CPC Practice Exam 3
A 30 year-old female with a benign tumor in the lower-outer quadrant of the right breast presents for a
simple mastectomy. An elliptical incision is made on the right breast into the nipple areola complex
beyond the subcutaneous tissue. Counter-traction is applied to the breast and the breast is dissected
free from the pectoralis major muscle. Suction drainage is placed in the area by means of a separate
stab incision to drain out excess fluid.
Once this is complete, the incision is closed. Select the CPT® and ICD-10-CM codes.
A. 19303, D24.1
B. 19307, D49.3
C. 19303, N63.13
D. 19305, D24.1 - Answer-A. 19303, D24.1
Procedure Diagnosis: Squamous cell carcinoma, neck. Procedure: Wide local excision of 3.0 cm with 0.3
cm margin squamous cell carcinoma of the neck with a 4 cm closure. Procedure: The area of the
patient's neck was examined. The site of intended excision was marked out. The site was then prepped.
The patient was then prepped and draped in the usual fashion. A 15 blade scalpel was then used to
make an incision in the previously marked site. It was carried down through the epidermis and there
was extensive undermining. The lesion was then sharply dissected off underlying tissue bed using a 15-
blade scalpel. It was tagged for pathologic orientation. The hyfrecator was used for hemostasis. The
wound was then closed by advancing the tissue surrounding the lesion and closing in multilayers with 3-
0 Vicryl for the deep layer, followed by 5-0 Prolene for the skin. The skin closure was in a running
subcuticular fashion. Steri - Answer-A. 13132, 11624-51, C44.42
,This 52 year-old female presents to the general surgeon for I&D of a reoccurring carbuncle at the base of
her neck. When the patient is appropriately prepped, and anesthetized, the provider makes a
circumferential incision over the area of the abscess. The incision is deepened through the vascular
inner layer of skin and down to the deep level of abscess cavity. The surgeon opens the abscess and
excises the inflamed fatty and dead tissues within the cavity and drains the pus completely. The abscess
cavity is packed with gauze and left open with a drain for continuous discharge of fluids. A sample of the
abscess contents of pus was sent to the lab. The patient is given instructions on wound care, prescribed
an antibiotic and will return to the surgeon's office in 10 days for follow up. The lab report returned the
presence of Staphylococcus aureus.
What CPT® and ICD-10-CM codes are reported?
A. 10061, L02.13, B95.61 - Answer-A. 10061, L02.13, B95.61
A 45 year-old male patient diagnosed with spinal stenosis L3 to L5 level presents for an arthrodesis and
laminectomy. The patient is prepped and anesthetized and placed in the prone position. Using a
posterior interbody technique, the provider makes an incision in the lower back over the L3-L5. With
retractors, the soft tissues are separated to gain access to the vertebrae. Fragments from nearby cortical
bone and articular cartilage are excised. The lamina was excised and the bone chips were inserted to
fuse L3-L4 interspace and L4-L5 interspace. The area was irrigated and a layered closure was used to
close the incision.
What CPT® codes are reported?
A. 22630, 22632 x 3
B. 22630, 22632
C. 22633, 22634 x 2
D. 22612, 22614 - Answer-B. 22630, 22632
A 52 year-old female is scheduled for surgery for a radical resection of a sarcoma on her back. After
administration of proper anesthesia, the operative site is prepped and draped in the usual fashion. A
curvilinear incision is made around the tumor site. The incision is further extended deep and around the
tumor. The fascial, and subfascial layers are raised to adequately expose the underlying anatomy.
Neurovascular structures in the area are identified and preserved. The tumor is localized and dissected
, from the surrounding tissue margin, and removed. To rule out further malignancy, an additional
surrounding wide area of margin is also dissected and removed. After satisfactory radical removal of the
tumor and surrounding margin the incision is repaired in the layered fashion. The excised diameter of
the tumor is 4.5 cm.
Which CPT® and diagnosis are reported?
A. 21932, C49.6
B. 21935, D17.1
C. 21935, C49.6
D. 2192 - Answer-B. 21935, D17.1
A 68 year-old female has a L5 age-related osteoporotic compression fracture and is in the outpatient
facility to have vertebroplasty to restore the vertebral body.
The patient is appropriately prepped and local anesthesia with light sedation is administered. A biopsy
needle is guided into the fractured vertebra using x-ray guidance. Specially formulated acrylic bone
cement is injected directly into the fractured vertebra, filling the spaces within the bone with the goal of
creating a type of internal cast to stabilize the vertebral bone. The needle is removed and the small skin
puncture is covered with a bandage. The patient is taken to the recovery room and discharged later in
the same day.
Select the CPT® and ICD-10-CM codes for this procedure:
A. 22510, M80.08XA
B. 22513, 77002-26, M48.56XA
C. 22511, M80.08XA
D. 22511, 77002-26, M48.56XA - Answer-C. 22511, M80.08XA
Via a left femoral artery access, aortic arch angiography was performed, and then a catheter is placed in
the right internal carotid artery, the left common carotid artery, and the right and left vertebral arteries.
