CPC Practice Exam C questions with
correct answers
Patient |has |basal |cell |carcinoma |on |his |upper |back. |A |map |was |prepared |to |correspond |to |the |
area |of |skin |where |the |excisions |of |the |tumor |will |be |performed |using |Mohs |micrographic |
surgery |technique. |There |were |three |tissue |blocks |that |were |prepared |for |cryostat, |sectioned, |
and |removed |in |the |first |stage. |Then |a |second |stage |had |six |tissue |blocks |which |were |also |cut |
and |stained |for |microscopic |examination. |The |entire |base |and |margins |of |the |excised |pieces |
of |tissue |were |examined |by |the |surgeon. |No |tumor |was |identified |after |the |final |stage |of |the |
microscopically |controlled |surgery. |What |procedure |codes |are |reported?
A. |17313, |17314, |17314
B. |17313, |17315
C. |17260, |17313, |17314
D. |17313,17314, |17315 |- |ANSWERS✔✔ |Patient |is |having |Mohs |Micrographic |Surgery |being |
performed |only, |eliminating |multiple |choice |answer |C. |Mohs |codes |are |based |on |the |
anatomic |grouping |by |code, |the |number |of |stages |taken, |and |number |of |blocks |per |stage. |The |
surgery |was |on |the |back |reporting |code |17313 |for |stage |1 |with |three |blocks, |add-on |code |
17314 |is |for |stage |2 |with |five |blocks, |and |add-on |code |17315 |is |for |the |sixth |block |in |stage |2. |
Answer |D
45 |year-old |male |is |in |outpatient |surgery |to |excise |a |basal |cell |carcinoma |of |the |right |nose |and
|have |reconstruction |with |an |advancement |flap. |The |1.2 |cm |lesion |with |an |excised |diameter |of
|1.5 |cm |was |excised |with |a |15-blade |scalpel |down |to |the |level |of |the |subcutaneous |tissue, |
totaling |a |primary |defect |of |1.8 |cm. |Electrocautery |was |used |for |hemostasis. |An |adjacent |
tissue |transfer |of |3 |sq |cm |was |taken |from |the |nasolabial |fold |and |was |advanced |into |the |
primary |defect. |Which |CPT® |code(s) |is |(are) |reported?
A. |14060
B. |11642, |14060
C. |11642, |15115
D. |15574 |- |ANSWERS✔✔ |An |adjacent |tissue |transfer |(advancement |flap) |was |used |to |repair |a
|defect |on |the |nose |due |to |an |excision |of |a |malignant |lesion, |eliminating |multiple |choice |
,answers |C |and |D. |The |section |guidelines |in |the |CPT® |codebook |for |Adjacent |Tissue |or |
Rearrangement |indicate |that |the |excision |of |a |benign |lesion |(11400-11446) |or |a |malignant |
lesion |(11600-11646) |is |included |in |codes |for |adjacent |tissue |transfer |(14000-14302), |and |are |
not |separately |reported. |This |eliminates |multiple |choice |answer |B. |Answer |A
24 |year-old |patient |had |an |abscess |by |her |vulva |which |burst. |She |has |developed |a |soft |tissue |
infection |caused |by |gas |gangrene. |The |area |was |debrided |of |necrotic |infected |tissue. |All |of |the
|pus |was |removed |and |irrigation |was |performed |with |a |liter |of |saline |until |clear |and |clean. |
The |infected |area |was |completely |drained |and |the |wound |was |packed |gently |with |sterile |
saline |moistened |gauze |and |pads |were |placed |on |top |of |this. |The |correct |CPT® |code |is:
A. |56405
B. |10061
C. |11004
D. |11042 |- |ANSWERS✔✔ |The |abscess |had |already |burst, |with |no |need |to |perform |an |incision
|to |open |it, |eliminating |multiple |choice |answers |A |and |B. |The |difference |between |multiple |
choice |answers |C |and |D, |is |that |the |patient |is |having |the |debridement |performed |due |to |a |soft |
