AAPC CPC EXAM NEWEST EXAM 2025 | ALL QUESTIONS
AND CORRECT ANSWERS | ALREADY GRADED A+ |
VERIFIED ANSWERS | LATEST VERSION | JUST RELEASED
This 67-year-old man presented with a history of progressive shortness of
breath. He has had a diagnosis of a secundum atrioseptal defect for
several years, and has had atrial fibrillation intermittently over this period of
time. He was in atrial fibrillation when he came to the operating room, and
with the patient cannulated and on bypass, The right atrium was then
opened. A large 3 x 5 cm defect was noted at fossa ovalis, and this also
included a second hole in the same general area. Both of these holes were
closed with a single pericardial patch. What CPT® and ICD-10-CM codes
are reported?
A. 33675, Q21.0
B. 33647, Q21.1, R06.02
C. 33645, Q21.2, R06.02
D. 33641, Q21.1 ---------CORRECT ANSWER-----------------D. 33641, Q21.1
An 82-year-old female had a CAT scan which revealed evidence of a
proximal small bowel obstruction. She was taken to the Operating Room
where an elliptical abdominal incision was made, excising the skin and
subcutaneous tissue. There were extensive adhesions along the entire
length of the small bowel. The omentum and bowel were stuck up to the
anterior abdominal wall. Time consuming, tedious and spending an extra
hour to lysis the adhesions to free up the entire length of the
gastrointestinal tract from the ligament to Treitz to the ileocolic
anastomosis. The correct CPT® code is:
A. 44005
B. 44180-22
C. 44005-22
D. 44180-59 ---------CORRECT ANSWER-----------------C. 44005-22
55 year-old patient was admitted with massive gastric dilation. The
endoscope was inserted with a catheter placement. The endoscope is
,passed through the cricopharyngeal muscle area without difficulty.
Esophagus is normal, some chronic reflux changes at the esophagogastric
junction noted. Stomach significant distention with what appears to be
multiple encapsulated tablets in the stomach at least 20 to 30 of these are
noted. Some of these are partially dissolved. Endoscope could not be
engaged due to high grade narrowing in the pyloric channel, the duodenum
was not examined. It seems to be a high grade outlet obstruction with a
superimposed volvulus. A repeat examination is not planned at this time.
What code should be used for this procedure?
A. 43246-52
B. 43241-52
C. 43235
D. 43191 ---------CORRECT ANSWER-----------------B. 43241-52
The patient is a 78-year-old white female with morbid obesity that
presented with small bowel obstruction. She had surgery approximately
one week ago and underwent exploration, which required a small bowel
resection of the terminal ileum and anastomosis leaving her with a large
inferior ventral hernia. Two days ago she started having drainage from her
wound which has become more serious. She is now being taken back to
the operating room. Reopening the original incision with a scalpel, the
intestine was examined and the anastomosis was reopened , excised at
both ends, and further excision of intestine. The fresh ends were created to
perform another end- to-end anastomosis. The correct procedure code is:
A. 44120-78
B. 44126-79
C. 44120-76
D. 44202-58 ---------CORRECT ANSWER-----------------A. 44120-78
PREOPERATIVE DIAGNOSIS: Diverticulitis, perforated diverticula POST
OPERATIVE DIAGNOSIS: Diverticulitis, perforated diverticula
PROCEDURE: Hartmann procedure, which is a sigmoid resection with
Hartmann pouch and colostomy. DESCRIPTION OF THE PROCEDURE:
Patient was prepped and draped in the supine position under general
anesthesia. Prior to surgery patient was given 4.5 grams of Zosyn and
Rocephin IV piggyback. A lower midline incision was made, abdomen was
,entered. Upon entry into the abdomen, there was an inflammatory mass in
the pelvis and there was a large abscessed cavity, but no feces. The
abscess cavity was drained and irrigated out. The left colon was
immobilized, taken down the lateral perineal attachments. The sigmoid
colon was mobilized. There was an inflammatory mass right at the area of
the sigmoid colon consistent with a divertiliculitis or perforation with
infection. Proximal to this in the distal left ---------CORRECT ANSWER-------
----------B. 44143
A 5-year-old male with a history of prematurity was found to have a
chordee due to congenital hypospadias. He presents for surgical
management for a plastic repair in straightening the abnormal curvature.
Under general anesthesia, bands were placed around the base of the penis
and incisions were made degloving the penis circumferentially. The
foreskin was divided in Byers flaps and the penile skin was reapproximated
at the 12 o'clock position. Two Byers flaps were reapproximated, recreating
a mucosal collar which was then criss- crossed and trimmed in the midline
in order to accommodate median raphe reconstruction. This was
reconstructed with use of a horizontal mattress suture. The shaft skin was
then approximated to the mucosal collar with sutures correcting the defect.
Which CPT® code should be used?
