AAPC Quiz A, AAPC Exam B Study Questions and Answers with Complete Solutions 100% Verified 2024 Grade A

INDICATION: Patient has a hypertrophic scar on the posterior side of the left leg, at the level of the knee. This has begun to restrict his mobility. His physical therapy trial was unsuccessful. PROCEDURE: After the proper induction of anesthesia, the subcutaneous tissue of the patient's left leg beneath the scar was infiltrated with crystalloid solution containing epinephrine to minimize blood loss. The scar was then excised down to viable dermis. Hemostasis was obtained with epinephrine soaked pads. Skin was created by the surgery. The graft was secured with skin staples, and then dressed with fine mesh guaze followed by medication-soaked gauze. The donor site was dressed with mesh followed by Adaptic followed by a dry dressing and an Ace wrap. A. 15110-52, 15002 B. 15100, 11406 C. 15100, 15002 D. 15110, 15002 - C. 15100, 15002 INDICATIONS: 15-yr-old boy was burned in a fire & assessed to have received burns to 75% of his total body surface area. He was transferred to a burn center for definitive treatment. Once stable, he was brought to the OR. PROCEDURE: Due to extent of the patients burns & lack of sufficient donor sites, his full-thickness burns will be excised & covered with xenograft (skin substitute graft), & a split-thickness skin biopsy will be harvested for preparation of autologous grafts to be applied in the coming weeks, when available. After induction of anesthesia, extensive debridement of the full-thickness burns was undertaken. Attention was first directed to the patients face, neck, & scalp. A total of 500 sq cm in this area received full-thickness burns. The eschar involving this area was excised down to viable tissue. Hemostasis was achieved using electrocautery. Attention was then turned to the trunk. A total of 950 sq - C. 15277, 15278 x 7, 15272, 15274 x16, 15004, 15005 x7, 15002, 15003 x 16, 15040 The physician is called in to perform repairs for a 17-year-old girl involved in a motor vehicle accident. She sustained an 8.6 cm laceration to her forehead, a 5.5 cm laceration to her right cheek, a 4 cm laceration to her left cheek, a 4 cm laceration across her chin, and a 12.5 cm laceration to her chest. The wound on her chin required a layered closer. All other wounds required complex closure. A. 13132, 13133 x 4, 13101, 12052 B. 13132, 13133 x 3, 13133-52, 13101, 13102, 12052 C. 13132, 13133 x 3, 13101, 13102, 12052 D. 13131, 13132, 13133 x 3, 13101, 13102, 12052 - C. 13132, 13133 x 3,13101, 13102, 12052 The left breast was prepped & draped in a sterile fashion. An incision from the 3 around to the 9 o'clock position on the areolar border on its inferior aspect was made in the skin & extended to the subcutaneous tissue. The breast mass was excised by sharp dissection. The mass was found to be approximately 1.5-2 cm in maximum dimension. Hemostasis was made adequate using electrocautery & the Argon beam coagulator. After this was accomplished, the skin margins were reapproximated w/running inverted 3-0 Vicryl subcuticular suture. Select procedure & diagnosis codes. A. 19120, N63 B. 19301, D49.3 C. 19125, N60.82 D. 19101, N64.51 - A. 19120, N63 A 36-year-old male presents to have multiple lesions destroyed. Three benign lesions on his face are destroyed and five actinic keratoses on his left arm are destroyed. A. 17000, 17003 B. 17000, 17003 x 4, 17110 C. 17110 D. 17260 x 5, 17110 x 3 - B. 17000, 17003 x 4, 17110 INDICATIONS: 55-yr-old female had a sizeable 1.5 cm basal cell carcinoma on the right upper lip. She had a 2 cm defect. After excision, it was reconstructed in a first stage with a nasolabial cheek flap. The margins were clear & she planned for the second stage. OPERATIVE PROCEDURE: Under intravenous sedation, patient in supine position, the ace was prepped & draped. Division performed to the bridge between the base of the flap of the upper lip. Unfurled the base of the flap that was excised until it was soft & pliable. It is defatted & laid back onto the cheek with interrupted 5-0 Monocryl & running 6-0 plain catgut. Similar procedure was performed on the redundant portion of the flap & permanently set into the upper lip. Steri-strips applied. A. 15758-79 B. 15630-58 C. 15758-76 D. 15630-78 - B. 15630-58 Patient is having ongoing back and hip pain. The physician elects to perform a sacroiliac injection at an ambulatory surgery center. After sterile prep, the patient is placed prone position. A needle is placed under fluoroscopic guidance into the SI joint and a mixture of 20 mg of Celestone and Marcaine is injected for pain relief. A. 27096, 77003-26 B. 20611 C. 20552 D. 27096 - D. 27096 25-yr-old male has a ruptured distal biceps tendon at the proximal end of the radius. An incision is made overlying the antecubital fossa. The biceps tendon was tagged using #1 Vicryl-suture. The second incision made on the superior border of the ulna. The supinator was incised deep to expose the radial tuberosity. Drill holes are made at the radial tuberosity in which sutures & the distal biceps tendon are placed in the hole of the radial tuberosity. Two sutures are placed in the biceps tendon in horizontal mattress type fashion pulled tight & secured. The distal biceps tendon is reattached to the radius to restore elbow function. Closure was then accomplished with sutures & staples. What is the correct code for this procedure? A. 24342 B. 24340 C. 23430 D. 23440 - B. 24340 Patient is seen in the hospital's outpatient surgical area witha diagnosis of a displaced comminluted closed fracture of the lateral condyle, right elbow. An ORIF procedure was performed, which included the following techniques: An incision was made in the area of the lateral epicondyle. This was carried through subcutaneous tissue, and the fracture site was easily exposed. Inspection revealed the fragment to be rotated in two places, about 90 degrees. It was possible to manually reduce the quite easily, and the manipulation resulted in an almost anatomic reduction. This was fixed with two pins driven across the humerus. The pins were cut off below skin level The wound was closed with plain catgut subcutaneously and 5-0 nylon for the skin. Dressings and a long arm cast were applied. A. 24579-RT, 29065-51-RT, S42.451B B. 24577-RT, S42.451A C. 24579-RT, S42.451A D. 24575-RT, S42.451B - C. 24579-RT, S42.451A Patient complains of chronic/acute arm & shoulder pain following bilateral carpal tunnel surgery. Patient is followed by pain management for over a year. Physician finally diagnoses patient with reflex dystrophy syndrome (RSD). Physician performs six trigger point injections into four muscle groups. Code the procedure(s). A. 20552 B. 20553 x 6 C. 20551 x 6 D. 20553 - D. 20553 A 35-year-old female patient with acute onset of severe pain since October. Her workup has revealed evidence of disk herniation with loss of lordosis at the C5-C6. Intraoperative findings were consistent with two large fragments of free disk fragments in the foramen at C5-C6 on the right side. After general anesthesia, the patient was placed on the operative table in the supine position. All pressure ???????????????????????ed and a transverse skin incision was fashioned under fluoroscopic guidance over the C5-C6 disc space. Dissection through the platysma eventually allowed for exposure of the anterior entrance to the vertebral body of C5 and C6 and retractors were inserted to maintain adequate exposure. ????????????????? allowed exposure. A complete discectomy was performed at C5-C6 by using endplate curets pituitary rongeurs and Kerrison rongeurs. The posterior longitudinal ligament was resected and beneath the pos - C. 22856