2026-2027 / AAPC CPC Test Bank 2026
PRACTICE EXAM REAL EXAM
QUESTIONS 457 QUESTIONS AND
CORRECT ANSWERS Certified Coder
Practice Prep
, 1. Question: 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
Expert Rationale: CPT® guidelines allow separate reporting
of an intermediate or complex repair when it is required for
closure following excision of a malignant lesion. Because the
wound was closed in layers, an intermediate repair code is
appropriate. The excision of the malignant lesion is reported
with 11626, and the intermediate layered closure is reported
separately with 12044-51.
2. Question: 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 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
Expert Rationale: The debridement extended through the
subcutaneous tissue and muscle to the level of bone, with
removal/trimming involving the bone. Code 11012 applies to
debridement associated with an open fracture or open
dislocation, which is not documented here. Therefore, the
appropriate code is 11044 for debridement including bone.
3. Question: A 64-year-old female with multiple sclerosis fell
from her walker and landed on a glass table. She lacerated
her forehead, cheek, and chin, with a total length of 6 cm.
Her right arm and left leg had deep cuts measuring 5 cm
each. 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 using 6-0 Prolene sutures. The arm
and leg were repaired by layered closure with 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
Expert Rationale: Wounds closed solely with adhesive strips
are not separately reported as laceration repairs. The facial
wounds required extensive cleaning and removal of glass,
making the single-layer facial closure an intermediate repair.
The 6 cm total facial repair is reported with 12053. The arm and
leg each measured 5 cm and were repaired in layers, giving a
combined 10 cm intermediate repair reported with 12034-59.
The ED E/M service is separately reported with modifier 25.
4. Question: A 52-year-old female has a mass growing on her
right flank for several years. It has become 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 extended into
the subcutaneous tissue, and the surgeon encountered a
well-encapsulated lipoma approximately 4 cm. This was
excised primarily bluntly with a few attachments divided