Ch.8 Review

Question 1

The outer layer of the skin that forms a protective covering for the other layers of the integumentary system.

Answer 1

EPIDERMIS

Question 2

Localized response to an injury or destruction of tissues.

Answer 2

INFLAMMATION

Question 3

Removal of cornified epithelial layers by skinning or trimming back the overgrowth.

Answer 3

PARING

Question 4

Invasion of the body by a pathogenic organism.

Answer 4

INFECTION

Question 5

Removal of a foreign object or damaged tissue either by excision or nonexcision such as brushing or irrigating.

Answer 5

DEBRIDEMENT

Question 6

Sharp removal by transverse incision or horizontal slicing.

Answer 6

SHAVING

Question 7

Closure that involves closing the wound in one layer regardless of the wound depth.

Answer 7

SIMPLE REPAIR

Question 8

Repairs that require additional work, such as retention suturing, debridement, or placement of stents or drains.

Answer 8

COMPLEX REPAIR

Question 9

Repair for wounds closed in layers, such as suturing the subcutaneous in one layer followed by the dermis in a second layer.

Answer 9

INTERMEDIATE REPAIR

Question 10

Tissue transfer in which the tissue remains attached to its original anatomical location.

Answer 10

ADJACENT TISSUE TRANSFER

Question 11

Ablation or eradication of tissue by any method, including laser or chemical treatment, cryosurgery, or electrosurgery.

Answer 11

DESTRUCTION

Question 12

Tear, cut, or open wound.

Answer 12

LACERATION

Question 13

Procedure in which the physician acts as both surgeon and pathologist.

Answer 13

MOHS SURGERY

Question 14

Release of scar from underlying tissue.

Answer 14

ESCHAROTOMY

Question 15

Procedure completed with either a needle or scalpel, which is used to open or access and then drain the area or site.

Answer 15

INCISION AND DRAINAGE

Question 16

The _________layer, made up of living cells that continue to divide and work their way to the surface, becoming keratin, is the deepest layer of the epidermis.

Answer 16

BASAL LAYER

Question 17

Which layer of the skin consists of mainly adipose tissue and contains lipocytes, or fat cells, which store energy for the body?

Answer 17

SUBCUTANEOUS

Question 18

Which modifier would not be used with the codes in the Integumentary subsection?

Answer 18

50

Question 19

One inch equals ______ centimeters.

Answer 19

2.54

Question 20

The correct CPT and ICD-10-CM codes for a complicated I&D of purulent material from the right upper arm are:

Answer 20

10061, L02.413

Question 21

An area of subcutaneous necrotic tissue from a nonhealing wound was debrided from a patient’s forearm. The area debrided was 2 × 4 cm. The appropriate CPT and ICD-10-CM codes are:

Answer 21

11042, S51.811A

Question 22

The ____________acts as a seal between the nail plate and the skin.

Answer 22

CUTICLE

Question 23

The patient presented to the ED with two lacerations on the right arm. The first laceration measured 7 cm, and the second measured 9 cm. Intermediate repair was needed for these lacerations. There was also a 5 cm laceration of the face, and a simple closure was performed. Select the appropriate code(s):

Answer 23

10235, 12013-51

Question 24

The patient has an ischial ulcer that is excised, including an ostectomy with a skin flap closure. Select the appropriate code(s):

Answer 24

15945

Question 25

Which of the following is true about an adjacent tissue transfer?

Answer 25

ALL OF THESE: One portion remains attached at some point along the flap to its original anatomical site. Z-plasty and rotation flap are types of adjacent tissue transfer. The flap is left attached to its donor site until vascularity has been established.

Question 26

When coding flaps and tissue transfer, which of the following questions should a coder ask before choosing the appropriate code?

Answer 26

ALL OF THESE: Did the tissue remain in its original location? What is the anatomical site of the defect? What is the total size of the defect?

Question 27

A porcine graft is a(n):

Answer 27

XENOGRAFT

Question 28

The patient presents with a burn that extends beyond the epidermis and deeper into the dermis. The patient is experiencing pain and blistering. If coders see this type of description in a report, they would code the condition as what degree of burn?

Answer 28

SECOND

Question 29

CASE STUDY- Process 1: CPT Preoperative diagnosis: Lacerations of right palm and forearm and left leg Postoperative diagnosis: Same An 8-year-old male was brought to the emergency room. While playing basketball with friends, he ran through a sliding glass door. He suffered lacerations on his right hand and arm and on his left leg just above and at the knee. Procedure: The patient was placed on the table in the supine position. Satisfactory local anesthesia was obtained. All wounds were cleaned and examined, and no sign of glass or other foreign bodies was found. The laceration of the left thigh, right above the patella, was repaired first by layered closure, and the 4.8-cm laceration was carefully sutured. The lacerations on the hand and arm were attended to next. A 3-cm laceration on the right-hand palm and a 4-cm laceration on the right forearm proximal to the elbow were carefully sutured in a single layer with 4-0 Vicryl, as well. Based on the documentation, what is (are) the correct code(s) for this case?

Answer 29

12032, 12002

Question 30

CASE STUDY - Process 2: ICD-10-CM ​ Preoperative diagnosis: Lacerations of right palm and forearm and left leg Postoperative diagnosis: Same An 8-year-old male was brought to the emergency room. While playing basketball with friends, he ran through a sliding glass door. He suffered lacerations on his right hand and arm and on his left leg just above and at the knee. Procedure: The patient was placed on the table in the supine position. Satisfactory local anesthesia was obtained. All wounds were cleaned and examined, and no sign of glass or other foreign bodies was found. The laceration of the left thigh, right above the patella, was repaired first by layered closure, and the 4.8-cm laceration was carefully sutured. The lacerations on the hand and arm were attended to next. A 3-cm laceration on the right-hand palm and a 4-cm laceration on the right forearm proximal to the elbow were carefully sutured in a single layer with 4-0 Vicryl, as well. Based on the documentation, what are the correct ICD-10-CM codes for this case?

Answer 30

S71.112A, S61.411A, S51.811A

Question 31

CASE STUDY - Process 3: Modifiers Preoperative diagnosis: Lacerations of right palm and forearm and left leg Postoperative diagnosis: Same An 8-year-old male was brought to the emergency room. While playing basketball with friends, he ran through a sliding glass door. He suffered lacerations on his right hand and arm and on his left leg just above and at the knee. Procedure: The patient was placed on the table in the supine position. Satisfactory local anesthesia was obtained. All wounds were cleaned and examined, and no sign of glass or other foreign bodies was found. The laceration of the left thigh, right above the patella, was repaired first by layered closure, and the 4.8-cm laceration was carefully sutured. The lacerations on the hand and arm were attended to next. A 3-cm laceration on the right-hand palm and a 4-cm laceration on the right forearm proximal to the elbow were carefully sutured in a single layer with 4-0 Vicryl, as well. Which modifier should be appended to the CPT code for this case?

Answer 31

51