AAPC Quiz A, AAPC Exam B TEST WITH ANSWERS
1. C. 15100, 15002 INDICATION: Patient has a hypertrophic scar on the pos-
terior side of the left leg, at the level of the knee. This has
begun to restrict his mobility. His physical therapy trial was
unsuccessful.
PROCEDURE: After the proper induction of anesthesia,
the subcutaneous tissue of the patient's left leg beneath
the scar was infiltrated with crystalloid solution containing
epinephrine to minimize blood loss. The scar was then
excised down to viable dermis. Hemostasis was obtained
with epinephrine soaked pads. Skin was created by the
surgery. The graft was secured with skin staples, and
then dressed with fine mesh guaze followed by medica-
tion-soaked gauze. The donor site was dressed with mesh
followed by Adaptic followed by a dry dressing and an Ace
wrap.
A. 15110-52, 15002
B. 15100, 11406
C. 15100, 15002
D. 15110, 15002
2. C. 15277, 15278 INDICATIONS: 15-yr-old boy was burned in a fire & as-
x 7, 15272, 15274 sessed to have received burns to 75% of his total body
x16, 15004, 15005 surface area. He was transferred to a burn center for
x7, 15002, 15003 definitive treatment. Once stable, he was brought to the
x 16, 15040 OR. PROCEDURE: Due to extent of the patients burns
& lack of sufficient donor sites, his full-thickness burns
will be excised & covered with xenograft (skin substitute
graft), & a split-thickness skin biopsy will be harvested
for preparation of autologous grafts to be applied in the
coming weeks, when available. After induction of anesthe-
sia, extensive debridement of the full-thickness burns was
undertaken. Attention was first directed to the patients
face, neck, & scalp. A total of 500 sq cm in this area
received full-thickness burns. The eschar involving this
area was excised down to viable tissue. Hemostasis was
achieved using electrocautery. Attention was then turned
to the trunk. A total of 950 sq cm in this area received
full-thick burns. The eschar involving this area was ex-
cised down to viable tissue. Hemostasis was achieved.
, AAPC Quiz A, AAPC Exam B TEST WITH ANSWERS
Attention was then turned to the arms & legs. A total of
725 sq cm received full-thick burns. The eschar involving
this area was excised down to viable tissue. Hemostasis
was achieved. Attention was then turned to the hands &
feet. A total of 300 sq cm in this area received full-thick
burns. The eschar involving this area was excised down
to viable tissue. All involved areas were then covered
with xenograft. Finally a split thickness skin graft of 0.015
in, in depth was harvested using a dermatome from a
separate donor site. A total of 85 sq cm was recovered.
What procedures codes would be reported service?
A. 15200, 15201 x 123, 15004, 15005, 15002, 15003
B. 15275, 15276 x 31, 15271, 15272 x 66, 15004, 15005
x 16, 15002, 15003 x 7
C. 15277, 15278 x 7, 15272, 15274 x16, 15004, 15005
x7, 15002, 15003 x 16, 15040
D. 15130, 15131 x 7, 15135, 15136 x 16, 15004, 15005 x
7, 15002, 15003 x 16
3. C. 13132, 13133 The physician is called in to perform repairs for a
x 3,13101, 13102, 17-year-old girl involved in a motor vehicle accident. She
12052 sustained an 8.6 cm laceration to her forehead, a 5.5
cm laceration to her right cheek, a 4 cm laceration to
her left cheek, a 4 cm laceration across her chin, and
a 12.5 cm laceration to her chest. The wound on her
chin required a layered closer. All other wounds required
complex closure.
A. 13132, 13133 x 4, 13101, 12052
B. 13132, 13133 x 3, 13133-52, 13101, 13102, 12052
C. 13132, 13133 x 3, 13101, 13102, 12052
D. 13131, 13132, 13133 x 3, 13101, 13102, 12052
4. A. 19120, N63 The left breast was prepped & draped in a sterile fashion.
An incision from the 3 around to the 9 o'clock position
on the areolar border on its inferior aspect was made
in the skin & extended to the subcutaneous tissue. The
breast mass was excised by sharp dissection. The mass
was found to be approximately 1.5-2 cm in maximum
dimension. Hemostasis was made adequate using elec-
, AAPC Quiz A, AAPC Exam B TEST WITH ANSWERS
trocautery & the Argon beam coagulator. After this was
accomplished, the skin margins were reapproximated
w/running inverted 3-0 Vicryl subcuticular suture. Select
procedure & diagnosis codes.
A. 19120, N63
B. 19301, D49.3
C. 19125, N60.82
D. 19101, N64.51
5. B. 17000, 17003 x A 36-year-old male presents to have multiple lesions de-
4, 17110 stroyed. Three benign lesions on his face are destroyed
and five actinic keratoses on his left arm are destroyed.
A. 17000, 17003
B. 17000, 17003 x 4, 17110
C. 17110
D. 17260 x 5, 17110 x 3
6. B. 15630-58 INDICATIONS: 55-yr-old female had a sizeable 1.5 cm
basal cell carcinoma on the right upper lip. She had a 2
cm defect. After excision, it was reconstructed in a first
stage with a nasolabial cheek flap. The margins were
clear & she planned for the second stage. OPERATIVE
PROCEDURE: Under intravenous sedation, patient in
supine position, the ace was prepped & draped. Division
performed to the bridge between the base of the flap
of the upper lip. Unfurled the base of the flap that was
excised until it was soft & pliable. It is defatted & laid back
onto the cheek with interrupted 5-0 Monocryl & running
6-0 plain catgut. Similar procedure was performed on the
redundant portion of the flap & permanently set into the
upper lip. Steri-strips applied.
A. 15758-79
B. 15630-58
C. 15758-76
D. 15630-78
7. D. 27096 Patient is having ongoing back and hip pain. The physi-
cian elects to perform a sacroiliac injection at an ambula-
tory surgery center. After sterile prep, the patient is placed
, AAPC Quiz A, AAPC Exam B TEST WITH ANSWERS
prone position. A needle is placed under fluoroscopic
guidance into the SI joint and a mixture of 20 mg of
Celestone and Marcaine is injected for pain relief.
A. 27096, 77003-26
B. 20611
C. 20552
D. 27096
8. B. 24340 25-yr-old male has a ruptured distal biceps tendon at the
proximal end of the radius. An incision is made overly-
ing the antecubital fossa. The biceps tendon was tagged
using #1 Vicryl-suture. The second incision made on the
superior border of the ulna. The supinator was incised
deep to expose the radial tuberosity. Drill holes are made
at the radial tuberosity in which sutures & the distal biceps
tendon are placed in the hole of the radial tuberosity.
Two sutures are placed in the biceps tendon in horizontal
mattress type fashion pulled tight & secured. The distal
biceps tendon is reattached to the radius to restore elbow
function. Closure was then accomplished with sutures &
staples. What is the correct code for this procedure?
A. 24342
B. 24340
C. 23430
D. 23440
9. C. 24579-RT, Patient is seen in the hospital's outpatient surgical area
S42.451A witha diagnosis of a displaced comminluted closed frac-
ture of the lateral condyle, right elbow. An ORIF procedure
was performed, which included the following techniques:
An incision was made in the area of the lateral epicondyle.
This was carried through subcutaneous tissue, and the
fracture site was easily exposed. Inspection revealed the
fragment to be rotated in two places, about 90 degrees. It
was possible to manually reduce the quite easily, and the
manipulation resulted in an almost anatomic reduction.
This was fixed with two pins driven across the humerus.
The pins were cut off below skin level The wound was
closed with plain catgut subcutaneously and 5-0 nylon for
