AAPC CPC Practice Questions with verified answers
| | | | | |
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
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
D. |11042 |- |correct |answer |C. |11044
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
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
Question |5
PREOPERATIVE |DIAGNOSIS: |Right |scaphoid |fracture. |TYPE |OF |PROCEDURE: |Open |reduction |and
|internal |fixation |of |right |scaphoid |fracture. |DESCRIPTION |OF |PROCEDURE: |The |patient |was |
brought |to |the |operating |room; |anesthesia |having |been |administered. |The |right |upper |
extremity |was |prepped |and |draped |in |a |sterile |manner. |The |limb |was |elevated, |exsanguinated,
|and |a |pneumatic |arm |tourniquet |was |elevated. |An |incision |was |made |over |the |dorsal |radial |
aspect |of |the |right |wrist. |Skin |flaps |were |elevated. |Cutaneous |nerve |branches |were |identified |
and |very |gently |retracted. |The |interval |between |the |second |and |third |dorsal |compartment |
tendons |was |identified |and |entered. |The |respective |tendons |were |retracted. |A |dorsal |
capsulotomy |incision |was |made, |and |the |fracture |was |visualized. |There |did |not |appear |to |be |
any |type |of |significant |defect |at |the |fracture |site. |A |0.045 |Kirschner |wire |was |then |used |as |a |
guidewire, |extending |from |t |- |correct |answer |A. |25628-RT
An |infant |with |genu |valgum |is |brought |to |the |operating |room |to |have |a |bilateral |medial |distal |
femur |hemiepiphysiodesis |done. |On |each |knee, |the |C-arm |was |used |to |localize |the |growth |
plate. |With |the |growth |plate |localized, |an |incision |was |made |medially |on |both |sides. |This |was |
taken |down |to |the |fascia, |which |was |opened. |The |periosteum |was |not |opened. |The |Orthofix® |
figure-of-eight |plate |was |placed |and |checked |with |X-ray. |We |then |irrigated |and |closed |the |
,medial |fascia |with |0 |Vicryl |suture. |The |skin |was |closed |with |2-0 |Vicryl |and |3-0 |Monocryl®. |
What |procedure |code |is |reported?
A. |27470-50
B. |27475-50
C. |27477-50
D. |27485-50 |- |correct |answer |D. |27485-50
The |patient |is |a |67-year-old |gentleman |with |metastatic |colon |cancer |recently |operated |on |for |
a |brain |metastasis, |now |for |placement |of |an |Infuse-A-Port |for |continued |chemotherapy. |The |
left |subclavian |vein |was |located |with |a |needle |and |a |guide |wire |placed. |This |was |confirmed |to |
be |in |the |proper |position |fluoroscopically. |A |transverse |incision |was |made |just |inferior |to |this |
and |a |subcutaneous |pocket |created |just |inferior |to |this. |After |tunneling, |the |introducer |was |
placed |over |the |guide |wire |and |the |power |port |line |was |placed |with |the |introducer |and |the |
introducer |was |peeled |away. |The |tip |was |placed |in |the |appropriate |position |under |
fluoroscopic |guidance |and |the |catheter |trimmed |to |the |appropriate |length |and |secured |to |the |
power |port |device. |The |locking |mechanism |was |fully |engaged. |The |port |was |placed |in |the |
subcutaneous |pocket |and |everything |sat |very |nicely |fluoroscopically. |It |was |secured |to |the |
underlying |soft |tissue |- |correct |answer |C. |36561, |77001-26
Question |8
A |CT |scan |identified |moderate-sized |right |pleural |effusion |in |a |50 |year-old |male. |This |was |
estimated |to |be |800 |cc |in |size |and |had |an |appearance |of |fluid |on |the |CT |Scan. |A |needle |is |
used |to |puncture |through |the |chest |tissues |and |enter |the |pleural |cavity |to |insert |a |guidewire |
under |ultrasound |guidance. |A |pigtail |catheter |is |then |inserted |at |the |length |of |the |guidewire |
and |secured |by |stitches. |The |catheter |will |remain |in |the |chest |and |is |connected |to |drainage |
system |to |drain |the |accumulated |fluid. |The |CPT® |code |is:
A. |32557
B. |32555
C. |32556
D. |32550 |- |correct |answer |A. |32557
The |patient |is |a |59-year-old |white |male |who |underwent |carotid |endarterectomy |for |
symptomatic |left |carotid |stenosis |a |year |ago. |A |carotid |CT |angiogram |showed |a |recurrent |90% |
