250 Questions and Correct Answers with Rationales/
Certified Professional Coder – Medical Coder Exam
Prep Test Bank Latest 2025-2026 (brand new!)
16 day-old male baby is in the OR for a repeat circumcision due to redundant
foreskin that caused circumferential scarring from the original circumcision.
Anesthetic was injected and an incision was made at base of the foreskin. Foreskin
was pulled back and the excess foreskin was taken off and the two raw skin
surfaces were sutured together to create a circumferential anastomosis. Select the
appropriate code for this surgery:
A. 54150
B. 54160
C. 54163
D. 54164 - ANSWER-The physician is not incising the membrane that attaches the
foreskin to the glans and shaft of the penis (frenulum), eliminating multiple choice
D. The patient is not having the circumcision for the first time, but needed a repair
from a previous circumcision, eliminating multiple choice answers A and B.
Answer C
5 year-old female has a history of post void dribbling. She was found to have
extensive labial adhesions, which have been unresponsive to topical medical
management. She is brought to the operating suite in a supine position. Under
general anesthesia the labia majora is retracted and the granulating chronic
adhesions were incised midline both anteriorly and posteriorly. The adherent
granulation tissue was excised on either side. What code should be used for this
procedure?
A. 58660
B. 58740
C. 57061
pg. 1
,D. 56441 - ANSWER-The key term to narrow your choices down is the removal of
"labial adhesions". This is found in the code descriptive for multiple choice answer
D, 56441.
The patient is a 64 year-old female who is undergoing a removal of a previously
implanted Medtronic pain pump and catheter due to a possible infection. The back
was incised; dissection was carried down to the previously placed catheter. There
was evidence of infection with some fat necrosis in which cultures were taken. The
intrathecal portion of the catheter was removed. Next the pump pocket was incised
and the pump was dissected from the anterior fascia. A 7-mm Blake drain was
placed in the pump pocket through a stab incision and secured to the skin with
interrupted Prolene. The pump pocket was copiously irrigated with saline and
closed in two layers. What are the CPT® and ICD-10-CM codes for this
procedure?
A. 62365, 62350-51, T85.898A, Z46.2
B. 62360, 62355-51, T85.79XA
C. 62365, 62355-51, T85.79XA
D. 36590, I97.42, T85.898A - ANSWER-This was a removal of an intrathecal
catheter and pump, eliminating multiple choice answer D. The pump is not being
implanted or replaced eliminating multiple choice answer B. Nor is the intrathecal
catheter being implanted, revised or repositioned eliminating multiple choice
answer A. Answer C
The patient is a 73 year-old gentleman who was noted to have progressive gait
instability over the past several months. Magnetic resonance imaging demonstrated
a ventriculomegaly. It was recommended that the patient proceed forward with
right frontal ventriculoperitoneal shunt placement with Codman® programmable
valve. What is the correct code for this surgery?
A. 62220
B. 62223
C. 62190
pg. 2
,D. 62192 - ANSWER-This key word to choose the correct shunt being performed
is "ventriculo-peritoneal", leading you to multiple choice answer B. Answer B
What is the CPT® code for the decompression of the median nerve found in the
space in the wrist on the palmar side?
A. 64704
B. 64713
C. 64721
D. 64719 - ANSWER-The key term to choose the correct answer is "median
nerve", found in code 64721. Answer C
2 year-old Hispanic male has a chalazion on both upper and lower lid of the right
eye. He was placed under general anesthesia. With a #11 blade the chalazion was
incised and a small curette was then used to retrieve any granulomatous material
on both lids. What CPT® code should be used for this procedure?
A. 67801
B. 67805
C. 67800
D. 67808 - ANSWER-There is more than a single chalazion to be removed,
eliminating multiple choice answer C. The chalazion was on the upper and lower
lid, eliminating multiple choice answer A. The patient was under general
anesthesia, eliminating multiple choice answer B. Answer D
80 year-old patient is returning to the gynecologist's office for pessary cleaning.
Patient offers no complaints. The nurse removes and cleans the pessary, vagina is
swabbed with betadine, and pessary replaced. For F/U in 4 months. What CPT®
and ICD-10-CM codes are reported for this service?
A. 99201, Z46.89
B. 99211, Z46.89
pg. 3
, C. 99202, Z46.9
D. 99212, Z46.9 - ANSWER-Scenario documents patient returning to the
gynecologist guiding you to the codes for established patient office visit. This
eliminates multiple choices A and C. For this scenario, the patient did not have any
complaints that required the presence of a physician. There was no examination or
medical making decision performed for the patient guiding you to code 99211.
There must be an order for the patient to come in for the office visit. For the
diagnosis code, the pessary was removed for cleaning reporting Z46.89 Encounter
for fitting and adjustment of other specified devices. (Refer to ICD-10-CM
guideline I.A.9) Answer D
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 - ANSWER-According to CPT® guidelines "Repair of
an excision of a malignant lesion requiring intermediate or complex closure should
be reported separately". The intermediate repair code is reported because it was a
layered closure. Answer C
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?
pg. 4