CPC Exam A Practice Questions Final Exam
Questions And Answers 2025 Already Graded A+
With Rationale Answers
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 ✔✔-C. 11626,12044-51
Rationale: 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.
,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 - ✔✔ANSWER ✔✔-C. 11044
Rationale: Debridement is not being performed on an open
fracture/open dislocation eliminating multiple choice answer B. The
ulcer was debrided all the way to the bone of the foot, making multiple
choice answer C, the correct procedure.
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 - ✔✔ANSWER ✔✔-D. 99283-25, 12053,
12034-59
Rationale: To start narrowing your choices down, the hand and foot
were closed with adhesive strips. The Section Guidelines in the CPT®
manual for Repair (Closure) states: "Wound closure utilizing adhesive
strips as the sole repair material should be coded using the appropriate
E/M code." Eliminating multiple choice answers A and B. The
lacerations on the face are intermediate repairs, because debridement
and glass debris was removed. The guidelines in the CPT® codebook for
Repair (Closure) states: "Single-layer closure of heavily contaminated
wounds that have required extensive cleaning or removal of particulate
matter also constitutes intermediate repair." Eliminating multiple
choice answer C. The intermediate repair of the lacerations to the face
totaled 6 cm (12053). The right arm and left leg had cuts measuring 5
cm each which totaled 10 cm requiring intermediate repair (12034).
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 - ✔✔ANSWER ✔✔-C. 21931, D17.1
Rationale: The mass growing turned out to be a lipoma found in the
subcutaneous tissue of the flank. In the ICD-10-CM Alphabetic Index,
look for Lipoma/subcutaneous/trunk. You are referred to code D17.1,
eliminating multiple choice answers A and D. Because the 4 cm tumor
was found in the subcutaneous tissue code 21931 is the correct CPT®
code to report.
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
Questions And Answers 2025 Already Graded A+
With Rationale Answers
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 ✔✔-C. 11626,12044-51
Rationale: 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.
,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 - ✔✔ANSWER ✔✔-C. 11044
Rationale: Debridement is not being performed on an open
fracture/open dislocation eliminating multiple choice answer B. The
ulcer was debrided all the way to the bone of the foot, making multiple
choice answer C, the correct procedure.
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 - ✔✔ANSWER ✔✔-D. 99283-25, 12053,
12034-59
Rationale: To start narrowing your choices down, the hand and foot
were closed with adhesive strips. The Section Guidelines in the CPT®
manual for Repair (Closure) states: "Wound closure utilizing adhesive
strips as the sole repair material should be coded using the appropriate
E/M code." Eliminating multiple choice answers A and B. The
lacerations on the face are intermediate repairs, because debridement
and glass debris was removed. The guidelines in the CPT® codebook for
Repair (Closure) states: "Single-layer closure of heavily contaminated
wounds that have required extensive cleaning or removal of particulate
matter also constitutes intermediate repair." Eliminating multiple
choice answer C. The intermediate repair of the lacerations to the face
totaled 6 cm (12053). The right arm and left leg had cuts measuring 5
cm each which totaled 10 cm requiring intermediate repair (12034).
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 - ✔✔ANSWER ✔✔-C. 21931, D17.1
Rationale: The mass growing turned out to be a lipoma found in the
subcutaneous tissue of the flank. In the ICD-10-CM Alphabetic Index,
look for Lipoma/subcutaneous/trunk. You are referred to code D17.1,
eliminating multiple choice answers A and D. Because the 4 cm tumor
was found in the subcutaneous tissue code 21931 is the correct CPT®
code to report.
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
