Integumentary_and_Musculoskeletal_Systems_QA Flashcards

1
Q

What is the primary function of the integumentary system?

A

To protect the body from external damage, regulate temperature, and provide sensory information.

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2
Q

What are the main layers of the skin?

A

Epidermis, dermis, and subcutaneous tissue.

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3
Q

What is dermatitis?

A

An inflammation of the skin characterized by itching, redness, and rash.

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4
Q

How is dermatitis typically coded in ICD-10-CM?

A

L20-L30, depending on the type and cause of dermatitis.

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5
Q

What is the common treatment for contact dermatitis?

A

Avoiding the irritant and using topical corticosteroids.

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6
Q

What is the impact of a wound’s severity on medical coding?

A

Severity affects the specificity and complexity of coding.

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7
Q

How does chronic wound documentation affect coding?

A

Chronic wounds require detailed documentation to support accurate coding and reimbursement.

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8
Q

What is the difference between a laceration and an abrasion?

A

A laceration is a deep cut, while an abrasion is a superficial scraping of the skin.

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9
Q

What ICD-10 code is used for a non-healing surgical wound?

A

T81.89XA for initial encounter, with variations for subsequent encounters.

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10
Q

What are pressure ulcers and how are they staged?

A

Injuries to skin and underlying tissue from prolonged pressure, staged from 1 to 4.

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11
Q

How does staging of pressure ulcers influence coding?

A

Each stage has specific ICD-10 codes (e.g., L89.XXX).

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12
Q

What is the role of debridement in wound care?

A

To remove dead or infected tissue to promote healing.

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13
Q

What CPT codes are used for wound debridement?

A

11042-11047 based on depth and size.

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14
Q

Why is accurate wound size documentation important?

A

It determines the appropriate CPT code for billing.

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15
Q

What is cellulitis?

A

A bacterial skin infection causing redness, swelling, and pain.

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16
Q

How is cellulitis coded?

A

Using ICD-10 codes L03.XXX based on the site of infection.

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17
Q

What are the common symptoms of eczema?

A

Itching, redness, dryness, and flaky skin.

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18
Q

How do topical treatments affect documentation for skin conditions?

A

They provide evidence of treatment for coding and reimbursement.

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19
Q

What is psoriasis?

A

A chronic autoimmune skin disease with scaly patches.

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20
Q

Which codes apply to psoriasis in ICD-10?

A

L40.0-L40.9, depending on the type.

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21
Q

What is the primary function of the musculoskeletal system?

A

To support body structure, enable movement, and protect organs.

22
Q

What is a fracture?

A

A break in the continuity of a bone.

23
Q

What is the ICD-10 coding format for fractures?

A

SXX.XXXA for initial encounter, SXX.XXXD for subsequent.

24
Q

What are the types of fractures?

A

Closed, open, comminuted, greenstick, spiral, and others.

25
How does laterality affect fracture coding?
Codes specify left, right, or unspecified sides.
26
What is arthritis?
Inflammation of the joints causing pain and stiffness.
27
What are the ICD-10 codes for osteoarthritis?
M15-M19 series depending on the joint and laterality.
28
How does rheumatoid arthritis differ in coding?
Coded under M05-M06 with specificity for severity and site.
29
What documentation is needed for accurate fracture coding?
Type, site, laterality, and healing status.
30
What is the role of imaging in musculoskeletal coding?
Provides confirmation of diagnosis for accurate coding.
31
What is osteoporosis?
A condition causing bones to become weak and brittle.
32
How is osteoporosis coded?
M80-M82 depending on fracture presence and cause.
33
What is bursitis?
Inflammation of the bursa, typically near joints.
34
What is the code for shoulder bursitis?
M75.5X depending on the side.
35
What is physical therapy’s role in musculoskeletal treatment?
To restore function, reduce pain, and improve mobility.
36
How is physical therapy documented?
By treatment type, frequency, and patient progress.
37
How does physical therapy documentation affect coding?
Detailed notes support medical necessity and proper CPT coding.
38
What are common physical therapy CPT codes?
97110 (therapeutic exercise), 97140 (manual therapy), 97112 (neuromuscular reeducation).
39
What is tendonitis?
Inflammation of a tendon due to overuse.
40
How is tendonitis coded in ICD-10?
M76-M77 series depending on the tendon and location.
41
What is the difference between a sprain and a strain?
A sprain affects ligaments; a strain affects muscles or tendons.
42
What are the common ICD-10 codes for ankle sprains?
S93.4XXA-S93.4XXD based on side and encounter.
43
How are musculoskeletal injuries documented for workers' comp?
Includes mechanism, body part, severity, and relation to work.
44
What is a dislocation?
Displacement of a bone from its joint.
45
How is a dislocated shoulder coded?
S43.0XXA for initial, with modifiers for laterality and follow-up.
46
What is myalgia?
Muscle pain without clear injury.
47
What ICD-10 code is used for myalgia?
M79.1.
48
How does coding differ for acute vs. chronic conditions?
Chronic conditions require documentation of duration and ongoing management.
49
What is a contusion?
A bruise caused by blunt force trauma.
50
What code is used for a thigh contusion?
S70.1XXA based on laterality and encounter.