Question 1

46 year old female had a previous biopsy that indicated positive margins anteriorly on the right side of her neck. A 0.5 cm margin was drawn out and a 15 blade scalpel was used for full excision of an 8cm lesion. Light undermining of all margins was performed along with layered closure. The specimen was sent for permanent histopathologic examination. What are the code(s) for this procedure?

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A. 11426

B. 11626

C. 11626, 12044-51

D. 11426, 13132, 13133

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Question 2

30 year old female is having debridement performed on an infected ulcer with eschar on the right foot. Using sharp dissection, the ulcer and eschar infection was debrided all the way to down to the bone of the foot. The bone had to be minimally trimmed because of a sharp point at the end of the metatarsal. After debriding the area, there was minimal bleeding because of very poor circulation of the foot. It seems that the toes next to the ulcer may have some involvement and cultures were taken. The area was dressed with sterile saline and dressings and then wrapped. What CPT code should be reported?

 

A. 11000

B. 11011

C. 11044

D. 15004

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Question 3

64 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. 12014, 12034-51, 12002-51, 11041-51

B. 12053, 12034-51, 12002-51

C. 12014, 12034-51, 11041-51

D. 12053, 12034-51

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Question 4

A patient presents for an incision and drainage of a pilonidal cyst. What is the correct code for these services?

 

A. 10060

B.. 10061

C. 10080

D. 10081

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Question 5

Heather presents for removal of three benign sebaceous cysts. The first lesion excised from her leg is three cm (which requires a four cm incision). The second lesion excised from her abdomen is five cm (which required a 5.5 cm incision). The third lesion excised from her scalp is 0.5 cm (which required a one cm incision). The physician performed intermediate layered closure to the wound on her abdomen. The other wounds were repaired by simple closure. What are the correct code(s) for these services?

 

A. 12032, 11406-59, 11403-59, 11420-59

B. 12032, 11406-51, 11403-51, 11420-51

C. 12032, 11406 x 2, 11402

D. 12032, 11406-51, 11403-59, 11420-59

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Question 6

A splinter is removed from the subcutaneous tissue of a patient’s index finger through an incision made by the physician. The medical record states that this was a complicated procedure. How should the physician code this procedure?

A. 10121

B. 10120

C. 11010

D. 11011

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Question 7

On January 31st, Barbara had a two cm malignant lesion excised from her left foot. During a postoperative check-up on February 2nd, a residual tumor was noted at the margin of the original excision and the margins were re-excised. The re-excision included a three cm excised diameter. How would the same physician code the re-excision?

A 11622, 11623-59

B. 11626

C. 11623-59

D. 11623-58

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Question 8

Dr. Smith completed an extensive debridement due to infected skin. The patient was an 18-year-old who was fully cooperative. The debridement included 13% of the total body surface including portions of his abdominal wall. How would you code Dr. Smith’s services?

A. 11005, 11001-59

B. 11000, 11001-52

C. 11000, 11001

D. 11005

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Question 9

Dr. Faye, a dermatologist specializing in Moh’s, completed surgery on Howard’s right thigh for an ill-defined skin cancer. Dr. Faye is acting as both the surgeon and pathologist for this surgery. The surgery consisted of nine excised specimens prepared and examined during stage one. Additionally, a total of seven excised specimens were prepared and examined during stage two. How would you code Dr. Faye’s services?

 

A. 17311, 17312 x 6

B. 17313, 17314, 17315 x 1

C. 17313, 17314 x 6

D. 17311, 17312, 17315

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Question 10

A patient presents to the dermatologist’s office to have six benign foot lesions removed. The dermatologist destroys these lesions by use of electrosurgery. How should the office code these services?

 

A. 17000, 17003-59

B. 17004

C. 17000, 17003 x 5

D. 17000, 17003

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Question 11

Gavin, a 39-year-old male patient, underwent a mastectomy for gynecomastia. His recovery was uneventful. What is the correct code to report the mastectomy?

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A. 19300

B. 19302

C 19307

D. None of the above

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Question 12

A diabetic patient presents to Dr. Willard’s office with a severe infection of the left great toenail. The patient requires a complete simple avulsion of the left great toenail plate. During the exam the patient is found to have infection of two additional toenails, which require partial simple avulsion. Digital blocks were used for this procedure. How should you code Dr. Willard’s services?

 

a. 11730, 11732 x 2, 01462

b. 11730-TA, 11732 x 2

c. 11730 x 3, 01462

d. 11720

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***END OF TEST***