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Integumentary

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Question
Answer
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Table of neoplasms columns: Primary and _____ malignancy, Ca In Situ, _____ and uncertain behavior, unspecified behavior   show
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show Metastasizes  
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show encapsulated, cannot  
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Unspecified behavior neoplasms table: no _____ report indicating what the lesion is.   show
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Skin infections: bacterial or fungal. Common bacterial- ______, carbuncles, cellulitis, lymphandentitis, etc. Common fungal- athletes foot, jock itch, _____ etc.   show
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show carbuncle  
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show heal  
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show vessels  
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show worse, acute  
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show tailbone, abcess  
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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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show dermis  
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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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Keloid scar: excess _____ of connective tissue during healing process   show
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show sub q, muscle  
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show nines  
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show tissue, fibrocystic  
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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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NSTI: necrotizing soft tissue _____.   show
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Debridement is not inclued in Global package of treating fracture/dislocation since debridement and treatment of fracture are ____ procedures.   show
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  show
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If multiple areas of same depth debrided, ____ the surface areas of the wound to select code.   show
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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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Sinus tract: course of tissue destruction from surface or edge of wound, ____ space with potential for abcess formation.   show
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show skin  
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show lesions  
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show different  
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Additional biopsies reported with add-on codes for each _____ biopsy lesion.   show
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When pathology says "uncertain morphology" choose procedure code for which lesion _____ was performed.   show
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show area  
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Removal of lesions by excision: codes selected based whether lesion is ____ or malignant.   show
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show sweat  
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show method  
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show electric  
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show skin  
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Excisions: lesion widest ______ for reporting.   show
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For certain repairs _____ is measured.   show
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Skin grafts size of recipient site in _____ centimeters.   show
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show Depth  
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  show
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Pilonidal cyst: code selected based on whether excision is ____, extensive or complicated.   show
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Tattooing for breast reconstruction measure in ____ centimeters.   show
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show centimeters  
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Repair codes: 1st group wounds by ____ of repair (simple, intermediate, complex) then by anatomical site.   show
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show same, single  
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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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show system, part  
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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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show needed, measurements  
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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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Derma-Fascia-Fat-Graft: smooth out _____ created secondary to surgically created defects or atrophy.   show
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show species  
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Rotation flap: flap ____ over the defect. Slip thickness graft: epidermis and ____ part of dermis   show
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show area, 58  
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show 100  
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show recipient, artery, veins  
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When fat's removed using direct excision or liposuction: reported based on ____of where the graft placed, not where fat ______.   show
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  show
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  show
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Blepharoplasty: HCPCS modifier for eyelid surgery performed on: example ____-upper left eyelid. If bilateral modifier 50 can be used.   show
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Removal of staples/sutures: code based on whether _____ used. These are in addition to E/M code.   show
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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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Burn repair by autologus cultured human Epithelium: unburned epidermal _____ cultured into sheets, attached to petruleum gauze squares.   show
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Destruction: ablasion of tissues by any method with or without curettage, including _____ anesthesia and usually not requiring closure.   show
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Destruction: if lesions destroyed from multiple body sites, more than 1 _____ required.   show
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show  
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show  
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Mohs Micrographic Surgery: surgeon acting in 2 distinct roles- 1st surgeon and 2nd as _______   show
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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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Breast biopsy: percutaneous (needle) with or without _____ guidance.   show
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show axillary  
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show mammory  
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show  
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Breast biopsy and mastectomy on same day and same operative session: if malignancy diagnosed perviously by biopsy and surgeon takes breast tissue ____ mastectomy to examine for malignancy: biopsy not coded _____ when mastectomy also perfomed.   show
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Breast biopsy and mastectomy on same day and same operative session: the biopsy is "subsumed" as part of the ____ operation and not coded separately.   show
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show microscope  
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CPT code 19302 includes sentinel _____ removal.   show
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show  
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show guidance  
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Mastopexy: surgery to ____ breast   show
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show activation  
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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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show bilateral  
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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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In the treatment of burns, if physician performs dressings/debridement at different sessions or patient encounters the same procedure on same date modifier ____ may be used.   show
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show between  
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Use modifiers on CPT (procedure) codes _____ on ICD codes   show
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show ICD  
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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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show necessity  
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show never  
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show 50  
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show 51  
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