AAPC COMPLETE QUESTIONS AND
ANSWERS GRADED A+
◉ 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
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
Answer: D. 99283-25, 12053, 12034-59
◉ 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
Answer: C. 21931, D17.1
◉ 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 t
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
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
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:
ANSWERS GRADED A+
◉ 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
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
Answer: D. 99283-25, 12053, 12034-59
◉ 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
Answer: C. 21931, D17.1
◉ 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 t
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
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
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:
