Integumentary System Guidelines

Total questions:54

Debridement of the skin of the abdominal wall due to necrotizing soft tissue infection, the wound was closed with insertion of mesh.

Code selection when reporting a lesion excision is determined by which of the following?

Xenograft, left thigh, 4x8 cm

Which of the following is a feature of benign lesion?

Wound closure utilizing adhesive strips as the sole repair material should be coded using

Single-layer closure of heavily contaminated wounds that have required extensive cleaning or removal of particulate matter constitutes ------------------ repair

When simple and intermediate repair is done in the same session code

Simple ligation of blood vessels in an open wound ------------------

The frozen section pathology after 1.5 cm malignant melanoma lesion showed positive margins, so an additional excision for 2.5 cm was done in the post operative period of the initial procedure. How will you code the second re-excision procedure?

Which of the following is not included in excision of lesion codes?

Which of the following is not adjacent tissue transfer?

According to CPT, the surgical package includes all of the following

When can we bill diagnostic skin biopsy along with Moh’s micrographic surgery?

How do we bill 88314 with Moh’s micrographic surgery?

------------------------ is a technique for the removal of complex or ill-defined skin cancer with histologic examination of 100% of the surgical margins.

When an open incision biopsy is done followed by percutaneous placement of metallic clip under stereotactic guidance

If a breast mass is removed through open incision and specific attention to removal of adequate surgical margins is given then report,

Cryocautery of 17 actinic keratoses is coded as

In which of the following areas we should not add the individual measurements?

Fine needle aspiration with ultrasound guidance

Ultrasound guided abscess drainage by catheter from right arm, abdomen and neck using separate catheters

Incision and drainage of abscess from the skin of thigh followed by extensive packing

Wound debridements (11042 – 11047)are coded by

When bone is debrided from 4 sq.cm heel ulcer and 10 sq.cm ischial ulcer

11008 cannot be billed with 11010

Debridement skin (epidermis and/or dermis) only is coded with

Destruction of hyperkeratotic lesion is reported with

Simple closure cannot be billed with (choose 2)

Skin tags destruction are coded with

Shaving of each lesion measuring 3 cm in trunk, arm and leg is coded with

Excision of benign and malignant lesions include (choose 3)

Neoplasm, cicatrical, fibrous, inflammatory, congenital are examples of

Code each lesions separately applies to (choose 3)

Reexcision procedure performed to widen the margins at a subsequent operative session within the postoperative period is billed with

Wound closure with 2-cyanoacrylate is coded using

Wound closure with adhesive strips is coded using

Which of the following is INCORRECT regarding wound repair or closure?

------------------ is/are not reported separately with adjacent tissue transfers

Which of the following is incorrect regarding skin grafts?

Can we sum up the size of the wounds in face and arms for 15002 – 15005?

Which of the following is separately reportable with autografts?

Application of skin substitute graft to the arm measuring 75 sq.cm is coded as

Removal of sutures using local anesthesia by the same surgeon is

Liposuction of the neck

Destruction of 3 common plantar warts

Which of the following is CORRECT regarding Moh’s micrographic surgery?

Percutaneous breast biopsy without imaging guidance is billed using

When an open incisional biopsy is performed after image-guided localization device report

76942 can be reported with

Attention to adequate surgical margins documentation is required to report

Total mastectomy is reported using

Placement of expandable catheters for brachytherapy with partial mastectomy on the same day is reported with

Breast size increase is coded using

Breast size increase is coded using