Integumentary Surgery Quiz
by Coding Info on July 01, 2020 in CPC Sample Questions
1. A patient present with a bilateral thyroid nodule, after getting consent
from the patient the physician applied local anesthesia and inserted Fine
needle to take tissue samples from right and left lobe of thyroid gland under
ultrasound guidance and sent the specimen to pathology. The dressing is done
at the operative site, how would you report this service?
A. 10021, 10004
B. 10005, 10006
C. 10005, 10006, 76942
D. 10005 x 2
2. A 64 yrs old female patient present with a basal cell carcinoma in her
forehead, after sterile prepping the site the physician removes the carcinoma
and divides into 7 tissue blocks for examination, upon microscopic
examination, the physician finds there are positive margins, he removes the
positive margin with another excision which is divided into four tissue blocks,
upon microscopic examination margins are negative, the appropriate coding
for the scenario is?
A. 17311, 17312, 17315 x 2
B. 17311, 17312, 17315 x 7
C. 17313, 17314, 17315 x 2
D. 17311, 17312, 17315
3. Preoperative Diagnosis: Mass in the Right and left breast.
Procedure: Ultrasound guided B/L breast biopsy.
Findings: After discussing the risk and benefits of the procedure with the
patient, she has signed the consent form. The patient was placed supine on the
operative table and the left breast was prepped with betadine. 1% of lidocaine
was injected subcutaneously for local anesthesia. The needle was passed
under ultrasound guidance to obtain biopsy samples and sent to the
pathology. The patient tolerated the procedure well. There was no apparent
complication. The biopsy site was dressed in the usual manner. The same
procedure was repeated on the right side of the breast. The patient received
post-operative instructions and left in good condition.
Impression: Successful ultrasound core biopsy of the right and left breast
mass. The patient left our department in good condition today with post-
operative instructions. The pathology report is pending, how would you
report the service?
A. 19083, 19084, 76942 - 26
B. 19100, 76942
C. 19083, 19084
D. 19285, 19286
4. A 70-year-old female is having chronic ulcers on her Left Hip (4 sq cm),
Left heel (3 sq cm), Right elbow (3 sq cm) and Left elbow (4 sq cm). Using
sharp dissection, the ulcer was debrided all the way down to the bone of the
Hip, heel and right elbow. And subcutaneous tissue is debrided from the left
elbow. The area was dressed with sterile saline and dressings and then
wrapped. What CPT code should be reported?
A. 11044, 11042 – 59
B. 11044, 11042
C. 11044, 11042 – 51
D. 11012
5. A 58-year-old male for removal of 2 lesions located on his face and neck.
Both the lesions were identified and marked. Utilizing a 3-mm punch, a biopsy
was taken from the face. The neck lesion was shaved at the level of the
epidermis. What are the codes for these procedures?
A. 11104, 11102 – 59
B. 11104, 11103 – 59
C. 11102, 11105 – 59
D. 11104, 11103 – 51
6. A 72-year patient had SCC on his left arm measures 2cm and the margin
required to adequately excise the lesion is 0.5 cm, and the wound size of 4cm
required layered closure, what are the codes for these procedures?
A. 11603, 12032 - 59
B. 11602, 12002 - 51
C. 11603, 12032 - 51
D. 11623, 12032 – 51
7. A 39-year-old male is here to excise a melanoma on his right cheek and
have reconstruction with an advancement flap. The 2.5 cm lesion and the
margin required to adequately excise the lesion is 0.5 cm totalling a primary
defect of 4.5 cm. An adjacent tissue transfer of 6 sq cm was taken from the
adjacent area (Secondary site) and was advanced into the primary
defect. What are the codes for these procedures?
A. 14041
B. 14040
C. 14041, 11646 - 51
D. 11644, 14041 - 51
8. A 55 yrs old male was admitted to hospital with third-degree burns on his
thighs and trunk, surgical excision of the burn tissue was performed and
application of 225 sq cm of skin substitute graft on his thighs and 150 sq cm of
skin substitute graft on his trunk. What are the codes for these procedures?
A. 15002, 15003, 15273, 15274
B. 15002, 15003 x 2, 15273, 15274 x 2
C. 15002, 15003 x 3, 15271, 15272 x 3
D. 15002, 15003 x 3, 15273, 15274 x 3
9. A 16 year old male is having one benign lesion on his nose (1.6 cm) and
one benign lesion on his neck (2.1 cm). The laser was used for the destruction
of the lesions. The procedures should be coded as?
A. 17110
B. 17273, 17272
C. 17273, 17282
D. 17000, 17003
10. A 14-year-old male had fallen on the road while riding a bicycle. He
lacerated his forehead about 4 cm and left leg 3 cm. The ED physician repaired
the lacerations as follows: In the forehead, he had done cleaning of the
contaminated wound and closed with sutures. The leg was repaired by
superficial sutures on the skin. What are the codes for these procedures?
A. 12052, 12002 – 59
B. 12052, 12002 – 51
C. 12052, 12002
D. None of the above
________________________________________
Answers:
1. B
2. A
3. C
4. A
5. B
6. C
7. A
8. D
9. A
10. A