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MEDICON integumentory questions

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MEDICON
Surgery 10,000 series Questions:
1. A dermatologist excises a 3.5 cm benign lesion from a patient’s back. After the lesion is
successfully removed, the dermatologist performs an intermediate 3.5 cm layered closure. How
should you report these services?
A. 11404, 12031
B. 11404, 12032-51
C. 11404
D. 11404, 12032-57
2. A patient presents to have corns removed from his foot. The physician performs paring to
successfully remove four lesions. How should the physician report these services.
A. 11056
B. 11056, 12000
C. 11056 x 4
D. 11704
3. The physician removes a tumor from the patient’s neck using the Mohs micrographic surgery
technique. During the first stage, the physician takes four tissue blocks and reviews them under
a microscope. The exam of the tissue blocks reveals a second stage is necessary to remove
areas where the tumor is still present. The physician removes two additional tissue blocks. What
are the appropriate CPT® codes for reporting the procedure?
A.17311, 17312, 17315
B.17313, 17315
C.17313, 17314, 17315
D.17311, 17312
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4. 10-year-old
riding his bike struck a tree stump throwing him off his bike. He
received multiple lacerations. He had a 3 cm dermis laceration on his scalp with two
0.5 cm lacerations on his face. His right arm had a 5 cm laceration and right leg has
a 5cm laceration. The physician stapled the laceration for the scalp. Physician used
steri-strips to close the wounds on the face. The legs and arms were cleaned by
heavily irrigating them with normal saline and removal of debris performed on both
wounds, followed with a single-layer closure. Select the repair codes to report.
A. 12032, 12032-51, 12011-51, 12002-51
B. 12002, 12002-51, 12011-51, 12002-51
C. 12005, 11042-59
D. 12034, 12002-59
5. Pre-Procedure Diagnosis: Basal cell carcinoma, left chin. Procedure: Wide local excision of
3.0 cm with 0.3 cm margin basal cell carcinoma of the left chin with a 4 cm closure. Procedure:
The patient’s left chin was examined. The site of intended excision was marked out. The site was
then prepped. The patient was then prepped and draped in the usual fashion. A 15 blade scalpel
was then used to make an incision in the previously marked site. It was carried down to the
subcuticular fat. The lesion was then sharply dissected off underlying tissue bed using a 15blade scalpel. It was tagged for pathologic orientation. The hyfrecator was used for hemostasis.
The wound was then closed by advancing the tissue surrounding the lesion and closing in layers
with 3-0 Vicryl for the deep layer, followed by 5-0 Prolene for the skin. The skin closure was in a
running subcuticular fashion. Steri-Strips were then applied. What are the procedure codes?
A. 11644, 12052-51
B. 11643, 12013-51
C. 11444, 12052-51
D. 11443, 12013-51
6. A 52-year-old patient had a right breast reconstruction with free flap. The surgeon used a
microsurgical technique requiring an operating microscope. How would you report this
procedure?
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A. 19364-RT, 69990
B. 19357
C. 19361, 69990
D.19364-RT
7. A foreign body was removed during an excisional debridement procedure involving the
subcutaneous tissue of Robert’s left elbow. Robert suffered an open dislocation to this site. How
should the physician code this procedure?
A. 11012-LT
B. 11042-LT, 11045-51
C. 11010-LT
D. 11044-LT, 11008-51
8. A 45-year-old male presents in the office with an ingrown toenail on the right and left foot.
The procedure was discussed in detail and the patient elected to have it performed. The right
foot was prepped and draped in sterile fashion. The right great toe was anesthetized with 50/
Solution of 2 percent lidocaine and .05 percent Marcaine. A mini-tourniquet was placed around
the toe for hemostasis in which part of the nail plate and maxtrixectomy were performed..
Phenol was then applied, the toe was then flushed. Tourniquet was released and dressing
applied. At this time the patient elected to only have one performed and will return in two weeks
for the left foot. Code the procedure.
