CPC Practice Exam C 150+ Questions &Well Detailed Answers / Compreh
sive Study Guide – Expert Strategies, Review of Key Quizzes, and Practic
Questions for Guaranteed Success
1. 7-year-old riding his bike D. 12034, 12002-59
struck a tree stump throwing The two face lacerations were closed with steri-strips (adhe-
him off his bike. He received sive strips). When adhesive strips are the only repair material
multiple lacerations. He had a used to close an open wound a repair code is not reported.
3 cm dermis laceration on his According to CPT® subsection guidelines for Repair (Closure),
scalp with two 0.5 cm lacer- when wound closure uses adhesive strips as the only repair
ations on his face. His right material it should be coded using the appropriate E/M service.
arm had a 5 cm laceration and Code 12011 is inappropriate to report for this scenario, elim-
right leg has a 5cm laceration. inating multiple choices A and B. The repairs for the wounds
The physician stapled the lac- on the arm and leg are intermediate closures. According to
eration for the scalp. Physi- CPT® subsection guidelines for Repair (Closure), single-layer
cian used steri-strips (adhesive closure of heavily contaminated wounds that have required
strips) to close the wounds extensive cleaning or removal of particulate matter also consti-
on the face. The legs and tutes intermediate repair. This eliminates multiple choice C. To
arms were cleaned by heavi- report multiple wounds that are repaired in the same classifi-
ly irrigating them with normal cation and from the anatomic sites that are grouped together
saline and removal of embed- into the same code descriptor, add together the length of the
ded debris performed on both wounds. The subsection guidelines also indicates when more
wounds, followed with a sin- than one classification of wounds is repaired, append modifier
gle-layer closure. Select the re- 59 to the least complicated repair(s).
pair codes to report.
A. 12032, 12032-59, 12011-59,
12002-59
B. 12002, 12002-59, 12011-59,
12002-59
C. 12005, 11042-59
D. 12034, 12002-59
2. A 55-year-old male presents B. 11750-T5
in the office with an ingrown This patient is coming in to have an in-grown toe nail removed,
, CPC Practice Exam C 150+ Questions &Well Detailed Answers / Compreh
sive Study Guide – Expert Strategies, Review of Key Quizzes, and Practic
Questions for Guaranteed Success
toenail on the right and left eliminating multiple choice answer D (Evacuation of Subun-
foot. The procedure was dis- gual Hematoma), which is evacuating blood from under the
cussed in detail and the pa- nail. You are now left with choices A, B, and C that involves
tient elected to have it per- the removal of an ingrown toenail. Code 11752 is not correct.
formed. The right foot was The scenario does not mention an amputation. The clue to
prepped and draped in ster- help you narrow down between the codes 11765 and 11750
ile fashion. The right great toe is that there is a partial removal of the nail and nail matrix
was anesthetized with 50/50 (matrixectomy).
solution of 2 percent lido-
caine and .05 percent Mar-
caine. A mini-tourniquet was
placed around the toe for he-
mostasis in which part of the
nail plate and maxtrixectomy
were performed. Phenol was
then applied, the toe was then
flushed. Tourniquet was re-
leased and dressing applied. At
this time the patient elected to
only have one performed and
will return in two weeks for the
left foot. Code the procedure.
A. 11765-T5
B. 11750-T5
C. 11752-T5
D. 11740-T5
3. Procedure Diagnosis: Basal cell A. 11644, 12052-51, 173.31
carcinoma, left chin. Proce- You need to first find out if this lesion is benign or malignant.
, CPC Practice Exam C 150+ Questions &Well Detailed Answers / Compreh
sive Study Guide – Expert Strategies, Review of Key Quizzes, and Practic
Questions for Guaranteed Success
dure:Wide local excision of 3.0 For this scenario the patient has a basal cell carcinoma. This
cm with 0.3 cm margin basal falls under malignant lesion, which eliminates multiple choice
cell carcinoma of the left chin codes C and D as they deal with benign lesions. Now you
with a 4 cm closure. Procedure: need to find out where the lesion is located and the size of the
The patient's left chin was ex- removal. The malignant lesion is on the chin (face) and the size
amined. The site of intend- is 3.0 cm + .3 cm + .3 cm = 3.6 cm, leading you to code 11644.
ed excision was marked out. CPT® subsection guidelines for Excision-Malignant Lesions
The site was then prepped. state: For excision of malignant lesion(s) requiring interme-
The patient was then prepped diate or complex closures should be reported separately. For
and draped in the usual fash- this scenario the wound was closed in two layers qualifying the
ion. A 15 blade scalpel was closure to be coded with an intermediate repair of the chin (4
then used to make an inci- cm), 12052. The diagnosis, basal cell carcinoma of the chin,
sion in the previously marked is indexed in the ICD-9-CM codebook in the Neoplasm Table,
site. It was carried down to under Skin/face NEC/basal cell carcinoma.
the subcuticular fat. The le-
sion was then sharply dissect-
ed off underlying tissue bed
using a 15-blade scalpel. It was
tagged for pathologic orienta-
tion. The hyfrecator was used
for hemostasis. The wound
was then closed by advancing
the tissue surrounding the le-
sion and closing in layers with
3-0 Vicryl for the deep layer, fol-
lowed by 5-0 Prolene for the
skin. The skin closure was in a
running subcuticular fashion.