tissue |infection |in |the |perineum |area. |The |correct |code |is |11004 |for |debridement |of |
necrotized |infected |tissue |on |the |external |genitalia. |Answer |C
76 |year-old |female |had |a |recent |mammographic |and |ultrasound |abnormality |in |the |6 |o'clock |
position |of |the |left |breast. |She |underwent |core |biopsies |which |showed |the |presence |of |a |
papilloma. |The |plan |now |is |for |needle |localization |with |excisional |biopsy |to |rule |out |occult |
malignancy. |After |undergoing |preoperative |needle |localization |with |hookwire |needle |
injection |with |methylene |blue, |the |patient |was |brought |to |the |operating |room |and |was |placed
|on |the |operating |room |table |in |the |supine |position |where |she |underwent |laryngeal |mask |
airway |(LMA) |anesthesia. |The |left |breast |was |prepped |and |draped |in |a |sterile |fashion. |A |
radial |incision |was |then |made |in |the |6 |o'clock |position |of |the |left |breast |corresponding |to |the |
tip |of |the |needle |localizing |wire. |Using |blunt |and |sharp |dissection, |we |performed |a |generous |
excisional |biopsy |around |the |needle |localizing |wire |including |all |of |the |methylene |blue-
stained |tissues. |The |specimen |was |- |ANSWERS✔✔ |You |can |narrow |your |choices |down |by |
the |diagnosis. |The |beginning |of |the |operative |note |documents |that |core |biopsies |showed
|"papilloma". |In |the |ICD-10-CM |Alphabetic |Index, |look |for |Papilloma-see |also |Neoplasm, |
benign, |by |site. |Go |to |the |Table |of |Neoplasms |and |look |for |Neoplasm,
|neoplastic/breast/Benign |(column) |refers |you |to |code |D24.-. |Turn |to |the |Tabular |List |to |
complete |the |code, |D24.2.
|
, Procedure |code |19125 |is |correct |because |preoperative |placement |of |radiologic |marker |
(preoperative |needle |localization |with |hookwire |needle |injection |with |methylene |blue) |was |
used |to |excise |the |lesion. |Answer |D
The |patient |is |a |66 |year-old |female |who |presents |with |Dupuytren's |disease |in |the |right |palm |
and |ring |finger. |This |results |in |a |contracture |of |the |ring |digit |MP |joint. |She |is |having |a |
subtotal |palmar |fasciectomy |for |Dupuytren's |disease |right |ring |digit |and |palm. |An |extensile |
Brunner |incision |was |then |made |beginning |in |the |proximal |palm |and |extending |to |the |ring |
finger |PIP |crease. |This |exposed |a |large |pretendinous |cord |arising |from |the |palmar |fascia |
extending |distally |over |the |flexor |tendons |of |the |ring |finger. |The |fascial |attachments |to |the |
flexor |tendon |sheath |were |released. |At |the |level |of |the |metacarpophalangeal |crease, |one |band
|arose |from |the |central |pretendinous |cord-one |coursing |toward |the |middle |finger. |The |digital |
nerve |was |identified, |and |this |diseased |fascia |was |also |excised. |What |procedure |code(s) |is |
(are) |used?
A. |26123-RT, |26125-F7
B. |26121-RT
C. |26035-RT
D. |26040-RT |- |ANSWERS✔✔ |The |patient |is |having |a |fasciectomy, |eliminating |multiple |
choice |answers |C |and |D. |The |fasciectomy |was |performed |on |the |right |hand |supported |by |the |
documentation |that |states: |"the |fascial |attachments |to |the |flexor |tendon |sheath |were |
released" |and |"subtotal |palmar |fasciectomy." |Documentation |also |indicates |the |right |middle |
finger |( |modifier |F7) |had |diseased |fascia |excised.
