Question 1

Single-layered closure of heavily contaminated wounds that require extensive cleaning or removal of particulate matter constitutes what type of repair?

Accepted Answer

A) simple 
B) intermediate 
C) complex 
D) none of the above 
A) simple 
B) intermediate 
C) complex 
D) none of the above B

Question 2

Match the following common procedures and suffixes with the correct definition.
-ligation

Accepted Answer

A) to remedy, replace, or heal 
B) suffix for molding or surgically forming 
C) free flow or withdrawal of fluids from a wound or cavity 
D) cutting or taking away 
E) to unite parts by stitching them together
F)inspection of body organs or cavities by the use of a lighted scope that may be placed through an existing opening or through a small incision
G)scraping of a cavity using a spoon-shaped instrument
H)forcing a fluid into a vessel or cavity
I)suffix for suturing
J)suffix for puncture of a cavity
K)suffix for removal of part or all of an organ of the body
L)removal of a small piece of living tissue for diagnostic examination
M)surgically cutting into
N)binding or tying off, as in constricting blood flow of a vessel or binding fallopian tubes for sterilization
O)suffix for incision into 
A) to remedy, replace, or heal 
B) suffix for molding or surgically forming 
C) free flow or withdrawal of fluids from a wound or cavity 
D) cutting or taking away 
E) to unite parts by stitching them together
F)inspection of body organs or cavities by the use of a lighted scope that may be placed through an existing opening or through a small incision
G)scraping of a cavity using a spoon-shaped instrument
H)forcing a fluid into a vessel or cavity
I)suffix for suturing
J)suffix for puncture of a cavity
K)suffix for removal of part or all of an organ of the body
L)removal of a small piece of living tissue for diagnostic examination
M)surgically cutting into
N)binding or tying off, as in constricting blood flow of a vessel or binding fallopian tubes for sterilization
O)suffix for incision into N

Question 3

INDICATIONS: The patient had a YV advancement flap and advancement of the hamstring muscles about 3 weeks ago, but the wound separated and the muscles retracted over the area of the bone.She has had moderate separation of the wound but not complete separation, and we plan to minimally debride this area and resuture the wound with tension sutures.
DIAGNOSIS: Wound dehiscence, left ischial area, partial.
SURGICAL FINDINGS: A 6 cm long by about 4 cm deep wound dehiscence.
PROCEDURE PERFORMED: Debridement of ischial wound by curettage with secondary wound closure.
PROCEDURE: The patient was intubated and turned in the prone position.The area was prepped with Betadine scrub and solution and draped in routine sterile fashion.The area was curettaged and a piece of the tissue was placed in a culture tube.This was curettaged down to bleeding granulation tissue.I was reluctant to restart by complete debridement of all these areas, because there are factors operative in this wound that are probably beyond our control.We nevertheless completed debridement of the granulation down to bleeding tissue and put far/near, near/far tension type sutures in the wound using #2 Ethibond.I then put some Xeroform underneath the sutures that were holding the wound together and put three boxes of Kerlix Fluffs on top of this to cover some of the open areas on the thigh.The thigh sutures were also removed.I then taped the three boxes of Kerlix Fluffs to the ischial area with Elastoplast and taped around the leg to hold this in place, placing an ABD pad over the open areas where the sutures had been present.I then taped the buttock and leg up on the lumbar area with Elastoplast in such a manner as to support the ischial closure.A home health care nurse was in attendance at this time and she was advised as to how to retape and dress this on a daily basis.The patient had two open areas of the thigh and right lower leg, one of which was a donor site, the other of which was an old skin graft with open areas.We applied Scarlet Red and ABD pads to this area.Estimated blood loss 50 cc.Otherwise, the patient tolerated the procedure well and left the area in good condition.
CPT Code: ____________________

Accepted Answer

13160-78

Question 4

Excision defined as full thickness would be through the:

Accepted Answer

A) epidermis 
B) dermis 
C) subcutaneous tissue 
D) muscle 
A) epidermis 
B) dermis 
C) subcutaneous tissue 
D) muscle

Question 5

Match the following common procedures and suffixes with the correct definition.
-repair

