AAPC CPC FINAL REAL EXAM QUESTIONS WITH CORRECT ANSWERS 2023/2024
AAPC CPC FINAL REAL EXAM QUESTIONS WITH
CORRECT ANSWERS 2023/2024
A 46-year-old
... [Show More] 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 are the CPT® code(s) for this procedure?
11626
11626, 12004-51
11626, 12044-51
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 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 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?
11043
11012
11044
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 Prolene sutures on the skin.
The hand and foot were closed with adhesive strips. Select the appropriate
procedure codes for this visit.
99283-25, 12014, 12034-59, 12002-59, 11042-51
99283-25, 12053, 12034-59, 12002-59
99283-25, 12014, 12034-59, 11042-51
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 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 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. The right 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 and left the
operating room in stable condition. What CPT® code is reported for this
procedure?
25628-RT
25624-RT
25645-RT
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. The Orthofix® 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?
27470-50
27475-50
27477-50
27485-50 - D. 27485-50
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