1|Page
2025 AAPC CPC FINAL EXAM AND PRACTICE /AAPC
CPC EXAM TEST BANK EXAM REAL EXAM
COMPLETE 350 QUESTIONS AND CORRECT DETAILS
(VERIFIED ANSWERS) |ALREADY GRADED A+
AAPC CPC FINAL EXAM
The patient is a 78-year-old white female with morbid obesity
that presented with small bowel obstruction. She had surgery
approximately one week ago and underwent exploration, which
required a small bowel resection of the terminal ileum and
anastomosis leaving her with a large inferior ventral hernia. Two
days ago she started having drainage from her wound which has
become more serious. She is now being taken back to the
operating room. Reopening the original incision with a scalpel,
the intestine was examined and the anastomosis was reopened ,
excised at both ends, and further excision of intestine. The fresh
ends were created to perform another end- to-end anastomosis.
The correct procedure code is:
A. 44120-78
B. 44126-79
C. 44120-76
D. 44202-58 - ANSWER-A. 44120-78
,2|Page
PREOPERATIVE DIAGNOSIS: Diverticulitis, perforated
diverticula POST OPERATIVE DIAGNOSIS: Diverticulitis,
perforated diverticula PROCEDURE: Hartmann procedure,
which is a sigmoid resection with Hartmann pouch and
colostomy. DESCRIPTION OF THE PROCEDURE: Patient
was prepped and draped in the supine position under general
anesthesia. Prior to surgery patient was given 4.5 grams of
Zosyn and Rocephin IV piggyback. A lower midline incision
was made, abdomen was entered. Upon entry into the abdomen,
there was an inflammatory mass in the pelvis and there was a
large abscessed cavity, but no feces. The abscess cavity was
drained and irrigated out. The left colon was immobilized, taken
down the lateral perineal attachments. The sigmoid colon was
mobilized. There was an inflammatory mass right at the area of
the sigmoid colon consistent with a divertiliculitis or perforation
with infection. Proximal to this in the distal left - ANSWER-B.
44143
A 5-year-old male with a history of prematurity was found to
have a chordee due to congenital hypospadias. He presents for
surgical management for a plastic repair in straightening the
abnormal curvature. Under general anesthesia, bands were
placed around the base of the penis and incisions were made
degloving the penis circumferentially. The foreskin was divided
in Byers flaps and the penile skin was reapproximated at the 12
,3|Page
o'clock position. Two Byers flaps were reapproximated,
recreating a mucosal collar which was then criss- crossed and
trimmed in the midline in order to accommodate median raphe
reconstruction. This was reconstructed with use of a horizontal
mattress suture. The shaft skin was then approximated to the
mucosal collar with sutures correcting the defect. Which CPT®
code should be used?
A. 54304
B. 54340
C. 54400
D. 54440 - ANSWER-A. 54304
A 22-year-old is 14 weeks pregnant and wants to terminate the
pregnancy. She has consented for a D&E. She was brought to
the operating room where MAC anesthesia was given. She was
then placed in the dorsal lithotomy position and a weighted
speculum was placed into her posterior vaginal vault. Cervix
was identified and dilated. A 6.5-cm suction catheter hooked up
to a suction evacuator was placed and products of conception
were evacuated. A medium size curette was then used to curette
her endometrium. There was noted to be a small amount of
remaining products of conception in her left cornua. Once again
the suction evacuator was placed and the remaining products of
conception were evacuated. At this point she had a good
, 4|Page
endometrial curetting with no further products of conception
noted. Which CPT® code should be used?
A. 59840
B. 59841
C. 59812
D. 59851 - ANSWER-B. 59841
A 37-year-old female has menorrhagia and wants permanent
sterilization. The patient was placed in Allen stirrups in the
operating room. Under anesthesia the cervix was dilated and the
hysteroscope was advanced to the endometrium into the uterine
cavity. No polyps or fibroids were seen. The Novasure was used
for endometrial ablation. A knife was then used to make an
incision in the right lower quadrant and left lower quadrant with
5-mm trocars inserted under direct visualization with no injury
to any abdominal contents. Laparoscopic findings revealed the
uterus, ovaries and fallopian tubes to be normal. The appendix
was normal as were the upper quadrants. Because of the patient's
history of breast cancer and desire for no further children, it was
decided to take out both the tubes and ovaries. This had been
discussed with the patient prior to surgery. What are the codes
for these procedures?