A. 54304
B. 54340
C. 54400
D. 54440 ---------CORRECT ANSWER-----------------A. 54304
A 22-year-old is 14 weeks pregnant and wants to terminate the pregnancy.
She has consented for a D&E. She was brought to the operating room
where MAC anesthesia was given. She was then placed in the dorsal
lithotomy position and a weighted speculum was placed into her posterior
vaginal vault. Cervix was identified and dilated. A 6.5-cm suction catheter
hooked up to a suction evacuator was placed and products of conception
were evacuated. A medium size curette was then used to curette her
endometrium. There was noted to be a small amount of remaining products
of conception in her left cornua. Once again the suction evacuator was
placed and the remaining products of conception were evacuated. At this
, point she had a good endometrial curetting with no further products of
conception noted. Which CPT® code should be used?
A. 59840
B. 59841
C. 59812
D. 59851 ---------CORRECT ANSWER-----------------B. 59841
A 37-year-old female has menorrhagia and wants permanent sterilization.
The patient was placed in Allen stirrups in the operating room. Under
anesthesia the cervix was dilated and the hysteroscope was advanced to
the endometrium into the uterine cavity. No polyps or fibroids were seen.
The Novasure was used for endometrial ablation. A knife was then used to
make an incision in the right lower quadrant and left lower quadrant with 5-
mm trocars inserted under direct visualization with no injury to any
abdominal contents. Laparoscopic findings revealed the uterus, ovaries
and fallopian tubes to be normal. The appendix was normal as were the
upper quadrants. Because of the patient's history of breast cancer and
desire for no further children, it was decided to take out both the tubes and
ovaries. This had been discussed with the patient prior to surgery. What
are the codes for these procedures?
A. 58660, 58353-51
B. 5866 ---------CORRECT ANSWER-----------------B. 58661, 58563-51
MRI reveals patient has cervical stenosis. It was determined he should
undergo bilateral cervical laminectomy at C3 through C6 and fusion. The
edges of the laminectomy were then cleaned up with a Kerrison and
foraminotomies were done at C4, C5, and,C6. The stenosis is central; a
facetectomy is performed by using a burr. Nerve root canals were freed by
additional resection of the facet, and compression of the spinal cord was
relieved by removal of a tissue overgrowth around the foramen. Which
CPT® code(s) is (are) used for this procedure?
A. 63045-50, 63048-50
B. 63020-50, 63035-50, 63035-50
C. 63015-50
D. 63045, 63048 x 2 ---------CORRECT ANSWER-----------------D. 63045,
63048 x 2
AND CORRECT ANSWERS | ALREADY GRADED A+ |
VERIFIED ANSWERS | LATEST VERSION | JUST RELEASED
This 67-year-old man presented with a history of progressive shortness of
breath. He has had a diagnosis of a secundum atrioseptal defect for
several years, and has had atrial fibrillation intermittently over this period of
time. He was in atrial fibrillation when he came to the operating room, and
with the patient cannulated and on bypass, The right atrium was then
opened. A large 3 x 5 cm defect was noted at fossa ovalis, and this also
included a second hole in the same general area. Both of these holes were
closed with a single pericardial patch. What CPT® and ICD-10-CM codes
are reported?
A. 33675, Q21.0
B. 33647, Q21.1, R06.02
C. 33645, Q21.2, R06.02
D. 33641, Q21.1 ---------CORRECT ANSWER-----------------D. 33641, Q21.1
An 82-year-old female had a CAT scan which revealed evidence of a
proximal small bowel obstruction. She was taken to the Operating Room
where an elliptical abdominal incision was made, excising the skin and
subcutaneous tissue. There were extensive adhesions along the entire
length of the small bowel. The omentum and bowel were stuck up to the
anterior abdominal wall. Time consuming, tedious and spending an extra
hour to lysis the adhesions to free up the entire length of the
gastrointestinal tract from the ligament to Treitz to the ileocolic
anastomosis. The correct CPT® code is:
A. 44005
B. 44180-22
C. 44005-22
D. 44180-59 ---------CORRECT ANSWER-----------------C. 44005-22
55 year-old patient was admitted with massive gastric dilation. The
endoscope was inserted with a catheter placement. The endoscope is
,passed through the cricopharyngeal muscle area without difficulty.
Esophagus is normal, some chronic reflux changes at the esophagogastric
junction noted. Stomach significant distention with what appears to be
multiple encapsulated tablets in the stomach at least 20 to 30 of these are
noted. Some of these are partially dissolved. Endoscope could not be
engaged due to high grade narrowing in the pyloric channel, the duodenum
was not examined. It seems to be a high grade outlet obstruction with a
superimposed volvulus. A repeat examination is not planned at this time.
What code should be used for this procedure?