A.11765-T5
B.11750-T5
C.11752-T5
D.11740-T5
9. A 36-year-old male presents to have multiple lesions destroyed. Three benign lesions on his
face are destroyed and five actinic keratoses on his left arm are destroyed. Codes for the
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procedures are:
A.17000, 17003
B.17000, 17003 x 4, 17110
C.17110
D.17260 x 5, 17110 x 3
10. Dr. Alice, a plastic surgeon, completed a bilateral rhytidectomy of the neck and a suction
assisted lipectomy of the right upper arm. What codes should be reported for Dr. Alice’s service.
A.15828-50, 15879-RT-59
B.15826-59, 15879-RT-59
C.15828-50, 15879-RT-59
D.15826-RT, 15828-50, 15879-RT-59
11. What CPT code would best describe the treatment of 9 planter warts removed and 6 flat
warts all destroyed with cryosurgery during the same office visit?
A.17110, 17111-52
B.17110
C.17110, 17003
D.17111
12. The physician performs simple repairs for three lacerations measuring 2.0 cm, 3.0 cm, and
3.0 cm, respectively, on the forearm. There is an additional 1.0 cm intermediate repair, also on
the forearm. Which is the proper coding?
A.12031, 12001 x 3
B.12004
C.12004, 12031
D.12031, 12004-59
13. The physician documents a complex repair, chest, 15.0 cm. Which is the appropriate
coding?
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A.13101, 13102
B.13101, 13102-59
C.13101, 13102 x 2
D.13100, 13102 x 3
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14. With which of the following codes for excision of pressure ulcer may you separately report
skin graft to close the surgical wound?
A.15951
B.15952
C.15953
D.15956
15. Patient has basal cell carcinoma on his upper back. A map was prepared to correspond to
the area of skin where the excisions of the tumor will be performed using Mohs micrographic
surgery technique. There were three tissue blocks that were prepared for cryostat, sectioned,
and removed in the first stage. Then a second stage had six tissue blocks which were also cut
and stained for microscopic examination. The entire base and margins of the excised pieces of
tissue were examined by the surgeon. No tumor was identified after the final stage of the
microscopically controlled surgery. What procedure codes should be reported?
A.17313, 17314 x 2
B.17313, 17315
C.17260, 17313, 17314
D.17313,17314, 17315
16.28-year-old patient had an abscess by her vulva which burst. She has developed a soft tissue
infection caused by gas gangrene. The area was debrided of necrotic infected tissue. All of the
pus was removed and irrigation was performed with a liter of saline until clear and clean. The
infected area was completely drained and the wound was packed gently with sterile saline
moistened gauze and pads were placed on top of this. The correct CPT® code is:
A.56405
B.10061
C.11004
D.11042
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17. CPT® 2014 introduces new code(s) to describe breast biopsy, with placement of localization
devices and imaging guidance. Which codes are these?
A.10030
B.19102, 19103
C.19081-19086
D.19281-19288
18.32-year-old female who has multiple sclerosis fell from her walker and landed on a glass table.
She lacerated her forehead, cheek and chin and the total length of these lacerations was 6 cm.
Her right arm and left leg had deep cuts measuring 5 cm on each extremity. Her right hand and
right foot had a total of 3 cm lacerations. The ED physician repaired the lacerations as follows:
The forehead, cheek, and chin had debridement and cleaning of glass debris with the lacerations
being closed with 6-0 Prolene sutures. The arm and leg were repaired by 6-0 Vicryl subcutaneous
sutures and Prolene sutures on the skin. The hand and foot were closed with adhesive strips.
Select the appropriate procedure codes for this visit.
A.9928x-25, 12014, 12034-59, 12002-59, 11042-51
B.9928x-25, 12053, 12034-59, 12002-59
C.9928x-25, 12014, 12034-59, 11042-51
D.9928x-25, 12053, 12034-59
19. James suffered a severe crushing injury to his left upper leg. Two days after surgery, Dr.
Barnes completed a dressing change under general anesthesia. How would you report
this service?