Steri-Strips were then applied.
What are the pro
, CPC Practice Exam C 150+ Questions &Well Detailed Answers / Compreh
sive Study Guide – Expert Strategies, Review of Key Quizzes, and Practic
Questions for Guaranteed Success
4. The physician removes a tu- D. 17311, 17312
mor from the patient's neck For narrowing down to the correct procedure code for the
using the Mohs micrographic Mohs micrographic surgery, you should find out where on the
surgery technique. During the body the tumor was removed. For this scenario, it is the neck;
first stage, the physician takes eliminating multiple choice codes B and C, which involve the
four tissue blocks and reviews trunk, arms or legs. The tissue block removals were performed
them under a microscope. The in two stages, coding 17311 and 17312. Code 17315 is not
exam of the tissue blocks re- coded for this scenario, because the physician would have to
veals a second stage is nec- remove more than five tissue blocks in any stage. There were
essary to remove areas where only four tissue blocks removed in the first stage and two tissue
the tumor is still present. The blocks removed in the second stage, both falling short of six or
physician removes two addi- more tissue blocks removed in either stage.
tional tissue blocks. What are
the appropriate CPT® codes
for reporting the procedure?
A. 17311, 17312, 17315
B. 17313, 17315
C. 17313, 17314, 17315
D. 17311, 17312
5. This 45-year-old male presents A. 23076
to the operating room with a This patient is having a mass removed from the shoulder area,
painful mass of the right upper eliminating multiple choice B, which is a biopsy. This is not a
arm. General anesthesia was radical resection because that includes removal of the entire
induced. Soft tissue dissection tumor along with large surrounding tissue, including adjacent
was carried down thru the lymph nodes. The size of the mass that was excised was 4.5
proximal aspect of the teres cm, which leads you to code 23076.
minor muscle. Upon further
dissection a large mass was
sive Study Guide – Expert Strategies, Review of Key Quizzes, and Practic
Questions for Guaranteed Success
1. 7-year-old riding his bike D. 12034, 12002-59
struck a tree stump throwing The two face lacerations were closed with steri-strips (adhe-
him off his bike. He received sive strips). When adhesive strips are the only repair material
multiple lacerations. He had a used to close an open wound a repair code is not reported.
3 cm dermis laceration on his According to CPT® subsection guidelines for Repair (Closure),
scalp with two 0.5 cm lacer- when wound closure uses adhesive strips as the only repair
ations on his face. His right material it should be coded using the appropriate E/M service.
arm had a 5 cm laceration and Code 12011 is inappropriate to report for this scenario, elim-
right leg has a 5cm laceration. inating multiple choices A and B. The repairs for the wounds
The physician stapled the lac- on the arm and leg are intermediate closures. According to
eration for the scalp. Physi- CPT® subsection guidelines for Repair (Closure), single-layer
cian used steri-strips (adhesive closure of heavily contaminated wounds that have required
strips) to close the wounds extensive cleaning or removal of particulate matter also consti-
on the face. The legs and tutes intermediate repair. This eliminates multiple choice C. To
arms were cleaned by heavi- report multiple wounds that are repaired in the same classifi-
ly irrigating them with normal cation and from the anatomic sites that are grouped together
saline and removal of embed- into the same code descriptor, add together the length of the
ded debris performed on both wounds. The subsection guidelines also indicates when more
wounds, followed with a sin- than one classification of wounds is repaired, append modifier
gle-layer closure. Select the re- 59 to the least complicated repair(s).
pair codes to report.
