Deck 7: Integumentary System

Question 1

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

Answer 1

True

Question 2

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

Answer 2

Rule of Nines

Question 3

Superficial removal of lesion using a curette

A) Paring
B) Definitive Diagnosis
C) Biopsy
D) Destruction
E) Provisional Diagnosis
F) Debridement

Answer 3

Paring

Question 4

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.

Question 5

The physician should code for ______________________________ if he does not want to await a path report confirming a diagnosis before filing a claim.

Question 6

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.

Question 7

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

Question 8

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

Question 9

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

A) shape
B) depth
C) degree
D) color

Question 10

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

A) 14040
B) 14040, 11646
C) 11646, 13132, 13133
D) 14020

Question 11

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?

A) -59
B) -57
C) -52
D) -58

Question 12

Measurements of lesion removals and repairs are counted in millimeters.

Question 13

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

Question 14

Professional opinion after work-up

A) Paring
B) Definitive Diagnosis
C) Biopsy
D) Destruction
E) Provisional Diagnosis
F) Debridement

Question 15

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

A) Code for the biopsy and one for the lesion excision
B) A code for the lesion excision only
C) A code for the biopsy only
D) A code for multiple lesions

Question 16

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

Question 17

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

Question 18

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?

A) 11642
B) 11442
C) 11622, 11620-51
D) 11442, 11440-51

Question 19

When sequencing ICD-9 codes for burns, the code with the lowest degree is sequenced first in ascending order.

Question 20

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.

A) -51
B) 25
C) 59
D) 76

Question 21

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.

Question 22

Foreign material and contaminated tissue are removed

A) Paring
B) Definitive Diagnosis
C) Biopsy
D) Destruction
E) Provisional Diagnosis
F) Debridement

Question 23

Excision decubitus ulcer of sacral area with flap closure. Assign the appropriate code(s).

Question 24

Removal of a lesion that does not require closure

A) Paring
B) Definitive Diagnosis
C) Biopsy
D) Destruction
E) Provisional Diagnosis
F) Debridement

Question 25

Removal of tissue for microscopic review

A) Paring
B) Definitive Diagnosis
C) Biopsy
D) Destruction
E) Provisional Diagnosis
F) Debridement

Question 26

Signs & symptoms prior to an exact diagnosis

A) Paring
B) Definitive Diagnosis
C) Biopsy
D) Destruction
E) Provisional Diagnosis
F) Debridement