CPC- Integumentary System Questions with Verified
Answers Rated A
Mohs Surgery will be performed on a 56 year old
F who has basal cell carcinoma on the neck. The In the CPT index, look for
gross tumore was completely excised. Tissue excision/skin/malignant. which refers you to
was divided into 2 tissue blocks which were 11600-11646. 11606 is the correct code because
mapped and color coded at their margins. Frozen the malignancy was on the thigh and an excised
sectioning was performed. A full thickness graft diameter was over 4cm.
was used to harvest skin from the patients left
axilla for an area of 5sq cm. The appropriate In the CPT index, look for integumentary
CPT codes are: system/repair/ with grafts and flaps- see skin
A. 26115, 15260 graft and flap. Look for skin graft and flao/free
B. 11600, 15240 skin graft/ full thickness. You are referred to
C. 17311, 15240 15209-15261. The total size of the graft is 25 sq
D. 17313, 15260 - ANSWER -C. 17311, cm (5cm x 5cm). 15220 is used to report the first
15240 20sq cm and 15221 is used to report the
additional 5 sq cm.
Skin cancer on the neck was removed with the
Mohs surgery technique.
A 10 year old who fell off her bike sustained a 7
In CPT index, look for Mohs Micrographic cm laceration to her brow and an 8.5 cm
Surgery, which refers you to 17311-17315. laceration to her upper arm. Her parents
17311 is correct since technique is performed in requested the suturing was to be done by a
the neck with 2 tissue blocks. plastic surgeon. The left arm was irrigated and
devitalized skin was sharply debrided. The
For the second procedure, a full thickness graft is subcutaneous fat, which has been avulsed, was
used where skin from the keft axilla is used to sharply debrided as well. Fascial defects in the
repair the neck. In CPT index look for Full arm were reapproximated with 2-0 vicryl sutures.
thickness graft. which refers you to 15200-15261. A large good flap was tacked down with vicryl
Code 15240 is correct based on the location and sutures. A large portion of this wound was unable
size of the graft measured which was 5sq cm. to be covered. A wet to dry dressing was then
placed over the wound and wrapped. The facial
laceration was then close In multiple layers with
A patient has a 4.3cm x 2cm lesion on the keft 5-0 PDS and 5-0 fast absorbing gut suture with
thigh that was excised. Due to the size and extensive undermining. The eyebrow was
location of the lesion, the decision was made to reapproximated. The wound was closed in layers
harvest a full thickness skin graft from his left to achieve a good reapproximation. The CPT
lower leg. An excision of 5cm x 5cm full codes for this service are:
thickness grsft was obtained and grafted onto the A. 12053, 12034-59
defect and sewn. The pathology finding B. 12014, 12004-59
confirmed that the lesion was basal cell C. 13121, 12053-59, 13122
carcinoma. The CPT code(s) to report is(are): D. 13132, 1312 - ANSWER -D. 13132,
A. 14021 13121-59, 13122
B. 11406, 15100-51
C. 11606, 15220-51, 15221 Both wounds are complex repairs since wounds
D. 11606, 15150-51 - ANSWER -C. 11606, were debrided and extensive undermining of the
15220-51, 15221 damaged tissue with multiple layered suturing
1/9
, CPC- Integumentary System Questions with Verified
Answers Rated A
performed on both lacerations. In the CPT index to the ulcer may have some involvement and
look for Repair/skin/wound/complex, which refers cultures were taken. The area was dressed with
you to 13100-13160. The brow laceration is 7cm sterile saline and dressings and then wrapoed.
in lenght which is reported with 13132. What CPT code shoukd be reported?
A. 11043
The arm laceration is 8.5cm in lenght which is B. 11012
reported with 13121 for the first 7.5 cm and C. 11044
13122 for the additionak 1cm. D. 11042 - ANSWER -C. 11044
Subsection guidelines for Repair (closure) Debridement is not being performed on an ooen
indicates to use modifier 59 when more than one fracture/ ooen dislocation, eliminating B. The
classificatoon of wound is repaired. ulcer was debrided all the way doen to the bone,
so C is correct.