left |internal |carotid |artery |stenosis |extending |into |the |common |carotid |artery. |He |is |taken |to |
, the |operating |room |for |re-do |left |carotid |endarterectomy. |The |left |neck |was |prepped |and |the |
previous |incision |was |carefully |reopened. |Using |sharp |dissection, |the |common |carotid |artery |
and |its |branches |were |dissected |free. |The |patient |was |systematically |heparinized |and |after |a |
few |minutes, |clamps |were |applied |to |the |common |carotid |artery |and |its |branches. |A |
longitudinal |arteriotomy |was |carried |out |with |findings |of |extensive |layering |of |intimal |
hyperplasia |with |no |evidence |of |recurrent |atherosclerosis. |A |silastic |balloon-tip |shunt |was |
inserted |first |proximally |and |then |distally, |with |restoration |of |flow. |Several |layers |of |intima |
were |removed |and |the |endart |- |correct |answer |B. |35301, |35390
A |52-year-old |patient |is |admitted |to |the |hospital |for |chronic |cholecystitis |for |which |a |
laparoscopic |cholecystectomy |will |be |performed. |A |transverse |infraumbilical |incision |was |
made |sharply |dissecting |to |the |subcutaneous |tissue |down |to |the |fascia |using |access |under |
direct |vision |with |a |Vesi-Port |and |a |scope |was |placed |into |the |abdomen. |Three |other |ports |
were |inserted |under |direct |vision. |The |fundus |of |the |gallbladder |was |grasped |through |the |
lateral |port, |where |multiple |adhesions |to |the |gallbladder |were |taken |down |sharply |and |
bluntly: |The |gallbladder |appeared |chronically |inflamed. |Dissection |was |carried |out |to |the |right |
of |this |identifying |a |small |cystic |duct |and |artery, |was |clipped |twice |proximally, |once |distally |
and |transected. |The |gallbladder |was |then |taken |down |from |the |bed |using |electrocautery, |
delivering |it |into |an |endo-bag |and |removing |it |from |the |abdominal |cavity |with |the |umbilical |
port. |What |CPT® |and |ICD-10-C |- |correct |answer |B. |47562, |K81.1
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
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 |
| | | | | |
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
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
D. |11042 |- |correct |answer |C. |11044
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
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
Question |5
PREOPERATIVE |DIAGNOSIS: |Right |scaphoid |fracture. |TYPE |OF |PROCEDURE: |Open |reduction |and
|internal |fixation |of |right |scaphoid |fracture. |DESCRIPTION |OF |PROCEDURE: |The |patient |was |
brought |to |the |operating |room; |anesthesia |having |been |administered. |The |right |upper |
extremity |was |prepped |and |draped |in |a |sterile |manner. |The |limb |was |elevated, |exsanguinated,
|and |a |pneumatic |arm |tourniquet |was |elevated. |An |incision |was |made |over |the |dorsal |radial |
aspect |of |the |right |wrist. |Skin |flaps |were |elevated. |Cutaneous |nerve |branches |were |identified |
and |very |gently |retracted. |The |interval |between |the |second |and |third |dorsal |compartment |
tendons |was |identified |and |entered. |The |respective |tendons |were |retracted. |A |dorsal |
capsulotomy |incision |was |made, |and |the |fracture |was |visualized. |There |did |not |appear |to |be |
any |type |of |significant |defect |at |the |fracture |site. |A |0.045 |Kirschner |wire |was |then |used |as |a |
guidewire, |extending |from |t |- |correct |answer |A. |25628-RT
An |infant |with |genu |valgum |is |brought |to |the |operating |room |to |have |a |bilateral |medial |distal |
femur |hemiepiphysiodesis |done. |On |each |knee, |the |C-arm |was |used |to |localize |the |growth |
plate. |With |the |growth |plate |localized, |an |incision |was |made |medially |on |both |sides. |This |was |
taken |down |to |the |fascia, |which |was |opened. |The |periosteum |was |not |opened. |The |Orthofix® |
figure-of-eight |plate |was |placed |and |checked |with |X-ray. |We |then |irrigated |and |closed |the |
,medial |fascia |with |0 |Vicryl |suture. |The |skin |was |closed |with |2-0 |Vicryl |and |3-0 |Monocryl®. |
What |procedure |code |is |reported?
