Ch 14: Content Review

Question 1

Excision defined as full thickness would be through the:

Answer 1

Epidermis and all of the dermis

Question 2

Incision and drainage codes are divided into subcategories according to the:

Answer 2

Condition for which the I&D has been performed

Question 3

Mohs micrographic surgery requires a single physician to act in two integrated but separate and distinct capabilities of a surgeon ans a(n):

Answer 3

Pathologist

Question 4

Code the following: Suction lipectomy, lower right leg

Answer 4

?? (maybe 15879)

Question 5

Code the following: Removal with reinsertion of an implantable contraceptive capsule:

Answer 5

11976, 11981

Question 6

When reporting a staged procedure what modifier is added to the CPT code?

Answer 6

-58

Question 7

The correct code for repairing the following lacerations: 4.2 simple repair of the trunk, 1.3 simple repair of the arm, and 2.8 intermediate repair of the scalp:

Answer 7

?? (not 12032, 12001-59, 12002-59)

Question 8

The method used by the physician to obtain a lesion biopsy depends on which set of factors?

Answer 8

Size and type

Question 9

Code the following: Destruction of 7 actinic keratoses:

Answer 9

?? (maybe 17004)

Question 10

Using the “Rule of Nines,” one adult leg is what percentage of the human body?

Answer 10

?? (not 9%)

Question 11

A physician performs an operative procedure that has a 90-day surgical package. On day 40, the same physician performs an unrelated procedure on the same patient. What modifier would you attach to the CPT code when reporting the second procedure?

Answer 11

-79

Question 12

To properly code lesion excision, you must know the behavior and the narrowest margin about the lesion, in addition to the following:

Answer 12

Site, number, size

Question 13

Wound closure requiring the use of adhesive strips as the sole repair material should be coded with:

Answer 13

E/M code

Question 14

Single-layered closure of heavily contaminated wounds that require extensive cleaning or removal of particulate matter constitutes what type of repair?

Answer 14

Intermediate

Question 15

What two items are needed to correctly code for local treatment of burns?

Answer 15

• Percentage of body surface

- Depth of burn

Question 16

Which modifier indicates a significant, separately identifiable E/M service?

Answer 16

-25

Question 17

Code the following: Fine needle aspiration of the breast without imaging

Answer 17

?? (not 19100)

Question 18

When an excision is being performed, the “margins” refer to the ____ required to adequately excise the lesion based on the physician’s judgement.

Answer 18

Narrowest margin

Question 19

The repaired would should be measured or converted to:q

Answer 19

Centimeters

Question 20

When coding 3 biopsies of the skin, performed at the same visit, the reporting would be:

Answer 20

11106, 11107 x 2

Question 21

There is no tissue remaining for pathological examination after this method has been used

Answer 21

Destruction

Question 22

Code the following: …… surgical procedure: split thickness graft, right thigh to right lower extremity….

Answer 22

?? (maybe 15100)

Question 23

Code the following: Excision of three malignant lesions: a 2.4-cm lesion of the leg, a 3.2-cm lesion of the back, and a 1.6-cm lesion of the lip

Answer 23

11604, 11603, 11642

Question 24

Code the following: Removal of 37 skin tags by electrosurgical destruction

Answer 24

11200, 11201 x 3 units

Question 25

The removal of a lesion by transverse incision that did not require sutured closure is reported using codes from which subsection?

Answer 25

Shaving of Epidermal or Dermal Lesions