100+ Free CPRC Practice Questions

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A full-thickness skin graft of the nose measuring 15 sq cm is reported with:

15260

15240

15275

15120

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2026 Statistics

Key Facts: CPRC Exam

150

Total Items

AAPC

5h 40m

Exam Time

AAPC

$299

AAPC Member Fee

AAPC

WHCRA 1998

Breast Reconstruction Mandate

Federal law

The AAPC CPRC consists of 150 MCQ items over 5h40m with 70% passing. Fee $299 AAPC member. Master skin repair complexity by anatomic group, adjacent tissue transfer (includes lesion excision), Mohs/biopsy, breast reconstruction post-mastectomy (WHCRA mandate), and cosmetic vs reconstructive documentation requirements.

Sample CPRC Practice Questions

Try these sample questions to test your CPRC exam readiness. Each question includes a detailed explanation. Start the interactive quiz above for the full 100+ question experience with AI tutoring.

1Which layer of the skin contains the basement membrane that separates epidermis from dermis?

A.Stratum corneum

B.Dermal-epidermal junction

C.Subcutaneous layer

D.Stratum lucidum

Explanation: The dermal-epidermal junction (basement membrane zone) anchors the epidermis to the underlying dermis. Understanding skin layer anatomy is fundamental for selecting simple vs intermediate vs complex repair codes, since deeper repairs cross more layers.

2A pedicled flap differs from a free flap primarily because a pedicled flap:

A.Requires microvascular anastomosis at the recipient site

B.Retains its original blood supply through an attached vascular pedicle

C.Is always composed of skin only

D.Cannot be used in breast reconstruction

Explanation: A pedicled flap remains attached to its native blood supply via the vascular pedicle and is rotated or transposed to the defect. A free flap is detached and reattached using microsurgical anastomosis at the recipient site.

3Which anatomic site falls into the SAME repair grouping as the trunk for skin repair code selection?

A.Eyelid

B.Lip

C.Scalp

D.Hand

Explanation: For repair coding, scalp, neck, axillae, external genitalia, trunk, and extremities (excluding hands and feet) are grouped together. Face, ears, eyelids, nose, lips, and mucous membranes form a separate group; hands and feet form a third.

4A single-layer closure of a 3.0 cm laceration of the forearm using sutures only is reported with which CPT code range?

A.12001-12018 (simple repair)

B.12031-12057 (intermediate repair)

C.13100-13153 (complex repair)

D.14000-14302 (adjacent tissue transfer)

Explanation: Simple repair (12001-12018) involves single-layer closure of superficial wounds. The forearm falls into the trunk/extremities anatomic group; a 3 cm simple repair maps to 12002 (2.6-7.5 cm).

5When multiple wounds in the SAME anatomic classification and repair complexity are repaired, the coder should:

A.Report each wound separately with modifier 59

B.Sum the lengths and report a single code for the total

C.Report only the longest wound

D.Use modifier 51 on each subsequent wound

Explanation: CPT guidelines for repair coding require summing lengths of wounds within the same anatomic classification and same complexity, then reporting one code for the total length.

6A surgeon performs a layered closure of a 4.5 cm laceration on the cheek and a layered closure of a 2.0 cm laceration on the chest. How are these reported?

A.Sum to 6.5 cm and report one intermediate code

B.Report cheek and chest separately because they are in different anatomic groups

C.Report only the cheek repair

D.Report a single complex repair code for the total length

Explanation: Cheek (face) and chest (trunk) belong to DIFFERENT anatomic groupings for repair. Lengths cannot be summed across groups, so each repair is coded separately (e.g., 12052 for face 2.6-5 cm and 12031 for trunk 2.5 cm or less).

7Complex repair (13100-13153) requires more than layered closure. Which element supports complex repair?

A.Use of tissue adhesive only

B.Extensive undermining or retention sutures

C.Single-layer subcuticular closure

D.Closure with adhesive strips

Explanation: Complex repair includes extensive undermining, stents, retention sutures, debridement of contaminated wounds, or scar revision beyond what is required for layered closure.

8A Z-plasty performed on the neck for a 9 sq cm scar contracture is reported with which CPT code?

A.14040

B.14020

C.14060

D.14000

Explanation: Adjacent tissue transfer of the scalp, arms, and/or legs measuring 10 sq cm or less is 14020. The neck falls within the 14040 (forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet) range — but for neck specifically up to 10 sq cm the correct code is 14040. Re-examination: 14040 covers forehead/cheeks/chin/mouth/NECK/axillae/genitalia/hands/feet up to 10 sq cm.

9The excision of a benign lesion that necessitates an adjacent tissue transfer is:

A.Reported separately with the lesion excision code

B.Included in the adjacent tissue transfer code

C.Reported with modifier 59

D.Reported only when the lesion is malignant

Explanation: Per CPT guidelines, excision of a lesion that requires the adjacent tissue transfer for closure is INCLUDED in the 14000-14302 code series and is not reported separately.

