CPC Practice Exam 2 Latest Update 2025
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A lesion was found in the upper left lung. The patient presents for a biopsy. After induction of general
endotracheal anesthesia, the patient was placed in semi-lateral position with left side up and prepped. A
thoracoscope was introduced and a diagnostic wedge biopsy was performed and the specimen was sent
for frozen section. The report came back as cancer, and a thoracoscopic left lung segmentectomy was
performed.
Report the CPT® code(s).
A. 32663-LT
B. 32669-LT
C. 32669-LT, 32608-59
D. 32666-LT - CORRECT ANSWER-B. 32669-LT
,Report removal and replacement of a permanent implantable defibrillator system with dual transvenous
leads.
A. 33249
B. 33249, 33243-51, 33241-51
C. 33249, 33244-51, 33241-51
D. 33262 - CORRECT ANSWER-C. 33249, 33244-51, 33241-51
A patient receiving chemotherapy for left upper-inner quadrant breast cancer via a left tunneled central
venous catheter with port is admitted to outpatient surgery for a check of the line which is partially
obstructed. Using fluoroscopy a fibrin sheath is removed via a separate puncture. Removal of the fibrin
sheath does not increase the central line flow, so the decision is made to replace the tunneled central
line with subcutaneous port, through the same venous access.
Report the CPT® and ICD-10-CM codes.
A. 36561, 36596-51, T80.219A, C50.212
B. 36582, 36595-51, T82.598A, C50.212
C. 36582, T82.598A, C50.212
D. 36563, T80.219A, C50.212 - CORRECT ANSWER-B. 36582, 36595-51, T82.598A, C50.212
A 52 year-old male with basal cell carcinoma of the forehead has outpatient surgery to excise the basal
cell carcinoma with reconstruction using an advancement flap. The 2.0 cm lesion with margins was
excised with a diameter using a 15-blade scalpel down to the level of the subcutaneous tissue, totaling a
primary defect of 4.0 sq cm. Electrocautery was used for hemostasis. An adjacent tissue transfer of 5.0
sq cm was taken from the upper right cheek and was advanced into the primary defect.
Which CPT® code(s) is (are) reported?
A. 14040
B. 14040, 11642-51
C. 14040, 11442-51
, D. 15574 - CORRECT ANSWER-A. 14040
A 31 year-old male with a hypertrophic scar on the left side of his neck to have a skin graft. The scar is
continually irritated by his clothing.
Procedure: After the proper induction of anesthesia, the subcutaneous tissue of the neck beneath the
scar was infiltrated with crystalloid solution containing epinephrine to minimize blood loss. The scar was
then excised down to viable dermis to prepare the site for the skin graft leaving a 40 cm defect.
Hemostasis was obtained with epinephrine soaked pads. Skin was harvested from the patient's thigh in
a split thickness fashion and was used to cover the 40 sq cm defect created by the surgery. The graft was
secured with skin staples, and then dressed with fine mesh gauze followed by medication-soaked gauze.
The donor site was dressed with mesh followed by Adaptic™, followed by a dry dressing and an Ace
wrap.
What is (are) the CPT® code(s)?
A. 15115, 15004-51
B. 15120
C. 1 - CORRECT ANSWER-C. 15120, 15004-51
A 46 year-old female presents to have multiple lesions destroyed. Five benign lesions on her face are
destroyed and 16 actinic keratoses on her left arm are destroyed.
The CPT® code(s) to report is (are):
A. 17000, 17003, 17110-51
B. 17004, 17110-51
C. 17004
D. 17004 x 16, 17110-51 x 5 - CORRECT ANSWER-B. 17004, 17110-51
A 32 year-old female with chronic low back pain is scheduled with a pain specialist for trigger point
injections. The patient is appropriately prepped and the area anesthetized. The provider palpates the
area of muscles to determine the location of the trigger points. Six injections of a corticosteroid are
slowly injected into two muscle groups.
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Answers Graded A+|Assured Success
A lesion was found in the upper left lung. The patient presents for a biopsy. After induction of general
endotracheal anesthesia, the patient was placed in semi-lateral position with left side up and prepped. A
thoracoscope was introduced and a diagnostic wedge biopsy was performed and the specimen was sent
for frozen section. The report came back as cancer, and a thoracoscopic left lung segmentectomy was
performed.
Report the CPT® code(s).
A. 32663-LT
B. 32669-LT
C. 32669-LT, 32608-59
D. 32666-LT - CORRECT ANSWER-B. 32669-LT
,Report removal and replacement of a permanent implantable defibrillator system with dual transvenous
leads.
A. 33249
B. 33249, 33243-51, 33241-51
C. 33249, 33244-51, 33241-51
D. 33262 - CORRECT ANSWER-C. 33249, 33244-51, 33241-51
A patient receiving chemotherapy for left upper-inner quadrant breast cancer via a left tunneled central
venous catheter with port is admitted to outpatient surgery for a check of the line which is partially
obstructed. Using fluoroscopy a fibrin sheath is removed via a separate puncture. Removal of the fibrin
sheath does not increase the central line flow, so the decision is made to replace the tunneled central
line with subcutaneous port, through the same venous access.
Report the CPT® and ICD-10-CM codes.
A. 36561, 36596-51, T80.219A, C50.212
B. 36582, 36595-51, T82.598A, C50.212
C. 36582, T82.598A, C50.212
D. 36563, T80.219A, C50.212 - CORRECT ANSWER-B. 36582, 36595-51, T82.598A, C50.212
A 52 year-old male with basal cell carcinoma of the forehead has outpatient surgery to excise the basal
cell carcinoma with reconstruction using an advancement flap. The 2.0 cm lesion with margins was
excised with a diameter using a 15-blade scalpel down to the level of the subcutaneous tissue, totaling a
primary defect of 4.0 sq cm. Electrocautery was used for hemostasis. An adjacent tissue transfer of 5.0
sq cm was taken from the upper right cheek and was advanced into the primary defect.
Which CPT® code(s) is (are) reported?
A. 14040
B. 14040, 11642-51
C. 14040, 11442-51
, D. 15574 - CORRECT ANSWER-A. 14040
A 31 year-old male with a hypertrophic scar on the left side of his neck to have a skin graft. The scar is
continually irritated by his clothing.
Procedure: After the proper induction of anesthesia, the subcutaneous tissue of the neck beneath the
scar was infiltrated with crystalloid solution containing epinephrine to minimize blood loss. The scar was
then excised down to viable dermis to prepare the site for the skin graft leaving a 40 cm defect.
Hemostasis was obtained with epinephrine soaked pads. Skin was harvested from the patient's thigh in
a split thickness fashion and was used to cover the 40 sq cm defect created by the surgery. The graft was
secured with skin staples, and then dressed with fine mesh gauze followed by medication-soaked gauze.
The donor site was dressed with mesh followed by Adaptic™, followed by a dry dressing and an Ace
wrap.
What is (are) the CPT® code(s)?
A. 15115, 15004-51
B. 15120
C. 1 - CORRECT ANSWER-C. 15120, 15004-51
A 46 year-old female presents to have multiple lesions destroyed. Five benign lesions on her face are
destroyed and 16 actinic keratoses on her left arm are destroyed.
The CPT® code(s) to report is (are):
A. 17000, 17003, 17110-51
B. 17004, 17110-51
C. 17004
D. 17004 x 16, 17110-51 x 5 - CORRECT ANSWER-B. 17004, 17110-51
A 32 year-old female with chronic low back pain is scheduled with a pain specialist for trigger point
injections. The patient is appropriately prepped and the area anesthetized. The provider palpates the
area of muscles to determine the location of the trigger points. Six injections of a corticosteroid are
slowly injected into two muscle groups.