AAPC CPC 2023/2024 ACTUAL EXAM WITH 230 QUESTIONS & 100% CORRECT VERIFIED ANSWERS G RADED A+ LATEST VERSION| BRAND NEW!! 1- A 46 -year-old female had a previous biopsy that indicate d 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 h istopathologic examination. What are the CPT® code(s) for this procedure? - ANSWER ✔✔ -11626, 12044 -51 2- 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 th at 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? - ANSWER ✔✔ -11044 3- 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. - ANSWER ✔✔ -99283 -25, 12053, 12034 -59 4- 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 m ass 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? - ANSWER ✔✔ -21931, D17.1 5- 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 inci sion 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 su ture. The skin was closed with 2 -0 Vicryl and 3 -0 Monocryl®. What procedure code is reported? - ANSWER ✔✔ -27485 -50 6- The patient is a 67 -year-old gentleman with metastatic colon cancer recently operated on for a brain metastasis, now for placement of an In fuse-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 po cket 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 tis - ANSWER ✔✔ -36561, 77001 -26 7- 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: - ANSWER ✔✔ -32557 8- 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 dissect ion 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 defe ct 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? - ANSWER ✔✔ -49652 9- 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-
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