AAPC CPC PRACTICE EXAM QUESTIONS WITH COMPLETE
AND ACCURATE SOLUTIONS.
A 46-year-old female had a previous biopsy that indicated positive malignant margins
d. d. d. d. d. d. d. d. d. d. d.
anteriorly on the right side of her neck. A 0.5 cm margin was drawn out and a 15
d. d. d. d. d. d. d. d. d. d. d. d. d. d. d. d. d. d.
blade scalpel was used for full excision of an 8 cm lesion. Layered closure was
d. d. d. d. d. d. d. d. d. d. d. d. d. d. d.
performed after the removal. The specimen was sent for permanent histopathologic
d. d. d. d. d. d. d. d. d. d. d.
examination. What are the CPT® code(s) for this procedure?
d. d. d. d. d. d. d. d. d.
A. 11626 d.
B. 11626, 12004-51
d. d.
C. 11626, 12044-51
d. d.
D. 11626, 13132-51, 13133 -- Correct Answer ✔✔ C. 11626, 12044-51
d. d. d. d. d. d. d. d. d. d.
A 30-year-old female is having 15 sq cm debridement performed on an infected ulcer
d. d. d. d. d. d. d. d. d. d. d. d. d.
with eschar on the right foot. Using sharp dissection, the ulcer was debrided all the
d. d. d. d. d. d. d. d. d. d. d. d. d. d. d.
way to down to the bone of the foot. The bone had to be minimally trimmed because
d. d. d. d. d. d. d. d. d. d. d. d. d. d. d. d. d.
of a sharp point at the end of the metatarsal. After debriding the area, there was
d. d. d. d. d. d. d. d. d. d. d. d. d. d. d. d.
minimal bleeding because of very poor circulation of the foot. It seems that the toes
d. d. d. d. d. d. d. d. d. d. d. d. d. d. d.
next to the ulcer may have some involvement and cultures were taken. The area was
d. d. d. d. d. d. d. d. d. d. d. d. d. d. d.
dressed with sterile saline and dressings and then wrapped. What CPT® code should
d. d. d. d. d. d. d. d. d. d. d. d. d.
be reported?
d. d.
A. 11043 d.
B. 11012
d.
C. 11044 d.
D. 11042 -- Correct Answer ✔✔ C. 11044
d. d. d. d. d. d. d.
A 64-year-old female who has multiple sclerosis fell from her walker and landed on a
d. d. d. d. d. d. d. d. d. d. d. d. d. d.
glass table. She lacerated her forehead, cheek and chin and the total length of these
d. d. d. d. d. d. d. d. d. d. d. d. d. d. d.
lacerations was 6 cm. Her right arm and left leg had deep cuts measuring 5 cm on each
d. d. d. d. d. d. d. d. d. d. d. d. d. d. d. d. d. d.
extremity. Her right hand and right foot had a total of 3 cm lacerations. The ED
d. d. d. d. d. d. d. d. d. d. d. d. d. d. d. d.
physician repaired the lacerations as follows: The forehead, cheek, and chin had
d. d. d. d. d. d. d. d. d. d. d. d.
debridement and cleaning of glass debris with the lacerations being closed with one
d. d. d. d. d. d. d. d. d. d. d. d. d.
layer closure, 6-0 Prolene sutures. The arm and leg were repaired by layered closure,
d. d. d. d. d. d. d. d. d. d. d. d. d. d.
6-0 Vicryl subcutaneous sutures and Prolene sutures on the skin. The hand and foot
d. d. d. d. d. d. d. d. d. d. d. d. d. d.
were closed with adhesive strips. Select the appropriate procedure codes for this
d. d. d. d. d. d. d. d. d. d. d. d.
visit.
d.
A. 99283-25, 12014, 12034-59, 12002-59, 11042-51
d. d. d. d. d.
B. 99283-25, 12053, 12034-59, 12002-59
d. d. d. d.
,C. 99283-25, 12014, 12034-59, 11042-51
d. d. d. d.
D. 99283-25, 12053, 12034-59 -- Correct Answer ✔✔ D. 99283-25, 12053, 12034-59
d. d. d. d. d. d. d. d. d. d. d.
