Exam (elaborations)

AAPC CPC (CODE SELECTION) EXAM GEADED A

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aapc cpc code selection
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aapc cpc code selection exam geaded a

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AAPC CPC (CODE SELECTION) EXAM GEADED A

B - CORRECT ANSWER A patient arrives at the hospital from a nursing home with a
stage 3 bed sore on his left hip. List the ICD-10-CM code for the bedsore.
A) L89.209
B) L89.223
C) L97.823
D) L89.323

C - CORRECT ANSWER Operative Report:
INDICATIONS FOR SURGERY: The patient is a 72-year-old male with a biopsy-
proven squamous cell carcinoma of his left forearm. With his permission, I
marked my planned excision and my best guess at the resultant scar, which
included a rhomboid flap repair. The patient observed these markings in a mirror,
so he could understand the surgery, agree on the location and I proceeded.

DESCRIPTION OF PROCEDURE: The patient was given 1 g of IV Ancef. The area
was infiltrated with local anesthetic. The forearm was prepped and draped in a
sterile fashion. I excised this lesion measuring 1.2 cm diameter as drawn into the
subcutaneous fat. A suture was used to mark this specimen at its proximal tip
and this was labeled at 12 o'clock. Negative margins were then given. Meticulous
hemostasis was achieved using a Bovie cautery. I incised my planned rhomboid
flap measuring 2cm x 2cm. I elevated the flap with a full-thickness of skin and
subcutaneous fat. The total defect size was 5.44 sq cm. The flap was rotated into
the defect and the donor site was closed and the flap was inset in layers using 4-
0 Monocryl and 5-0 Prolene. Loupe magnification was used throughout the
procedure and the patient tolerated the procedure well. What CPT® code(s)
should be reported for this example?
A) 14040
B) 14020, 11602-51
C) 14020
D) 14021

B - CORRECT ANSWER A patient presents to her doctor with three medium sized
suspicious lesions on her leg. The physician uses a saw type instrument and
slices horizontally to remove the lesions. The lesions are sent for pathology. What
CPT® code(s) should be reported for this example?

,A) 11000, 11101 x 2
B) 11300, 11300-51 x 2
C) 11302 x 3
D)11303

A - CORRECT ANSWER A patient has a squamous cell carcinoma on the tip of the
nose. After prepping the patient and site, the physician removes the tumor (first
stage) and divides it into seven blocks for examination. Seeing positive margins,
he removes a second stage, which he divides into five blocks. The physician
again identifies positive margins. He performs a third stage and divides the
specimen into three blocks proving to be clear of the skin cancer.

What are the correct CPT® codes to report for this example?
A) 17311, 17312, 17312, 17315, 17315
B) 17311, 17312, 17312
C) 11640 x 3
D) 11440 x 3

B - CORRECT ANSWER Patient presents to the dermatologist for the removal of
warts on his hands. Upon evaluation it is noted the patient has nine warts on his
right hand and 10 on his left hand, all of which he has indicated he would like
removed today. After discussion with the patient regarding the destruction
method and aftercare the patient agreed to proceed. Using cryosurgery the
physician applied two squirts of liquid nitrogen on each of the warts on his right
and left hand. Aftercare instructions were given to the patient's wife. The patient
tolerated the procedure well.

What CPT® code(s) should be reported for this example?
A) 17110, 17111
B) 17111
C) 17004
D) 17111 x 19

A - CORRECT ANSWER A 32-year-old female is having excision of a mass in her left
breast. The physician makes a curved incision along the inferior and medial
aspect of the left areola. A breast nodule, measuring approximately 1 cm in
diameter, was identified. It appeared to be benign. It was firm, gray, and discrete.
It was completely excised. There was no gross evidence of malignancy. The
bleeding was controlled with electrocautery. The skin edges were approximated
with a continuous subcuticular 4-0 Vicryl suture. Indermil tissue adhesive was
applied to the skin as well as a dry gauze dressing. What is the correct CPT®
code to report for this example?

, A) 19120-LT
B) 19125-LT
C) 19301-LT
D) 19370-LT

C - CORRECT ANSWER When coding multiple burns, which is correct?
A) Sequence first the code reflecting the largest area in rule of nines with this
degree of burn
B) Sequence first the circumstance of the burn occurrence
C) Sequence first the code reflecting the highest degree of burn
D) Sequence first the code identifying burns to the head and neck

B - CORRECT ANSWER A patient presents to the Dermatologist with a suspicious
lesion on her left arm and another one on her right arm. After examination the
physician feels these lesions present as highly suspicious and obtains consent to
perform punch biopsies on both sites. After prepping the area, the physician
injects the sites with Lidocaine 1% and .05% Epi. A 3 mm punch biopsy of the
lesion of the left arm and a 4mm punch biopsy of the lesion of the right arm is
taken. The sites are closed with a simple one-layer closure and the patient is to
return in 10 days for suture removal and to discuss the pathology results. The
patient tolerated the procedure well. Select the CPT® code(s) for this procedure.
A) 10060
B) 11100, 11101
C) 11400, 11400-59
D) 11600, 11600-59

D - CORRECT ANSWER A patient presents to the primary care physician with
multiple skin tags. After a complete examination of the skin, the provider
discusses with the patient the removal of 18 skin tags located on the patient's
neck and shoulder area. Patient consent is obtained and the provider removes all
18 skin tags by scissoring technique. Select the CPT® code(s) for this procedure.
A) 11201
B) 11200, 11201-51
C) 17000
D) 11200, 11201

D - CORRECT ANSWER A patient presents to the emergency department with
multiple lacerations. After inspection and cleaning of the multiple wounds the
physician proceeds to close the wounds. The documentation indicates the
following:

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Exam (elaborations)

AAPC CPC (CODE SELECTION) EXAM GEADED A

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