Deck 24: CPT Surgery Section

Question 1

The physician repairs a wound of the back measuring 8.5 cm requiring complex, layered suturing of torn, crushed, or deeply lacerated tissue and retention sutures. What is/are the appropriate code(s) for this procedure?

A) 13100
B) 13101
C) 13101, 13102
D) 13101, 13102, 13102

Answer 1

C

Question 2

A ________ is a treatment that is performed to prevent a condition from developing.

A) prophylactic treatment
B) diagnostic procedure
C) therapeutic procedure
D) separate procedure

Answer 2

A

Question 3

What is the generally accepted global period considered to be for major procedures?

A) 3 days
B) 90 days
C) 10 days
D) 120 days

Answer 3

B

Question 4

Which surgical approach uses instruments inserted into the body by way of a puncture or small incision?

A) Percutaneous approach
B) Percutaneous endoscopic approach
C) Via natural or artificial opening approach
D) Via natural or artificial opening endoscopic approach

Question 5

Which surgical approach involves inserting instruments into the body through a natural opening?

A) Percutaneous approach
B) Percutaneous endoscopic approach
C) Via natural or artificial opening approach
D) Via natural or artificial opening endoscopic approach

Question 6

Dr. Jim performed a single-layered closure on a 2.1-cm heavily contaminated hand laceration that required extensive cleaning. What is the appropriate CPT code to assign?

A) 12001
B) 12031
C) 12041
D) 12042

Question 7

The process of cleaning out a wound to encourage the healing process is known as:

A) incision and drainage.
B) biopsy.
C) excision.
D) debridement.

Question 8

A ________ is a procedure that is provided, most often, to correct or fix a problem.

A) prophylactic treatment
B) diagnostic procedure
C) therapeutic procedure
D) separate procedure

Question 9

Mr. Jackson, a diabetic patient, came into the clinic to have all of his toenails trimmed. What is/are the appropriate CPT code(s) for this procedure?

A) 11720
B) 11721
C) 11720, 11721
D) 11719

Question 10

Which surgical approach involves insertion of a scope through an opening to visualize and aid in the performance of a procedure?

A) Percutaneous approach
B) Percutaneous endoscopic approach
C) Via natural or artificial opening approach
D) Via natural or artificial opening endoscopic approach

Question 11

A procedure or test that a physician uses to gather more details about the condition or concern at issue is known as a:

A) prophylactic treatment.
B) diagnostic procedure.
C) therapeutic procedure.
D) separate procedure.

Question 12

Which surgical approach uses instruments inserted into the body by way of a puncture to visualize the intended anatomical site?

A) Percutaneous approach
B) Percutaneous endoscopic approach
C) Via natural or artificial opening
D) Via natural or artificial opening endoscopic approach

Question 13

Dr. Susan performed a simple repair of a 13-cm knee laceration. What is/are the CPT code(s) for this procedure?

A) 12045
B) 12005
C) 12016
D) 13121, 13122, 13122

Question 14

A biopsy is what type of procedure?

A) Prophylactic treatment
B) Diagnostic procedure
C) Therapeutic procedure
D) Separate procedure

Question 15

A procedure that is carried out independently or considered to be unrelated to another procedure is known as a:

A) prophylactic treatment.
B) diagnostic procedure.
C) therapeutic procedure.
D) separate procedure.

Question 16

What is the generally accepted period considered to be for minor procedures?

A) 3 days
B) 90 days
C) 10 days
D) 120 days

Question 17

An incision and drainage was done on Mrs. Charles for a complex postoperative wound infection. What is the appropriate CPT code for this procedure?

A) 10061
B) 10081
C) 10121
D) 10180

Question 18

Dr. Nelson repaired a 4.0-cm nose laceration and a 3.0-cm neck laceration that both required layered closures down to the fascia. What are the appropriate CPT codes?

A) 12013, 12002
B) 12052, 12042-59
C) 12041, 12052
D) 13132, 13152

Question 19

Mr. Jenkins presented with a stage IV decubitus ulcer of the coccyx. Debridement was done down to the bone measuring 40 sq. cm. What is/are the appropriate CPT code(s) for this procedure?