A 52-year-old female has a mass growing on her right flank for several years. It has
d. d. d. d. d. d. d. d. d. d. d. d. d. d. d.
finally gotten significantly larger and is beginning to bother her. She is brought to the
d. d. d. d. d. d. d. d. d. d. d. d. d. d. d.
Operating Room for definitive excision. An incision was made directly overlying the
d. d. d. d. d. d. d. d. d. d. d. d.
mass. The mass was down into the subcutaneous tissue and the surgeon encountered
d. d. d. d. d. d. d. d. d. d. d. d. d.
a well encapsulated lipoma approximately 4 centimeters. This was excised primarily
d. d. d. d. d. d. d. d. d. d. d.
bluntly with a few attachments divided with electrocautery. What CPT® and ICD-10-
d. d. d. d. d. d. d. d. d. d. d. d.
CM codes are reported? d. d. d.
A. 21932, D17.39
d. d.
B. 21935, D17.1
d. d.
C. 21931, D17.1
d. d.
D. 21925, D17.9 -- Correct Answer ✔✔ C. 21931, D17.1
d. d. d. d. d. d. d. d. d.
Question 5 d.
PREOPERATIVE DIAGNOSIS: Right scaphoid fracture. TYPE OF PROCEDURE: d. d. d. d. d. d. d.
Open reduction and internal fixation of right scaphoid fracture. DESCRIPTION OF
d. d. d. d. d. d. d. d. d. d. d.
PROCEDURE: The patient was brought to the operating room; anesthesia having
d. d. d. d. d. d. d. d. d. d. d.
been administered. The right upper extremity was prepped and draped in a sterile
d. d. d. d. d. d. d. d. d. d. d. d. d.
manner. The limb was elevated, exsanguinated, and a pneumatic arm tourniquet was
d. d. d. d. d. d. d. d. d. d. d. d.
elevated. An incision was made over the dorsal radial aspect of the right wrist. Skin
d. d. d. d. d. d. d. d. d. d. d. d. d. d. d.
flaps were elevated. Cutaneous nerve branches were identified and very gently
d. d. d. d. d. d. d. d. d. d. d.
retracted. The interval between the second and third dorsal compartment tendons
d. d. d. d. d. d. d. d. d. d. d.
was identified and entered. The respective tendons were retracted. A dorsal
d. d. d. d. d. d. d. d. d. d. d.
capsulotomy incision was made, and the fracture was visualized. There did not appear
d. d. d. d. d. d. d. d. d. d. d. d. d.
to be any type of significant defect at the fracture site. A 0.045 Kirschner wire was
d. d. d. d. d. d. d. d. d. d. d. d. d. d. d. d.
then used as a guidewire, extending from t -- Correct Answer ✔✔ A. 25628-RT
d. d. d. d. d. d. d. d. d. d. d. d. d. d.
An infant with genu valgum is brought to the operating room to have a bilateral medial
d. d. d. d. d. d. d. d. d. d. d. d. d. d. d.
distal femur hemiepiphysiodesis done. On each knee, the C-arm was used to localize
d. d. d. d. d. d. d. d. d. d. d. d. d.
the growth plate. With the growth plate localized, an incision was made medially on
d. d. d. d. d. d. d. d. d. d. d. d. d. d.
both sides. This was taken down to the fascia, which was opened. The periosteum was
d. d. d. d. d. d. d. d. d. d. d. d. d. d. d.
not opened. The Orthofix® figure-of-eight plate was placed and checked with X-ray.
d. d. d. d. d. d. d. d. d. d. d. d.
We then irrigated and closed the medial fascia with 0 Vicryl suture. The skin was
d. d. d. d. d. d. d. d. d. d. d. d. d. d. d.
closed with 2-0 Vicryl and 3-0 Monocryl®. What procedure code is reported?
d. d. d. d. d. d. d. d. d. d. d. d.
A. 27470-50d.
B. 27475-50
d.
C. 27477-50d.
D. 27485-50 -- Correct Answer ✔✔ D. 27485-50
d. d. d. d. d. d. d.
