AAPC CPC Exam 60000 Series CPT Practice Test

Q1. A 15-year-old has been taken to surgery for crushing his

A. 64831, 64872
B. 64834, 64837-51
C. 64831, 64837-51
D. 64831, 64832
View Correct Answer
Answer Key: D
Rationale: Look in the CPT® Index for Suture/Nerve or
Repair/Nerve/Suture. 64831 is the correct code to report the
digital nerve was repaired. 64832 is the correct secondary code
since there was an additional digital nerve that needed repair. 51
is not appended to the secondary code since this code is an add-
on code and add-on codes are modifier 51 exempt.
Q2. A 47-year old female presents to the OR for a partial
corpectomy to three thoracic vertebrae. One surgeon performs
the transthoracic approach while another surgeon performs the
three vertebral nerve root decompressions necessary. How do
both providers involved code for their portions of the surgery?

A. 63087-52, 63088-52 x 2
B. 63085-62, 63086-62 x 2
C. 63087-80, 63088-80 x 2
D. 63085, 63086-82 x 2
View Correct Answer
Answer Key: B
Rationale: Two co-surgeons performed distinct parts of the same
surgery. The surgery performed is a vertebral corpectomy,
thoracic. Look in the CPT® Index for Vertebral/Corpectomy and
you are directed to code range 63081-63103, 63300-63308.
63300-633008 are for excision of intraspinal lesions. The code
selection for 63081-63103 is based on location, approach and
number of vertebral segments. 63085 is for a transthoracic
approach, thoracic, single segment. The additional two segments
are reported with 63086. As indicated by the guidelines (top of
page 336336 in CPT®) for this section, each provider will report
the same CPT® code and append a modifier 62
Q3. 26-year-old female with a one-year history of a left tympanic
membrane perforation has consented to have it repaired. A
postauricular incision was made under general anesthesia.
Dissection was carried down to the temporalis fascia and a 3 x 3
cm segment of fascia was harvested and satisfactorily desiccated.
The tympanic membrane was excised. Using a high-speed drill a
canaloplasty was performed until the entire annulus could be
seen. The ossicular chain was examined, it was found to be freely
mobile. The previously harvested skin was trimmed and placed in
the anterior canal angle with a slight overlapping over the
temporalis fascia. Packing is placed in the ear canal, external
incisions are closed, and dressings are applied. What CPT® code
is reported?

A. 69436-LT
B. 69631-LT
C. 69632-LT
D. 69641-LT
View Correct Answer
Answer Key: B
Rationale: In the CPT® Index, look for Tympanoplasty/without
Mastoidectomy. You are referred to 69631. Review the code to
verify accuracy. This is the correct code with LT modifier because
the repair of the left ear is performed (tympanoplasty) with a
canaloplasty, without an ossicular chain replacement or
mastoidectomy (removal of a portion of the mastoid of the
posterior temporal bone)
Q4. 70-year-old female has a drooping left eyelid obstructing her
vision and has consented to having the blepharoptosis repaired. A
skin marking pencil was used to outline the external proposed
skin incision on the left upper eyelid. The lower edge of the
incision was placed in the prominent eyelid crease. The skin was
excised to the levator aponeurosis. An attenuated area of levator
aponeurosis was dehisced from the lower strip. Three 6-0 silk
sutures were then placed in mattress fashion, attaching this
attenuated tissue superiorly to the intact tissue inferiorly. This
provided moderate elevation of the eyelid. What CPT® code
should be reported?

A. 67904-E1
B. 67903-E1
C. 67901-E1
D. 67911-E1
View Correct Answer
Answer Key: A
Rationale: In the CPT® Index, look for
Blepharoptosis/Repair/Tarso Levator Resection/
Advancement/External Approach. You are referred to 67904.
Review the code Eye and Ocular Adnexa Section to verify
accuracy. This is the correct code because the external approach
of cutting the skin of the eyelid was performed and dissection is
carried to the levator tendon. The physician uses sutures to
advance the levator tendon to create a new eyelid crease.
Append modifier E1for Upper left, eyelid.
Q5. 53-year-old woman with scarring of the right cornea has
significant corneal thinning with a high risk of perforation and
underwent reconstruction of the ocular surface. The eye is incised
and an operating microscope is used with sponges and forceps to
debride necrotic corneal epithelium. Preserved human amniotic
membrane is first removed from the storage medium and
transplanted by trimming the membrane to fit the thinning area of
the cornea then sutured. This process was repeated three times
until the area of thinning is flushed with surrounding normal-
thickness cornea. All of the knots are buried and a bandage
contact lens is placed with topical antibiotic-steroid ointment.
What CPT® code is reported?