A. 43246-52
B. 43241-52
C. 43235
D. 43191 ---------CORRECT ANSWER-----------------B. 43241-52
The patient is a 78-year-old white female with morbid obesity that
presented with small bowel obstruction. She had surgery approximately
one week ago and underwent exploration, which required a small bowel
resection of the terminal ileum and anastomosis leaving her with a large
inferior ventral hernia. Two days ago she started having drainage from her
wound which has become more serious. She is now being taken back to
the operating room. Reopening the original incision with a scalpel, the
intestine was examined and the anastomosis was reopened , excised at
both ends, and further excision of intestine. The fresh ends were created to
perform another end- to-end anastomosis. The correct procedure code is:
A. 44120-78
B. 44126-79
C. 44120-76
D. 44202-58 ---------CORRECT ANSWER-----------------A. 44120-78
PREOPERATIVE DIAGNOSIS: Diverticulitis, perforated diverticula POST
OPERATIVE DIAGNOSIS: Diverticulitis, perforated diverticula
PROCEDURE: Hartmann procedure, which is a sigmoid resection with
Hartmann pouch and colostomy. DESCRIPTION OF THE PROCEDURE:
Patient was prepped and draped in the supine position under general
anesthesia. Prior to surgery patient was given 4.5 grams of Zosyn and
Rocephin IV piggyback. A lower midline incision was made, abdomen was
,entered. Upon entry into the abdomen, there was an inflammatory mass in
the pelvis and there was a large abscessed cavity, but no feces. The
abscess cavity was drained and irrigated out. The left colon was
immobilized, taken down the lateral perineal attachments. The sigmoid
colon was mobilized. There was an inflammatory mass right at the area of
the sigmoid colon consistent with a divertiliculitis or perforation with
infection. Proximal to this in the distal left ---------CORRECT ANSWER-------
----------B. 44143
A 5-year-old male with a history of prematurity was found to have a
chordee due to congenital hypospadias. He presents for surgical
management for a plastic repair in straightening the abnormal curvature.
Under general anesthesia, bands were placed around the base of the penis
and incisions were made degloving the penis circumferentially. The
foreskin was divided in Byers flaps and the penile skin was reapproximated
at the 12 o'clock position. Two Byers flaps were reapproximated, recreating
a mucosal collar which was then criss- crossed and trimmed in the midline
in order to accommodate median raphe reconstruction. This was
reconstructed with use of a horizontal mattress suture. The shaft skin was
then approximated to the mucosal collar with sutures correcting the defect.
Which CPT® code should be used?
A. 54304
B. 54340
C. 54400
D. 54440 ---------CORRECT ANSWER-----------------A. 54304
A 22-year-old is 14 weeks pregnant and wants to terminate the pregnancy.
She has consented for a D&E. She was brought to the operating room
where MAC anesthesia was given. She was then placed in the dorsal
lithotomy position and a weighted speculum was placed into her posterior
vaginal vault. Cervix was identified and dilated. A 6.5-cm suction catheter
hooked up to a suction evacuator was placed and products of conception
were evacuated. A medium size curette was then used to curette her
endometrium. There was noted to be a small amount of remaining products
of conception in her left cornua. Once again the suction evacuator was
placed and the remaining products of conception were evacuated. At this
, point she had a good endometrial curetting with no further products of
conception noted. Which CPT® code should be used?
A. 59840
B. 59841
C. 59812
D. 59851 ---------CORRECT ANSWER-----------------B. 59841
A 37-year-old female has menorrhagia and wants permanent sterilization.
The patient was placed in Allen stirrups in the operating room. Under
anesthesia the cervix was dilated and the hysteroscope was advanced to
the endometrium into the uterine cavity. No polyps or fibroids were seen.
The Novasure was used for endometrial ablation. A knife was then used to
make an incision in the right lower quadrant and left lower quadrant with 5-
mm trocars inserted under direct visualization with no injury to any
abdominal contents. Laparoscopic findings revealed the uterus, ovaries
and fallopian tubes to be normal. The appendix was normal as were the
upper quadrants. Because of the patient's history of breast cancer and
desire for no further children, it was decided to take out both the tubes and
ovaries. This had been discussed with the patient prior to surgery. What
are the codes for these procedures?
A. 58660, 58353-51
B. 5866 ---------CORRECT ANSWER-----------------B. 58661, 58563-51
MRI reveals patient has cervical stenosis. It was determined he should
undergo bilateral cervical laminectomy at C3 through C6 and fusion. The
edges of the laminectomy were then cleaned up with a Kerrison and
foraminotomies were done at C4, C5, and,C6. The stenosis is central; a
facetectomy is performed by using a burr. Nerve root canals were freed by
additional resection of the facet, and compression of the spinal cord was
relieved by removal of a tissue overgrowth around the foramen. Which
CPT® code(s) is (are) used for this procedure?
A. 63045-50, 63048-50
B. 63020-50, 63035-50, 63035-50
C. 63015-50
D. 63045, 63048 x 2 ---------CORRECT ANSWER-----------------D. 63045,
63048 x 2
