HIM202 CHAPTER 14 PRACTICE QUESTIONS AND ANSWERS
GUIDE
-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:
11600-11646 - 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.
GUIDE
-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:
11600-11646 - 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.
