Mod 120, Wk 2 Theory
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| Incision and drainage codes are divided into subcategories according to the | condition for which the procedure is performed
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| When an excision is being performed, the "margins" refer to the ______ required to adequately excise the lesion based on the physician's judgement | Narrowest margin
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| The removal of a lesion by transverse incision that did not require sutured closure is reported using codes from which subsection? | Shaving of Epidermal or Dermal Lesions
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| Excision defined as full thickness would be through the | dermis
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| single layered closure of heavily contaminated wounds that require extensive cleaning or removal of particulate matter constitutes what type of repair? | intermediate
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| the repaired wound should be measured or converted to | centimeters
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| Using the "Rule of Nines", adult legs are what percentage of the human body? | 18%
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| Mohs micrographic surgery requires a single physician to act in two integrated but separate and distinct capabilities of a surgeon and a(n) | pathologist
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| Would closure requiring the use of adhesive strips as the sole repair material should be coded with: | an E/M code
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| What two items are needed to correctly code for local treatment of burns? | Percentage of body surface and depth of the burn
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| When reporting a staged procedure what modifier is added to the CPT code? | -58
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| A physician performs an operative procedure that has a 90 day surgical package. On day 40, the same physician performs an unrelated procedure on the same patient. What modifier would you attach to the CPT code when reporting the second procedure? | -79
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| There is no tissue remaining for pathological examination after this method has been used | destruction
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| which modifier indicated a significant, separately identifiable E/M service? | -25
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| Tp properly code lesion excision, you msut know the behavior and the narrowest margin about the lesion, in addition to the following: | site, number, diameter
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| Teh method used by the physician to obtain a lesion biopsy depends on which set of factors? | size & type
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| When coding 3 biopsies of the sin, performed at the same visit, the reporting would be: | 11100, 11101 x 2
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| An excision of a benign lesion from the neck measuring 1.8 cm: | 11422
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| An excision of the left great toe nail & matrix, complete for permanent removal | 11750-TA
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| The correct code for repairing the following lacerations: 4.2 simple repair of the trunk, 1.3 simple repair of the arm, & 2.8 intermediate reapir of the scalp: | 12032, 12002-51
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| Demabrasion of the segmental face: | 15781
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| Destruction of 7 actinic keratoses: | 17000, 17003 x 6 units
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| fine needle aspiration of the breast without imaging: | 10021
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| Masectomy that is done foe gynecomastia: | 19300
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| Excision of a pilonidal cyst that was a complicated procedure: | 11772
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| To report an excision of a malignant lesion, the correct range of codes to use would be: | 11600-11646
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| Removal of 37 skin tags by electrosurgical destruction; | 11200, 11201 X 3 units
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| removal with reinsertion of an implantable contraceptive capsule: | 11977
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| full thickness graft, free, including direct cosure of donor site from the axillae 12 sq. cm: | 15240
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| endoscopic procedures are reported on the ____ place(s) to which the scope is advanced | farthest
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| a diagnostic endoscopic procedure is reported only when: | no surgical procedure is performed during the same operative session
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| because most third party payers do not pay for cosmetic surgery, the physician must carefully document ___ to ensure reimbrsement for noncoesmetic procedures | medical necessity
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| What is the method that a physician uses to control a nosebleed? | packing, ligation, cauterization (all of the above)
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| if the physician performs a lavage of the maxillary sinus, what is he/she doing? | washing the maxillary sinus
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| Thoracentesis is performed to withdraw fluid from the pleural space for a variety of conditions including: | respitory failure
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| select the term that describes a procedure in which a scope is placed into a body cavity | endoscopy
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| which of the following terms does not describe the nasal turbinates? | exterior
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| the procedure in which a scope is passes into the larynx and the physician can look at the larynx is what type of laryngoscopy? | direct
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| in what surgery subsection would you find the code for the incision and drainage of a nasal abcess using an external approach to the abcess? | Integumentary System
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| The name of the procedure in which mucus is removed from the sinuses by flushing a saline solution through the sinus cavities is ___. For example, the Proetz procedure (saline irrigation combined with suction) | displacement
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| this surgical procedure is performed to reshape the nose | rhinoplasty
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| what is the name of the surgical procedure for the rearrangement of the nasal septum? | septoplasty
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| the term that describes destruction by removing, usuall by cutting, is: | ablation
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| the term that describes obatining a tissue sample is: | biopsy
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| which modifier would you use if polyps were removed from both left and the right sides of the nose? | -50
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| a chest tube may be used as an indwelling method of draining the accumulated fluid in the pleural space | True
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| Thoracoplasty is a procedure that is performed to separate the inside of the chest cavity from the lung to permit the collapse of the lung | False
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| All "sinus" codes are reported as bilateral procedures only | False
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| When multiple therapeutic procedures are performed through a scope during the same operative session, only the major (most extensive) procdeure should be reported. | False
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| A "direct" laryngoscopic procedure means that the physician uses a tongue depressor to hold the tongue down and view the epiglottis with a mirror | False
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| A surgical sinus endoscopy includes a sinusotomy (when appropriate) and diagnostic endoscopy | True
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