Integumentary System Guidelines Questions : 54 1. According to CPT, the surgical package includes all of the followinga. Anesthesia, the operation per se, postoperative complicationsb. Whatever Medicare says it isc. Digital blocks, operation per se, typical postoperative cared. Operation per se, inpatient services, care of underlying diseases for 90 days Loading... 2. Debridement of the skin of the abdominal wall due to necrotizing soft tissue infection, the wound was closed with insertion of mesh.a) 11005, 11008b) 11042, 11008c) 11005, 49568d) 11000, 11008 Loading... 3. Code selection when reporting a lesion excision is determined by which of the following?a) Measuring the greatest clinical diameter of the lesion onlyb) Measuring the greatest clinical diameter of the lesion plus the narrowest margin required for complete excisionc) Judgement of the providerd) Measuring the greatest clinical diameter of the lesion plus the widest margin required for complete excision Loading... 4. Xenograft, left thigh, 4x8 cma) 15271b) 15273c) 15275d) 15277 Loading... 5. Which of the following is a feature of benign lesion?a) They spread vigorously into other structuresb) They are confined to their place of origin & encapsulatedc) They may turn into malignant in later timed) All of the above Loading... 6. Wound closure utilizing adhesive strips as the sole repair material should be coded usinga) simple repair codesb) intermediate repair codesc) complex repair codesd) E/M codes Loading... 7. Single-layer closure of heavily contaminated wounds that have required extensive cleaning or removal of particulate matter constitutes ------------------ repaira) simpleb) intermediatec) complexd) Z-plasty Loading... 8. When simple and intermediate repair is done in the same session codea) intermediate as primary and simple as secondaryb) code only intermediatec) intermediate as primary and simple as secondary with modifier 59d) simple as primary and intermediate as secondary Loading... 9. Simple ligation of blood vessels in an open wound ------------------a) is coded with wound closureb) is part of any wound closurec) is always coded separatelyd) may be coded separately Loading... 10. 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?a) 11602-58b) 11603c) 11603-58d) 11606 Loading... 11. Which of the following is not included in excision of lesion codes?a) local anesthesiab) simple suturec) measuring the lesiond) procedures reported with 12031-12057 / 13100-13153 Loading... 12. Which of the following is not adjacent tissue transfer?a) Z-plastyb) W-plastyc) V-Y plastyd) punch graft Loading... 13. When can we bill diagnostic skin biopsy along with Moh’s micrographic surgery?a) always we should billb) never should we bill c) when there is no prior pathology confirmationd) when there is prior pathology confirmation Loading... 14. How do we bill 88314 with Moh’s micrographic surgery?a) for routine frozen sectionb) for routine frozen section with modifier 59c) for non-routine frozen sectiond) for non-routine frozen section with modifier 59 Loading... 15. ------------------------ is a technique for the removal of complex or ill-defined skin cancer with histologic examination of 100% of the surgical margins.a) Cryoablationb) Shaving of lesionc) Z-plastyd) Moh’s micrographic surgery Loading... 16. When an open incision biopsy is done followed by percutaneous placement of metallic clip under stereotactic guidancea) 19081b) 19101, 19081c) 19100d) 19101, 19283 Loading... 17. If a breast mass is removed through open incision and specific attention to removal of adequate surgical margins is given then report,a) 19120b) 19125c) 19301d) 19110 Loading... 18. Cryocautery of 17 actinic keratoses is coded asa) 17000, 17003b) 17000, 17003 x 16c) 17000, 17004d) 17004 Loading... 19. In which of the following areas we should not add the individual measurements?a) surgical preparation 15002 – 15005b) application of autograft 15100 – 15261c) excision of benign / malignant lesiond) simple, intermediate and complex repair Loading... 20. Fine needle aspiration with ultrasound guidance10021, 769421002210022, 7694210021 Loading... 21. Ultrasound guided abscess drainage by catheter from right arm, abdomen and neck using separate catheters1003010030, 76942 10030 x 310030 x 3, 76942 x 3 Loading... 22. Ultrasound guided abscess drainage by catheter from kidney.10030 10030 x 769424940549405, 76942 Loading... 23. Incision and drainage of abscess from the skin of thigh followed by extensive packing10060 100611008010081 Loading... 24. Wound debridements (11042 – 11047)are coded bydepth of the tissue removed surface area of the woundboth A & B none of the above Loading... 