A) 11044
B) 11044, 11047
C) 11043
D) 11043, 11046

Question 20

Mr. King had an incision and drainage of a complicated pilonidal cyst. What code should be reported for this procedure?

A) 10080
B) 10081
C) 10060
D) 10061

Question 21

Dr. Cobb repairs and bandages a 3.2-cm superficial laceration on Paul Darby's arm. What is the appropriate CPT code for this procedure?

A) 12002
B) 12013
C) 12032
D) 13121

Question 22

Simple closures are:

A) coded separately.
B) included in the excision code.
C) reported with a modifier.
D) coded by their length.

Question 23

Kelly Spratt has been diagnosed with a malignant lesion on her nose. Dr. Beck destroys the 0.75-cm lesion using laser surgery. What is the appropriate CPT code for this procedure?

A) 17261
B) 17271
C) 17281
D) 17286

Question 24

A repair requiring retention sutures is considered what type of repair?

A) Simple repair
B) Intermediate repair
C) Complex repair
D) None of these

Question 25

George Keller was playing football at the local park. When George was tackled, he fell on broken glass, cutting his face, arm, and leg. His friends took him to the nearest ER. Dr. Tamika repaired a 3.6-cm superficial laceration to his arm, a 1.50-cm superficial laceration to his face, and an 8.64-cm laceration to his leg that required a layered closure. What is/are the appropriate CPT code(s) for this procedure?

A) 12002, 12011-59, 12034-59
B) 12034, 12011-59, 12002-59
C) 12014, 12034
D) 12005

Question 26

Harvesting is the process of:

A) taking the tissue from the donor site.
B) attaching the tissue to the recipient site.
C) testing for compatibility.
D) collecting donor cards.

Question 27

A procedure to treat a complication resulting from the first procedure:

A) uses modifier 58.
B) uses no modifier.
C) uses modifier 76.
D) uses modifier 78.

Question 28

Teddy Olden, a 49-year-old male, has been diagnosed with actinic keratosis. Dr. Richards used cryotherapy to destroy five lesions. What is/are the appropriate CPT code(s) for this procedure?

A) 17000, 17003
B) 17003x5
C) 17000, 17003, 17003, 17003, 17003
D) 17004

Question 29

Sally Kiger, a 63-year-old female, has been diagnosed with a sacral pressure ulcer, stage II. Sally is brought to the OR, where Dr. Jackson excises the ulcer, closing with primary sutures. Sally tolerated the procedure well. What is the appropriate CPT code for this procedure?

A) 15933
B) 15931
C) 15935
D) 15934

Question 30

Intermediate repairs are:

A) multilevel closures.
B) included in the excision code.
C) reported with a modifier.
D) reconstructive procedures.

Question 31

Flaps (skin and/or deep tissues) are coded from which range of codes?

A) 15740-15879
B) 16000-116036
C) 15570-15738
D) 15920-15999

Question 32

The determination of an excision code includes:

A) the anatomical site.
B) the size of the lesion.
C) the size of margins times two.
D) All of these

Question 33

The codes for skin grafts are determined by all of these except:

A) size of the recipient area.
B) anatomical site of the recipient area.
C) general anesthesia.
D) type of graft.

Question 34

A surgical procedure that follows a surgical biopsy is:

A) appended with modifier 51.
B) appended with modifier 76.
C) appended with modifier 58.
D) coded with no modifier.

Question 35

Jeanine visited her dermatologist for removal of 22 skin tags by scissoring. What is/are the appropriate CPT code(s) for this procedure?

A) 11300
B) 11200
C) 11310
D) 11200, 11201

Question 36

A wound that requires layered closure of one or more of the deeper layers of subcutaneous tissue is considered what type of repair?

A) Simple repair
B) Intermediate repair
C) Complex repair
D) None of these

Question 37

Use a separate biopsy code only when the procedure is:

A) conducted individually.
B) done with several other procedures.
C) always included.
D) done at the same time.

Question 38

Mohs micrographic surgery requires a:

A) modifier.
B) specially trained physician.
C) minimum of two codes.
D) minimum of three codes.

Question 39

The surgical package includes:

A) preoperative E/M encounters.
B) general anesthesia.
C) diagnostic testing.
D) postoperative therapy.

