Question 1

Using the "Rule of Nines," one adult leg is what percentage of the human body?

Accepted Answer

A) 12% 
B) 14% 
C) 16% 
D) 18% 
A) 12% 
B) 14% 
C) 16% 
D) 18%

Question 2

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

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 3

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

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 4

When an excision is being performed, the "margins" refer to the ____ required to adequately excise the lesion based on the physician's judgment.

Accepted Answer

A) widest diameter 
B) narrowest margin 
C) square centimeters 
D) length 
A) widest diameter 
B) narrowest margin 
C) square centimeters 
D) length

Question 5

Destruction of 7 actinic keratoses:

Accepted Answer

A) 17004 
B) 17000 x 7 units 
C) 17000, 17003 x 7 units 
D) 17000, 17003 x 6 units 
A) 17004 
B) 17000 x 7 units 
C) 17000, 17003 x 7 units 
D) 17000, 17003 x 6 units

Question 6

Wound closure requiring the use of adhesive strips as the sole repair material should be coded with:

Accepted Answer

A) 99024 
B) repair code 
C) 99499 
D) an E/M code 
A) 99024 
B) repair code 
C) 99499 
D) an E/M code

Question 7

Incision and drainage codes are divided into subcategories according to the:

Accepted Answer

A) size of the lesion 
B) condition for which the procedure is performed 
C) depth of the incision 
D) amount of drainage 
A) size of the lesion 
B) condition for which the procedure is performed 
C) depth of the incision 
D) amount of drainage

Question 8

Excision of benign lesions on chest, 0.4 cm, with simple closure.
CPT Code: ____________________

Accepted Answer

The answer of Excision of benign lesions on chest, 0.4...

Question 9

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

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

Location: Hospital
PREOPERATIVE DIAGNOSIS: Pilonidal cyst.
POSTOPERATIVE DIAGNOSIS: Same.
PROCEDURE PERFORMED: Excision of pilonidal cyst, simple.
ANESTHESIA: General endotracheal anesthesia with 30 cc of local infiltrated directly into the wound.
PROCEDURE IN DETAIL: After good general endotracheal anesthesia, the patient was carefully placed in the prone position.Care was taken to pad dependent areas.The area around the pilonidal cyst was shaved, prepped, and draped sterilely.After this, a total of 30 cc of Marcaine was injected into the area around the pilonidal sinus and a small elliptical incision was made to include the two sinuses.Wide dissection was carried down to the coccyx to include all inflamed tissue.After this, the wound was irrigated.Hemostasis was obtained with electrocautery.The wound was packed with Vaseline gauze and dressed.The patient tolerated the procedure well and was returned to the recovery room in good condition.
CPT Code: ____________________

Accepted Answer

The answer of Location: Hospital
PREOPERATIVE DIAGNOSIS: Pilonidal cyst.
POSTOPERATIVE DIAGNOSIS: Same.
PROCEDURE...

Question 11

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

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 12

Excision of three malignant lesions: a 2.4-cm lesion of the leg, a 3.2-cm lesion of the back, and a 1.6-cm lesion of the lip:

Accepted Answer

A) 11606, 11642 
B) 11604, 11603, 11642 
C) 11606, 11624, 11642 
D) 11603, 11624, 11642 
A) 11606, 11642 
B) 11604, 11603, 11642 
C) 11606, 11624, 11642 
D) 11603, 11624, 11642

Question 13

Which modifier indicates a significant, separately identifiable E/M service?

Accepted Answer

A) -25 
B) -51 
C) -50 
D) -47 
A) -25 
B) -51 
C) -50 
D) -47

Question 14

An excision of a benign lesion from the neck measuring 1.8 cm:

Accepted Answer

A) 11422 
B) 11200 
C) 11307 
D) 11622 
A) 11422 
B) 11200 
C) 11307 
D) 11622

Question 15

Removal of 37 skin tags by electrosurgical destruction:

Accepted Answer

A) 11200, 11201 x 3 units 
B) 11201 x 4 units 
C) 11200 x 4 units 
D) none of the above 
A) 11200, 11201 x 3 units 
B) 11201 x 4 units 
C) 11200 x 4 units 
D) none of the above

Question 16

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

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

An excision of the left great toe nail and matrix, complete for permanent removal:

Accepted Answer

A) 11740-TA 
B) 11730-TA 
C) 11720-TA 
D) 11750-TA 
A) 11740-TA 
B) 11730-TA 
C) 11720-TA 
D) 11750-TA

Question 18

The patient is brought back to the operating room for a staged procedure to a procedure that was performed 5 days previously.
LOCATION: Inpatient, Hospital
PATIENT: Soren Gademore
SURGEON: Gary Sanchez, M.D.
DIAGNOSIS: Status post open wound, right lower extremity.
SURGICAL PROCEDURE: Split thickness skin graft, right thigh to right lower extremity.
DESCRIPTION OF PROCEDURE: The patient's right leg was prepped with Betadine scrub and solution and draped in the routine sterile fashion.A skin graft was taken from the right thigh on its anterolateral aspect, meshed with a 1:1.5 ratio mesher, and applied to the 66 sq cm defect on the right leg with staples.Dressing consisted of Xeroform, Kerlix fluffs, Kerlix roll, Kling, Sof-Rol, and a short leg fiberglass cast.Scarlet Red and ABD pads were applied to the donor site.The patient tolerated the procedure well and left the area in good condition.
Pathology Report Later Indicated: Benign tissue
CPT Code: ____________________

Accepted Answer

The answer of The patient is brought back to the...

Question 19

The method used by the physician to obtain a lesion biopsy depends on which set of factors?

Accepted Answer

A) size and location 
B) location and type 
C) malignant/benign status 
D) size and type 
A) size and location 
B) location and type 
C) malignant/benign status 
D) size and type

Question 20

When coding 3 punch biopsies of the skin, performed at the same visit, the reporting would be:

Accepted Answer

A) 11104 x 3 
B) 11104 x 2 and 11105 x 1 
C) 11104, 11105 x 2 
D) none of the above 
A) 11104 x 3 
B) 11104 x 2 and 11105 x 1 
C) 11104, 11105 x 2 
D) none of the above

Exam 14: Integumentary System

Using the "Rule of Nines," one adult leg is what percentage of the human body?

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

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

When an excision is being performed, the "margins" refer to the ____ required to adequately excise the lesion based on the physician's judgment.

Destruction of 7 actinic keratoses:

Wound closure requiring the use of adhesive strips as the sole repair material should be coded with:

Incision and drainage codes are divided into subcategories according to the:

Excision of benign lesions on chest, 0.4 cm, with simple closure. CPT Code: ____________________

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

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

Excision of three malignant lesions: a 2.4-cm lesion of the leg, a 3.2-cm lesion of the back, and a 1.6-cm lesion of the lip:

Which modifier indicates a significant, separately identifiable E/M service?

An excision of a benign lesion from the neck measuring 1.8 cm:

Removal of 37 skin tags by electrosurgical destruction:

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

An excision of the left great toe nail and matrix, complete for permanent removal:

The method used by the physician to obtain a lesion biopsy depends on which set of factors?

When coding 3 punch biopsies of the skin, performed at the same visit, the reporting would be:

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

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

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Eye, Ocular Adnexa, Auditory, and Operating Microscope

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