25. When bone is debrided from 4 sq.cm heel ulcer and 10 sq.cm ischial ulcersum both the wounds code only the highestcode separatelycode both and append modifier 59 to the heel ulcer Loading... 26. 11008 cannot be billed with 11010True False Loading... 27. Debridement skin (epidermis and/or dermis) only is coded with11010-1101 11042-1104711000-1100197597, 97598 Loading... 28. Destruction of hyperkeratotic lesion is reported with11055-11057 11300-1131311400- 1142717000-17004 Loading... 29. Simple closure cannot be billed with (choose 2)punch biopsy excision lesions10180a, b & c Loading... 30. Skin tags destruction are coded with11200, 11201 17000-170041711011400-11427 Loading... 31. Shaving of each lesion measuring 3 cm in trunk, arm and leg is coded with11303 11303 x 311303 x 211303, with simple closure Loading... 32. Excision of benign and malignant lesions include (choose 3)local anesthesia simple closure removal of lesionlayered closure Loading... 33. Neoplasm, cicatrical, fibrous, inflammatory, congenital are examples ofbenign lesions malignant lesionspremalignant lesionscancerous lesions Loading... 34. Code each lesions separately applies to (choose 3)excision of lesions shaving of lesionsdestruction of lesionsdebridement of lesions Loading... 35. Reexcision procedure performed to widen the margins at a subsequent operative session within the postoperative period is billed with11600-11646 11600-11646 with modifier 5811600-11646 with modifier 59not billed Loading... 36. Wound closure with 2-cyanoacrylate is coded usingE/M Repair codesE/M& Repair codesnone of the answers Loading... 37. Wound closure with adhesive strips is coded usingE/M Repair codesE/M& Repair codesnone of the answers Loading... 38. Which of the following is INCORRECT regarding wound repair or closure?repair codes can be used for wound repair using sutures, staples, or tissue adhesives either singly or in combination with adhesive strips repaired wounds should be measures in centimetereswhen more than one classification of wound is repaired report the more complicated with modifier 59 add wounds of same classification and anatomical grouping Loading... 39. ------------------ is/are not reported separately with adjacent tissue transfersexcision of benign lesions excision of malignant lesionsskin graft to code the secondary defect excision of benign and malignant lesions Loading... 40. Which of the following is incorrect regarding skin grafts?the code measurements apply to the recipient site 100 sq cm applies to adults and children 10 years of age and older homograft is coded using autograft application codessupply of skin substitute grafts are separately reported Loading... 41. Can we sum up the size of the wounds in face and arms for 15002 – 15005?yes no Loading... 42. Which of the following is separately reportable with autografts?harvesting of skin graft simple repair of the donor sitesimple cleansing or debridement of the woundrepair of the donor site using skin graft or local flap Loading... 43. Application of skin substitute graft to the arm measuring 75 sq.cm is coded as15273 15273-5215271, 15272 x 215275, 15276 x 2 Loading... 44. Removal of sutures using local anesthesia by the same surgeon is15850 1585115850 – 47not coded Loading... 45. Liposuction of the neck15839 158761583015847 Loading... 46. Destruction of 3 common plantar warts17000, 17003 x 2 1711017110 x 317110, 17111 Loading... 47. Which of the following is CORRECT regarding Moh’s micrographic surgery?Surgeon and pathologist are two different persons routine frozen section staining can be billed with 88314 17315 can be billed for each additional block after first 5 tissue blocks with any stage 11100, 11101 and frozen section pathology can never be billed with Moh’s surgery on the same day Loading... 48. Percutaneous breast biopsy without imaging guidance is billed using19081-19086 with modifier 52 191001910119281-19288 Loading... 49. When an open incisional biopsy is performed after image-guided localization device report19101 19101, with 19281-1928819101, with 19081-1908619125 Loading... 50. 76942 can be reported with19081-19086 1910019285, 1928619000, 19001 Loading... 51. Attention to adequate surgical margins documentation is required to report191201912519301, 1930219110-19126 Loading... 52. Total mastectomy is reported using19301, 19302 19303-193071930019301-19307 Loading... 53. Placement of expandable catheters for brachytherapy with partial mastectomy on the same day is reported with19301, 19296 19301, 19297 19301, 19296, 1929719296, 19297 Loading... 54. Breast size increase is coded using19316 193181932419499 Loading... Loading... Back Prev Next Submit a Comment Cancel replyYou must be logged in to post a comment.
