Deck 14: Coding Integumentary Conditions

Question 1

Which of the following is the outermost layer of the skin?

A) Dermis
B) Epidermis
C) Subcutaneous tissue
D) Fat

Answer 1

B

Question 2

The line between the epidermis and the dermis has hills and ridges, known as:

A) hypodermis.
B) dermal papillae.
C) bulla.
D) atopic papillae.

Answer 2

B

Question 3

Which of the following is the code assigned for linear scleroderma?

A) L94.0
B) L94.1
C) L94.2
D) L94.3

Answer 3

B

Question 4

Which of the following is the code assigned for nail dystrophy?

A) L60.0
B) L60.1
C) L60.2
D) L60.3

Question 5

Which of the following is s caused by exposure of the skin to detergents, solvents, acids, or alkalis?

A) Atopic dermatitis
B) Seborrheic dermatitis
C) Diaper dermatitis
D) Irritant contact dermatitis

Question 6

________ is a detachment of the nail from the bed of the nail.

A) Onycholysis
B) Beau's lines
C) Yellow nail syndrome
D) All of these
E) None of these

Question 7

________ is a painful, pus-filled boil due to infection of the epidermis and underlying tissues, often caused by staphylococcus:

A) Bulla
B) Carbuncle
C) Furuncle
D) Papule

Question 8

Which of the following is largest organ in the human body?

A) Liver
B) Skin
C) Brain
D) Pancreas

Question 9

Which of the following layers of skin is also known as the hypodermis?

A) Dermis
B) Epidermis
C) Subcutaneous tissue
D) Fat

Question 10

Fastening the skin to the underlying elements of the anatomy is the fatty tissue, also known as the:

A) dermis.
B) epidermis.
C) subcutaneous tissue.
D) dermatitis.

Question 11

________ is a white area shaped like a crescent moon.

A) Lunula
B) Nails plate
C) Bulla
D) Nevus

Question 12

Which of the following glands produces sebum?

A) Apocrine gland
B) Eccrine gland
C) Sebaceous gland
D) None of these

Question 13

Turn to code category L71 in the Tabular List. What notation do you find under this code category?

A) Includes
B) Excludes1
C) Use additional code
D) Excludes2

Question 14

Atopic dermatitis includes:

A) Besnier's prurigo.
B) Flexural eczema.
C) Infantile eczema.
D) All of these.
E) None of these.

Question 15

________ are deep grooves, horizontal lines (from side to side) on either a fingernail or a toenail.

A) Onycholysis
B) Beau's lines
C) Yellow nail syndrome
D) All of these
E) None of these

Question 16

How many different types of glands are located within the skin?

A) 2
B) 3
C) 4
D) 5

Question 17

The hard, protective layers at the ends of your phalanges is known as ________.

A) hair shaft
B) nails plate
C) lunula
D) fat

Question 18

The average person has how many square yards of skin surface?

A) 1
B) 2
C) 5
D) 10

Question 19

Which of the following layers of skin is a sturdy collagenous layer?

A) Dermis
B) Epidermis
C) Subcutaneous tissue
D) Fat

Question 20

Which of the following compose the skin?

A) Dermis
B) Epidermis
C) Sensory receptors
D) Dermis and Epidermis

Question 21

How many stages of pressure ulcers are there?

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

Question 22

Which of the following lesions is flat with different pigmentation?

A) Macule
B) Nevus
C) Scale
D) Bulla

Question 23

In which stage of pressure ulcers is there a reddened area on the skin?

A) Stage 1
B) Stage 2
C) Stage 3
D) Stage 4

Question 24

Which of the following lesions is a large vesicle that is filled with fluid?

A) Macule
B) Nevus
C) Scale
D) Bulla

Question 25

What is the correct code for acute lymphangitis of the left toe?

A) L03.031
B) L03.042
C) L03.116
D) L03.126

Question 26

What is the correct code for a stage 3 pressure ulcer of the right upper back?

A) L89.103
B) L89.113
C) L89.123
D) L89.133

Question 27

Which of the following lesions is a fluid- or gas-filled bubble in the skin?

A) Cyst
B) Furuncle
C) Nodule
D) Papule

Question 28

Which of the following lesions is flaky exfoliated epidermis?

A) Macule
B) Nevus
C) Scale
D) Bulla

Question 29

Which of the following lesions is raised with a diameter of more than 5 mm?

