CORRECT ANSWERS 2026
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 excisio
n of an 8 cm lesion. Layered closure was performed aſter 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
According to CPT® guidelines "Repair of an excision of a malignant lesion requiring intermediate or
complex closure should be reported separately". The intermediate repair code is reported because
it was a layered closure.
A 30-year-
old female is having 15 sq cm debridement performed on an infected ulcer with eschar on the rig
ht foot. Using sharp dissection, the ulcer was debrided all the way to down to the bone of the fo
ot. The bone had to be minimally trimmed because of a sharp point at the end of the metatarsal.
Aſter 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. Th
e area was dressed with sterile saline and dressings and then wrapped. What CPT® code should b
e reported?
A. 11043
B. 11012
C. 11044
D. 11042 - CORRECT ANSWER -C
Debridement is not being performed on an open fracture/open dislocation eliminating multiple cho
ice answer B. The ulcer was debrided all the way to the bone of the foot, making multiple choice
answer C, the correct procedure.
Question 3
A 64-year-
old female who has multiple sclerosis fell from her walker and landed on a glass table. She lacerat
ed her forehead, cheek and chin and the total length of these lacerations was 6 cm. Her right ar
, m and leſt leg had deep cuts measuring 5 cm on each extremity. Her right hand and right foot ha
d a total of 3 cm lacerations. The ED physician repaired the lacerations as follows: The forehead, c
heek, and chin had debridement and cleaning of glass debris with the lacerations being closed wit
h one layer closure, 6-0 Prolene sutures. The arm and leg were repaired by layered closure, 6-
0 Vicrylz subcutaneousz suturesz andz Prolenez suturesz onz thez skin.z Thez handz andz footz werez closedz wit
hz adhesivez strips.z Selectz thez appropriatez procedurez codesz forz thisz visit.
A.z 99283-25,z 12014,z 12034-59,z 12002-59,z 11042-51
B.z 99283-25,z 12053,z 12034-59,z 12002-59
C.z 99283-25,z 12014,z 12034-59,z 11042-51
D.z 99283-25,z 12053,z 12034-59z -z CORRECTz ANSWERz -D
Toz startz narrowingz yourz choices,z thez handz andz footz werez closedz withz adhesivez strips.z Thez sectionz
g
uidelinesz inz thez CPT®z codebookz forz Repairz (Closure)z states:z "Woundz closurez utilizingz adhesivez strips
asz thez solez repairz materialz shouldz bez codedz usingz thez appropriatez E/Mz code."z Eliminatingz multiple
choicez answersz Az andz B.z Thez lacerationsz onz thez facez arez intermediatez repairs,z becausez debrideme
nt"Single-
z andz glassz debrisz wasz removed.z Thez guidelinesz inz thez CPT®z codebookz forz Repairz (Closure)z states:
layerz closurez ofz heavilyz contaminatedz woundsz thatz havez requiredz extensivez cleaningz orz removalz of
particulatez matterz alsoz constitutesz intermediatez repair."z Eliminatingz multiplez choicez answerz C.z Thez i
ntermediatez repairz ofz thez lacerationsz toz thez facez totaledz 6z cmz (12053).z Thez rightz armz andz leſtz leg
hadz cutsz measuringz 5z cmz eachz whichz totaledz 10z cmz requiringz intermediatez repairz (12034).
Questionz 4
Az 52-year-
oldz femalez hasz az massz growingz onz herz rightz flankz forz severalz years.z Itz hasz finallyz gottenz significant
l
yz largerz andz isz beginningz toz botherz her.z Shez isz broughtz toz thez Operatingz Roomz forz definitivez excisi
on.z Anz incisionz wasz madez directlyz overlyingz thez mass.z Thez massz wasz downz intoz thez subcutaneous
tissuez andz thez surgeonz encounteredz az wellz encapsulatedz lipomaz approximatelyz 4z centimeters.z This
wasz excisedz primarilyz bluntlyz withz az fewz attachmentsz dividedz withz electrocautery.z Whatz CPT®z andz I
CD-10-CMz codesz arez reported?
A.z 21932,z D17.39
B.z 21935,z D17.1
C.z 21931,z D17.1
D.z 21925,z D17.9z -z CORRECTz ANSWERz -C
Thez massz growingz turnedz outz toz bez az lipomaz foundz inz thez subcutaneousz tissuez ofz thez flank.z Inz th
e
ICD-10-
CMz Alphabeticz Index,z lookz forz Lipoma/subcutaneous/trunk.z Youz arez referredz toz codez D17.1,z elimina
WITH CORRECT ANSWERS 2026
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 excisio
n of an 8 cm lesion. Layered closure was performed aſter 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
According to CPT® guidelines "Repair of an excision of a malignant lesion requiring intermediate or
complex closure should be reported separately". The intermediate repair code is reported because
it was a layered closure.
