2021 CPT Coding - Chapter 14

-25 - answer-Which modifier indicates a significant, separately identifiable E/M service? -51 - answer-Do not use this modifier with skin tag codes because skin tag codes are based on the number of lesions removed. (Make sure to include a dash in front of your modifier answer. -XX) __ -51 - answer-If multiple lesions are treated, the most complex lesion is listed first and the others are usually listed using modifier: -79 - answer-A physician performs an operative procedure that has a 90-day surgical package. On day 40, the same physician performs an unrelated procedure on the same patient. What modifier would you attach to the CPT code when reporting the second procedure? 11000 - answer-Which is not a code from the Skin, Subcutaneous, and Accessory Structures subsection, Incision and Drainage category? 11104, 11105 x 2 - answer-When coding 3 punch biopsies of the skin, performed at the same visit, the reporting would be: Group of answer choices 11200, 11201 x 3 units - answer-Removal of 37 skin tags by electrosurgical destruction: 11422 - answer-An excision of a benign lesion from the neck measuring 1.8 cm: - answer-To report an excision of a malignant lesion, the correct range of codes to use would be: 11770 - answer-Location: Hospital PREOPERATIVE DIAGNOSIS: Pilonidal cyst. POSTOPERATIVE DIAGNOSIS: Same. PROCEDURE PERFORMED: Excision of pilonidal cyst, simple. ANESTHESIA: General endotracheal anesthesia with 30 cc of local infiltrated directly into the wound. PROCEDURE IN DETAIL: After good general endotracheal anesthesia, the patient was carefully placed in the prone position. Care was taken to pad dependent areas. The area around the pilonidal cyst was shaved, prepped, and draped sterilely. After this, a total of 30 cc of Marcaine was injected into the area around the pilonidal sinus and a small elliptical incision was made to include the two sinuses. Wide dissection was carried down to the coccyx to include all inflamed tissue. After this, the wound was irrigated. Hemostasis was obtained with electrocautery. The wound was packed with Vaseline gauze and dressed. The patient tolerated the procedure well and was returned to the recovery room in good condition. 12014 - answer-Simple repair of a superficial wound of the nose measuring 5.2 cm. 12032, 12002-59 - answer-The correct code for repairing the following lacerations: 4.2 simple repair of the trunk, 1.3 simple repair of the arm, and 2.8 intermediate repair of the scalp: 13160-78 - answer-INDICATIONS: The patient had a YV advancement flap and advancement of the hamstring muscles about 3 weeks ago, but the wound separated and the muscles retracted over the area of the bone. She has had moderate separation of the wound but not complete separation, and we plan to minimally debride this area and resuture the wound with tension sutures. DIAGNOSIS: Wound dehiscence, left ischial area, partial. SURGICAL FINDINGS: A 6 cm long by about 4 cm deep wound dehiscence. PROCEDURE PERFORMED: Debridement of ischial wound by curettage with secondary wound closure. PROCEDURE: The patient was intubated and turned in the prone position. The area was prepped with Betadine scrub and solution and draped in routine sterile fashion. The area was curettaged and a piece of the tissue was placed in a culture tube. This was curettaged down to bleeding granulation tissue. I was reluctant to restart by complete debridement of all these areas, because there are factors operative in this wound that are probably beyond our control. We nevertheless completed debridement of the granulation down to bleeding tissue and put far/near, near/far tension type sutures in the wound using #2 Ethibond. I then put some Xeroform underneath the sutures that were holding the wound together and put three boxes of Kerlix Fluffs on top of this to cover some of the open areas on the thigh. The thigh sutures were also removed. I then taped the three boxes of Kerlix Fluffs to the ischial area with Elastoplast and taped around the leg to hold this in place, placing an ABD pad over the open areas where the sutures had been present. I then taped the buttock and leg up on the lumbar area with Elastoplast in such a manner as to support the ischial closure. A home health care nurse was in attendance at this time and she was advised as to how to retape and dress this 15240 - answer-Full-thickness graft, free, to the axillae, including direct closure of donor site, 12 sq. cm.: 15879-RT - answer-Suction lipectomy, lower right leg. 15933 - answer-Patient presents for an excision of a sacral pressure ulcer with ostectomy, with primary suture. 17000, 17003 x 6 units - answer-Destruction of 7 actinic keratoses: Group of answer choices 18% - answer-Using the Lund-Browder Classification Method, one adult leg is what percentage of the human body? 19316 - answer-Mastopexy 7 - answer-The Integumentary System subsection is divided into how many subheadings? Abscess - answer-Localized collection of pus that will result in the disintegration of tissue over time. anatomic site - answer-The Integumentary System is formatted on the basis of __ __ (two words). apply to the first 15 lesions. - answer-Codes for skin tag removal Benign - answer-Not progressive or recurrent biopsy - answer-A(n) __ is the removal of a small amount of tissue for diagnostic purposes. Biopsy - answer-Removal of a small piece of living tissue for diagnostic purposes burns on both adults and children. - answer-The Lund-Browder classification method refers to centimeters - answer-The repaired wound should be measured or converted to: corn or callus - answer-An example of a benign hyperkeratotic skin lesion is: CPT - 11000, 11001 ICD - L30.9 - answer-Debridement for back of eczematous skin, 20% body surface CPT - 11042, 11045 ICD - L98.0 - answer-Report 8 CPT - 11043 ICD - E11.621, L97.503 - answer-Debridement; 16 sq. cm. subcutaneous tissue and muscle due to a diabetic foot ulcer CPT - 11423 ICD - D23.4 - answer-Report 6 CPT - 11444, 11423-51 ICD - D23.30, D23.4 - answer-Excision of 4 cm benign lesion of face (most resource intensive) and excision of 3 cm benign lesion of neck CPT - 11451 ICD - L73.2 - answer-Excision axillary hidradenitis, complex repair CPT - 11643, 11602-51x2 ICD - C44.00, C44.509 - answer-Excision of a 2.5 cm malignant lip lesion and two malignant lesions of the skin of the chest, each 1.5 cm in diameter CPT - 11720 ICD - B35.1 - answer-Debridement of four fingernails due to onychomycosis CPT - 11772 ICD - L05.01 - answer-Excision of abscessed pilonidal cyst; complicated CPT - 11971 - answer-Removal of tissue expander without insertion of prosthesis CPT - 11976 ICD - Z30.46 - answer-Removal of subdermal contraceptive implant CPT - 12016, 99070 ICD - S01.409A - answer-Rita, an established patient, has a 16.2 cm simple repair of the cheek. A surgical tray is used. CPT - 12032, 99070 ICD - S41.101A - answer-Joan, an established patient, comes into the office to have an intermediate repair of a 2.6 cm wound on her right arm. A surgical tray was used. C