AAPC CPC Practice Exam 2024 | AAPC
CPC Practice Actual Exam Latest 2024
Questions and Correct Answers Rated A+
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 -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 -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 -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 -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 -
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 -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 -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 -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 -
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
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