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The excision-debridement codes (11000-11047) are used for all of these except ______. A. Skin B. Nails C. Muscle D. Bone
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A wound that is 4cm x 8 cm measures: A. 4 sq cm B. 8 sq. cm C. 12 sq cm D. 32 sq cm
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Quiz review 4.1/4.2
| Question | Answer |
|---|---|
| The excision-debridement codes (11000-11047) are used for all of these except ______. A. Skin B. Nails C. Muscle D. Bone | B. Nails |
| A wound that is 4cm x 8 cm measures: A. 4 sq cm B. 8 sq. cm C. 12 sq cm D. 32 sq cm | D. 32 sq cm |
| Which of the following is a simple repair of a laceration? A. Application of adhesive strips B. Closure of multiple layers of skin after removing debris C. Closure of skin, subq and fascia D. Suturing single layer skin wound | D. Suturing of a single-layer skin wound |
| The skin harvesting code is only used when: A. Greater than 100 sq cm is needed B. Skin is sent for tissue culturing C. A split-thickness graft is harvested D. A full-thickness graft is harvested. | B. Skin is sent for tissue culturing |
| The pt. has 2 malignant lesions on neck 0.5cm and 0.8 cm, destroyed by electrosurgery. How is this coded? A. 11620, 11621 B. 17000, 17003 C. 17270, 17271 D. 17272 | C. 17270, 17271 |
| A xenograft is: A. Used as a permanent skin replacement B. The same as a full-thickness graft C. A temporary wound closure D. Skin taken from a cadaver to be used as a substitute | D. Skin taken from a cadaver to be used as a substitute |
| In which of these cases would the coder add the lengths of the defects? A. Full- and split-thickness grafts B. Removal benign lesions from neck C. Simple and intermedicate closures of lacerations on arm and face D. Simple closure of 2 lacerations on trunk | D. Simple closure of two lacerations on the trunk (same type - simple) |
| The physician removes a benign lesion of breast tissue measuring 1.2 cm x 1.8 cm How is this coded? A. 11402 B. 19101 C. 19120 D. 19301 | C. 19120 |
| Which of the following is not a method of lesion destruction? A. Cryosurgery B. Electrosurgery C. Excision D. Laser Removal | C. Excision |
| Assign code: the physician excises a 3cm x 3 cm benign lesion from the patient's back and uses a rotation flap to repair the skin. The rotational flap is 10cm x 3.2 cm. | 14301 Adjacent tissue transfer or rearrangement, any area; defect 30.1 sq cm to 60.0 sq cm (Cannot report excision and flap because flap repair includes excision) |
| A 75 yo pt. presents to the office with 2 subungual hematomas, one on the right middle finger and one on the right ring finger. Both are evacuated. No other service is performed. | 11740 - F7; 11740 -59-F8 Evacuation of subungual hematoma F7 3rd digit right hand and F8 4th digit right hand -59 distinct procedural service |
| The pt. presents for repair of a 3rd degree burn of the right forearm caused when a shemical splashed on his arm at work. The burn measures 2 cm x 3 cm. Burn eschar is excised before advancement flap 4cmx3cm. | 14021 Adjacent tissue transfer or rearrangement, scalp, arms and /or legs; defect 10.1 sq cm to 30 sq cm and 15002 surgical prep or creation of recipient site by excision of open wounds, burn eschar or scar, trunk, arms legs 1st 100 sq cm |
| Full-thickness graft of the forehead of 15 sq cm is performed. Excisional prep of the recipient site with excision of extensive scarring also is performed. | 15004 (prep -face) ; 15240 (full thickness 20 sq cm) |
| A 3-cm laceration of the arm that requires simple closure. | 12002 - simple repair 2.6 cm to 7.5 cm |
| Liquid nitrogen is applied to the face for treatment of acne | 17340 |
| The surgeon revises a previous breast reconstruction. | 19380 |
| Two punch biopsies are performed on skin lesions. Simple closure is performed. | 11100; 11101 (simple closure is included so each biopsy is coded) |
| An established pt seen for glut pain and had E/M w/expanded prob focused hx, expanded prob focused exam and moderate complexity medical decision making to determine cause of pain. An incision and drainage of a pilonidal cyst is performed. | 99213-25 and 10080 |
| refer to pg 124 and review records | |
| Which modifier should the coder apply when an unrelated procedure is performed furing the global period? a. -24 B. -25 C. -77 D. -79 | D. -79 |
| Which modifier should a coding professional apply to a procedure performed on the left upper eyelid? A. -51 B. -LT C. -E1 D. No modifier | C. -51 |
| Based on CPT guidelines, which service may be coded separately when a surgical procedure is performed? A. Provision of local anesthesia B. Physician-administered digital block C. Care for wound infections D. Incision closure services | C. Care for wound infections |
| Which of the following codes are never reported alone and thus are exempt from modifier -51? A. Evaluation and management codes B. Separate procedure codes C. Unlisted procedure codes D. Add-on procedure codes | D. Add-on procedure codes |
| Code 99024 is associated with which of the following concepts? A. Separate procedures B. Surgical package C. Unbundling D. Unlisted procedures | B. Surgical package |
| How many days are typically included in the global surgical period? A. 0 B. 10 C. 90 D. 120 | C. 90 |
| Which modifier would be associated with a planned procedure having two or more stages? A. -22 B. -32 C. -58 D. -76 | C. -58 |
| When a procedure is normally carried out as an integral part of a total service but is performed independently on a particular day, it is acceptable to use codes that include the phrase _____ in the descriptor. | Separate procedure |
| True or False? Medicare follows the description of the global surgical package included in CPT. | False |
| True or False? A patient underwent surgery 5 days ago and now presents to the office with dehiscence. The surgeon codes an E/M code for the evaluation of the wound. The surgeon coded this case correctly. | True. |
| True or False. Procedures in teh code range of 15570-15738 include extensive mobilization? | False. |
| True or False. When a lesion is being excised from a mastectomy site, a code should be assigned for the excision of the trunk since the breast is no longer present. | True. |
| True or False. Multiple wounds that are repaired may be added together and reported with one code if they are from the same classification and from the same grouping of body sites. | True |
| The pt. had a total abdominal hysterectomy with bilateral salpingectomy. The coder selected the following codes: 58150 and 58700. Assignment of these two codes together would be referred to as: Global packaging, Unbundling, Maximizing, or Optimization | Unbundling |
| Coding a procedure on the second digit of the right foot requires which modifier? -T6 -RT -22 -52 | -T6 |
| True or False. The CPT definition of "surgical package" and the CMS definition of "surgical package" are different. | True. |
| True or False. When two or more surgical procedures are performed at the same operative session, modifier -51 should be assigned to all of the procedure codes. | False. |
| In this procedure, the MD incised through the skin and fascia until tumor is exposed. The MD then excised the tumor and a margin of tissue around the tumor. Most appropriate code for procedure? 19301; 19300; 19303; 19304 | 19301 |
| If four fingernails were debrided manually, which is most proper code to assign? 11719 (Trimming of nondystropic nails, any number); 11720 (Debridement of Nail any method(s); 1 to 5); 11721 (Debridement of nail(s) by any method(s); 6 or more);None | 11720 (Debridement of Nail(s) by any method(s); one to five) |
| Debridement is considered a separate stand-alone procedure, as long as _____ of the three criteria are met. One Two All Three | One |
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