Exam 7: Integumentary System

If a lesion is excised incidentally at the same time as a flap, no excision code is assigned for the lesion.

Match each item with the correct statement below. -Removal of tissue for microscopic review

Patient had a 10 cm malignant neoplasm removed from the forehead. Z-plasty was used to repair the site.

Mastectomy, mammoplasty and insertion of breast implants can be performed on both male and female patients.

Measurements of lesion removals and repairs are counted in millimeters.

Intermediate wound repair is appropriate to use when there is a shallow wound in the epidermis that allowed for a single-layer closure but that is heavily contaminated and extensive cleansing was required.

Match each item with the correct statement below. -Professional opinion after work-up

Per CPT guidelines, if a lesion is biopsied and then the remainder of the lesion is removed, what code(s) is (are) assigned?

Match each item with the correct statement below. -Removal of a lesion that does not require closure

When coding for burns, the coder must know the ____ of the burn, the total body surface burned, and the cause of the burn.

The skin is composed of three layers: epidermis, dermis, and the ____________________ layers.

The _________________________ in the CPT book assists coders with determining total body surface area burned.

When coding for split-thickness or full-thickness skin grafts, code is determined by the size and location of the recipient site.

A physician performs a breast biopsy for a suspicious lump. The results of this biopsy will determine if the surgeon will progress with further resection or conclude the procedure. The physician awaits the intraoperative results before proceeding. What modifier is assigned to the biopsy code?

Physician excises a 1.5 cm lesion of the nose. He sends the specimen to pathology for diagnosis and for margins. Diagnosis came back basal cell carcinoma with unclear margins. Physician excised an additional .25 cm margin. Second path report came back with clear margins. What CPT code(s) are assigned?

It is not uncommon for physicians to document addendums to records for integumentary cases.

Bilateral breast augmentation with immediate insertion of saline implants following prophylactic mastectomy. Patient has fibrocystic breast disease and strong family history of breast cancer. Assign ICD-9 diagnosis codes and CPT-4 procedure codes.

Insurance contracts indicate that physicians must get a(n) ___________________________________ signed before a potentially non-covered service is performed

Each lesion removal site is coded separately using which modifier for the following scenario? Excision of benign lesions, .5 cm lesion of the upper arm, 1.2 cm lesion of the back, and .6 cm lesion of chest.

When assigning codes for secondary diagnoses, the condition must co-exist at the time of the visit or admission and be ____________________ or affect management of the patient.