Angiography was performed in all locations and right and left cerebral imaging was documented by the
A 30 year-old female with a benign tumor in the lower-outer quadrant of the right breast presents for a
simple mastectomy. An elliptical incision is made on the right breast into the nipple areola complex
beyond the subcutaneous tissue. Counter-traction is applied to the breast and the breast is dissected
free from the pectoralis major muscle. Suction drainage is placed in the area by means of a separate
stab incision to drain out excess fluid.
Once this is complete, the incision is closed. Select the CPT® and ICD-10-CM codes.
A. 19303, D24.1
B. 19307, D49.3
C. 19303, N63.13
D. 19305, D24.1 - Answer-A. 19303, D24.1
Procedure Diagnosis: Squamous cell carcinoma, neck. Procedure: Wide local excision of 3.0 cm with 0.3
cm margin squamous cell carcinoma of the neck with a 4 cm closure. Procedure: The area of the
patient's neck was examined. The site of intended excision was marked out. The site was then prepped.
The patient was then prepped and draped in the usual fashion. A 15 blade scalpel was then used to
make an incision in the previously marked site. It was carried down through the epidermis and there
was extensive undermining. The lesion was then sharply dissected off underlying tissue bed using a 15-
blade scalpel. It was tagged for pathologic orientation. The hyfrecator was used for hemostasis. The
wound was then closed by advancing the tissue surrounding the lesion and closing in multilayers with 3-
0 Vicryl for the deep layer, followed by 5-0 Prolene for the skin. The skin closure was in a running
subcuticular fashion. Steri - Answer-A. 13132, 11624-51, C44.42
,This 52 year-old female presents to the general surgeon for I&D of a reoccurring carbuncle at the base of
her neck. When the patient is appropriately prepped, and anesthetized, the provider makes a
circumferential incision over the area of the abscess. The incision is deepened through the vascular
inner layer of skin and down to the deep level of abscess cavity. The surgeon opens the abscess and
excises the inflamed fatty and dead tissues within the cavity and drains the pus completely. The abscess
cavity is packed with gauze and left open with a drain for continuous discharge of fluids. A sample of the
abscess contents of pus was sent to the lab. The patient is given instructions on wound care, prescribed
an antibiotic and will return to the surgeon's office in 10 days for follow up. The lab report returned the
presence of Staphylococcus aureus.
What CPT® and ICD-10-CM codes are reported?
A. 10061, L02.13, B95.61 - Answer-A. 10061, L02.13, B95.61
A 45 year-old male patient diagnosed with spinal stenosis L3 to L5 level presents for an arthrodesis and
laminectomy. The patient is prepped and anesthetized and placed in the prone position. Using a
posterior interbody technique, the provider makes an incision in the lower back over the L3-L5. With
retractors, the soft tissues are separated to gain access to the vertebrae. Fragments from nearby cortical
bone and articular cartilage are excised. The lamina was excised and the bone chips were inserted to
fuse L3-L4 interspace and L4-L5 interspace. The area was irrigated and a layered closure was used to
close the incision.
What CPT® codes are reported?
A. 22630, 22632 x 3
B. 22630, 22632
C. 22633, 22634 x 2
D. 22612, 22614 - Answer-B. 22630, 22632
A 52 year-old female is scheduled for surgery for a radical resection of a sarcoma on her back. After
administration of proper anesthesia, the operative site is prepped and draped in the usual fashion. A
curvilinear incision is made around the tumor site. The incision is further extended deep and around the
tumor. The fascial, and subfascial layers are raised to adequately expose the underlying anatomy.
Neurovascular structures in the area are identified and preserved. The tumor is localized and dissected
, from the surrounding tissue margin, and removed. To rule out further malignancy, an additional
surrounding wide area of margin is also dissected and removed. After satisfactory radical removal of the
tumor and surrounding margin the incision is repaired in the layered fashion. The excised diameter of
the tumor is 4.5 cm.
Which CPT® and diagnosis are reported?
A. 21932, C49.6
B. 21935, D17.1
C. 21935, C49.6
D. 2192 - Answer-B. 21935, D17.1
A 68 year-old female has a L5 age-related osteoporotic compression fracture and is in the outpatient
facility to have vertebroplasty to restore the vertebral body.
The patient is appropriately prepped and local anesthesia with light sedation is administered. A biopsy
needle is guided into the fractured vertebra using x-ray guidance. Specially formulated acrylic bone
cement is injected directly into the fractured vertebra, filling the spaces within the bone with the goal of
creating a type of internal cast to stabilize the vertebral bone. The needle is removed and the small skin
puncture is covered with a bandage. The patient is taken to the recovery room and discharged later in
the same day.
Select the CPT® and ICD-10-CM codes for this procedure:
A. 22510, M80.08XA
B. 22513, 77002-26, M48.56XA
C. 22511, M80.08XA
D. 22511, 77002-26, M48.56XA - Answer-C. 22511, M80.08XA
Via a left femoral artery access, aortic arch angiography was performed, and then a catheter is placed in
the right internal carotid artery, the left common carotid artery, and the right and left vertebral arteries.
Angiography was performed in all locations and right and left cerebral imaging was documented by the