A. 65780
B. 65781
C. 65710
D. 65435
View Correct Answer
Answer Key: A
Rationale: In the CPT® Index, look up
Transplantation/Eye/Amniotic Membrane. You are referred to
65778-65780. Verify in the Eye and Ocular Adnexa Section. Code
65780 is the correct code because the amniotic membrane
transplantation is for an ocular surface reconstruction for corneal
defects of scarring and perforation.
Q6. A 60-year-old female with uncontrolled intraocular pressure
and early cataracts has been coming in for laser trabeculoplasty.
This is her third and last session within the last week for her
treatment series. She will be examined over the next three
months to ensure the normal inflammations subside. What CPT®
code are reported?

A. 65850
B. 65855
C. 65855 x 3
D. 67145 x 3
View Correct Answer
Answer Key: B
Rationale: In the CPT® Index, look for Trabeculoplasty/by Laser
Surgery 65855. Verify this in the Eye and Ocular Adnexa Section.
Code 65855 is the correct code since trabeculoplasty by laser
surgery was performed on the patient. You would not code 65855
three times since the code includes multiple sessions to
accomplish the trabeculoplasty.
Q7. Parents of a three-year-old male who has chronic serous
otitis media in the right ear have consented to surgery. Patient is
placed under general anesthesia and the physician makes an
incision in the tympanic membrane. Fluid is suctioned out from
the middle ear and a ventilating tube is placed in the ear to
provide a drainage route to help reduce middle ear infections.
What CPT® and ICD-9-CM codes are reported?

A. 69421-RT, 381.10
B. 69436-50, 381.4
C. 69436-RT, 381.10
D. 69433-RT, 381.01
View Correct Answer
Answer Key: C
Rationale: In the CPT® Index, look for Tympanostomy/General
Anesthesia 69436, then verify the code in the numerical Index.
Code 69436 is the correct code to report because a small incision
is made in the tympanum, the fluid in the middle ear is suctioned,
and an insertion of a small ventilating tube is placed into the
opening of the tympanum under general anesthesia. Modifier RT
is appended to indicate the side of the body the procedure was
performed. In the ICD-9-CM Index to Diseases, look up,
Otitis/chronic/serous. You are referred to 381.10. Review the
code in the Tabular List to verify accuracy.
Q8. A physician uses cryotherapy for removal trichiasis. What
CPT® and ICD-9-CM codes are reported?

A. 67820, 127.3
 B. 67825, 374.05
C. 67830, 086.5
D. 67840, 124
View Correct Answer
Answer Key: B
Rationale: In the CPT® Index, look for Trichiasis/Repair/Epilation,
by Other than Forceps. Verify this code in the numerical Index.
Code 67825 describes the correction of trichiasis by other than
forceps, eg cryotherapy. In the ICD-9-CM Index to Diseases, look
for Trichiasis/eyelid that directs to code 374.05 and is verified in
the Tabular List as Trichiasis without entropian.
Q9. A patient receives chemodenervation with Botulinum toxin
injections to stop blepharospasms of the right eye. What are the
procedure and diagnosis codes?

A. 64650, 780.8
B. 67345-RT, 378.10
C. 64612-RT, 333.81
D. 64613, 781.93
View Correct Answer
Answer Key: C
Rationale: In the CPT® Index, look for Chemodenervation/Facial
Muscle 64612, 64615. Code 64612 is used for chemodenervation
of muscles that are innervated by the facial nerve for conditions
such as blepharospasm. Botulinum toxin is the substance most
commonly used for chemodenervation of muscle tissue
innervated by the facial nerve. Blepharospasm in the ICD-9-CM
Index to Diseases directs you to 333.81 and is verified from the
Tabular List.
Q10. The surgeon performed an insertion of an intraocular lens
prosthesis discussed with the patient before the six-week earlier
cataract removal (by the same surgeon). What CPT® code is
reported?
 A. 66985-58
B. 66983-58
C. 66984
D. 66985
View Correct Answer
Answer Key: A
Rationale: The CPT® Index lists Insertion/Intraocular
Lens/Manual or Mechanical Technique/Not Associated with
Concurrent Cataract Removal and directs you to code 66985. The
procedure was planned, as it was decided upon with the patient
before the cataract removal was performed six weeks earlier. This
―planned‖ procedure indicates the need for modifier 58 Staged
or related procedure or service by the same physician during the
postoperative period.