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Mod 120, Wk 2 Theory

Question	Answer
Incision and drainage codes are divided into subcategories according to the	condition for which the procedure is performed
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
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
Excision defined as full thickness would be through the	dermis
single layered closure of heavily contaminated wounds that require extensive cleaning or removal of particulate matter constitutes what type of repair?	intermediate
the repaired wound should be measured or converted to	centimeters
Using the "Rule of Nines", adult legs are what percentage of the human body?	18%
Mohs micrographic surgery requires a single physician to act in two integrated but separate and distinct capabilities of a surgeon and a(n)	pathologist
Would closure requiring the use of adhesive strips as the sole repair material should be coded with:	an E/M code
What two items are needed to correctly code for local treatment of burns?	Percentage of body surface and depth of the burn
When reporting a staged procedure what modifier is added to the CPT code?	-58
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
There is no tissue remaining for pathological examination after this method has been used	destruction
which modifier indicated a significant, separately identifiable E/M service?	-25
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
Teh method used by the physician to obtain a lesion biopsy depends on which set of factors?	size & type
When coding 3 biopsies of the sin, performed at the same visit, the reporting would be:	11100, 11101 x 2
An excision of a benign lesion from the neck measuring 1.8 cm:	11422
An excision of the left great toe nail & matrix, complete for permanent removal	11750-TA
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
Demabrasion of the segmental face:	15781
Destruction of 7 actinic keratoses:	17000, 17003 x 6 units
fine needle aspiration of the breast without imaging:	10021
Masectomy that is done foe gynecomastia:	19300
Excision of a pilonidal cyst that was a complicated procedure:	11772
To report an excision of a malignant lesion, the correct range of codes to use would be:	11600-11646
Removal of 37 skin tags by electrosurgical destruction;	11200, 11201 X 3 units
removal with reinsertion of an implantable contraceptive capsule:	11977
full thickness graft, free, including direct cosure of donor site from the axillae 12 sq. cm:	15240
endoscopic procedures are reported on the ____ place(s) to which the scope is advanced	farthest
a diagnostic endoscopic procedure is reported only when:	no surgical procedure is performed during the same operative session
because most third party payers do not pay for cosmetic surgery, the physician must carefully document ___ to ensure reimbrsement for noncoesmetic procedures	medical necessity
What is the method that a physician uses to control a nosebleed?	packing, ligation, cauterization (all of the above)
if the physician performs a lavage of the maxillary sinus, what is he/she doing?	washing the maxillary sinus
Thoracentesis is performed to withdraw fluid from the pleural space for a variety of conditions including:	respitory failure
select the term that describes a procedure in which a scope is placed into a body cavity	endoscopy
which of the following terms does not describe the nasal turbinates?	exterior
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
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
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
this surgical procedure is performed to reshape the nose	rhinoplasty
what is the name of the surgical procedure for the rearrangement of the nasal septum?	septoplasty
the term that describes destruction by removing, usuall by cutting, is:	ablation
the term that describes obatining a tissue sample is:	biopsy
which modifier would you use if polyps were removed from both left and the right sides of the nose?	-50
a chest tube may be used as an indwelling method of draining the accumulated fluid in the pleural space	True
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
All "sinus" codes are reported as bilateral procedures only	False
When multiple therapeutic procedures are performed through a scope during the same operative session, only the major (most extensive) procdeure should be reported.	False
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
A surgical sinus endoscopy includes a sinusotomy (when appropriate) and diagnostic endoscopy	True

Created by: grrlonthaswing

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