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AAPC CPC PRACTICE EXAM & FINAL EXAM
STUDY GUIDE WITH COMPLETE 480
QUESTIONS AND WELL ELABORATED ANSWERS
JUST RELEASED THIS YEAR
AAPC CPC PRACTICE EXAM
Question: A 70-year-old female who has a history of symptomatic ventral hernia was advised to undergo
laparoscopic evaluation and repair. An incision was made in the epigastrium and dissection was carried
down through the subcutaneous tissue. Two 5-mm trocars were placed, one in the left upper quadrant
and one in the left lower quadrant and the laparoscope was inserted. Dissection was carried down to the
area of the hernia where a small defect was clearly visualized. There was some omentum, which was
adhered to the hernia and this was delivered back into the peritoneal cavity. The mesh was tacked on to
cover the defect. What procedure code(s) is (are) reported?
A. 49560, 49568
B. 49652
C. 49653
D. 49652, 49568 - CORRECT ANSWER✔✔B. 49652
Question: The patient is a 50-year-old gentleman who presented to the emergency room with signs and
symptoms of acute appendicitis with possible rupture. He has been brought to the operating room. An
infraumbilical incision was made which a 5-mm VersaStep™ trocar was inserted. A 5-mm 0- degree
laparoscope was introduced. A second 5-mm trocar was placed suprapubically and a 12-mm trocar in the
left lower quadrant. A window was made in the mesoappendix using blunt dissection with no rupture
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noted. The base of the appendix was then divided and placed into an Endo-catch bag and the 12-mm
defect was brought out. Select the appropriate code for this procedure:
A. 44970
B. 44950
C. 44960
D. 44979 - CORRECT ANSWER✔✔A. 44970
Question: A 45-year-old male is going to donate his kidney to his son. Operating ports where placed in
standard position and the scope was inserted. Dissection of the renal artery and vein was performed
isolating the kidney. The kidney was suspended only by the renal artery and vein as well as the ureter. A
stapler was used to divide the vein just above the aorta and three clips across the ureter, extracting the
kidney. This was placed on ice and sent to the recipient room. The correct CPT® code is:
A. 50543
B. 50547
C. 50300
D. 50320 - CORRECT ANSWER✔✔B. 50547
Question: A 67-year-old female having urinary incontinence with intrinsic sphincter deficiency is having
a cystoscopy performed with a placement of a sling. An incision was made over the mid urethra
dissected laterally to urethropelvic ligament. Cystoscopy revealed no penetration of the bladder. The
edges of the sling were weaved around the junction of the urethra and brought up to the suprapubic
incision. A hemostat was then placed between the sling and the urethra, ensuring no tension. What
CPT® code(s) is (are) reported?
A. 57288
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B. 57287
C. 57288, 52000-51
D. 51992, 52000-51 - CORRECT ANSWER✔✔A. 57288
Question: A 46-year-old female had a previous biopsy that indicated positive malignant margins
anteriorly on the right side of her neck. A 0.5 cm margin was drawn out and a 15 blade scalpel was used
for full excision of an 8 cm lesion. Layered closure was performed after the removal. The specimen was
sent for permanent histopathologic examination. What are the CPT® code(s) for this procedure?
A. 11626
B. 11626, 12004-51
C. 11626, 12044-51
D. 11626, 13132-51, 13133 - CORRECT ANSWER✔✔C. 11626, 12044-51
Question: A 30-year-old female is having 15 sq cm debridement performed on an infected ulcer with
eschar on the right foot. Using sharp dissection, the ulcer was debrided all the way to down to the bone
of the foot. The bone had to be minimally trimmed because of a sharp point at the end of the
metatarsal. After debriding the area, there was minimal bleeding because of very poor circulation of the
foot. It seems that the toes next to the ulcer may have some involvement and cultures were taken. The
area was dressed with sterile saline and dressings and then wrapped. What CPT® code should be
reported?
A. 11043
B. 11012
C. 11044
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D. 11042 - CORRECT ANSWER✔✔C. 11044
Question: A 64-year-old female who has multiple sclerosis fell from her walker and landed on a glass
table. She lacerated her forehead, cheek and chin and the total length of these lacerations was 6 cm. Her
right arm and left leg had deep cuts measuring 5 cm on each extremity. Her right hand and right foot had
a total of 3 cm lacerations. The ED physician repaired the lacerations as follows: The forehead, cheek,
and chin had debridement and cleaning of glass debris with the lacerations being closed with one layer
closure, 6-0 Prolene sutures. The arm and leg were repaired by layered closure, 6-0 Vicryl subcutaneous
sutures and Prolene sutures on the skin. The hand and foot were closed with adhesive strips. Select the
appropriate procedure codes for this visit.
A. 99283-25, 12014, 12034-59, 12002-59, 11042-51
B. 99283-25, 12053, 12034-59, 12002-59
C. 99283-25, 12014, 12034-59, 11042-51
D. 99283-25, 12053, 12034-59 - CORRECT ANSWER✔✔D. 99283-25, 12053, 12034-59
Question: A 52-year-old female has a mass growing on her right flank for several years. It has finally
gotten significantly larger and is beginning to bother her. She is brought to the Operating Room for
definitive excision. An incision was made directly overlying the mass. The mass was down into the
subcutaneous tissue and the surgeon encountered a well encapsulated lipoma approximately 4
centimeters. This was excised primarily bluntly with a few attachments divided with electrocautery.
What CPT® and ICD-10-CM codes are reported?
