Guided Exam Study Materials: CPC
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A 30-year-old female patient with a benign tumor in the lower-outer quadrant of her right breast
is scheduled for a simple mastectomy. An elliptical incision is made through the right breast and
extends into the nipple-areola complex, penetrating beyond the subcutaneous tissue. Counter-
traction is applied, and the breast is dissected free from the pectoralis major muscle. A suction
drainage is placed via a separate stab incision to remove excess fluid. After completing the
procedure, the incision is closed.
What CPT® and ICD-10-CM codes should be reported?
A. 19303, D24.1
B. 19307, D49.3
C. 19303, N63.13
D. 19305, D24.1 A. 19303, D24.1
A 52-year-old female is diagnosed with squamous cell carcinoma of the neck. A wide local
excision of the carcinoma, measuring 3.0 cm, with a 0.3 cm margin, is performed, followed by a
4 cm closure. The patient’s neck is examined, and the excision site is marked. After prepping the
site, a 15-blade scalpel is used to create an incision down through the epidermis. Extensive
undermining is performed before the lesion is sharply dissected from the underlying tissue using
the scalpel. The lesion is tagged for pathological examination, and hemostasis is achieved with a
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,hyfrecator. The wound is closed by advancing surrounding tissue, and multilayered sutures are
used to close the deep layers (3-0 Vicryl) and skin (5-0 Prolene). A running subcuticular skin
closure is used. Steri-Strips are applied.
What CPT® and ICD-10-CM codes should be reported?
A. 13132, 11624-51, C44.42
B. 13132, 11624-51, C44.31
C. 13132, 11624-51, C44.32
D. 13132, 11625-51, C44.42 A. 13132, 11624-51, C44.42
A 52-year-old female presents for incision and drainage (I&D) of a recurring carbuncle at the
base of her neck. After prepping and anesthetizing the patient, the surgeon makes a
circumferential incision over the abscess area. The incision is deepened through the vascular
inner skin layer and into the abscess cavity. The abscess is opened, and the inflamed fatty and
necrotic tissue is excised. The pus is completely drained, and the abscess cavity is packed with
gauze and left open with a drain for continued discharge. A sample of the pus is sent for
laboratory analysis, which reveals Staphylococcus aureus.
What CPT® and ICD-10-CM codes are reported?
A. 10061, L02.13, B95.61
B. 10061, L02.13, B95.62
C. 10060, L02.13, B95.61
D. 10060, L02.12, B95.61 A. 10061, L02.13, B95.61
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, A 45-year-old male diagnosed with spinal stenosis from the L3 to L5 vertebral levels undergoes
an arthrodesis and laminectomy. The patient is placed in the prone position, and an incision is
made over the L3-L5 vertebrae. Soft tissues are retracted to access the vertebrae, and fragments
of nearby cortical bone and articular cartilage are excised. The lamina is removed, and bone
chips are inserted to fuse the L3-L4 and L4-L5 interspaces. The area is irrigated, and a layered
closure is performed to close the incision.
What CPT® codes are reported?
A. 22630, 22632 x 3
B. 22630, 22632
C. 22633, 22634 x 2
D. 22612, 22614 B. 22630, 22632
A 52-year-old female undergoes a radical resection of a sarcoma located on her back. After
administration of anesthesia, a curvilinear incision is made around the tumor. The incision is
extended, and the fascia and subfascial layers are raised to expose the tumor. The neurovascular
structures in the area are identified and preserved. The tumor is dissected from surrounding tissue
and removed, along with an additional margin of tissue to ensure complete excision. The excised
tumor measures 4.5 cm in diameter. The incision is then closed in layers.
What CPT® and ICD-10-CM codes should be reported?
A. 21932, C49.6
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