- | P a g e
2025 AAPC CPC FINAL EXAM AND PRACTICE /AAPC
CPC EXAM TEST BANK EXAM REAL EXAM
COMPLETE 350 QUESTIONS AND CORRECT DETAILS
(VERIFIED ANSWERS) |ALREADY GRADED A+
AAPC CPC FINAL EXAM
The patient is a 78-year-old white female with morbid obesity that presented with small bowel obstruction. She had surgery approximately one week ago and underwent exploration, which required a small bowel resection of the terminal ileum and anastomosis leaving her with a large inferior ventral hernia. Two days ago she started having drainage from her wound which has become more serious. She is now being taken back to the operating room. Reopening the original incision with a scalpel, the intestine was examined and the anastomosis was reopened , excised at both ends, and further excision of intestine. The fresh ends were created to perform another end- to-end anastomosis.
The correct procedure code is:
A. 44120-78
B. 44126-79
C. 44120-76
D. 44202-58 - ANSWER-A. 44120-78 1 / 4
- | P a g e
PREOPERATIVE DIAGNOSIS: Diverticulitis, perforated
diverticula POST OPERATIVE DIAGNOSIS: Diverticulitis,
perforated diverticula PROCEDURE: Hartmann procedure,
which is a sigmoid resection with Hartmann pouch and
colostomy. DESCRIPTION OF THE PROCEDURE: Patient
was prepped and draped in the supine position under general anesthesia. Prior to surgery patient was given 4.5 grams of Zosyn and Rocephin IV piggyback. A lower midline incision was made, abdomen was entered. Upon entry into the abdomen, there was an inflammatory mass in the pelvis and there was a large abscessed cavity, but no feces. The abscess cavity was drained and irrigated out. The left colon was immobilized, taken down the lateral perineal attachments. The sigmoid colon was mobilized. There was an inflammatory mass right at the area of the sigmoid colon consistent with a divertiliculitis or perforation with infection. Proximal to this in the distal left - ANSWER-B.44143
A 5-year-old male with a history of prematurity was found to have a chordee due to congenital hypospadias. He presents for surgical management for a plastic repair in straightening the abnormal curvature. Under general anesthesia, bands were placed around the base of the penis and incisions were made degloving the penis circumferentially. The foreskin was divided in Byers flaps and the penile skin was reapproximated at the 12 2 / 4
- | P a g e
o'clock position. Two Byers flaps were reapproximated, recreating a mucosal collar which was then criss- crossed and trimmed in the midline in order to accommodate median raphe reconstruction. This was reconstructed with use of a horizontal mattress suture. The shaft skin was then approximated to the mucosal collar with sutures correcting the defect. Which CPT® code should be used?
A. 54304
B. 54340
C. 54400
D. 54440 - ANSWER-A. 54304
A 22-year-old is 14 weeks pregnant and wants to terminate the pregnancy. She has consented for a D&E. She was brought to the operating room where MAC anesthesia was given. She was then placed in the dorsal lithotomy position and a weighted speculum was placed into her posterior vaginal vault. Cervix was identified and dilated. A 6.5-cm suction catheter hooked up to a suction evacuator was placed and products of conception were evacuated. A medium size curette was then used to curette her endometrium. There was noted to be a small amount of remaining products of conception in her left cornua. Once again the suction evacuator was placed and the remaining products of conception were evacuated. At this point she had a good 3 / 4
- | P a g e
endometrial curetting with no further products of conception noted. Which CPT® code should be used?
A. 59840
B. 59841
C. 59812
D. 59851 - ANSWER-B. 59841
A 37-year-old female has menorrhagia and wants permanent sterilization. The patient was placed in Allen stirrups in the operating room. Under anesthesia the cervix was dilated and the hysteroscope was advanced to the endometrium into the uterine cavity. No polyps or fibroids were seen. The Novasure was used for endometrial ablation. A knife was then used to make an incision in the right lower quadrant and left lower quadrant with 5-mm trocars inserted under direct visualization with no injury to any abdominal contents. Laparoscopic findings revealed the uterus, ovaries and fallopian tubes to be normal. The appendix was normal as were the upper quadrants. Because of the patient's history of breast cancer and desire for no further children, it was decided to take out both the tubes and ovaries. This had been discussed with the patient prior to surgery. What are the codes for these procedures?
A. 58660, 58353-51
- 5866 - ANSWER-B. 58661, 58563-51
- / 4