,The patient is a 67-year-old gentleman with metastatic colon cancer recently operated
d. d. d. d. d. d. d. d. d. d. d.
on for a brain metastasis, now for placement of an Infuse-A-Port for continued
d. d. d. d. d. d. d. d. d. d. d. d. d.
chemotherapy. The left subclavian vein was located with a needle and a guide wire
d. d. d. d. d. d. d. d. d. d. d. d. d. d.
placed. This was confirmed to be in the proper position fluoroscopically. A transverse
d. d. d. d. d. d. d. d. d. d. d. d. d.
incision was made just inferior to this and a subcutaneous pocket created just inferior
d. d. d. d. d. d. d. d. d. d. d. d. d. d.
to this. After tunneling, the introducer was placed over the guide wire and the power
d. d. d. d. d. d. d. d. d. d. d. d. d. d. d.
port line was placed with the introducer and the introducer was peeled away. The tip
d. d. d. d. d. d. d. d. d. d. d. d. d. d. d.
was placed in the appropriate position under fluoroscopic guidance and the catheter
d. d. d. d. d. d. d. d. d. d. d. d.
trimmed to the appropriate length and secured to the power port device. The locking
d. d. d. d. d. d. d. d. d. d. d. d. d. d.
mechanism was fully engaged. The port was placed in the subcutaneous pocket and
d. d. d. d. d. d. d. d. d. d. d. d. d.
everything sat very nicely fluoroscopically. It was secured to the underlying soft tissue
d. d. d. d. d. d. d. d. d. d. d. d. d.
-- Correct Answer ✔✔ C. 36561, 77001-26
d. d. d. d. d. d. d.
Question 8 d.
A CT scan identified moderate-sized right pleural effusion in a 50 year-old male. This
d. d. d. d. d. d. d. d. d. d. d. d. d.
was estimated to be 800 cc in size and had an appearance of fluid on the CT Scan. A
d. d. d. d. d. d. d. d. d. d. d. d. d. d. d. d. d. d. d.
needle is used to puncture through the chest tissues and enter the pleural cavity to
d. d. d. d. d. d. d. d. d. d. d. d. d. d. d.
insert a guidewire under ultrasound guidance. A pigtail catheter is then inserted at the
d. d. d. d. d. d. d. d. d. d. d. d. d. d.
length of the guidewire and secured by stitches. The catheter will remain in the chest
d. d. d. d. d. d. d. d. d. d. d. d. d. d. d.
and is connected to drainage system to drain the accumulated fluid. The CPT® code
d. d. d. d. d. d. d. d. d. d. d. d. d. d.
is:
d.
A. 32557 d.
B. 32555
d.
C. 32556 d.
D. 32550 -- Correct Answer ✔✔ A. 32557
d. d. d. d. d. d. d.
The patient is a 59-year-old white male who underwent carotid endarterectomy for
d. d. d. d. d. d. d. d. d. d. d.
symptomatic left carotid stenosis a year ago. A carotid CT angiogram showed a
d. d. d. d. d. d. d. d. d. d. d. d. d.
recurrent 90% left internal carotid artery stenosis extending into the common carotid
d. d. d. d. d. d. d. d. d. d. d. d.
artery. He is taken to the operating room for re-do left carotid endarterectomy. The
d. d. d. d. d. d. d. d. d. d. d. d. d. d.
left neck was prepped and the previous incision was carefully reopened. Using sharp
d. d. d. d. d. d. d. d. d. d. d. d. d.
dissection, the common carotid artery and its branches were dissected free. The
d. d. d. d. d. d. d. d. d. d. d. d.
patient was systematically heparinized and after a few minutes, clamps were applied to
d. d. d. d. d. d. d. d. d. d. d. d. d.
the common carotid artery and its branches. A longitudinal arteriotomy was carried
d. d. d. d. d. d. d. d. d. d. d. d.
out with findings of extensive layering of intimal hyperplasia with no evidence of
d. d. d. d. d. d. d. d. d. d. d. d. d.
recurrent atherosclerosis. A silastic balloon-tip shunt was inserted first proximally
d. d. d. d. d. d. d. d. d. d.
and then distally, with restoration of flow. Several layers of intima were removed and
d. d. d. d. d. d. d. d. d. d. d. d. d. d.
the endart -- Correct Answer ✔✔ B. 35301, 35390
d. d. d. d. d. d. d. d. d.
A 52-year-old patient is admitted to the hospital for chronic cholecystitis for which a
d. d. d. d. d. d. d. d. d. d. d. d. d.
laparoscopic cholecystectomy will be performed. A transverse infraumbilical incision
d. d. d. d. d. d. d. d. d.
was made sharply dissecting to the subcutaneous tissue down to the fascia using
d. d. d. d. d. d. d. d. d. d. d. d. d.