A. 21932, D17.39
B. 21935, D17.1
C. 21931, D17.1
D. 21925, D17.9 - CORRECT ANSWER✔✔C. 21931, D17.1
AAPC CPC PRACTICE EXAM & FINAL EXAM
STUDY GUIDE WITH COMPLETE 480
QUESTIONS AND WELL ELABORATED ANSWERS
JUST RELEASED THIS YEAR
AAPC CPC PRACTICE EXAM
Question: A 70-year-old female who has a history of symptomatic ventral hernia was advised to undergo
laparoscopic evaluation and repair. An incision was made in the epigastrium and dissection was carried
down through the subcutaneous tissue. Two 5-mm trocars were placed, one in the left upper quadrant
and one in the left lower quadrant and the laparoscope was inserted. Dissection was carried down to the
area of the hernia where a small defect was clearly visualized. There was some omentum, which was
adhered to the hernia and this was delivered back into the peritoneal cavity. The mesh was tacked on to
cover the defect. What procedure code(s) is (are) reported?
A. 49560, 49568
B. 49652
C. 49653
D. 49652, 49568 - CORRECT ANSWER✔✔B. 49652
Question: The patient is a 50-year-old gentleman who presented to the emergency room with signs and
symptoms of acute appendicitis with possible rupture. He has been brought to the operating room. An
infraumbilical incision was made which a 5-mm VersaStep™ trocar was inserted. A 5-mm 0- degree
laparoscope was introduced. A second 5-mm trocar was placed suprapubically and a 12-mm trocar in the
left lower quadrant. A window was made in the mesoappendix using blunt dissection with no rupture
, Page 2 of 158
noted. The base of the appendix was then divided and placed into an Endo-catch bag and the 12-mm
defect was brought out. Select the appropriate code for this procedure:
A. 44970
B. 44950
C. 44960
D. 44979 - CORRECT ANSWER✔✔A. 44970
Question: A 45-year-old male is going to donate his kidney to his son. Operating ports where placed in
standard position and the scope was inserted. Dissection of the renal artery and vein was performed
isolating the kidney. The kidney was suspended only by the renal artery and vein as well as the ureter. A
stapler was used to divide the vein just above the aorta and three clips across the ureter, extracting the
kidney. This was placed on ice and sent to the recipient room. The correct CPT® code is:
A. 50543
B. 50547
C. 50300
D. 50320 - CORRECT ANSWER✔✔B. 50547
Question: A 67-year-old female having urinary incontinence with intrinsic sphincter deficiency is having
a cystoscopy performed with a placement of a sling. An incision was made over the mid urethra
dissected laterally to urethropelvic ligament. Cystoscopy revealed no penetration of the bladder. The
edges of the sling were weaved around the junction of the urethra and brought up to the suprapubic
incision. A hemostat was then placed between the sling and the urethra, ensuring no tension. What
CPT® code(s) is (are) reported?
A. 57288
, Page 3 of 158
B. 57287
C. 57288, 52000-51
D. 51992, 52000-51 - CORRECT ANSWER✔✔A. 57288
Question: A 46-year-old female had a previous biopsy that indicated positive malignant margins
anteriorly on the right side of her neck. A 0.5 cm margin was drawn out and a 15 blade scalpel was used
for full excision of an 8 cm lesion. Layered closure was performed after the removal. The specimen was
sent for permanent histopathologic examination. What are the CPT® code(s) for this procedure?
A. 11626
B. 11626, 12004-51
C. 11626, 12044-51
D. 11626, 13132-51, 13133 - CORRECT ANSWER✔✔C. 11626, 12044-51
Question: A 30-year-old female is having 15 sq cm debridement performed on an infected ulcer with
eschar on the right foot. Using sharp dissection, the ulcer was debrided all the way to down to the bone
of the foot. The bone had to be minimally trimmed because of a sharp point at the end of the
metatarsal. After debriding the area, there was minimal bleeding because of very poor circulation of the
foot. It seems that the toes next to the ulcer may have some involvement and cultures were taken. The
area was dressed with sterile saline and dressings and then wrapped. What CPT® code should be
reported?
A. 11043
B. 11012
C. 11044
, Page 4 of 158
D. 11042 - CORRECT ANSWER✔✔C. 11044
Question: A 64-year-old female who has multiple sclerosis fell from her walker and landed on a glass
table. She lacerated her forehead, cheek and chin and the total length of these lacerations was 6 cm. Her
right arm and left leg had deep cuts measuring 5 cm on each extremity. Her right hand and right foot had
a total of 3 cm lacerations. The ED physician repaired the lacerations as follows: The forehead, cheek,
and chin had debridement and cleaning of glass debris with the lacerations being closed with one layer
closure, 6-0 Prolene sutures. The arm and leg were repaired by layered closure, 6-0 Vicryl subcutaneous
sutures and Prolene sutures on the skin. The hand and foot were closed with adhesive strips. Select the
appropriate procedure codes for this visit.
A. 99283-25, 12014, 12034-59, 12002-59, 11042-51
B. 99283-25, 12053, 12034-59, 12002-59
C. 99283-25, 12014, 12034-59, 11042-51
D. 99283-25, 12053, 12034-59 - CORRECT ANSWER✔✔D. 99283-25, 12053, 12034-59
Question: A 52-year-old female has a mass growing on her right flank for several years. It has finally
gotten significantly larger and is beginning to bother her. She is brought to the Operating Room for
definitive excision. An incision was made directly overlying the mass. The mass was down into the
subcutaneous tissue and the surgeon encountered a well encapsulated lipoma approximately 4
centimeters. This was excised primarily bluntly with a few attachments divided with electrocautery.
What CPT® and ICD-10-CM codes are reported?
A. 21932, D17.39
B. 21935, D17.1
C. 21931, D17.1
D. 21925, D17.9 - CORRECT ANSWER✔✔C. 21931, D17.1
