CPC- Integumentary System ACTUAL EXAM
QUESTIONS AND CORRECT DETAILED
ANSWERS
Save
Terms in this set (25)
,Mohs Surgery will be performed on C. 17311, 15240
a 56 year old F who has basal cell
carcinoma on the neck. The gross Skin cancer on the neck was removed with the
tumore was completely excised. Mohs surgery technique.
Tissue was divided into 2 tissue
blocks which were mapped and In CPT index, look for Mohs Micrographic Surgery,
color coded at their margins. Frozen which refers you to 17311-17315. 17311 is correct
sectioning was performed. A full since technique is performed in the neck with 2
thickness graft was used to harvest tissue blocks.
skin from the patients left axilla for
an area of 5sq cm. The appropriate For the second procedure, a full thickness graft is
CPT codes are: used where skin from the keft axilla is used to
A. 26115, 15260 repair the neck. In CPT index look for Full
B. 11600, 15240 thickness graft. which refers you to 15200-15261.
C. 17311, 15240 Code 15240 is correct based on the location and
D. 17313, 15260 size of the graft measured which was 5sq cm.
,A patient has a 4.3cm x 2cm lesion C. 11606, 15220-51, 15221
on the keft thigh that was excised.
Due to the size and location of the In the CPT index, look for excision/skin/malignant.
lesion, the decision was made to which refers you to 11600-11646. 11606 is the
harvest a full thickness skin graft correct code because the malignancy was on the
from his left lower leg. An excision thigh and an excised diameter was over 4cm.
of 5cm x 5cm full thickness grsft was
obtained and grafted onto the In the CPT index, look for integumentary
defect and sewn. The pathology system/repair/ with grafts and flaps- see skin graft
finding confirmed that the lesion and flap. Look for skin graft and flao/free skin
was basal cell carcinoma. The CPT graft/ full thickness. You are referred to 15209-
code(s) to report is(are): 15261. The total size of the graft is 25 sq cm (5cm x
A. 14021 5cm). 15220 is used to report the first 20sq cm and
B. 11406, 15100-51 15221 is used to report the additional 5 sq cm.
C. 11606, 15220-51, 15221
D. 11606, 15150-51
, A 10 year old who fell off her bike D. 13132, 13121-59, 13122
sustained a 7 cm laceration to her
brow and an 8.5 cm laceration to Both wounds are complex repairs since wounds
her upper arm. Her parents were debrided and extensive undermining of the
requested the suturing was to be damaged tissue with multiple layered suturing
done by a plastic surgeon. The left performed on both lacerations. In the CPT index
arm was irrigated and devitalized look for Repair/skin/wound/complex, which refers
skin was sharply debrided. The you to 13100-13160. The brow laceration is 7cm in
subcutaneous fat, which has been lenght which is reported with 13132.
avulsed, was sharply debrided as
well. Fascial defects in the arm were The arm laceration is 8.5cm in lenght which is
reapproximated with 2-0 vicryl reported with 13121 for the first 7.5 cm and 13122
sutures. A large good flap was for the additionak 1cm.
tacked down with vicryl sutures. A
large portion of this wound was Subsection guidelines for Repair (closure)
unable to be covered. A wet to dry indicates to use modifier 59 when more than one
dressing was then placed over the classificatoon of wound is repaired.
wound and wrapped. The facial
laceration was then close In multiple
layers with 5-0 PDS and 5-0 fast
QUESTIONS AND CORRECT DETAILED
ANSWERS
Save
Terms in this set (25)
,Mohs Surgery will be performed on C. 17311, 15240
a 56 year old F who has basal cell
carcinoma on the neck. The gross Skin cancer on the neck was removed with the
tumore was completely excised. Mohs surgery technique.
Tissue was divided into 2 tissue
blocks which were mapped and In CPT index, look for Mohs Micrographic Surgery,
color coded at their margins. Frozen which refers you to 17311-17315. 17311 is correct
sectioning was performed. A full since technique is performed in the neck with 2
thickness graft was used to harvest tissue blocks.
skin from the patients left axilla for
an area of 5sq cm. The appropriate For the second procedure, a full thickness graft is
CPT codes are: used where skin from the keft axilla is used to
A. 26115, 15260 repair the neck. In CPT index look for Full
B. 11600, 15240 thickness graft. which refers you to 15200-15261.
C. 17311, 15240 Code 15240 is correct based on the location and
D. 17313, 15260 size of the graft measured which was 5sq cm.
,A patient has a 4.3cm x 2cm lesion C. 11606, 15220-51, 15221
on the keft thigh that was excised.
Due to the size and location of the In the CPT index, look for excision/skin/malignant.
lesion, the decision was made to which refers you to 11600-11646. 11606 is the
harvest a full thickness skin graft correct code because the malignancy was on the
from his left lower leg. An excision thigh and an excised diameter was over 4cm.
of 5cm x 5cm full thickness grsft was
obtained and grafted onto the In the CPT index, look for integumentary
defect and sewn. The pathology system/repair/ with grafts and flaps- see skin graft
finding confirmed that the lesion and flap. Look for skin graft and flao/free skin
was basal cell carcinoma. The CPT graft/ full thickness. You are referred to 15209-
code(s) to report is(are): 15261. The total size of the graft is 25 sq cm (5cm x
A. 14021 5cm). 15220 is used to report the first 20sq cm and
B. 11406, 15100-51 15221 is used to report the additional 5 sq cm.
C. 11606, 15220-51, 15221
D. 11606, 15150-51
, A 10 year old who fell off her bike D. 13132, 13121-59, 13122
sustained a 7 cm laceration to her
brow and an 8.5 cm laceration to Both wounds are complex repairs since wounds
her upper arm. Her parents were debrided and extensive undermining of the
requested the suturing was to be damaged tissue with multiple layered suturing
done by a plastic surgeon. The left performed on both lacerations. In the CPT index
arm was irrigated and devitalized look for Repair/skin/wound/complex, which refers
skin was sharply debrided. The you to 13100-13160. The brow laceration is 7cm in
subcutaneous fat, which has been lenght which is reported with 13132.
avulsed, was sharply debrided as
well. Fascial defects in the arm were The arm laceration is 8.5cm in lenght which is
reapproximated with 2-0 vicryl reported with 13121 for the first 7.5 cm and 13122
sutures. A large good flap was for the additionak 1cm.
tacked down with vicryl sutures. A
large portion of this wound was Subsection guidelines for Repair (closure)
unable to be covered. A wet to dry indicates to use modifier 59 when more than one
dressing was then placed over the classificatoon of wound is repaired.
wound and wrapped. The facial
laceration was then close In multiple
layers with 5-0 PDS and 5-0 fast