Answer |D
This |is |a |32 |year-old |female |who |presents |today |with |sacroilitis. |On |the |physical |exam |there |
was |pain |on |palpation |of |the |left |and |right |sacroiliac |joint |and |fluoroscopic |guidance |was |
done |for |the |needle |positioning. |Then |80 |mg |of |Depo-Medrol |and |1 |mL |of |bupivacaine |at |0.5%
|was |injected |into |the |left |and |right |sacroiliac |joint |with |a |22 |gauge |needle. |The |patient |was |
able |to |walk |from |the |exam |room |without |difficulty. |Follow |up |will |be |as |needed. |The |correct |
CPT® |code(s) |is |(are):
A. |20611
B. |27096-50, |77012
C. |27096-50
correct answers
Patient |has |basal |cell |carcinoma |on |his |upper |back. |A |map |was |prepared |to |correspond |to |the |
area |of |skin |where |the |excisions |of |the |tumor |will |be |performed |using |Mohs |micrographic |
surgery |technique. |There |were |three |tissue |blocks |that |were |prepared |for |cryostat, |sectioned, |
and |removed |in |the |first |stage. |Then |a |second |stage |had |six |tissue |blocks |which |were |also |cut |
and |stained |for |microscopic |examination. |The |entire |base |and |margins |of |the |excised |pieces |
of |tissue |were |examined |by |the |surgeon. |No |tumor |was |identified |after |the |final |stage |of |the |
microscopically |controlled |surgery. |What |procedure |codes |are |reported?
A. |17313, |17314, |17314
B. |17313, |17315
C. |17260, |17313, |17314
D. |17313,17314, |17315 |- |ANSWERS✔✔ |Patient |is |having |Mohs |Micrographic |Surgery |being |
performed |only, |eliminating |multiple |choice |answer |C. |Mohs |codes |are |based |on |the |
anatomic |grouping |by |code, |the |number |of |stages |taken, |and |number |of |blocks |per |stage. |The |
surgery |was |on |the |back |reporting |code |17313 |for |stage |1 |with |three |blocks, |add-on |code |
17314 |is |for |stage |2 |with |five |blocks, |and |add-on |code |17315 |is |for |the |sixth |block |in |stage |2. |
Answer |D
45 |year-old |male |is |in |outpatient |surgery |to |excise |a |basal |cell |carcinoma |of |the |right |nose |and
|have |reconstruction |with |an |advancement |flap. |The |1.2 |cm |lesion |with |an |excised |diameter |of
|1.5 |cm |was |excised |with |a |15-blade |scalpel |down |to |the |level |of |the |subcutaneous |tissue, |
totaling |a |primary |defect |of |1.8 |cm. |Electrocautery |was |used |for |hemostasis. |An |adjacent |
tissue |transfer |of |3 |sq |cm |was |taken |from |the |nasolabial |fold |and |was |advanced |into |the |
primary |defect. |Which |CPT® |code(s) |is |(are) |reported?
A. |14060
B. |11642, |14060
C. |11642, |15115
D. |15574 |- |ANSWERS✔✔ |An |adjacent |tissue |transfer |(advancement |flap) |was |used |to |repair |a
|defect |on |the |nose |due |to |an |excision |of |a |malignant |lesion, |eliminating |multiple |choice |
,answers |C |and |D. |The |section |guidelines |in |the |CPT® |codebook |for |Adjacent |Tissue |or |
Rearrangement |indicate |that |the |excision |of |a |benign |lesion |(11400-11446) |or |a |malignant |
lesion |(11600-11646) |is |included |in |codes |for |adjacent |tissue |transfer |(14000-14302), |and |are |
not |separately |reported. |This |eliminates |multiple |choice |answer |B. |Answer |A
24 |year-old |patient |had |an |abscess |by |her |vulva |which |burst. |She |has |developed |a |soft |tissue |
infection |caused |by |gas |gangrene. |The |area |was |debrided |of |necrotic |infected |tissue. |All |of |the
|pus |was |removed |and |irrigation |was |performed |with |a |liter |of |saline |until |clear |and |clean. |
The |infected |area |was |completely |drained |and |the |wound |was |packed |gently |with |sterile |
saline |moistened |gauze |and |pads |were |placed |on |top |of |this. |The |correct |CPT® |code |is:
A. |56405
B. |10061
C. |11004
D. |11042 |- |ANSWERS✔✔ |The |abscess |had |already |burst, |with |no |need |to |perform |an |incision
|to |open |it, |eliminating |multiple |choice |answers |A |and |B. |The |difference |between |multiple |
choice |answers |C |and |D, |is |that |the |patient |is |having |the |debridement |performed |due |to |a |soft |