, access under direct vision with a Vesi-Port and a scope was placed into the abdomen.
d. d. d. d. d. d. d. d. d. d. d. d. d. d. d.
Three other ports were inserted under direct vision. The fundus of the gallbladder
d. d. d. d. d. d. d. d. d. d. d. d. d.
was grasped through the lateral port, where multiple adhesions to the gallbladder
d. d. d. d. d. d. d. d. d. d. d. d.
were taken down sharply and bluntly: The gallbladder appeared chronically inflamed.
d. d. d. d. d. d. d. d. d. d. d.
Dissection was carried out to the right of this identifying a small cystic duct and artery,
d. d. d. d. d. d. d. d. d. d. d. d. d. d. d. d.
was clipped twice proximally, once distally and transected. The gallbladder was then
d. d. d. d. d. d. d. d. d. d. d. d.
taken down from the bed using electrocautery, delivering it into an endo-bag and
d. d. d. d. d. d. d. d. d. d. d. d. d.
removing it from the abdominal cavity with the umbilical port. What CPT® and ICD-
d. d. d. d. d. d. d. d. d. d. d. d. d. d.
10-C -- Correct Answer ✔✔ B. 47562, K81.1
d. d. d. d. d. d. d.
A 70-year-old female who has a history of symptomatic ventral hernia was advised to
d. d. d. d. d. d. d. d. d. d. d. d. d.
undergo laparoscopic evaluation and repair. An incision was made in the epigastrium
d. d. d. d. d. d. d. d. d. d. d. d.
and dissection was carried down through the subcutaneous tissue. Two 5-mm trocars
d. d. d. d. d. d. d. d. d. d. d. d.
were placed, one in the left upper quadrant and one in the left lower quadrant and the
d. d. d. d. d. d. d. d. d. d. d. d. d. d. d. d. d.
laparoscope was inserted. Dissection was carried down to the area of the hernia
d. d. d. d. d. d. d. d. d. d. d. d. d.
where a small defect was clearly visualized. There was some omentum, which was
d. d. d. d. d. d. d. d. d. d. d. d. d.
adhered to the hernia and this was delivered back into the peritoneal cavity. The mesh
d. d. d. d. d. d. d. d. d. d. d. d. d. d. d.
was tacked on to cover the defect. What procedure code(s) is (are) reported?
d. d. d. d. d. d. d. d. d. d. d. d. d.
A. 49560, 49568
d. d.
B. 49652
d.
C. 49653 d.
D. 49652, 49568 -- Correct Answer ✔✔ B. 49652
d. d. d. d. d. d. d. d.
The patient is a 50-year-old gentleman who presented to the emergency room with
d. d. d. d. d. d. d. d. d. d. d. d.
signs and symptoms of acute appendicitis with possible rupture. He has been brought
d. d. d. d. d. d. d. d. d. d. d. d. d.
to the operating room. An infraumbilical incision was made which a 5-mm
d. d. d. d. d. d. d. d. d. d. d. d.
VersaStep™ trocar was inserted. A 5-mm 0- degree laparoscope was introduced. A
d. d. d. d. d. d. d. d. d. d. d. d.
second 5-mm trocar was placed suprapubically and a 12-mm trocar in the left lower
d. d. d. d. d. d. d. d. d. d. d. d. d. d.
quadrant. A window was made in the mesoappendix using blunt dissection with no
d. d. d. d. d. d. d. d. d. d. d. d. d.
rupture noted. The base of the appendix was then divided and placed into an Endo-
d. d. d. d. d. d. d. d. d. d. d. d. d. d. d.
catch bag and the 12-mm defect was brought out. Select the appropriate code for this
d. d. d. d. d. d. d. d. d. d. d. d. d. d.
procedure:
d.
A. 44970 d.
B. 44950
d.
C. 44960 d.
D. 44979 -- Correct Answer ✔✔ A. 44970
d. d. d. d. d. d. d.
