Mock Rehearsals 2025 -CPC Final
Practice Exam C| Questions and
Answers Set [Rationale Provided]
A 7-year-old child was riding his bike when he struck a tree stump, causing him to be thrown
from his bike. He sustained multiple cuts and lacerations. A 3 cm laceration on his scalp, along
with two 0.5 cm lacerations on his face, were noted. His right arm and right leg each had a 5 cm
laceration. The physician used staples to close the scalp wound, and steri-strips were applied to
the facial wounds. Both the arm and leg wounds were cleaned by thoroughly irrigating with
saline, and any embedded debris was removed. A single-layer closure was then performed.
Which repair codes should be used for reporting?
A. 12032, 12032-59, 12011-59, 12002-59
B. 12002, 12002-59, 12011-59, 12002-59
C. 12005, 11042-59
D. 12034, 12002-59 D. 12034, 12002-59
The two facial lacerations were treated with steri-strips. When adhesive strips are the sole
material used to close a wound, a repair code should not be reported. According to CPT®
guidelines for wound repair, if adhesive strips are the only method of closure, the procedure
should be coded with the relevant Evaluation and Management (E/M) code. This eliminates
choices A and B since code 12011 is not appropriate for this scenario. The lacerations on the arm
1
,and leg are considered intermediate repairs, and as per CPT® guidelines, the single-layer closure
of contaminated wounds with extensive cleaning qualifies as an intermediate repair, ruling out
choice C. For wounds repaired in the same classification from similar anatomical sites, the length
of the wounds should be combined. When multiple types of repairs are performed, append
modifier 59 to the least complex repair(s).
A 55-year-old male presents with an ingrown toenail on both his right and left feet. After
discussing the procedure in detail, the patient chose to have the procedure performed. The right
foot was prepped and anesthetized with a 50/50 mix of 2% lidocaine and 0.05% Marcaine. A
mini-tourniquet was applied for hemostasis, and a partial removal of the nail plate along with a
matrixectomy was carried out. Phenol was applied, and the toe was flushed. After releasing the
tourniquet, a dressing was applied. The patient chose to have only the right foot treated today and
will return in two weeks for the left foot. What is the correct CPT® code for this procedure?
A. 11765-T5
B. 11750-T5
C. 11752-T5
D. 11740-T5 B. 11750-T5
The procedure described involves the removal of an ingrown toenail, eliminating choice D,
which refers to evacuation of a subungual hematoma. The remaining choices involve ingrown
toenail removal, and code 11752 is not appropriate as it refers to an amputation, which is not
2
,mentioned in the scenario. The key to distinguishing between 11765 and 11750 lies in the partial
removal of the nail and matrixectomy, which corresponds to code 11750.
A procedure is performed for the excision of a basal cell carcinoma from the left chin, measuring
3.0 cm with a 0.3 cm margin. A wide local excision was performed, followed by closure with a 4
cm incision. The site was prepped, and a 15-blade scalpel was used to make an incision down to
the subcuticular fat. The lesion was dissected using the scalpel and tagged for pathology.
Hemostasis was achieved with a hyfrecator, and the wound was closed in layers with 3-0 Vicryl
for deep layers and 5-0 Prolene for the skin in a running subcuticular fashion. Steri-strips were
applied for dressing. What codes are appropriate for this procedure?
A. 11644, 12052-51, 17331
B. 11644, 12052-51, 17332
C. 11646, 12052-51, 17331
D. 11644, 12052-51 A. 11644, 12052-51, 17331
The lesion is diagnosed as basal cell carcinoma, which classifies it as malignant and eliminates
choices C and D (which pertain to benign lesions). The lesion's location on the chin and its size
(3.0 cm + 0.3 cm + 0.3 cm = 3.6 cm) dictate the use of code 11644. For excision of malignant
lesions requiring intermediate or complex closures, the closure is separately coded, as per CPT®
guidelines, which is why code 12052 applies. The diagnosis is indexed under basal cell
carcinoma, and the final excision is appropriate for the provided codes.
3
, A tumor is removed from the patient's neck using Mohs micrographic surgery. During the first
stage, four tissue blocks are excised and reviewed under a microscope, revealing that additional
areas of the tumor remain. The second stage involves the removal of two more tissue blocks.
Which CPT® codes should be used to report the procedure?
A. 17311, 17312, 17315
B. 17313, 17315
C. 17313, 17314, 17315
D. 17311, 17312 D. 17311, 17312
To determine the correct code for Mohs micrographic surgery, it is important to note that the
tumor was removed from the neck. This eliminates codes B and C, which are intended for
procedures on the trunk, arms, or legs. The tissue removal was carried out in two stages, and as
there were fewer than six tissue blocks removed per stage, codes 17311 and 17312 are
appropriate.
A 45-year-old male presents with a painful mass in the right upper arm. General anesthesia is
administered, and the dissection proceeds through the teres minor muscle. A large, benign-
appearing mass is found just distal to the inferior glenohumeral ligament (IGHL). The mass,
measuring 4.5 cm, is removed en bloc and sent for pathology. The wound is irrigated, and repair
is performed with subcutaneous tissue closure using triple-0 Vicryl and skin closure using
double-0 Prolene in a subcuticular fashion. Which CPT® code applies to this procedure?