A. |27470-50
B. |27475-50
C. |27477-50
D. |27485-50 |- |correct |answer |D. |27485-50
The |patient |is |a |67-year-old |gentleman |with |metastatic |colon |cancer |recently |operated |on |for |
a |brain |metastasis, |now |for |placement |of |an |Infuse-A-Port |for |continued |chemotherapy. |The |
left |subclavian |vein |was |located |with |a |needle |and |a |guide |wire |placed. |This |was |confirmed |to |
be |in |the |proper |position |fluoroscopically. |A |transverse |incision |was |made |just |inferior |to |this |
and |a |subcutaneous |pocket |created |just |inferior |to |this. |After |tunneling, |the |introducer |was |
placed |over |the |guide |wire |and |the |power |port |line |was |placed |with |the |introducer |and |the |
introducer |was |peeled |away. |The |tip |was |placed |in |the |appropriate |position |under |
fluoroscopic |guidance |and |the |catheter |trimmed |to |the |appropriate |length |and |secured |to |the |
power |port |device. |The |locking |mechanism |was |fully |engaged. |The |port |was |placed |in |the |
subcutaneous |pocket |and |everything |sat |very |nicely |fluoroscopically. |It |was |secured |to |the |
underlying |soft |tissue |- |correct |answer |C. |36561, |77001-26
Question |8
A |CT |scan |identified |moderate-sized |right |pleural |effusion |in |a |50 |year-old |male. |This |was |
estimated |to |be |800 |cc |in |size |and |had |an |appearance |of |fluid |on |the |CT |Scan. |A |needle |is |
used |to |puncture |through |the |chest |tissues |and |enter |the |pleural |cavity |to |insert |a |guidewire |
under |ultrasound |guidance. |A |pigtail |catheter |is |then |inserted |at |the |length |of |the |guidewire |
and |secured |by |stitches. |The |catheter |will |remain |in |the |chest |and |is |connected |to |drainage |
system |to |drain |the |accumulated |fluid. |The |CPT® |code |is:
A. |32557
B. |32555
C. |32556
D. |32550 |- |correct |answer |A. |32557
The |patient |is |a |59-year-old |white |male |who |underwent |carotid |endarterectomy |for |
symptomatic |left |carotid |stenosis |a |year |ago. |A |carotid |CT |angiogram |showed |a |recurrent |90% |
left |internal |carotid |artery |stenosis |extending |into |the |common |carotid |artery. |He |is |taken |to |
, the |operating |room |for |re-do |left |carotid |endarterectomy. |The |left |neck |was |prepped |and |the |
previous |incision |was |carefully |reopened. |Using |sharp |dissection, |the |common |carotid |artery |
and |its |branches |were |dissected |free. |The |patient |was |systematically |heparinized |and |after |a |
few |minutes, |clamps |were |applied |to |the |common |carotid |artery |and |its |branches. |A |
longitudinal |arteriotomy |was |carried |out |with |findings |of |extensive |layering |of |intimal |
hyperplasia |with |no |evidence |of |recurrent |atherosclerosis. |A |silastic |balloon-tip |shunt |was |
inserted |first |proximally |and |then |distally, |with |restoration |of |flow. |Several |layers |of |intima |
were |removed |and |the |endart |- |correct |answer |B. |35301, |35390
A |52-year-old |patient |is |admitted |to |the |hospital |for |chronic |cholecystitis |for |which |a |
laparoscopic |cholecystectomy |will |be |performed. |A |transverse |infraumbilical |incision |was |
made |sharply |dissecting |to |the |subcutaneous |tissue |down |to |the |fascia |using |access |under |
direct |vision |with |a |Vesi-Port |and |a |scope |was |placed |into |the |abdomen. |Three |other |ports |
were |inserted |under |direct |vision. |The |fundus |of |the |gallbladder |was |grasped |through |the |
lateral |port, |where |multiple |adhesions |to |the |gallbladder |were |taken |down |sharply |and |
bluntly: |The |gallbladder |appeared |chronically |inflamed. |Dissection |was |carried |out |to |the |right |
of |this |identifying |a |small |cystic |duct |and |artery, |was |clipped |twice |proximally, |once |distally |
and |transected. |The |gallbladder |was |then |taken |down |from |the |bed |using |electrocautery, |
delivering |it |into |an |endo-bag |and |removing |it |from |the |abdominal |cavity |with |the |umbilical |
port. |What |CPT® |and |ICD-10-C |- |correct |answer |B. |47562, |K81.1
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
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 |
