Test 4 Integumentry System

Question 1

Sub-headings

Answer 1

Skin, subcutaneous
Nails 
Pilonidal cyst 
Introduction 
Repair
Destruction 
Breast

Question 2

Debridement

Answer 2

Is dead tissue cut away
Depth (skin muscles fascia bone)
Complicating factors

Question 3

Paring or cutting

Answer 3

Removal of corn or callus by scraping or peeling

Question 4

Shaving lesions

Answer 4

The removed by transverse incision or horizontal slicing

Based on size and location

Question 5

Destruction or ablation of tissue

Answer 5

Laser electrosurgery cryosurgery chemosurgery no biopsy

Question 6

Mohs surgery

Answer 6

Physician is both surgeon and pathologist. Physician removes one layers or lesion at time. Keeps removing until no malignant cells remain

Question 7

Breast surgery

Answer 7

Divided based on procedure 
Incision
Excision
Introduction
Mastectomy
Repair and or reconstruction

Question 8

Excision of lesions

Answer 8

Benign or malignant
Location
Size
Note sequencing of codes

Question 9

COMPLEXITY repair

Answer 9

Simple superficial epidermic dermis and subcutaneous tissue one layer closure

Question 10

Intermediate

Answer 10

Layered closure of one or more of deeper layers of subcutaneous tissues and superficial fascia with skin closure or a single layer closure of extensive

Question 11

Complex repair

Answer 11

Greater than intermediates car revision complicated debridement extensive undermining stents

Question 12

Repair multiple repairs

Answer 12

If either complexity of the repair or lactation differs then report more than one codes may need a -51 modifier

Question 13

Read parenthetical notes what to do?

Answer 13

Often used in all specialties of medicine . Not just surgeons or dermatologists wide range of physicians