4
Practice Exam C| Questions and
Answers Set [Rationale Provided]
A 7-year-old child was riding his bike when he struck a tree stump, causing him to be thrown
from his bike. He sustained multiple cuts and lacerations. A 3 cm laceration on his scalp, along
with two 0.5 cm lacerations on his face, were noted. His right arm and right leg each had a 5 cm
laceration. The physician used staples to close the scalp wound, and steri-strips were applied to
the facial wounds. Both the arm and leg wounds were cleaned by thoroughly irrigating with
saline, and any embedded debris was removed. A single-layer closure was then performed.
Which repair codes should be used for reporting?
A. 12032, 12032-59, 12011-59, 12002-59
B. 12002, 12002-59, 12011-59, 12002-59
C. 12005, 11042-59
D. 12034, 12002-59 D. 12034, 12002-59
The two facial lacerations were treated with steri-strips. When adhesive strips are the sole
material used to close a wound, a repair code should not be reported. According to CPT®
guidelines for wound repair, if adhesive strips are the only method of closure, the procedure
should be coded with the relevant Evaluation and Management (E/M) code. This eliminates
choices A and B since code 12011 is not appropriate for this scenario. The lacerations on the arm
1
,and leg are considered intermediate repairs, and as per CPT® guidelines, the single-layer closure
of contaminated wounds with extensive cleaning qualifies as an intermediate repair, ruling out
choice C. For wounds repaired in the same classification from similar anatomical sites, the length
of the wounds should be combined. When multiple types of repairs are performed, append
modifier 59 to the least complex repair(s).
A 55-year-old male presents with an ingrown toenail on both his right and left feet. After
discussing the procedure in detail, the patient chose to have the procedure performed. The right
foot was prepped and anesthetized with a 50/50 mix of 2% lidocaine and 0.05% Marcaine. A
mini-tourniquet was applied for hemostasis, and a partial removal of the nail plate along with a
matrixectomy was carried out. Phenol was applied, and the toe was flushed. After releasing the
tourniquet, a dressing was applied. The patient chose to have only the right foot treated today and
will return in two weeks for the left foot. What is the correct CPT® code for this procedure?
A. 11765-T5
B. 11750-T5
C. 11752-T5
D. 11740-T5 B. 11750-T5
The procedure described involves the removal of an ingrown toenail, eliminating choice D,
which refers to evacuation of a subungual hematoma. The remaining choices involve ingrown
toenail removal, and code 11752 is not appropriate as it refers to an amputation, which is not
2
,mentioned in the scenario. The key to distinguishing between 11765 and 11750 lies in the partial
removal of the nail and matrixectomy, which corresponds to code 11750.
A procedure is performed for the excision of a basal cell carcinoma from the left chin, measuring
3.0 cm with a 0.3 cm margin. A wide local excision was performed, followed by closure with a 4
cm incision. The site was prepped, and a 15-blade scalpel was used to make an incision down to
the subcuticular fat. The lesion was dissected using the scalpel and tagged for pathology.
Hemostasis was achieved with a hyfrecator, and the wound was closed in layers with 3-0 Vicryl
for deep layers and 5-0 Prolene for the skin in a running subcuticular fashion. Steri-strips were
applied for dressing. What codes are appropriate for this procedure?
A. 11644, 12052-51, 17331
B. 11644, 12052-51, 17332
C. 11646, 12052-51, 17331
D. 11644, 12052-51 A. 11644, 12052-51, 17331
The lesion is diagnosed as basal cell carcinoma, which classifies it as malignant and eliminates
choices C and D (which pertain to benign lesions). The lesion's location on the chin and its size
(3.0 cm + 0.3 cm + 0.3 cm = 3.6 cm) dictate the use of code 11644. For excision of malignant
lesions requiring intermediate or complex closures, the closure is separately coded, as per CPT®
guidelines, which is why code 12052 applies. The diagnosis is indexed under basal cell
carcinoma, and the final excision is appropriate for the provided codes.
3
, A tumor is removed from the patient's neck using Mohs micrographic surgery. During the first
stage, four tissue blocks are excised and reviewed under a microscope, revealing that additional
areas of the tumor remain. The second stage involves the removal of two more tissue blocks.
Which CPT® codes should be used to report the procedure?
A. 17311, 17312, 17315
B. 17313, 17315
C. 17313, 17314, 17315
D. 17311, 17312 D. 17311, 17312
To determine the correct code for Mohs micrographic surgery, it is important to note that the
tumor was removed from the neck. This eliminates codes B and C, which are intended for
procedures on the trunk, arms, or legs. The tissue removal was carried out in two stages, and as
there were fewer than six tissue blocks removed per stage, codes 17311 and 17312 are
appropriate.
A 45-year-old male presents with a painful mass in the right upper arm. General anesthesia is
administered, and the dissection proceeds through the teres minor muscle. A large, benign-
appearing mass is found just distal to the inferior glenohumeral ligament (IGHL). The mass,
measuring 4.5 cm, is removed en bloc and sent for pathology. The wound is irrigated, and repair
is performed with subcutaneous tissue closure using triple-0 Vicryl and skin closure using
double-0 Prolene in a subcuticular fashion. Which CPT® code applies to this procedure?
4