A 45-year-old male is going to donate his kidney to his son. Operating ports where
d. d. d. d. d. d. d. d. d. d. d. d. d. d.
placed in standard position and the scope was inserted. Dissection of the renal artery
d. d. d. d. d. d. d. d. d. d. d. d. d. d.
and vein was performed isolating the kidney. The kidney was suspended only by the
d. d. d. d. d. d. d. d. d. d. d. d. d. d.
renal artery and vein as well as the ureter. A stapler was used to divide the vein just
d. d. d. d. d. d. d. d. d. d. d. d. d. d. d. d. d. d.
AND ACCURATE SOLUTIONS.
A 46-year-old female had a previous biopsy that indicated positive malignant margins
d. d. d. d. d. d. d. d. d. d. d.
anteriorly on the right side of her neck. A 0.5 cm margin was drawn out and a 15
d. d. d. d. d. d. d. d. d. d. d. d. d. d. d. d. d. d.
blade scalpel was used for full excision of an 8 cm lesion. Layered closure was
d. d. d. d. d. d. d. d. d. d. d. d. d. d. d.
performed after the removal. The specimen was sent for permanent histopathologic
d. d. d. d. d. d. d. d. d. d. d.
examination. What are the CPT® code(s) for this procedure?
d. d. d. d. d. d. d. d. d.
A. 11626 d.
B. 11626, 12004-51
d. d.
C. 11626, 12044-51
d. d.
D. 11626, 13132-51, 13133 -- Correct Answer ✔✔ C. 11626, 12044-51
d. d. d. d. d. d. d. d. d. d.
A 30-year-old female is having 15 sq cm debridement performed on an infected ulcer
d. d. d. d. d. d. d. d. d. d. d. d. d.
with eschar on the right foot. Using sharp dissection, the ulcer was debrided all the
d. d. d. d. d. d. d. d. d. d. d. d. d. d. d.
way to down to the bone of the foot. The bone had to be minimally trimmed because
d. d. d. d. d. d. d. d. d. d. d. d. d. d. d. d. d.
of a sharp point at the end of the metatarsal. After debriding the area, there was
d. d. d. d. d. d. d. d. d. d. d. d. d. d. d. d.
minimal bleeding because of very poor circulation of the foot. It seems that the toes
d. d. d. d. d. d. d. d. d. d. d. d. d. d. d.
next to the ulcer may have some involvement and cultures were taken. The area was
d. d. d. d. d. d. d. d. d. d. d. d. d. d. d.
dressed with sterile saline and dressings and then wrapped. What CPT® code should
d. d. d. d. d. d. d. d. d. d. d. d. d.
be reported?
d. d.
A. 11043 d.
B. 11012
d.
C. 11044 d.
D. 11042 -- Correct Answer ✔✔ C. 11044
d. d. d. d. d. d. d.
A 64-year-old female who has multiple sclerosis fell from her walker and landed on a
d. d. d. d. d. d. d. d. d. d. d. d. d. d.
glass table. She lacerated her forehead, cheek and chin and the total length of these
d. d. d. d. d. d. d. d. d. d. d. d. d. d. d.
lacerations was 6 cm. Her right arm and left leg had deep cuts measuring 5 cm on each
d. d. d. d. d. d. d. d. d. d. d. d. d. d. d. d. d. d.
extremity. Her right hand and right foot had a total of 3 cm lacerations. The ED
d. d. d. d. d. d. d. d. d. d. d. d. d. d. d. d.
physician repaired the lacerations as follows: The forehead, cheek, and chin had
d. d. d. d. d. d. d. d. d. d. d. d.
debridement and cleaning of glass debris with the lacerations being closed with one
d. d. d. d. d. d. d. d. d. d. d. d. d.
layer closure, 6-0 Prolene sutures. The arm and leg were repaired by layered closure,
d. d. d. d. d. d. d. d. d. d. d. d. d. d.
6-0 Vicryl subcutaneous sutures and Prolene sutures on the skin. The hand and foot
d. d. d. d. d. d. d. d. d. d. d. d. d. d.
were closed with adhesive strips. Select the appropriate procedure codes for this
d. d. d. d. d. d. d. d. d. d. d. d.
visit.
d.
A. 99283-25, 12014, 12034-59, 12002-59, 11042-51
d. d. d. d. d.
B. 99283-25, 12053, 12034-59, 12002-59
d. d. d. d.
,C. 99283-25, 12014, 12034-59, 11042-51
d. d. d. d.