Accepted Answer

A) to remedy, replace, or heal 
B) suffix for molding or surgically forming 
C) free flow or withdrawal of fluids from a wound or cavity 
D) cutting or taking away 
E) to unite parts by stitching them together
F)inspection of body organs or cavities by the use of a lighted scope that may be placed through an existing opening or through a small incision
G)scraping of a cavity using a spoon-shaped instrument
H)forcing a fluid into a vessel or cavity
I)suffix for suturing
J)suffix for puncture of a cavity
K)suffix for removal of part or all of an organ of the body
L)removal of a small piece of living tissue for diagnostic examination
M)surgically cutting into
N)binding or tying off, as in constricting blood flow of a vessel or binding fallopian tubes for sterilization
O)suffix for incision into 
A) to remedy, replace, or heal 
B) suffix for molding or surgically forming 
C) free flow or withdrawal of fluids from a wound or cavity 
D) cutting or taking away 
E) to unite parts by stitching them together
F)inspection of body organs or cavities by the use of a lighted scope that may be placed through an existing opening or through a small incision
G)scraping of a cavity using a spoon-shaped instrument
H)forcing a fluid into a vessel or cavity
I)suffix for suturing
J)suffix for puncture of a cavity
K)suffix for removal of part or all of an organ of the body
L)removal of a small piece of living tissue for diagnostic examination
M)surgically cutting into
N)binding or tying off, as in constricting blood flow of a vessel or binding fallopian tubes for sterilization
O)suffix for incision into

Question 6

Match the following common procedures and suffixes with the correct definition.
--centesis

Accepted Answer

A) to remedy, replace, or heal 
B) suffix for molding or surgically forming 
C) free flow or withdrawal of fluids from a wound or cavity 
D) cutting or taking away 
E) to unite parts by stitching them together
F)inspection of body organs or cavities by the use of a lighted scope that may be placed through an existing opening or through a small incision
G)scraping of a cavity using a spoon-shaped instrument
H)forcing a fluid into a vessel or cavity
I)suffix for suturing
J)suffix for puncture of a cavity
K)suffix for removal of part or all of an organ of the body
L)removal of a small piece of living tissue for diagnostic examination
M)surgically cutting into
N)binding or tying off, as in constricting blood flow of a vessel or binding fallopian tubes for sterilization
O)suffix for incision into 
A) to remedy, replace, or heal 
B) suffix for molding or surgically forming 
C) free flow or withdrawal of fluids from a wound or cavity 
D) cutting or taking away 
E) to unite parts by stitching them together
F)inspection of body organs or cavities by the use of a lighted scope that may be placed through an existing opening or through a small incision
G)scraping of a cavity using a spoon-shaped instrument
H)forcing a fluid into a vessel or cavity
I)suffix for suturing
J)suffix for puncture of a cavity
K)suffix for removal of part or all of an organ of the body
L)removal of a small piece of living tissue for diagnostic examination
M)surgically cutting into
N)binding or tying off, as in constricting blood flow of a vessel or binding fallopian tubes for sterilization
O)suffix for incision into

Question 7

To correctly code lesion excision, you must know the behavior (benign/malignant) as well as the site, ____________________, and number of the lesion(s).

Accepted Answer

The answer of To correctly code lesion excision, you must...

Question 8

Match the following common procedures and suffixes with the correct definition.
-incision

Accepted Answer

A) to remedy, replace, or heal 
B) suffix for molding or surgically forming 
C) free flow or withdrawal of fluids from a wound or cavity 
D) cutting or taking away 
E) to unite parts by stitching them together
F)inspection of body organs or cavities by the use of a lighted scope that may be placed through an existing opening or through a small incision
G)scraping of a cavity using a spoon-shaped instrument
H)forcing a fluid into a vessel or cavity
I)suffix for suturing
J)suffix for puncture of a cavity
K)suffix for removal of part or all of an organ of the body
L)removal of a small piece of living tissue for diagnostic examination
M)surgically cutting into
N)binding or tying off, as in constricting blood flow of a vessel or binding fallopian tubes for sterilization
O)suffix for incision into 
A) to remedy, replace, or heal 
B) suffix for molding or surgically forming 
C) free flow or withdrawal of fluids from a wound or cavity 
D) cutting or taking away 
E) to unite parts by stitching them together
F)inspection of body organs or cavities by the use of a lighted scope that may be placed through an existing opening or through a small incision
G)scraping of a cavity using a spoon-shaped instrument
H)forcing a fluid into a vessel or cavity
I)suffix for suturing
J)suffix for puncture of a cavity
K)suffix for removal of part or all of an organ of the body
L)removal of a small piece of living tissue for diagnostic examination
M)surgically cutting into
N)binding or tying off, as in constricting blood flow of a vessel or binding fallopian tubes for sterilization
O)suffix for incision into

Question 9

Match the following common procedures and suffixes with the correct definition.
--rrhaphy

