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AAPC CPC FINAL EXAM REAL EXAM WITH QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS)AGRADE
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AAPC CPC FINAL EXAM REAL EXAM WITH QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS)AGRADE
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AAPC CPC FINAL EXAM 2023-2024 REAL EXAM WITHQUESTIONS AND CORRECT ANSWERS (VERIFIED
ANSWERS)|AGRADE
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
arethe CPT® code(s) for this procedure?
A. 11626
B. 11626, 12004-51
C. 11626, 12044-51
D. 11626, 13132-51, 13133 - 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
downto 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 ofvery 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 - 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 Prolenesutures 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 - D. 99283-25, 12053, 12034-59
,A 52-year-old female has a mass growing on her right flank for several years. It has
finallygotten 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 - 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. Theright 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 the proximal pole of the scaphoid distal ward. The guidewire was
positioned appropriately and then measured. A 25-mm Acutrak® drill bit was drilled to
25 mm. A 22.5-mm screw was selected and inserted and rigid internal fixation was
accomplished in this fashion. This was visualized under the OEC imaging device in
multiple projections. The wound was irrigated and closed in layers. Sterile dressings
were then applied. The patient tolerated the procedure well andleft the operating room
in stable condition. What CPT® code is reported for this procedure?
A. 25628-RT
B. 25624-RT
C. 25645-RT
D. 25651-RT - 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. TheOrthofix® 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 - 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 with 2-0 silk stitch. What CPT® code(s) is (are)
reported for this procedure?
A. 36556, 77001-26
B. 36558
C. 36561, 77001-26
D. 36571 - 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 theguidewire 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 - 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
ofextensive layering of intimal hyperplasia with no evidence of recurrent
atherosclerosis. A silastic balloon-tip shunt was inserted first proximally and then
distally, with restoration offlow. Several layers of intima were removed and the
endarterectomized surfaces irrigated with heparinized saline. An oval Dacron patch was
then sewn into place with running 6-0 Prolene. Which CPT® code(s) is/are reported?
A. 35301
B. 35301, 35390
C. 35302
D. 35311, 35390 - 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
wasmade 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 lateral port, where multiple adhesions to the gallbladder were
taken down sharply and bluntly: The gallbladder appeared chronically inflamed.
Dissection was carried out to theright of this identifying a small cystic duct and artery,
was clipped twice proximally, once distally and transected. The gallbladder was then
taken down from the bed using electrocautery, delivering it into an endo-bag and
removing it from the abdominal cavitywith the umbilical port. What CPT® and ICD-10-
CM codes are reported?
A. 47564, K81.2
B. 47562, K81.1
C. 47610, K81.2
D. 47600, K81.1 - B. 47562, K81.1
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
anddissection 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 defect was clearly visualized. There was some omentum, which was adhered to
thehernia and this was delivered back into the peritoneal cavity. The mesh was tacked
on tocover the defect. What procedure code(s) is (are) reported?
A. 49560, 49568
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