D. 99283-25, 12053, 12034-59 -- Correct Answer ✔✔ D. 99283-25, 12053, 12034-59
d. d. d. d. d. d. d. d. d. d. d.
A 52-year-old female has a mass growing on her right flank for several years. It has
d. d. d. d. d. d. d. d. d. d. d. d. d. d. d.
finally gotten significantly larger and is beginning to bother her. She is brought to the
d. d. d. d. d. d. d. d. d. d. d. d. d. d. d.
Operating Room for definitive excision. An incision was made directly overlying the
d. d. d. d. d. d. d. d. d. d. d. d.
mass. The mass was down into the subcutaneous tissue and the surgeon encountered
d. d. d. d. d. d. d. d. d. d. d. d. d.
a well encapsulated lipoma approximately 4 centimeters. This was excised primarily
d. d. d. d. d. d. d. d. d. d. d.
bluntly with a few attachments divided with electrocautery. What CPT® and ICD-10-
d. d. d. d. d. d. d. d. d. d. d. d.
CM codes are reported? d. d. d.
A. 21932, D17.39
d. d.
B. 21935, D17.1
d. d.
C. 21931, D17.1
d. d.
D. 21925, D17.9 -- Correct Answer ✔✔ C. 21931, D17.1
d. d. d. d. d. d. d. d. d.
Question 5 d.
PREOPERATIVE DIAGNOSIS: Right scaphoid fracture. TYPE OF PROCEDURE: d. d. d. d. d. d. d.
Open reduction and internal fixation of right scaphoid fracture. DESCRIPTION OF
d. d. d. d. d. d. d. d. d. d. d.
PROCEDURE: The patient was brought to the operating room; anesthesia having
d. d. d. d. d. d. d. d. d. d. d.
been administered. The right upper extremity was prepped and draped in a sterile
d. d. d. d. d. d. d. d. d. d. d. d. d.
manner. The limb was elevated, exsanguinated, and a pneumatic arm tourniquet was
d. d. d. d. d. d. d. d. d. d. d. d.
elevated. An incision was made over the dorsal radial aspect of the right wrist. Skin
d. d. d. d. d. d. d. d. d. d. d. d. d. d. d.
flaps were elevated. Cutaneous nerve branches were identified and very gently
d. d. d. d. d. d. d. d. d. d. d.
retracted. The interval between the second and third dorsal compartment tendons
d. d. d. d. d. d. d. d. d. d. d.
was identified and entered. The respective tendons were retracted. A dorsal
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capsulotomy incision was made, and the fracture was visualized. There did not appear
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to be any type of significant defect at the fracture site. A 0.045 Kirschner wire was
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then used as a guidewire, extending from t -- Correct Answer ✔✔ A. 25628-RT
d. d. d. d. d. d. d. d. d. d. d. d. d. d.
An infant with genu valgum is brought to the operating room to have a bilateral medial
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distal femur hemiepiphysiodesis done. On each knee, the C-arm was used to localize
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the growth plate. With the growth plate localized, an incision was made medially on
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both sides. This was taken down to the fascia, which was opened. The periosteum was
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not opened. The Orthofix® figure-of-eight plate was placed and checked with X-ray.
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We then irrigated and closed the medial fascia with 0 Vicryl suture. The skin was
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closed with 2-0 Vicryl and 3-0 Monocryl®. What procedure code is reported?
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A. 27470-50d.
B. 27475-50
d.
C. 27477-50d.
D. 27485-50 -- Correct Answer ✔✔ D. 27485-50
d. d. d. d. d. d. d.
,The patient is a 67-year-old gentleman with metastatic colon cancer recently operated
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on for a brain metastasis, now for placement of an Infuse-A-Port for continued
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chemotherapy. The left subclavian vein was located with a needle and a guide wire
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placed. This was confirmed to be in the proper position fluoroscopically. A transverse
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incision was made just inferior to this and a subcutaneous pocket created just inferior
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to this. After tunneling, the introducer was placed over the guide wire and the power
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port line was placed with the introducer and the introducer was peeled away. The tip
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was placed in the appropriate position under fluoroscopic guidance and the catheter
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trimmed to the appropriate length and secured to the power port device. The locking
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mechanism was fully engaged. The port was placed in the subcutaneous pocket and
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everything sat very nicely fluoroscopically. It was secured to the underlying soft tissue
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-- Correct Answer ✔✔ C. 36561, 77001-26
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Question 8 d.