Accepted Answer

A) to remedy, replace, or heal 
B) suffix for molding or surgically forming 
C) free flow or withdrawal of fluids from a wound or cavity 
D) cutting or taking away 
E) to unite parts by stitching them together
F)inspection of body organs or cavities by the use of a lighted scope that may be placed through an existing opening or through a small incision
G)scraping of a cavity using a spoon-shaped instrument
H)forcing a fluid into a vessel or cavity
I)suffix for suturing
J)suffix for puncture of a cavity
K)suffix for removal of part or all of an organ of the body
L)removal of a small piece of living tissue for diagnostic examination
M)surgically cutting into
N)binding or tying off, as in constricting blood flow of a vessel or binding fallopian tubes for sterilization
O)suffix for incision into 
A) to remedy, replace, or heal 
B) suffix for molding or surgically forming 
C) free flow or withdrawal of fluids from a wound or cavity 
D) cutting or taking away 
E) to unite parts by stitching them together
F)inspection of body organs or cavities by the use of a lighted scope that may be placed through an existing opening or through a small incision
G)scraping of a cavity using a spoon-shaped instrument
H)forcing a fluid into a vessel or cavity
I)suffix for suturing
J)suffix for puncture of a cavity
K)suffix for removal of part or all of an organ of the body
L)removal of a small piece of living tissue for diagnostic examination
M)surgically cutting into
N)binding or tying off, as in constricting blood flow of a vessel or binding fallopian tubes for sterilization
O)suffix for incision into

Question 10

Match the following common procedures and suffixes with the correct definition.
-suture

Accepted Answer

A) to remedy, replace, or heal 
B) suffix for molding or surgically forming 
C) free flow or withdrawal of fluids from a wound or cavity 
D) cutting or taking away 
E) to unite parts by stitching them together
F)inspection of body organs or cavities by the use of a lighted scope that may be placed through an existing opening or through a small incision
G)scraping of a cavity using a spoon-shaped instrument
H)forcing a fluid into a vessel or cavity
I)suffix for suturing
J)suffix for puncture of a cavity
K)suffix for removal of part or all of an organ of the body
L)removal of a small piece of living tissue for diagnostic examination
M)surgically cutting into
N)binding or tying off, as in constricting blood flow of a vessel or binding fallopian tubes for sterilization
O)suffix for incision into 
A) to remedy, replace, or heal 
B) suffix for molding or surgically forming 
C) free flow or withdrawal of fluids from a wound or cavity 
D) cutting or taking away 
E) to unite parts by stitching them together
F)inspection of body organs or cavities by the use of a lighted scope that may be placed through an existing opening or through a small incision
G)scraping of a cavity using a spoon-shaped instrument
H)forcing a fluid into a vessel or cavity
I)suffix for suturing
J)suffix for puncture of a cavity
K)suffix for removal of part or all of an organ of the body
L)removal of a small piece of living tissue for diagnostic examination
M)surgically cutting into
N)binding or tying off, as in constricting blood flow of a vessel or binding fallopian tubes for sterilization
O)suffix for incision into

Question 11

The removal of a lesion by transverse incision that did not require sutured closure is reported using codes from which subsection?

Accepted Answer

A) Removal of Skin Tags 
B) Biopsy 
C) Paring or Cutting 
D) Shaving of Epidermal or Dermal Lesions 
A) Removal of Skin Tags 
B) Biopsy 
C) Paring or Cutting 
D) Shaving of Epidermal or Dermal Lesions

Question 12

What two items are needed to correctly code for local treatment of burns?

Accepted Answer

A) length and width of burn 
B) width and depth of burn 
C) percentage of body surface and depth of burn 
D) percentage of body surface and width of burn 
A) length and width of burn 
B) width and depth of burn 
C) percentage of body surface and depth of burn 
D) percentage of body surface and width of burn

Question 13

Full-thickness graft, free, to the axillae, including direct closure of donor site, 12 sq.cm.:

Accepted Answer

A) 15240 
B) 15200 
C) 15260 
D) 15261 
A) 15240 
B) 15200 
C) 15260 
D) 15261

Question 14

To report an excision of a malignant lesion, the correct range of codes to use would be:

Accepted Answer

A) 11600-11646 
B) 11400-11471 
C) 11200-11201 
D) 11102-11107 
A) 11600-11646 
B) 11400-11471 
C) 11200-11201 
D) 11102-11107

Question 15

The repaired wound should be measured or converted to:

Accepted Answer

A) millimeters 
B) centimeters 
C) inches 
D) all of the above 
A) millimeters 
B) centimeters 
C) inches 
D) all of the above

Question 16

Match the following common procedures and suffixes with the correct definition.
-biopsy

