AAPC CPC Practice Exam C Questions and Answers
1. 7-year-old riding his bike struck a tree stump throwing him off his bike.
He received multiple lacerations. He had a 3 cm dermis laceration on his
scalp with two 0.5 cm lacerations on his face. His right arm had a 5 cm
laceration and right leg has a 5cm laceration. The physician stapled the
laceration for the scalp. Physician used steri-strips (adhesive strips) to
close the wounds on the face. The legs and arms were cleaned by heavily
irrigating them with normal saline and removal of embedded debris
performed on both wounds, followed with a single-layer closure. Select the
repair codes to report.
A. 12032, 12032-59, 12011-59, 12002-59
B. 12002, 12002-59, 12011-59, 12002-59
C. 12005, 11042-59
D. 12034, 12002-59: D. 12034, 12002-59
The two face lacerations were closed with steri-strips (adhesive strips).
When adhesive strips are the only repair material used to close an
open wound a repair code is not reported. According to CPT®
subsection guidelines for Repair (Closure), when wound closure uses
adhesive strips as the only repair material it should be coded using the
appropriate E/M service. Code 12011 is inappropriate to report for this
scenario, eliminating multiple choices A and B. The repairs for the
wounds on the arm and leg are intermediate closures. According to
, CPT® subsec- tion guidelines for Repair (Closure), single-layer closure
of heavily contaminated wounds that have required extensive cleaning
or removal of particulate matter also constitutes intermediate repair.
This eliminates multiple choice C. To report multiple wounds that are
repaired in the same classification and from the anatomic sites that
are grouped together into the same code descriptor, add together the
length of the wounds. The subsection guidelines also indicates when
more than one classification of wounds is repaired, append modifier 59
to the least complicated repair(s).
2. A 55-year-old male presents in the office with an ingrown toenail on the
right and left foot. The procedure was discussed in detail and the patient
elected to have it performed. The right foot was prepped and draped in
sterile fashion. The right great toe was anesthetized with 50/50 solution of
2 percent lidocaine and .05 percent Marcaine. A mini-tourniquet was placed
around the toe for hemostasis in which part of the nail plate and
maxtrixectomy were performed. Phenol was then applied, the toe was then
flushed. Tourniquet was released and dressing applied. At this time the
patient elected to only have one performed and will return in two weeks for
the left foot. Code the procedure.
A. 11765-T5
1. 7-year-old riding his bike struck a tree stump throwing him off his bike.
He received multiple lacerations. He had a 3 cm dermis laceration on his
scalp with two 0.5 cm lacerations on his face. His right arm had a 5 cm
laceration and right leg has a 5cm laceration. The physician stapled the
laceration for the scalp. Physician used steri-strips (adhesive strips) to
close the wounds on the face. The legs and arms were cleaned by heavily
irrigating them with normal saline and removal of embedded debris
performed on both wounds, followed with a single-layer closure. Select the
repair codes to report.
A. 12032, 12032-59, 12011-59, 12002-59
B. 12002, 12002-59, 12011-59, 12002-59
C. 12005, 11042-59
D. 12034, 12002-59: D. 12034, 12002-59
The two face lacerations were closed with steri-strips (adhesive strips).
When adhesive strips are the only repair material used to close an
open wound a repair code is not reported. According to CPT®
subsection guidelines for Repair (Closure), when wound closure uses
adhesive strips as the only repair material it should be coded using the
appropriate E/M service. Code 12011 is inappropriate to report for this
scenario, eliminating multiple choices A and B. The repairs for the
wounds on the arm and leg are intermediate closures. According to
, CPT® subsec- tion guidelines for Repair (Closure), single-layer closure
of heavily contaminated wounds that have required extensive cleaning
or removal of particulate matter also constitutes intermediate repair.
This eliminates multiple choice C. To report multiple wounds that are
repaired in the same classification and from the anatomic sites that
are grouped together into the same code descriptor, add together the
length of the wounds. The subsection guidelines also indicates when
more than one classification of wounds is repaired, append modifier 59
to the least complicated repair(s).
2. A 55-year-old male presents in the office with an ingrown toenail on the
right and left foot. The procedure was discussed in detail and the patient
elected to have it performed. The right foot was prepped and draped in
sterile fashion. The right great toe was anesthetized with 50/50 solution of
2 percent lidocaine and .05 percent Marcaine. A mini-tourniquet was placed
around the toe for hemostasis in which part of the nail plate and
maxtrixectomy were performed. Phenol was then applied, the toe was then
flushed. Tourniquet was released and dressing applied. At this time the
patient elected to only have one performed and will return in two weeks for
the left foot. Code the procedure.
A. 11765-T5
