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Exam (elaborations)

CDEO Ch8.62 CPT Integumentary...Skin- with Complete Solutions

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The category Incision and Drainage has 2 surprises. What are these? - ANSWER-Included under the heading incision and drainage are some surprises, underlined below. 1. Incision and removal of foreign body, subcutaneous tissues, simple, 2. Puncture aspiration of abscess, hematoma, bulla, or cyst, 3. Incision and drainage of pilonidal cyst, simple, 4. Acne surgery such as marsupialization, opening or removal of multiple milia, comedones, cysts, pustules, 5. And as expected incision and drainage of abscess such as carbuncle, suppurative hidradenitis, cutaneous or subcutaneous abscess, cyst, furuncle, or paronychia. What 3 features are used to report wound debridements ? - ANSWER-The following features are used to report wound debridements: 1. The depth of the deepest tissue removed and 2. the surface area of the wound at each depth level 3. site of body. Report the deepest debridement level first, and the others after. What modifier should be applied to the other levels of debridement? - ANSWER-After reporting the deepest debridement level and its surface area, then report the more superficial levels . Append modifier 59 to the more superficial codes to indicate a distinct service. Paring or cutting is applied to what type of lesion? - ANSWER-Paring or cutting 11055-11057 Is presented with management of hyperkeratotic lesion such as corns and calluses only. The codes vary based on the number of lesions treated. How is biopsy distinct from other skin removal procedures, such as excision? - ANSWER-The biopsy procedure to obtain tissue solely for diagnostic exam was performed independently or was unrelated a distinct from other procedures provided at that time these are reported separately as they are not considered components of other procedures. Procedures for other purposes supplying tissue to the pathologist are not

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