A. 12032, 12032-59, 12011-59,
12002-59
B. 12002, 12002-59, 12011-59,
12002-59
C. 12005, 11042-59
D. 12034, 12002-59
2. A 55-year-old male presents B. 11750-T5
in the office with an ingrown This patient is coming in to have an in-grown toe nail removed,
, CPC Practice Exam C 150+ Questions &Well Detailed Answers / Compreh
sive Study Guide – Expert Strategies, Review of Key Quizzes, and Practic
Questions for Guaranteed Success
toenail on the right and left eliminating multiple choice answer D (Evacuation of Subun-
foot. The procedure was dis- gual Hematoma), which is evacuating blood from under the
cussed in detail and the pa- nail. You are now left with choices A, B, and C that involves
tient elected to have it per- the removal of an ingrown toenail. Code 11752 is not correct.
formed. The right foot was The scenario does not mention an amputation. The clue to
prepped and draped in ster- help you narrow down between the codes 11765 and 11750
ile fashion. The right great toe is that there is a partial removal of the nail and nail matrix
was anesthetized with 50/50 (matrixectomy).
solution of 2 percent lido-
caine and .05 percent Mar-
caine. A mini-tourniquet was
placed around the toe for he-
mostasis in which part of the
nail plate and maxtrixectomy
were performed. Phenol was
then applied, the toe was then
flushed. Tourniquet was re-
leased and dressing applied. At
this time the patient elected to
only have one performed and
will return in two weeks for the
left foot. Code the procedure.
A. 11765-T5
B. 11750-T5
C. 11752-T5
D. 11740-T5
3. Procedure Diagnosis: Basal cell A. 11644, 12052-51, 173.31
carcinoma, left chin. Proce- You need to first find out if this lesion is benign or malignant.
, CPC Practice Exam C 150+ Questions &Well Detailed Answers / Compreh
sive Study Guide – Expert Strategies, Review of Key Quizzes, and Practic
Questions for Guaranteed Success
dure:Wide local excision of 3.0 For this scenario the patient has a basal cell carcinoma. This
cm with 0.3 cm margin basal falls under malignant lesion, which eliminates multiple choice
cell carcinoma of the left chin codes C and D as they deal with benign lesions. Now you
with a 4 cm closure. Procedure: need to find out where the lesion is located and the size of the
The patient's left chin was ex- removal. The malignant lesion is on the chin (face) and the size
amined. The site of intend- is 3.0 cm + .3 cm + .3 cm = 3.6 cm, leading you to code 11644.
ed excision was marked out. CPT® subsection guidelines for Excision-Malignant Lesions
The site was then prepped. state: For excision of malignant lesion(s) requiring interme-
The patient was then prepped diate or complex closures should be reported separately. For
and draped in the usual fash- this scenario the wound was closed in two layers qualifying the
ion. A 15 blade scalpel was closure to be coded with an intermediate repair of the chin (4
then used to make an inci- cm), 12052. The diagnosis, basal cell carcinoma of the chin,
sion in the previously marked is indexed in the ICD-9-CM codebook in the Neoplasm Table,
site. It was carried down to under Skin/face NEC/basal cell carcinoma.
the subcuticular fat. The le-
sion was then sharply dissect-
ed off underlying tissue bed
using a 15-blade scalpel. It was
tagged for pathologic orienta-
tion. The hyfrecator was used
for hemostasis. The wound
was then closed by advancing
the tissue surrounding the le-
sion and closing in layers with
3-0 Vicryl for the deep layer, fol-
lowed by 5-0 Prolene for the
skin. The skin closure was in a
running subcuticular fashion.
Steri-Strips were then applied.
What are the pro
, CPC Practice Exam C 150+ Questions &Well Detailed Answers / Compreh
sive Study Guide – Expert Strategies, Review of Key Quizzes, and Practic
Questions for Guaranteed Success
4. The physician removes a tu- D. 17311, 17312
mor from the patient's neck For narrowing down to the correct procedure code for the
using the Mohs micrographic Mohs micrographic surgery, you should find out where on the
surgery technique. During the body the tumor was removed. For this scenario, it is the neck;
first stage, the physician takes eliminating multiple choice codes B and C, which involve the
four tissue blocks and reviews trunk, arms or legs. The tissue block removals were performed
them under a microscope. The in two stages, coding 17311 and 17312. Code 17315 is not
exam of the tissue blocks re- coded for this scenario, because the physician would have to
veals a second stage is nec- remove more than five tissue blocks in any stage. There were
essary to remove areas where only four tissue blocks removed in the first stage and two tissue
the tumor is still present. The blocks removed in the second stage, both falling short of six or
physician removes two addi- more tissue blocks removed in either stage.
tional tissue blocks. What are
the appropriate CPT® codes
for reporting the procedure?
A. 17311, 17312, 17315
B. 17313, 17315
C. 17313, 17314, 17315
D. 17311, 17312
5. This 45-year-old male presents A. 23076
to the operating room with a This patient is having a mass removed from the shoulder area,
painful mass of the right upper eliminating multiple choice B, which is a biopsy. This is not a
arm. General anesthesia was radical resection because that includes removal of the entire
induced. Soft tissue dissection tumor along with large surrounding tissue, including adjacent
was carried down thru the lymph nodes. The size of the mass that was excised was 4.5
proximal aspect of the teres cm, which leads you to code 23076.
minor muscle. Upon further
dissection a large mass was