A CT scan identified moderate-sized right pleural effusion in a 50 year-old male. This
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was estimated to be 800 cc in size and had an appearance of fluid on the CT Scan. A
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needle is used to puncture through the chest tissues and enter the pleural cavity to
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insert a guidewire under ultrasound guidance. A pigtail catheter is then inserted at the
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length of the guidewire and secured by stitches. The catheter will remain in the chest
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and is connected to drainage system to drain the accumulated fluid. The CPT® code
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is:
d.
A. 32557 d.
B. 32555
d.
C. 32556 d.
D. 32550 -- Correct Answer ✔✔ A. 32557
d. d. d. d. d. d. d.
The patient is a 59-year-old white male who underwent carotid endarterectomy for
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symptomatic left carotid stenosis a year ago. A carotid CT angiogram showed a
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recurrent 90% left internal carotid artery stenosis extending into the common carotid
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artery. He is taken to the operating room for re-do left carotid endarterectomy. The
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left neck was prepped and the previous incision was carefully reopened. Using sharp
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dissection, the common carotid artery and its branches were dissected free. The
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patient was systematically heparinized and after a few minutes, clamps were applied to
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the common carotid artery and its branches. A longitudinal arteriotomy was carried
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out with findings of extensive layering of intimal hyperplasia with no evidence of
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recurrent atherosclerosis. A silastic balloon-tip shunt was inserted first proximally
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and then distally, with restoration of flow. Several layers of intima were removed and
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the endart -- Correct Answer ✔✔ B. 35301, 35390
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A 52-year-old patient is admitted to the hospital for chronic cholecystitis for which a
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laparoscopic cholecystectomy will be performed. A transverse infraumbilical incision
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was made sharply dissecting to the subcutaneous tissue down to the fascia using
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, access under direct vision with a Vesi-Port and a scope was placed into the abdomen.
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Three other ports were inserted under direct vision. The fundus of the gallbladder
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was grasped through the lateral port, where multiple adhesions to the gallbladder
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were taken down sharply and bluntly: The gallbladder appeared chronically inflamed.
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Dissection was carried out to the right of this identifying a small cystic duct and artery,
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was clipped twice proximally, once distally and transected. The gallbladder was then
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taken down from the bed using electrocautery, delivering it into an endo-bag and
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removing it from the abdominal cavity with the umbilical port. What CPT® and ICD-
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10-C -- Correct Answer ✔✔ B. 47562, K81.1
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A 70-year-old female who has a history of symptomatic ventral hernia was advised to
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undergo laparoscopic evaluation and repair. An incision was made in the epigastrium
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and dissection was carried down through the subcutaneous tissue. Two 5-mm trocars
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were placed, one in the left upper quadrant and one in the left lower quadrant and the
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laparoscope was inserted. Dissection was carried down to the area of the hernia
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where a small defect was clearly visualized. There was some omentum, which was
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adhered to the hernia and this was delivered back into the peritoneal cavity. The mesh
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was tacked on to cover the defect. What procedure code(s) is (are) reported?
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A. 49560, 49568
d. d.
B. 49652
d.
C. 49653 d.
D. 49652, 49568 -- Correct Answer ✔✔ B. 49652
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The patient is a 50-year-old gentleman who presented to the emergency room with
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signs and symptoms of acute appendicitis with possible rupture. He has been brought
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to the operating room. An infraumbilical incision was made which a 5-mm
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VersaStep™ trocar was inserted. A 5-mm 0- degree laparoscope was introduced. A
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second 5-mm trocar was placed suprapubically and a 12-mm trocar in the left lower
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quadrant. A window was made in the mesoappendix using blunt dissection with no
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rupture noted. The base of the appendix was then divided and placed into an Endo-
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catch bag and the 12-mm defect was brought out. Select the appropriate code for this
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procedure:
d.
A. 44970 d.
B. 44950
d.
C. 44960 d.
D. 44979 -- Correct Answer ✔✔ A. 44970
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A 45-year-old male is going to donate his kidney to his son. Operating ports where
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placed in standard position and the scope was inserted. Dissection of the renal artery
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and vein was performed isolating the kidney. The kidney was suspended only by the
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renal artery and vein as well as the ureter. A stapler was used to divide the vein just
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