AAPC CPC Practice Questions | 231 Questions with 100% Correct Answers | Latest | 49 Pages
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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 fo...
aapc cpc practice questions | 231 questions with 100 correct answers | latest | 49 pages
aapc cpc practice questions
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AAPC CPC Practice Questions | 231 Questions
with 100% Correct Answers | Latest | 49 Pages
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 the proximal pole of the scaphoid distal ward. The guidewire was
positioned appropriately and then measured. A 25-mm Acutrak® drill bit was drilled to 25 mm.
A 22.5-mm screw was selected and inserted and rigid internal fixation was accomplished in this
fashion. This was visualized under the OEC imaging device in multiple projections. The wound
was irrigated and closed in layers. Sterile dressings were then applied. The patient tolerated the
procedure well and left the operating room in stable condition. What CPT® code is reported for
this procedure?
A. 25628-RT
B. 25624-RT
C. 25645-RT
D. 25651-RT 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 with 2-0 silk stitch.
What CPT® code(s) is (are) reported for this procedure?
A. 36556, 77001-26
B. 36558
C. 36561, 77001-26
D. 36571 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 endarterectomized surfaces
irrigated with heparinized saline. An oval Dacron patch was then sewn into place with running 6-
0 Prolene. Which CPT® code(s) is/are reported?
A. 35301
B. 35301, 35390
C. 35302
D. 35311, 35390 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-CM codes are
reported?
A. 47564, K81.2
B. 47562, K81.1
C. 47610, K81.2
D. 47600, K81.1 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
room. An infraumbilical incision was made which a 5-mm VersaStep™ trocar was inserted. A 5-
mm 0- degree laparoscope was introduced. A second 5-mm trocar was placed suprapubically and
a 12-mm trocar in the left lower quadrant. A window was made in the mesoappendix using blunt
dissection with no rupture noted. The base of the appendix was then divided and placed into an
Endo-catch bag and the 12-mm defect was brought out. Select the appropriate code for this
procedure:
A. 44970
B. 44950
C. 44960
D. 44979 Correct Answer: A. 44970
A 45-year-old male is going to donate his kidney to his son. Operating ports where placed in
standard position and the scope was inserted. Dissection of the renal artery and vein was
performed isolating the kidney. The kidney was suspended only by the renal artery and vein as
well as the ureter. A stapler was used to divide the vein just above the aorta and three clips across
the ureter, extracting the kidney. This was placed on ice and sent to the recipient room. The
correct CPT® code is:
A. 50543
B. 50547
C. 50300
D. 50320 Correct Answer: B. 50547
A 67-year-old female having urinary incontinence with intrinsic sphincter deficiency is having a
cystoscopy performed with a placement of a sling. An incision was made over the mid urethra
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