10A V-Y advancement flap is classified under which CPT code range?

A.11400-11471 (benign lesion excision)

B.14000-14302 (adjacent tissue transfer/rearrangement)

C.15100-15121 (split-thickness skin graft)

D.15570-15576 (formation of pedicle flap)

Explanation: V-Y advancement, Z-plasty, W-plasty, rotation flaps, and transposition flaps are all reported with adjacent tissue transfer codes 14000-14302, selected by location and total area in sq cm.

About the CPRC Exam

AAPC specialty credential for plastic and reconstructive surgery coders. Validates expertise in skin repair (simple/intermediate/complex by anatomic group and length), adjacent tissue transfer (14000-14302), grafts (15040-15431), flap procedures (pedicle, free, microsurgery), breast reconstruction (TRAM, DIEP, implant, tissue expander), cosmetic vs reconstructive determination, burn care, hand surgery, and Women's Health and Cancer Rights Act (WHCRA) coverage requirements.

Questions

150 scored questions

Time Limit

5 hours 40 minutes

Passing Score

70%

Exam Fee

$299 AAPC member (AAPC)

CPRC Exam Content Outline

15%

Plastics/Reconstructive Anatomy and Surgical Concepts

Skin layers, vascular supply for flaps, anatomic groupings for repair

20%

CPT Skin Repair (Simple, Intermediate, Complex, Adjacent Tissue)

Simple 12001-12018, intermediate 12031-12057, complex 13100-13153, ATT 14000-14302

20%

CPT Reconstructive (Flaps, Grafts, Microsurgery)

Pedicle/free flaps 15570-15738, FT/STSG 15050-15261, free flap microsurgery 15756-15758

15%

CPT Cosmetic vs Reconstructive

Blepharoplasty (cosmetic vs functional with VF), reduction mammaplasty (≥500g criteria), rhinoplasty cosmetic vs post-trauma

10%

Burn Care, Wound Care and Hand Surgery

Burn dressing 16000-16030 by TBSA, debridement 11042-11047, carpal tunnel 64721/29848, trigger finger 26055

20%

ICD-10-CM, Modifiers and Compliance

C44.x skin neoplasms, T20-T32 burns with TBSA, Q-codes congenital, modifiers 22/50/51/58/78/79/F1-FA

How to Pass the CPRC Exam

What You Need to Know

Passing score: 70%
Exam length: 150 questions
Time limit: 5 hours 40 minutes
Exam fee: $299 AAPC member

Keys to Passing

Complete 500+ practice questions
Score 80%+ consistently before scheduling
Focus on highest-weighted sections
Use our AI tutor for tough concepts

CPRC Study Tips from Top Performers

1Master skin repair complexity rules: simple = single layer + INCLUDED with excision; intermediate = layered, separately billable with mod 51; complex = extensive undermining/retention sutures

2Know adjacent tissue transfer (14000-14302): INCLUDES excision of lesion that occasions the flap — do NOT separately bill the excision

3Memorize WHCRA: covers reconstruction post-mastectomy + symmetry surgery on contralateral breast + prostheses + complications. Cannot deny as cosmetic

4Understand Mohs codes: 17311-17312 (head/neck/hands/feet/genitalia first stage + each addt'l); 17313-17314 (trunk/arms/legs); 17315 each addt'l block over 5

Frequently Asked Questions

How is skin repair complexity determined?

Simple repair (12001-12018) = single-layer closure; INCLUDED with lesion excision (do not bill separately). Intermediate (12031-12057) = layered closure with deep subcutaneous + superficial; bill separately with modifier 51. Complex (13100-13153) = extensive undermining, retention sutures, or significant debridement; bill separately with modifier 51. Sum lengths within same anatomic group (e.g., trunk/scalp/neck/axillae/genitalia/extremities NOT hands/feet).

What does WHCRA require for breast reconstruction?

Women's Health and Cancer Rights Act (WHCRA, 1998) requires group health plans covering mastectomy to ALSO cover: (1) reconstruction of the breast removed, (2) surgery and reconstruction of the OTHER breast to produce symmetry, (3) prostheses, and (4) treatment of physical complications. This applies regardless of timing — immediate or delayed reconstruction. Coverage cannot be denied as 'cosmetic' for reconstruction post-mastectomy.

How is cosmetic vs reconstructive determined?

Reconstructive: restores function or treats disease (post-trauma rhinoplasty, post-burn reconstruction, blepharoplasty for visual field obstruction with documented VF testing, post-mastectomy breast reconstruction per WHCRA). Cosmetic: aesthetic enhancement only (cosmetic rhinoplasty 30400, cosmetic blepharoplasty 15820-15823, breast augmentation without reconstruction indication). Documentation requirements: photos for cosmetic vs functional determination; VF testing for blepharoplasty; specific medical necessity criteria for reduction mammaplasty (often ≥500g per breast).