AAPC CPC Exam 50000 Series CPT Practice Test: the 50000 Series contains Urinary, Male Genital, Female Reproductive and Endocrine Systems questions. Try our free American Academy of Professional Coders (AAPC) Certified Professional Coder (CPC) 50000 Series CPT review questions and answers for r better CPC certification prep.
AAPC CPC Exam 50000 Series CPT Practice Test
Q1. A fracture of the corpus cavernosum penis is repaired. What is the correct code?
Q2. Cystoscopy, left ureteroscopy, holmium laser lithotripsy, stone manipulation, stent removal and replacement are performed. The holmium laser was used to break up a cluster of stones at the UP (uteropelvic) junction, which were removed with a basket. Previous CT scan showed stones in the lower pole, it was decided to proceed with ureteroscopy. Left ureteroscope was inserted, confirming multiple stones within the proximal ureter, these were basketed and removed. What CPT® codes are reported for this service?
- a. 52353, 52332-51, 52352-59
- b. 52353, 52000-51, 52352-59
- c. 52310, 52353-51, 52352-59
- d. 52353, 52352-51
Q3. Circumcision with adjacent tissue transfer was performed. What CPT® code(s) is/are reported for this service?
- a. 14040
- b. 54161-22
- c. 54163
- d. 14040, 54161-51
Q4. The patient is a very pleasant 72-year-old female noted to have bilateral nephrolithiasis. Her left stones were treated ureteroscopically and her right stone was very large. It was treated with an ureteroscopic procedure. She comes in today for her second ureteroscopic procedure to remove the remaining stone fragments. Right ureteroscopy, laser lithotripsy and right ureteral stent exchange were performed. What CPT® codes are reported for this service?
- 52353-58, 52332-58
- 52353, 52310, 52332
- 52353, 52332-51
- 52353-76, 52332-76
Q5. 67-year-old gentleman with localized prostate cancer will be receiving brachytherapy treatment. Following calculation of the planned transrectal ultrasound, guidance was provided for percutaneous placement of 1-125 seeds into the prostate tissue. What CPT® code is reported for needle placement to insert the radioactive seeds into the prostate?
Q6. A woman with abdominal pain and bleeding has a diagnosis of multiple fibroid tumors and undergoes laparoscopic resection without hysterectomy. After the abdomen is entered and inspected it is found she has 5 separate intramural fibroid tumors to be removed. The fibroid tumors are successfully removed, with a total weight of 300 grams. Pathology confirms leiomyoma (myomas or fibroids). What are the CPT® and ICD-9-CM codes reported for this service?
- 58146, 218.9
- 58546, 218.1
- 58545, 218.1
- 58140, 218.9
Q7. A patient presents with cervical cancer, it has spread and metastasized throughout the pelvic area. She receives a total abdominal hysterectomy with bilateral salpingo-oophorectomy, cystectomy and creation of an ileal conduit and partial colectomy. What is/are the CPT® code(s) reported for this service?
- 58150, 51590, 44140
- 58152, 44141
- 58150, 51590, 44140, 58720
Q8. Operative Report
Preoperative Diagnosis: L5-S1 degenerative disk disease
Postoperative Diagnosis: Same.
1. L5-S1 transforaminal lumbar interbody fusion with the Capatone system.
2. Nonsegmental instrumentation with a Spire plate.
3. Lateral arthrodesis with autograft and allograft consisting of Infuse.
4. Use of intraoperative fluoroscopy, less than one hour.
Anesthesia: General endotracheal anesthesia
DESCRIPTION OF PROCEDURE: The patient was placed in the usual prone position on the Jackson table. After prepping and draping in the usual sterile fashion, and infiltrating the skin subcutaneously with 1% lidocaine with epinephrine, a lineal incision was made in the midline extending from the superior aspect of the spinous process of L5 to the inferior aspect of the spinous process of S1. A subperiosteal dissection of the paraspinous muscles was carried out on the left side to the lateral portion of the lateral facet, on the right side to the medial border of the medial facet.
After obtaining the correct level by fluoroscopy a small laminotomy was carried out on the left side of L5 and a medial facetectomy done with a Midas Rex drill and Kerrisons. The bone dust and bone chips were saved. Once we had exposed the descending S1 root and exiting L5 roots and the thecal sac we protected these with a nerve root retractor. A standard diskectomy was carried out at L5-S1 using various sized curets and pituitary ronguers. Once we had good exposure of the end plates, we distracted the disk space out to 10 mm. An Infuse sponge was then filled with autologous bone dust into a burrito and placed into the disk space towards the anterior portion of the vertebral bodies. This was followed by a 10 x 22 mm Capstone graft which too was filled with an Infuse and autologous bone burrito. Under guidance of the fluoroscopy unit we made sure this was at the anterior portion of the vertebral bodies and in the midline. This confirmed with both the AP and lateral views.
At this point the lamina on the right side of L5 and S1 were decorticated with the Midas Rex drill, and further burritos of Infuse and bone dust were placed over the decorticated regions. The interspinous ligament between L5 and S1 was then removed with a rongeur, and the Spire plate placed under compression over the spinous processes. The set screw was placed and broken off with the attached torque wrench.
At this point we found there was still moderate subcutaneous bleeding, and even though we had Infuse, a Jackson-Pratt drain was placed in the paraspinous muscles and sutured in place with 2-0 silk to the skin. The deep paraspinous muscles and dorsal lumbar fascia were reapproximated with 2-0 Vicryl in a running subcuticular fashion.
Estimated blood loss was 200 cc. Sponge and needle counts were reported to be correct x2. There were no complications from the procedure, and the patient tolerated the procedure well. What CPT® codes are reported?
- 22612, 63040-51
- 22558, 63042-51, 22840
- 22612, 63030-51, 22840
- 22558, 63030-51, 22840, 22841
Q9. A patient with uterine prolapse presents for laparoscopic hysterectomy and colpopexy. After induction of general anesthesia the laparoscope is introduced into the abdomen with separate placement of ports for visualization. The surgeons began to tie off the uterine artery when the patient had a sudden drop in blood pressure and could not be stabilized. The procedure was discontinued. No procedures were completed. What are the CPT® and modifier code(s) for this service?
- a. 58570-52, 57425-52
- b. 58570-53, 57425-53
- c. 58570-53
- d. 58570-73
Q10. A 26-year-old gravida 2 para 1 female has been spotting and has been on bed rest. She awoke this morning with severe cramping and bleeding. Her husband brought her to the hospital. After examination, it was determined she has an incomplete early spontaneous abortion. She is in the 12th week of her pregnancy. She was taken to the OR and a dilation and curettage (D&C) was performed. There were no complications from the procedure. She will follow-up with me in the office. She has had four antepartum visits during her pregnancy.
- 59812, 637.91
- 59812, 59425, 634.91
- 58120, 634.91
- 58120, 59425, 634.92
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