AAPC CPC Chapter 7&8 BEST
STUDYING MATERIAL WITH VERIFIED
ANSWERS LATEST VERSION UPDATE
2024-2025
A – ANSWER
Melanin is found in what layer of the epidermis?
A) Basal
B) Epithelium
C) Dermal
D) Squamous
D - ANSWER
Which statement is TRUE regarding the Table of Neoplasms in ICD-10-CM?
A) The Table of Neoplasms is found in the Tabular List.
B) There is not a Table of Neoplasms in ICD-10-CM.
C) The Table of Neoplasms is found by looking for Neoplasm in the ICD-10-CM
Alphabetic Index.
D) There are six columns in the Table of Neoplasms; Malignant Primary, Malignant
Secondary, Ca in situ, Benign, Uncertain Behavior and Unspecified Behavior.
C - ANSWER
What term relates to connection of skin to underlying muscles?
A) Dermis
B) Sebaceous
C) Hypodermis
D) Epidermis
C – ANSWER
Most categories in ICD-10-CM chapter 19: Injury, Poisoning, and Certain Other
Consequences of External Causes have three main 7th character extenders (with the
exception of fractures). What does 7th character D indicate?
A) Sequela
B) Initial encounter
C) Subsequent encounter
D) 7th character extenders are not applicable for injury and poisoning.
,D - ANSWER
What is the correct diagnosis code to report treatment of a melanoma in-situ of the left
upper arm?
A) C44.609
B) C43.62
C) D04.62
D) D03.62
A – ANSWER
What CPT® codes are reported for the destruction of 16 premalignant lesions and 10
benign lesions using cryosurgery?
A) 17004, 17110
B) 17000, 17003, 17004, 17110
C) 17000, 17003 x 2, 17110
D) 17110, 17003
B – ANSWER
A 63 year-old patient arrives for skin tag removal. As previously noted at her last visit,
she has 3 located on her face, 4 on her shoulder and 15 on her back. The physician
removes all the skin tags with no complications. What CPT® code(s) is/are reported for
this encounter?
A) 11200, 11201-52
B) 11200, 11201
C) 11201, 11201-51
D) 11201
C – ANSWER
Patient presents to the physician for removal of a squamous cell carcinoma of the right
cheek. After the area is prepped and draped in a sterile fashion the surgeon measured
the lesion, and documented the size of the lesion as 2.3 cm at its largest diameter.
Additionally, the physician took margins of 2 mm on each side of the lesion. Single layer
closure was performed. The patient tolerated the procedure well. What CPT® code(s)
is/are reported?
A) 11643, 12013
B) 11642, 12013
C) 11643
D) 11442
A - ANSWER
The patient is here to follow-up for a keloid excised from his neck in November of last
year. He believes it is coming back. He does have a recurrence of the keloid on the
,superior portion of the scar. Because the keloid is still small, options of an injection or
radiation to the area were discussed. It was agreed our next course should be a
Kenalog injection. Risks associated with the procedure were discussed with the patient.
Informed consent was obtained. The area was infiltrated with 1.5 cc of medication. This
was a mixture of 1 cc of Kenalog-10 and 0.5 cc of 1% lidocaine with epinephrine. He
tolerated the procedure well. What codes are reported?
A) 11900, J3301, L91.0
B) 11950, J3301, L90.5
C) 11951, J3300, L91.0
D) 11900, J3300, L90.5
C - ANSWER
A 45 year-old male with a previous biopsy positive for malignant melanoma presents for
definitive excision of the lesion. After induction of general anesthesia, the patient is
placed supine on the OR table, the left knee prepped and draped in the usual sterile
fashion. IV antibiotics are given as the patient had previous MRSA infection. The
previous excisional biopsy site on the left knee measured approximately 4 cm and was
widely ellipsed with a 1.5 cm margin. The excision was taken down to the underlying
patellar fascia. Hemostasis was achieved via electrocautery. The resulting defect was
11cm x 5cm. Wide advancement flaps were created inferiorly and superiorly using
electrocautery. This allowed skin edges to come together without tension. The wound
was closed using interrupted 2-0 Monocryl and 2 retention sutures were placed using #1
Prolene. Skin was closed with a stapler.
What CPT® code(s) is/are reported?
A) 15758
B) 14301, 11606-51
C) 14301
D) 15738, 11606-51
D - ANSWER
The patient is here to see us about some skin tags on her neck and both underarms.
She has had these lesions for some time; they are irritated by her clothing, itch, and at
times have a burning sensation. We discussed treatment options along with risks.
Informed consent was obtained and we proceeded. We removed 16 skin tags from the
right axilla, 16 skin tags from the left axilla, 10 from the right side of the neck and 17
from the left side of the neck. What CPT® and ICD-10-CM codes are reported?
A) 11057, D23.5, D23.4
B) 11200, 11201-51 x 5, D23.5, D23.4
C) 11200, 11201 x 4, 11201-52, L91.8
D) 11200, 11201 x 5, L91.8
A - ANSWER
, A patient is diagnosed with actinic keratosis of the chest and arms. She presents to her
physician's office for destruction of these lesions. Using cryosurgery, the physician
destroys 4 lesions on the right arm, 4 lesions on the left forearm and 4 lesions on the
chest. What CPT® and ICD-10-CM codes are reported?
A) 17000, 17003 x 11, L57.0
B) 17000, 17003, D49.2
C) 17000, 17003, 17004, L57.0
D) 17003 x 19, D48.5
B - ANSWER A
14 year-old boy was thrown against the window of the car on impact. The resulting
injury was a star-shaped pattern cut to the top of his head. In the ED, the MD on call for
plastic surgery was asked to evaluate the injury and repair it. The total length of the
intermediate repair was 5+4+4+5 cm (18 cm total). The star-like shape allowed the
surgeon to pull the wound edges together nicely in a natural Y-plasty in two spots. What
CPT® code is reported for the repair?
A) 13121
B) 12035
C) 14041
D) 14040
C - ANSWER
What CPT® code(s) would best describe treatment of 9 plantar warts removed and 6
flat warts all destroyed with cryosurgery during the same office visit?
A) 17110, 17003
B) 17110, 17111-52
C) 17111
D) 17110
C - ANSWER INDICATIONS FOR SURGERY: The patient is an 82 year-old male with
biopsy-proven basal cell carcinoma of his right lower eyelid extending to the upper part
of the cheek. I marked the area for rhomboidal excision and I drew my planned
rhomboid flap. The patient observed these markings in a mirror, he understood the
surgery and agreed on the location and we proceeded.
DESCRIPTION OF PROCEDURE: The area was infiltrated with local anesthetic. The
face was prepped and draped in sterile fashion. I excised the lesion as drawn into the
subcutaneous fat. Hemostasis was achieved using Bovie cautery. Modified Mohs
analysis showed the margin to be clear. I incised the rhomboid flap as drawn and
elevated the flap with a full-thickness of subcutaneous fat. Hemostasis was achieved in
the donor site, the Bovie cautery was not used, hand held cautery was used. The flap
was rotated into the defect. The donor site was closed and flap inset in layers using 5-0