A. 58660, 58353-51
B. 5866 - ANSWER-B. 58661, 58563-51
2025 AAPC CPC FINAL EXAM AND PRACTICE /AAPC
CPC EXAM TEST BANK EXAM REAL EXAM
COMPLETE 350 QUESTIONS AND CORRECT DETAILS
(VERIFIED ANSWERS) |ALREADY GRADED A+
AAPC CPC FINAL EXAM
The patient is a 78-year-old white female with morbid obesity
that presented with small bowel obstruction. She had surgery
approximately one week ago and underwent exploration, which
required a small bowel resection of the terminal ileum and
anastomosis leaving her with a large inferior ventral hernia. Two
days ago she started having drainage from her wound which has
become more serious. She is now being taken back to the
operating room. Reopening the original incision with a scalpel,
the intestine was examined and the anastomosis was reopened ,
excised at both ends, and further excision of intestine. The fresh
ends were created to perform another end- to-end anastomosis.
The correct procedure code is:
A. 44120-78
B. 44126-79
C. 44120-76
D. 44202-58 - ANSWER-A. 44120-78
,2|Page
PREOPERATIVE DIAGNOSIS: Diverticulitis, perforated
diverticula POST OPERATIVE DIAGNOSIS: Diverticulitis,
perforated diverticula PROCEDURE: Hartmann procedure,
which is a sigmoid resection with Hartmann pouch and
colostomy. DESCRIPTION OF THE PROCEDURE: Patient
was prepped and draped in the supine position under general
anesthesia. Prior to surgery patient was given 4.5 grams of
Zosyn and Rocephin IV piggyback. A lower midline incision
was made, abdomen was entered. Upon entry into the abdomen,
there was an inflammatory mass in the pelvis and there was a
large abscessed cavity, but no feces. The abscess cavity was
drained and irrigated out. The left colon was immobilized, taken
down the lateral perineal attachments. The sigmoid colon was
mobilized. There was an inflammatory mass right at the area of
the sigmoid colon consistent with a divertiliculitis or perforation
with infection. Proximal to this in the distal left - ANSWER-B.
44143
A 5-year-old male with a history of prematurity was found to
have a chordee due to congenital hypospadias. He presents for
surgical management for a plastic repair in straightening the
abnormal curvature. Under general anesthesia, bands were
placed around the base of the penis and incisions were made
degloving the penis circumferentially. The foreskin was divided
in Byers flaps and the penile skin was reapproximated at the 12
,3|Page
o'clock position. Two Byers flaps were reapproximated,
recreating a mucosal collar which was then criss- crossed and
trimmed in the midline in order to accommodate median raphe
reconstruction. This was reconstructed with use of a horizontal
mattress suture. The shaft skin was then approximated to the
mucosal collar with sutures correcting the defect. Which CPT®
code should be used?
A. 54304
B. 54340
C. 54400
D. 54440 - ANSWER-A. 54304
A 22-year-old is 14 weeks pregnant and wants to terminate the
pregnancy. She has consented for a D&E. She was brought to
the operating room where MAC anesthesia was given. She was
then placed in the dorsal lithotomy position and a weighted
speculum was placed into her posterior vaginal vault. Cervix
was identified and dilated. A 6.5-cm suction catheter hooked up
to a suction evacuator was placed and products of conception
were evacuated. A medium size curette was then used to curette
her endometrium. There was noted to be a small amount of
remaining products of conception in her left cornua. Once again
the suction evacuator was placed and the remaining products of
conception were evacuated. At this point she had a good
, 4|Page
endometrial curetting with no further products of conception
noted. Which CPT® code should be used?
A. 59840
B. 59841
C. 59812
D. 59851 - ANSWER-B. 59841
A 37-year-old female has menorrhagia and wants permanent
sterilization. The patient was placed in Allen stirrups in the
operating room. Under anesthesia the cervix was dilated and the
hysteroscope was advanced to the endometrium into the uterine
cavity. No polyps or fibroids were seen. The Novasure was used
for endometrial ablation. A knife was then used to make an
incision in the right lower quadrant and left lower quadrant with
5-mm trocars inserted under direct visualization with no injury
to any abdominal contents. Laparoscopic findings revealed the
uterus, ovaries and fallopian tubes to be normal. The appendix
was normal as were the upper quadrants. Because of the patient's
history of breast cancer and desire for no further children, it was
decided to take out both the tubes and ovaries. This had been
discussed with the patient prior to surgery. What are the codes
for these procedures?
A. 58660, 58353-51
B. 5866 - ANSWER-B. 58661, 58563-51