A 30-year-
old female is having 15 sq cm debridement performed on an infected ulcer with eschar on the rig
ht foot. Using sharp dissection, the ulcer was debrided all the way to down to the bone of the fo
ot. The bone had to be minimally trimmed because of a sharp point at the end of the metatarsal.
Aſter 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. Th
e area was dressed with sterile saline and dressings and then wrapped. What CPT® code should b
e reported?
A. 11043
B. 11012
C. 11044
D. 11042 - CORRECT ANSWER -C
Debridement is not being performed on an open fracture/open dislocation eliminating multiple cho
ice answer B. The ulcer was debrided all the way to the bone of the foot, making multiple choice
answer C, the correct procedure.
Question 3
A 64-year-
old female who has multiple sclerosis fell from her walker and landed on a glass table. She lacerat
ed her forehead, cheek and chin and the total length of these lacerations was 6 cm. Her right ar
, m and leſt leg had deep cuts measuring 5 cm on each extremity. Her right hand and right foot ha
d a total of 3 cm lacerations. The ED physician repaired the lacerations as follows: The forehead, c
heek, and chin had debridement and cleaning of glass debris with the lacerations being closed wit
h one layer closure, 6-0 Prolene sutures. The arm and leg were repaired by layered closure, 6-
0 Vicrylz subcutaneousz suturesz andz Prolenez suturesz onz thez skin.z Thez handz andz footz werez closedz wit
hz adhesivez strips.z Selectz thez appropriatez procedurez codesz forz thisz visit.
A.z 99283-25,z 12014,z 12034-59,z 12002-59,z 11042-51
B.z 99283-25,z 12053,z 12034-59,z 12002-59
C.z 99283-25,z 12014,z 12034-59,z 11042-51
D.z 99283-25,z 12053,z 12034-59z -z CORRECTz ANSWERz -D
Toz startz narrowingz yourz choices,z thez handz andz footz werez closedz withz adhesivez strips.z Thez sectionz
g
uidelinesz inz thez CPT®z codebookz forz Repairz (Closure)z states:z "Woundz closurez utilizingz adhesivez strips
asz thez solez repairz materialz shouldz bez codedz usingz thez appropriatez E/Mz code."z Eliminatingz multiple
choicez answersz Az andz B.z Thez lacerationsz onz thez facez arez intermediatez repairs,z becausez debrideme
nt"Single-
z andz glassz debrisz wasz removed.z Thez guidelinesz inz thez CPT®z codebookz forz Repairz (Closure)z states:
layerz closurez ofz heavilyz contaminatedz woundsz thatz havez requiredz extensivez cleaningz orz removalz of
particulatez matterz alsoz constitutesz intermediatez repair."z Eliminatingz multiplez choicez answerz C.z Thez i
ntermediatez repairz ofz thez lacerationsz toz thez facez totaledz 6z cmz (12053).z Thez rightz armz andz leſtz leg
hadz cutsz measuringz 5z cmz eachz whichz totaledz 10z cmz requiringz intermediatez repairz (12034).
Questionz 4
Az 52-year-
oldz femalez hasz az massz growingz onz herz rightz flankz forz severalz years.z Itz hasz finallyz gottenz significant
l
yz largerz andz isz beginningz toz botherz her.z Shez isz broughtz toz thez Operatingz Roomz forz definitivez excisi
on.z Anz incisionz wasz madez directlyz overlyingz thez mass.z Thez massz wasz downz intoz thez subcutaneous
tissuez andz thez surgeonz encounteredz az wellz encapsulatedz lipomaz approximatelyz 4z centimeters.z This
wasz excisedz primarilyz bluntlyz withz az fewz attachmentsz dividedz withz electrocautery.z Whatz CPT®z andz I
CD-10-CMz codesz arez reported?
A.z 21932,z D17.39
B.z 21935,z D17.1
C.z 21931,z D17.1
D.z 21925,z D17.9z -z CORRECTz ANSWERz -C
Thez massz growingz turnedz outz toz bez az lipomaz foundz inz thez subcutaneousz tissuez ofz thez flank.z Inz th
e
ICD-10-
CMz Alphabeticz Index,z lookz forz Lipoma/subcutaneous/trunk.z Youz arez referredz toz codez D17.1,z elimina