A.16020-LT
B.15852, 01232, J2060
C. 01232-P6
D.15852-LT
20. A patient had a chest wall tumor excised. The procedure involved the ribs with plastic
reconstruction and mediastinal lymphadenectomy. How would you report this service?
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A.19272, 32503-59
B.19272
C.32503, 19271-59, 21632-59
D.32422, 19260-51
21. The dermatologist excises an irregularly shaped, malignant lesion from a patient’s left
shoulder. The lesion measures 1.5 cm at its widest. To ensure removal of all malignancy, the
dermatologist allows a margin of at least 1.5 cm on all sides. Which is the proper coding?
A.11602
B.11603
C.11604
D.11606
22. The surgeon removes a malignant lesion 2.5 cm in diameter, including margins, from the back
of the hand. A frozen section reveals the need to excise an additional 2.0 cm margin on all sides
to guarantee removal of all malignant tissue. The re-excision is performed during the same
operative session. Which is the proper coding?
A.11626, 11623
B.11626, 11623-59
C.11624
D.11626
23. The physician excises three lesions, all from the left arm, with sizes 1.0 cm (benign), 1.5 cm
(benign), and 2.5 cm (malignant). Which is the proper CPT® coding?
A.11603, 11402, 11401
B.11402 x 2, 11401
C.11603, 11402-59, 11401-59
D.11603, 11602-59, 11402-59
24. For decompression fasciotomy of the leg without debridement. What CPT code would you assign?
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A.27899
B.28039
C.27892
D.27600
25. A patient admitted with the complaints of decubitus ulcer. Pre-operative work up planned.
Excision of sacral pressure, with skin flap closure without ostectomy.
A.15922
B.15933
C.15935
D.15934
26. For incision and drainage of paronchyia. What CPT code would you assign?
A.11721
B.11720
C.10061
D.10060
27. If biopsy of a suspected skin cancer is performed on the same day as Mohs surgery
because there was no prior pathology confirmation of a diagnosis. Then what code should we
report for the skin biopsy and frozen section of pathology.
A.88314
B.17311, 88314-59
C.11100, 88331-59
D.11100, 88331
28. The physician removes a tumor from the patient’s arms using the Mohs micrographic
surgery technique during that physician performed routine frozen section stain. During the first
MEDICON
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stage, the physician takes four tissue blocks and reviews them under a microscope. The exam
of the tissue blocks reveals a second stage is necessary to remove areas where the tumor is
still present. The physician removes two additional tissue blocks. What are the appropriate
CPT® codes for reporting the procedure?
A.17311, 17312, 17315, 88314
B.17313, 17315, 88314
C.17313, 17314
D.17311, 17312
29. Patient came with pain in the breast, right side, tenderness+, and redness+. Puncture was
done for the aspiration of cyst with magnetic resonance guidance for needle placement
including supervision and interpretation.
A.76942, 19020-RT
B.19030, 76942-RT
C.19000, 77021-RT
D.19001, 77021-RT
30. Patient came with the complaints of hardness in the breast. Physician performed breast
reconstruction by free flaps, harvesting of the flap, micro vascular transfer, closure of the donor
site, and inset shaping the flap into the breast.
A.69990
B.19366
C.19364
D.19364,69990
MEDICON
4th Floor, Nagasai Nivas Prime Hospital Lane, Telangana 500016
Phone number : 9848665333. Mail: speak2medicon@gmail.com
MEDICON
MEDICON
4th Floor, Nagasai Nivas Prime Hospital Lane, Telangana 500016
Phone number : 9848665333. Mail: speak2medicon@gmail.com
MEDICON
MEDICON
4th Floor, Nagasai Nivas Prime Hospital Lane, Telangana 500016
Phone number : 9848665333. Mail: speak2medicon@gmail.com
MEDICON
MEDICON
4th Floor, Nagasai Nivas Prime Hospital Lane, Telangana 500016
Phone number : 9848665333. Mail: speak2medicon@gmail.com
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