Question 40

Dr. Emerson performed a laparoscopic cholecystectomy on Grace Wilson eight days ago. Today Grace saw Dr. Emerson for a painful toe. Grace was diagnosed with a subungual hematoma, which Dr. Emerson evacuated. What is the appropriate CPT code for this procedure?

A) 11740
B) 11740-76
C) 11740-78
D) 11740-79

Question 41

A complex repair is:

A) included in the excision code.
B) reported with a modifier.
C) a simple one layer closure.
D) the performance of extensive undermining.

Question 42

A surgical procedure that is performed for the surgical immobilization of a joint is called a(n) ________.

A) arthrodesis
B) arthroplasty
C) discectomy
D) osteotomy

Question 43

Christopher was brought back to the surgical suite for a secondary rhinoplasty, bony work with osteotomies. What is the appropriate CPT code for this procedure?

A) 30435
B) 30430
C) 30460
D) 30462

Question 44

A lung harvest from a cadaver donor is coded with which CPT code?

A) 32855
B) 32856
C) 32851
D) 32850

Question 45

Three-year-old Susie put a marble in her nose. It was too deep in the nasal cavity and had to be removed under general anesthesia. What is the appropriate CPT code for this procedure?

A) 30400
B) 30310
C) 30300
D) 30320

Question 46

A re-excision to remove additional tissue during a subsequent encounter in the postoperative period is:

A) included in the original procedure code.
B) reported with modifier 58.
C) reported with modifier 76.
D) reported with modifier 51.

Question 47

Dr. Sam repaired an intermediate closure of a 26-cm wound of the scalp. What is the appropriate code for the repair?

A) 12006
B) 12046
C) 12036
D) 12056

Question 48

Jason was taken to the surgical suite after arriving in the ER with a stab wound to his abdomen. The planned procedure was an exploration of the penetrating wound to the abdomen. What is the appropriate CPT code for this procedure?

A) 20100
B) 20101
C) 20102
D) 20103

Question 49

Stanley Janson injured his hand and went to the ER. Dr. Finke examined Stanley's hand and repaired a palmar 2.9-cm laceration and a dorsal 2.8-cm laceration. Both repairs required layered closure. What is/are the appropriate CPT code(s) for this procedure?

A) 12002
B) 12031, 12032
C) 12042
D) 12041, 12042

Question 50

Dr. James performed a closed treatment of a tibia fracture with manipulation and skeletal traction on Mr. Smith, whose motorcycle ran into a tree. What is the appropriate CPT code for this procedure?

A) 27535
B) 27530
C) 27532
D) 27536

Question 51

Judy Frank, a 16-year-old female, has been diagnosed with comedones. Judy presents today for acne surgery. What is the appropriate CPT code for this procedure?

A) 10180
B) 10140
C) 10120
D) 10040

Question 52

In the treatment of fractures, what device(s) is/are used in an external fixation?

A) Plates
B) Screws
C) Pins
D) Halo

Question 53

Johnny had a fracture of his elbow, and a cast was placed by the physician. What is the appropriate code for the application of a short arm cast?

A) 29125
B) 29085
C) 29075
D) 29065

Question 54

You must add this modifier to the correct CPT surgical procedure code when your physician is only going to perform the procedure itself, and not provide or be involved in any preoperative or postoperative care of the patient.

A) 54
B) 55
C) 56
D) 57

Question 55

Multiple wounds are reported first by the:

A) anatomical site.
B) individual length of each wound.
C) total length of all wounds.
D) type of sutures.

Question 56

In the treatment of fractures, what device(s) is/are used in an internal fixation?

A) Brace
B) Cast
C) Plates
D) Halo

Question 57

Dr. Haber shaved a dermal lesion on Harold Jeffers's chest, total diameter 3.2 cm. What is the appropriate CPT code for this procedure?

A) 11301
B) 11303
C) 11308
D) 11313

Question 58

The global surgical package includes all except:

A) local anesthesia.
B) immediate postoperative care.
C) postoperative therapy.
D) follow-up care.

Question 59

A wound repair code includes:

A) scar revision.
B) debridement.
C) general anesthesia.
D) fracture repair.

Question 60

When the work required to provide a service is substantially greater than typically required, it may be identified by adding modifier_____.