A 46 yo F had a previous biopsy that indicated
positice malignant margins anteriorly on the righr A 76 year old female had a recent
side of her neck. A 0.5cm margin was drawn out mammographic and ultrasound abnormality in the
and a 15 blade scalpel was used for full excision 6 o clock position of the left breast. She under
of an 8cm lesion. Layered closure was performed went core biopsies which showed the presence
after the removal. The specimen was sent for of a papilloma. The plan now is for needke
permanent histopathologic examination. What localization with excisional biopsy to rule out
are the CPT code/s for this procedure? occult malignancy. After undergoing preoperative
A. 11626 needle localizatoon with hook wire needle
B. 11626, 12004-51 injection with methylene blue, the patient was
C. 11626, 12044-51 brought to the operating room and was placed on
D. 11626, 13132-51, 13133 - ANSWER -C. the OR table in the supine position where she
11626, 12044-51 underwent laryngeal mask airway (LMA)
anesthesia. The left breast was prepped and
According to CPT guidelines "Repair of an draped in a sterile fashion. A radical incision was
excision of a malignant lesion rewuiring then made in the 6 o clock position of the left
intermediate or complex closure should be breast corresponding to the tip of the needle
reported separately". The intermediate repair localizing wire including all of the methylene blue
code is reported because it was a layered stained tissues. The specimen was then
closure submitted for radiologic confirmation followed by
permanent section pathology. Once hemostasis
was assured, digit - ANSWER -D. 19125,
A 30yo F is having 15sq cm debridement D24.2
performed on an infected ulcer with eschar on
the right foot. Using sharp dissextion, the ulcer The beginning of the operative note documents
was debrided all the way doen to the bone of the that core biopsies showed "papilloma". In the
foot. The bone had to be minimally trimmed ICD-10-CM Alpha Index, look for papilloma-see
because of a sharp point at the end of the also Neoplasm, benign, by site. Go to the Tabke
metatarsal. After debriding the area. there was of Neoplasms and look for Neoplasm,
minimal bleeding becauee of very poor neoplastic/breast/benign (colomn(, rederring you
circulation of the foot. It seems that the toes next to code D24.-. Turn to the Tabular lost to
2/9
Answers Rated A
Mohs Surgery will be performed on a 56 year old
F who has basal cell carcinoma on the neck. The In the CPT index, look for
gross tumore was completely excised. Tissue excision/skin/malignant. which refers you to
was divided into 2 tissue blocks which were 11600-11646. 11606 is the correct code because
mapped and color coded at their margins. Frozen the malignancy was on the thigh and an excised
sectioning was performed. A full thickness graft diameter was over 4cm.
was used to harvest skin from the patients left
axilla for an area of 5sq cm. The appropriate In the CPT index, look for integumentary
CPT codes are: system/repair/ with grafts and flaps- see skin
A. 26115, 15260 graft and flap. Look for skin graft and flao/free
B. 11600, 15240 skin graft/ full thickness. You are referred to
C. 17311, 15240 15209-15261. The total size of the graft is 25 sq
D. 17313, 15260 - ANSWER -C. 17311, cm (5cm x 5cm). 15220 is used to report the first
15240 20sq cm and 15221 is used to report the
additional 5 sq cm.
Skin cancer on the neck was removed with the
Mohs surgery technique.
A 10 year old who fell off her bike sustained a 7
In CPT index, look for Mohs Micrographic cm laceration to her brow and an 8.5 cm
Surgery, which refers you to 17311-17315. laceration to her upper arm. Her parents
17311 is correct since technique is performed in requested the suturing was to be done by a
the neck with 2 tissue blocks. plastic surgeon. The left arm was irrigated and
devitalized skin was sharply debrided. The
For the second procedure, a full thickness graft is subcutaneous fat, which has been avulsed, was
used where skin from the keft axilla is used to sharply debrided as well. Fascial defects in the
repair the neck. In CPT index look for Full arm were reapproximated with 2-0 vicryl sutures.