tissue |infection |in |the |perineum |area. |The |correct |code |is |11004 |for |debridement |of |
necrotized |infected |tissue |on |the |external |genitalia. |Answer |C
76 |year-old |female |had |a |recent |mammographic |and |ultrasound |abnormality |in |the |6 |o'clock |
position |of |the |left |breast. |She |underwent |core |biopsies |which |showed |the |presence |of |a |
papilloma. |The |plan |now |is |for |needle |localization |with |excisional |biopsy |to |rule |out |occult |
malignancy. |After |undergoing |preoperative |needle |localization |with |hookwire |needle |
injection |with |methylene |blue, |the |patient |was |brought |to |the |operating |room |and |was |placed
|on |the |operating |room |table |in |the |supine |position |where |she |underwent |laryngeal |mask |
airway |(LMA) |anesthesia. |The |left |breast |was |prepped |and |draped |in |a |sterile |fashion. |A |
radial |incision |was |then |made |in |the |6 |o'clock |position |of |the |left |breast |corresponding |to |the |
tip |of |the |needle |localizing |wire. |Using |blunt |and |sharp |dissection, |we |performed |a |generous |
excisional |biopsy |around |the |needle |localizing |wire |including |all |of |the |methylene |blue-
stained |tissues. |The |specimen |was |- |ANSWERS✔✔ |You |can |narrow |your |choices |down |by |
the |diagnosis. |The |beginning |of |the |operative |note |documents |that |core |biopsies |showed
|"papilloma". |In |the |ICD-10-CM |Alphabetic |Index, |look |for |Papilloma-see |also |Neoplasm, |
benign, |by |site. |Go |to |the |Table |of |Neoplasms |and |look |for |Neoplasm,
|neoplastic/breast/Benign |(column) |refers |you |to |code |D24.-. |Turn |to |the |Tabular |List |to |
complete |the |code, |D24.2.
|
, Procedure |code |19125 |is |correct |because |preoperative |placement |of |radiologic |marker |
(preoperative |needle |localization |with |hookwire |needle |injection |with |methylene |blue) |was |
used |to |excise |the |lesion. |Answer |D
The |patient |is |a |66 |year-old |female |who |presents |with |Dupuytren's |disease |in |the |right |palm |
and |ring |finger. |This |results |in |a |contracture |of |the |ring |digit |MP |joint. |She |is |having |a |
subtotal |palmar |fasciectomy |for |Dupuytren's |disease |right |ring |digit |and |palm. |An |extensile |
Brunner |incision |was |then |made |beginning |in |the |proximal |palm |and |extending |to |the |ring |
finger |PIP |crease. |This |exposed |a |large |pretendinous |cord |arising |from |the |palmar |fascia |
extending |distally |over |the |flexor |tendons |of |the |ring |finger. |The |fascial |attachments |to |the |
flexor |tendon |sheath |were |released. |At |the |level |of |the |metacarpophalangeal |crease, |one |band
|arose |from |the |central |pretendinous |cord-one |coursing |toward |the |middle |finger. |The |digital |
nerve |was |identified, |and |this |diseased |fascia |was |also |excised. |What |procedure |code(s) |is |
(are) |used?
A. |26123-RT, |26125-F7
B. |26121-RT
C. |26035-RT
D. |26040-RT |- |ANSWERS✔✔ |The |patient |is |having |a |fasciectomy, |eliminating |multiple |
choice |answers |C |and |D. |The |fasciectomy |was |performed |on |the |right |hand |supported |by |the |
documentation |that |states: |"the |fascial |attachments |to |the |flexor |tendon |sheath |were |
released" |and |"subtotal |palmar |fasciectomy." |Documentation |also |indicates |the |right |middle |
finger |( |modifier |F7) |had |diseased |fascia |excised.
Answer |D
This |is |a |32 |year-old |female |who |presents |today |with |sacroilitis. |On |the |physical |exam |there |
was |pain |on |palpation |of |the |left |and |right |sacroiliac |joint |and |fluoroscopic |guidance |was |
done |for |the |needle |positioning. |Then |80 |mg |of |Depo-Medrol |and |1 |mL |of |bupivacaine |at |0.5%
|was |injected |into |the |left |and |right |sacroiliac |joint |with |a |22 |gauge |needle. |The |patient |was |
able |to |walk |from |the |exam |room |without |difficulty. |Follow |up |will |be |as |needed. |The |correct |
CPT® |code(s) |is |(are):
A. |20611
B. |27096-50, |77012
C. |27096-50