A) 22
B) 23
C) 24
D) 25

Question 61

A Roux-en-Y gastric bypass (RYGB) with short limb (150 cm) was performed on Mr. Clark. What is the appropriate CPT code for this procedure?

A) 43770
B) 43846
C) 43847
D) 43644

Question 62

In an endovascular repair of an infrarenal abdominal aortic aneurysm, an aorto-aortic tube prosthesis was used along with endovascular placement of an iliac artery occlusion device. What are the appropriate CPT codes for this procedure?

A) 34800, 34808
B) 34800, 34806
C) 34802, 34808
D) 34804, 34813

Question 63

Dr. Greg's patient complained of urinary stress and urge incontinence. Dr. Greg performed a complex cystometrogram (CMG) with voiding pressure studies. What is the appropriate CPT code(s) for this procedure?

A) 51725
B) 57126
C) 51727
D) 51728

Question 64

Combined arterial-venous grafts are in which range of codes?

A) 33517-33523, 33533-33536
B) 33533-33545
C) 35682-35683
D) 33533-33536

Question 65

Procedures on the heart as well as the entire network of veins, arteries, and capillaries are coded from which section of the CPT book?

A) Respiratory System
B) Musculoskeletal System
C) Cardiovascular System
D) Digestive System

Question 66

Jerry Rickard had a coronary artery bypass using the saphenous vein graft and three coronary venous grafts. What is the appropriate CPT code for this procedure?

A) 33513
B) 33512
C) 33514
D) 33516

Question 67

A heart and lung transplant was performed on a patient. Organs were received from a cadaver donor. What is the appropriate CPT code for the harvesting of both organs from the cadaver?

A) 33930
B) 33940
C) 32850
D) 32855

Question 68

Mrs. Short was scheduled for a lung transplant, single with cardiopulmonary bypass. What is the appropriate CPT code for this surgery?

A) 32851
B) 32852
C) 32853
D) 32854

Question 69

How many codes are used when performing a transplant procedure?

A) 1 code
B) 2 codes
C) 3 codes
D) 4 codes

Question 70

The sections of the spine include all except:

A) cervical.
B) thoracic.
C) lumbar.
D) abdominal.

Question 71

A coronary artery bypass using arterial grafts and a single artery graft was performed. A femoropopliteal vein was harvested. What is/are the appropriate CPT code(s)?

A) 33533, 35600
B) 33533, 35500
C) 33533, 35572
D) 33533

Question 72

Dr. Grey performed a combined anterioposteriorcolporrhaphy with enterocele repair on Mrs. Smith. What is the appropriate CPT code for this procedure?

A) 57260
B) 57250
C) 57265
D) 57240

Question 73

Patrick was seen by his urologist for condyloma of the penis. A simple destruction of the lesion was performed by cryosurgery. What is the appropriate CPT code for this procedure?

A) 54050
B) 54055
C) 54056
D) 54057

Question 74

Mr. Sanders complained of an abscess on his epididymis, and the physician performed an incision and drainage of his abscess. What is the appropriate CPT code for this procedure?

A) 11004
B) 54700
C) 54800
D) 54830

Question 75

Mr. Jackson was brought to the OR for repositioning of a previously implanted transvenous pacemaker. What is the appropriate CPT code for this procedure?

A) 33217
B) 33215
C) 33216
D) 33211

Question 76

A 45-year-old male had an emergency exploration of a penetrating stab wound to the chest. What is the appropriate code to use for this procedure?

A) 20103
B) 20100
C) 20101
D) 20102

Question 77

Cynthia, a morbidly obese patient, is scheduled for a vertical sleeve gastrectomy today. What is the appropriate CPT code for this procedure?

A) 43770
B) 43775
C) 43644
D) 43846

Question 78

Codes in the surgery section of CPT report:

A) excisions.
B) debridements.
C) repair of wounds.
D) All of these

Question 79

Dr. Chou performed a complete radical vulvectomy with bilateral inguinofemoral lymphadenectomy. What is the appropriate CPT code for this procedure?

A) 56630
B) 56632
C) 56633
D) 56637

Question 80

Codes from the surgery section of CPT are used in the offices of:

A) general surgeons.
B) neurologists.
C) dermatologists.
D) All of these