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Integumentary

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
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Question
Answer
show  
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show secondary, benign  
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Secondary malignancy: cancer spreads and ______ to   show
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Ca In Situ: cancer is ____ and hasn't spread. Uncertain behavior neoplasms table: lesion whose behavior ____ be predicted. Currently benign but chance it could go malignant.   show
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Unspecified behavior neoplasms table: no _____ report indicating what the lesion is.   show
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show impetigo, ringworm  
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Furnuncles: (boils) cutaneous abcesses, typically caused by staphylococcus. Several Furnuncles together make up a _____   show
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show heal  
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Lymphangitis: infection of lymph _____, can be from acute streptococcal infection of skin superimposed on an existing staphylococcal infection.   show
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Lymphangitis: can be a sign that skin infection is getting _____. Code based on location then whether it's _____ lymphangitis or cellulitis.   show
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Pilonidal cyst: a cyst, fistual, or sinus under skin at bottom of ____. Can have hair, debris and other abnormal tissue. If becomes infected it's considered an _____   show
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show scalp, cap  
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show Eczema, external, drug  
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show sun, cancerous  
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Seborrheic Keratosis: benign growth, typically not forming into _____   show
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Pressure ulcers: Stage 1- persistant focal edema. Stage 2- partial thickness loss, epidermis, ______ or both.   show
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Pressure Ulcers: Stage 3- ____ thickness loss, damage or necrosis of sub Q layer. Stage 4- necrossis of _____ tissue extending to muscle, tendon, bone.   show
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show growth  
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show sub q, muscle  
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TBSA: Category T 31. Rule of ____ to calucate this.   show
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Benign mammory dysplasia: abnormal _____. Most common is _____ disease or cysts.   show
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FNA: Fine needle aspiration, based on imaging _____ is used and type for coding CPT. Add-on codes for each additional lesion that uses the same imaging guidance.   show
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show same, 59  
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show  
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When debridement with tissue removed, etc. pay close attention to ____ area being treated and how much tissue etc. being removed.   show
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show infection  
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show separate  
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show  
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show add  
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Debridement: Modifier 59 for multiple sites may be necessary to distinguish separately indentifiable procedures done during same _____ or same day.   show
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show  
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Healing ridge: upon palpatation, induration (hardening) around wound, ____ skin. Expected positive sign.   show
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show dead  
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Undermining: tissue destruction, extends under the intact ____   show
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show lesions  
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When more than 1 biopsy done by ____ techniques during same procedure only 1 primary biopsy code reported then add-on codes for other techniques.   show
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Additional biopsies reported with add-on codes for each _____ biopsy lesion.   show
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show removal  
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Shaving of skin: code based on body _____ and size   show
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show benign  
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Hidradentis: inflammation of ____ glands   show
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show method  
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Electrofulguration: removal/destroying of tissue with high frequency ____ current.   show
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Elliptical excision: doctor marks the _____ externally before.   show
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show diameter  
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For certain repairs _____ is measured.   show
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show square  
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Melanoma: measured in thickness known as Breslow's ____- Clark's Level ( 5 levels)   show
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show  
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show simple  
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show square  
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Reparied wound must be measured in _____. If adhesive strips used, use E/M in addition.   show
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Repair codes: 1st group wounds by ____ of repair (simple, intermediate, complex) then by anatomical site.   show
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When multiple wounds need some type of repair, listed in ____ anatomical region, add lengths of each wound and report as _____ item.   show
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More than 1 classification of wound repaired: list more _____ wound 1st followed by less complicated and add modifier 59 to each procedure after the 1st.   show
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For excision of benign and malignant lesions requiring more than simple ____, report 11400-11446 or 11600-11646 in addition to appropriate closure code.   show
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If repairs involve nerves, blood vessels or tendons: code selected from correct _____ (nervous, cardiovascular or musculoskelatal). Exploration of nerves, blood vessels or exposed tendon considered ____ of repair.   show
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Using adjacent tissue transfer or rearrangement for wound repairs: adjacent tissue tranfer involves primary and secondary ____, both are reparied in the procedure.   show
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Secondary defect is created from tissue movement ____ to close primary defect. Include both primary and secondary defects as part of ______ for this repair.   show
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Tissue transfer codes: choose code accoding to size of ____ or wound needed to be covered.   show
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When 2 different lesions removed from 2 different locations and adjacent tissue repair closes on wound and ______ close other wounds: both services may be reported since 2 different lesions excised.   show
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2 different lesions removed from 2 different locations, one closed with sutures: when reporting, CPT modifier _____ used to indicate different procedure and not inclued in tissue transfer. Square centimeters.   show
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show tissue  
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show blemishes  
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show species  
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show pivoted, small  
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show area, 58  
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show 100  
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Each free flap code includes: elevation of flap, inset of flap into _____ site. Microvascular anastomosis of one _____. Transfer of flap to recipient site, microvascular anastomosiss of one or 2 _____   show
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show location, harvested  
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  show
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show  
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show E1  
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show anesthesia  
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show procedure  
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  show
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When reporting skin graft following debridment: code for debridement then skin ____.   show
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show cells  
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show local  
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show code  
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  show
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  show
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show pathologist  
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show divides, portion  
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Mohs Micrographic Surgery: each time surgeon removes a portion of the _____ it is refered to as a stage. Each stage is divided into tissue _____.   show
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show imaging  
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show axillary  
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show mammory  
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show  
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show after, separately  
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show larger  
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Breast biopsy and mastectomy on same day and same operative session: use of an operating _____ is inclusive to codes 19364 and 19368 and are not reported separately.   show
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show node  
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  show
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show guidance  
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Mastopexy: surgery to ____ breast   show
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Photodynamic therapy: ablasion of tumorous tissue by _____ of photoactive drugs.   show
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show Actenotherapy  
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PUVA (Psoralens ultraviolet A treatment)- photochemotherapy. Patient under direct ______ supervision for 4-8 hrs.   show
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HCPCS level II modifier 25: significant, separately identifiable E/M service by ____ physician or healthcare professional on the same day of procedure or other service.   show
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HCPCS level II modifier 50: _____ procedure   show
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  show
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HCPCS level II modifier ____: staged or related procedure or service by the same physician or healthcare professional during post op period.   show
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show 58  
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show nail  
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show 59  
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Always place a (-) dash _____ CPT and modifier and between multiple modifiers   show
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Use modifiers on CPT (procedure) codes _____ on ICD codes   show
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Never put modifier on _____ level I and II code   show
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Report modifiers that affect ____ 1st   show
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show last  
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show highest  
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show appear  
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1st the diagnosis must give medical _____ to procedure code.   show
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Exteranal cause codes are _____ coded in 1st position.   show
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show 50  
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show 51  
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