thickness graft. which refers you to 15200-15261. A large good flap was tacked down with vicryl
Code 15240 is correct based on the location and sutures. A large portion of this wound was unable
size of the graft measured which was 5sq cm. to be covered. A wet to dry dressing was then
placed over the wound and wrapped. The facial
laceration was then close In multiple layers with
A patient has a 4.3cm x 2cm lesion on the keft 5-0 PDS and 5-0 fast absorbing gut suture with
thigh that was excised. Due to the size and extensive undermining. The eyebrow was
location of the lesion, the decision was made to reapproximated. The wound was closed in layers
harvest a full thickness skin graft from his left to achieve a good reapproximation. The CPT
lower leg. An excision of 5cm x 5cm full codes for this service are:
thickness grsft was obtained and grafted onto the A. 12053, 12034-59
defect and sewn. The pathology finding B. 12014, 12004-59
confirmed that the lesion was basal cell C. 13121, 12053-59, 13122
carcinoma. The CPT code(s) to report is(are): D. 13132, 1312 - ANSWER -D. 13132,
A. 14021 13121-59, 13122
B. 11406, 15100-51
C. 11606, 15220-51, 15221 Both wounds are complex repairs since wounds
D. 11606, 15150-51 - ANSWER -C. 11606, were debrided and extensive undermining of the
15220-51, 15221 damaged tissue with multiple layered suturing
1/9
, CPC- Integumentary System Questions with Verified
Answers Rated A
performed on both lacerations. In the CPT index to the ulcer may have some involvement and
look for Repair/skin/wound/complex, which refers cultures were taken. The area was dressed with
you to 13100-13160. The brow laceration is 7cm sterile saline and dressings and then wrapoed.
in lenght which is reported with 13132. What CPT code shoukd be reported?
A. 11043
The arm laceration is 8.5cm in lenght which is B. 11012
reported with 13121 for the first 7.5 cm and C. 11044
13122 for the additionak 1cm. D. 11042 - ANSWER -C. 11044
Subsection guidelines for Repair (closure) Debridement is not being performed on an ooen
indicates to use modifier 59 when more than one fracture/ ooen dislocation, eliminating B. The
classificatoon of wound is repaired. ulcer was debrided all the way doen to the bone,
so C is correct.
A 46 yo F had a previous biopsy that indicated
positice malignant margins anteriorly on the righr A 76 year old female had a recent
side of her neck. A 0.5cm margin was drawn out mammographic and ultrasound abnormality in the
and a 15 blade scalpel was used for full excision 6 o clock position of the left breast. She under
of an 8cm lesion. Layered closure was performed went core biopsies which showed the presence
after the removal. The specimen was sent for of a papilloma. The plan now is for needke
permanent histopathologic examination. What localization with excisional biopsy to rule out
are the CPT code/s for this procedure? occult malignancy. After undergoing preoperative
A. 11626 needle localizatoon with hook wire needle
B. 11626, 12004-51 injection with methylene blue, the patient was
C. 11626, 12044-51 brought to the operating room and was placed on
D. 11626, 13132-51, 13133 - ANSWER -C. the OR table in the supine position where she
11626, 12044-51 underwent laryngeal mask airway (LMA)
anesthesia. The left breast was prepped and
According to CPT guidelines "Repair of an draped in a sterile fashion. A radical incision was
excision of a malignant lesion rewuiring then made in the 6 o clock position of the left
intermediate or complex closure should be breast corresponding to the tip of the needle
reported separately". The intermediate repair localizing wire including all of the methylene blue
code is reported because it was a layered stained tissues. The specimen was then
closure submitted for radiologic confirmation followed by
permanent section pathology. Once hemostasis
was assured, digit - ANSWER -D. 19125,
A 30yo F is having 15sq cm debridement D24.2
performed on an infected ulcer with eschar on
the right foot. Using sharp dissextion, the ulcer The beginning of the operative note documents
was debrided all the way doen to the bone of the that core biopsies showed "papilloma". In the
foot. The bone had to be minimally trimmed ICD-10-CM Alpha Index, look for papilloma-see
because of a sharp point at the end of the also Neoplasm, benign, by site. Go to the Tabke
metatarsal. After debriding the area. there was of Neoplasms and look for Neoplasm,
minimal bleeding becauee of very poor neoplastic/breast/benign (colomn(, rederring you
circulation of the foot. It seems that the toes next to code D24.-. Turn to the Tabular lost to
2/9