Accepted Answer

A) to remedy, replace, or heal 
B) suffix for molding or surgically forming 
C) free flow or withdrawal of fluids from a wound or cavity 
D) cutting or taking away 
E) to unite parts by stitching them together
F)inspection of body organs or cavities by the use of a lighted scope that may be placed through an existing opening or through a small incision
G)scraping of a cavity using a spoon-shaped instrument
H)forcing a fluid into a vessel or cavity
I)suffix for suturing
J)suffix for puncture of a cavity
K)suffix for removal of part or all of an organ of the body
L)removal of a small piece of living tissue for diagnostic examination
M)surgically cutting into
N)binding or tying off, as in constricting blood flow of a vessel or binding fallopian tubes for sterilization
O)suffix for incision into 
A) to remedy, replace, or heal 
B) suffix for molding or surgically forming 
C) free flow or withdrawal of fluids from a wound or cavity 
D) cutting or taking away 
E) to unite parts by stitching them together
F)inspection of body organs or cavities by the use of a lighted scope that may be placed through an existing opening or through a small incision
G)scraping of a cavity using a spoon-shaped instrument
H)forcing a fluid into a vessel or cavity
I)suffix for suturing
J)suffix for puncture of a cavity
K)suffix for removal of part or all of an organ of the body
L)removal of a small piece of living tissue for diagnostic examination
M)surgically cutting into
N)binding or tying off, as in constricting blood flow of a vessel or binding fallopian tubes for sterilization
O)suffix for incision into

Question 17

When reporting a staged procedure what modifier is added to the CPT code?

Accepted Answer

A) -25 
B) -51 
C) -58 
D) -76 
A) -25 
B) -51 
C) -58 
D) -76

Question 18

There is no tissue remaining for pathological examination after this method has been used.

Accepted Answer

A) ablation 
B) Mohs 
C) excision 
D) destruction 
A) ablation 
B) Mohs 
C) excision 
D) destruction

Question 19

Suction lipectomy, lower right leg.
CPT Code: ____________________

Accepted Answer

The answer of Suction lipectomy, lower right leg.
CPT Code: ____________________...

Question 20

Patient presents for an excision of a sacral pressure ulcer with ostectomy, with primary suture.
CPT Code: ____________________

Accepted Answer

The answer of Patient presents for an excision of a...

Exam 14: Integumentary System

Single-layered closure of heavily contaminated wounds that require extensive cleaning or removal of particulate matter constitutes what type of repair?

Match the following common procedures and suffixes with the correct definition. -ligation

Excision defined as full thickness would be through the:

Match the following common procedures and suffixes with the correct definition. -repair

Match the following common procedures and suffixes with the correct definition. --centesis

To correctly code lesion excision, you must know the behavior (benign/malignant) as well as the site, ____________________, and number of the lesion(s).

Match the following common procedures and suffixes with the correct definition. -incision

Match the following common procedures and suffixes with the correct definition. --rrhaphy

Match the following common procedures and suffixes with the correct definition. -suture

The removal of a lesion by transverse incision that did not require sutured closure is reported using codes from which subsection?

What two items are needed to correctly code for local treatment of burns?

Full-thickness graft, free, to the axillae, including direct closure of donor site, 12 sq.cm.:

To report an excision of a malignant lesion, the correct range of codes to use would be:

The repaired wound should be measured or converted to:

Match the following common procedures and suffixes with the correct definition. -biopsy

When reporting a staged procedure what modifier is added to the CPT code?

There is no tissue remaining for pathological examination after this method has been used.

Suction lipectomy, lower right leg. CPT Code: ____________________

Patient presents for an excision of a sacral pressure ulcer with ostectomy, with primary suture. CPT Code: ____________________

Reimbursement, Hipaa, and Compliance

An Overview of ICD-10-CM

ICD-10-CM Outpatient Coding and Reporting Guidelines

Using ICD-10-CM

Chapter-Specific Guidelines ICD-10-CM Chapters 1-10

Chapter-Specific Guidelines ICD-10-CM Chapters 11-14

Chapter-Specific Guidelines ICD-10-CM Chapters 15-21

Introduction to CPT

Introduction to Level Ii National Codes Hcpcs

Modifiers

Evaluation and Management EM Services

Anesthesia

Surgery Guidelines and General Surgery

Musculoskeletal System

Respiratory System

Cardiovascular System

Hemic, Lymphatic, Mediastinum, and Diaphragm

Digestive System

Urinary and Male Genital Systems

Reproductive, Intersex Surgery, Female Genital System, and Maternity Care and Delivery

Endocrine and Nervous Systems

Eye, Ocular Adnexa, Auditory, and Operating Microscope

Radiology

Pathologylaboratory

Medicine

Inpatient Coding

Filters