A) Cyst
B) Furuncle
C) Nodule
D) Papule

Question 30

As a coder, what do you need to know when coding a pressure ulcer?

A) Anatomical location
B) Depth of lesion
C) Both anatomical location and depth of lesion
D) Neither anatomical location nor depth of lesion

Question 31

What is the correct code for a stage 4 pressure ulcer of the left ankle?

A) L89.513
B) L89.514
C) L89.523
D) L89.524

Question 32

Which of the following lesions is raised with a diameter of less than 5 mm?

A) Cyst
B) Furuncle
C) Nodule
D) Papule

Question 33

What is the correct code for a stage 2 pressure ulcer of the right heel?

A) L89.611
B) L89.612
C) L89.621
D) L89.622

Question 34

In which stage of pressure ulcers are there blisters on the skin?

A) Stage 1
B) Stage 2
C) Stage 3
D) Stage 4

Question 35

Which of the following lesions is another name for a birthmark?

A) Macule
B) Nevus
C) Scale
D) Bulla

Question 36

In which stage of pressure ulcers are there necrotic layers of the skin?

A) Stage 1
B) Stage 2
C) Stage 3
D) Stage 4

Question 37

What is the correct code for a patient who has a carbuncle of the chest wall?

A) L02.222
B) L02.223
C) L02.232
D) L02.233

Question 38

What is the correct code for a patient with a Gottron's papule?

A) L94.0
B) L94.2
C) L94.4
D) L94.8

Question 39

Which of the following lesions is also known as a boil?

A) Cyst
B) Furuncle
C) Nodule
D) Papule

Question 40

In which stage of pressure ulcers is there a crater with visible damage to the tissue below the skin?

A) Stage 1
B) Stage 2
C) Stage 3
D) Stage 4

Question 41

The most frequently diagnosed malignancy in the United States is ________ cancer.

A) Breast
B) Skin
C) Prostate
D) Ovarian

Question 42

Refer to the ICD-10-CM Official Guidelines I.C.12.a.6 which states: If a patient is admitted with a pressure ulcer at one stage and it progresses to a higher stage, ________ separate codes should be assigned.

A) Two
B) Three
C) Four
D) Five

Question 43

What is the correct code for allergic dermatitis due to dyes?

A) L23.0
B) L23.1
C) L23.2
D) L23.4

Question 44

What is the correct code for seborrheic infantile dermatitis?

A) L21.8
B) L21.1
C) L21.9
D) L21.0

Question 45

What is the main term and correct code for an encounter for screening for malignant neoplasm of skin?

A) Screening, Z12.83
B) Encounter, Z20.7
C) Neoplasm, Z52.11
D) Malignant, Z87.2

Question 46

What is the correct code for plaque psoriasis?

A) L40.0
B) L40.1
C) L40.3
D) L40.5

Question 47

Which of the following is the code for an ingrown nail?

A) L60.0
B) L60.1
C) L60.2
D) L60.3

Question 48

What is the correct code for yellow nail syndrome?

A) L60.5
B) L60.1
C) L60.4
D) L60.8

Question 49

Refer to the ICD-10-CM Official Guidelines I.C.12.a.1 which states: Codes from category ________, Pressure ulcer, identify the site of the pressure ulcer as well as the stage of the ulcer.

A) L80
B) L85
C) L89
D) L90

Question 50

Refer to the ICD-10-CM Official Guidelines I.C.12.a.4 which states: ________ code is assigned if the documentation states that the pressure ulcer is completely healed.

A) Always
B) No
C) Permanently
D) Continuously

Question 51

Which of the following is the code for rhinophyma?

A) L71.0
B) L71.1
C) L71.8
D) L71.9

Question 52

Which of the following is a detachment of the nail from the bed of the nail?

A) Beau's lines
B) Onycholysis
C) Yellow nail syndrome
D) Trichorrhexis nodosa

Question 53

Which of the following types of dermatitis is also known as Besnier's prurigo?

A) Atopic dermatitis
B) Seborrheic dermatitis
C) Allergic contact dermatitis
D) Exfoliative dermatitis

Question 54

What is the correct code for Hebra's pityriasis?

A) L20.0
B) L21.0
C) L25.0
D) L26

Question 55

What is the correct code for flexural psoriasis?

A) L40.2
B) L40.3
C) L40.8
D) L40.9