SAMPLE CPC MODEL TEST - 003

                                                                                                                       

1.      Code the excision of a benign lesion located on the face having a diameter including margins of 2.5 cmand one neck lesion with 6.75 cm, including margins. First lesion being performed as layered closure

a) 12051, 11426, 11443-59

b) 11426, 11443-51, 12051-51

c) 11621-11643-51

d) 11643, 11621-59                             

2.      Excision of malignant skin lesions was being performed. The first lesion was located on the trunk and measured 2.1 cm. The second lesion was located on the face and measured 3.0 cm. A third lesion was located in the scalp and measured 3.5 cm. the measurements are based on diameter and include margins.Code these services and diagnoses.

a) 11624, 11643-51, 11603-51

b) 11643, 11642, 11603

c) 11642, 11643-51, 11603-51

d) 11624, 11643, 11603

3.      Patient presents to the emergency department with multiple lacerations due to a knife fight at the local bar. After examination it was determined these lacerations could be closed using local anesthesia. The areas were prepped and draped in the usual sterile fashion. The surgeon documented the following closures: 7.6 cm simple closure of the right forearm; 5.7 cm intermediate closure of the upper right arm; 4.7 cm complex closure of the right neck; 10.3 cm intermediate closure of the upper chest. What CPT® codes are reported?

a)      13132, 12035-59, 12004-59

b)      13152, 12035-59, 12004-59

c)      13132, 12036-59

d)      13132, 12034-59, 12032-59,12004-59

4.      Patient presents with a vertical 4 cm scar on the lateral border of her right elbow. The patient complains that the scar contraction limits their range of flexion and wishes to have it removed and corrected surgically. The surgical site is prepped with Betadine and sterile drapes are applied. Two arms are drawn at each end of the linear scar, inscribing an angle of 60 degrees to the scar. The side arms are exactly equal in length to the central scar and have precisely the same angle. Local anesthesia is administered. The physician then makes two vertical incisions through the skin along the lines, using a no.15 scalpel blade and excises the vertical scar tissue. Full thickness skin flaps are undermined at the level of subcutaneous fat, creating two triangular flaps of equal size and shape (Z-plasty) for 10sq cm. Adequate undermining of surrounding subcutaneous tissue is performed to achieve proper mobilization of the flaps. The two flaps are then transposed around each other changing the direction of the original scar. The flaps are held in place internally with a few anchoring stitches. The skin is closed using interrupted sutures. Topical antibiotics and a pressure dressing are applied and the patient is told to return in two weeks fro suture removal. What is the correct code(s)?

a) 14020

b) 11406, 12032

c) 12032

d) 14020, 12032

5.      Code the CPT and ICD-10Procedural Codes for the Op Report Below

DIAGNOSIS: Macromastia. ANESTHESIA: General OPERATION: McKissock reduction mammoplasty, inferior pedicle only.

PROCEDURE: Under adequate general anesthesia, the breasts were prepped and draped in a routine fashion and injected with 0.5% Xylocaine with 1:200,000 epinephrine to aid in hemostasis. The patient’s breasts had been marked for standard McKissock reduction mammoplasty preoperatively with the patient in the sitting position. The right breast was operated upon first, and a standard McKissock reduction mammoplasty was carried out, creating medial and lateral flaps and excising medial and lateral triangles. The nipple was supported with an inferior pedicle approximately 10 cm. in width. Good viability of the nipple was present at the termination of dissection. Approximately 1,000 grams of breast tissue was removed from the left breast, and 1,000 grams from the right breast. The patient’s wounds were closed with clear and black nylon fine sutures. Sterile dressings were applied, and the patient returned to the recovery room in satisfactory condition with a bra in place. Both breasts were operated upon in equal fashion. No drains were placed.There were no complications.

a) 19318

b) 19318-51

c) 19318-50

d) 19324

6.      The patient is a 32-year-old female who was discovered to have breast cancer on the right side. She was treated with mastectomy followed by chemotherapy and radiation therapy. She now elects to proceed with reconstruction by TRAM flap. Code for the reconstruction.

a)      19364

b)      19361

c)      19316

d)      19367

7.      Operative Report: Excision lesion on right shoulder, 2.5 x 1.0 x .5 cm. The 3 cm defect was closed in layers. Excision, skin of left cheek, 1.0 x 1.0 x .5. 1.5 cm laceration was closed primarily. Pathology report states that the skin lesion on the right shoulder is a lipoma and the lesion on the left cheek is a squamous cell carcinoma.

a)      11641, 11403-51, 12032-51

b)      11403, 11441-51

c)       11603, 11641-51, 12031-51

d)      11643, 12031-51

8.      Patient came with multiple lesions. It was diagnosed as Actinickeratoses. Dr. Jerry performed destruction of 7 lesions in neck, 5 lesions in right hand and 6 lesions in left wrist. What CPT codes will be reported for this service?

a) 17000, 17003 X 17

b) 17004

c) 17004 X 17

d) 17000, 17004 X 17

9.      Indication: Patient has a hypertrophic scar on the posterior side of the left leg at the level of the knee. This has begun to restrict his mobility. Physical therapy trial was unsuccessful. Procedure: After the proper induction of anesthesia, the subcutaneous tissue of the patient’s left leg beneath the scar was infiltrated with crystalloid solution containing epinephrine to minimize blood loss. The scar was then excised down to viable dermis. Hemostasis was obtained with epinephrine soaked pads. Skin was harvested from the patient’s thigh in a split thickness fashion and was used to cover the 90 sq cm defect created by the surgery. The graft was secured with skin staples and then dressed with fine mesh gauze followed by medication-soaked gauze. The donor site was dressed with mesh followed by Adaptic, followed by a dry dressing and an Ace wrap.

a)      15110-52, 15002

b)      15100, 11406

c)      15100, 15002

d)      15110, 15002

10.  A male patient presents for bilateral mastectomy with a diagnosis of gynecomastia. Choose the correct procedure and diagnosis codes.

a.19303 x 2, N64.89

b. 19301-50, N64.2

c. 19300-50, N62

d. 19304 x 2, N62

11.  64 year old female who has multiple sclerosis fell from her walker and landed on a glass table. She lacerated her forehead, cheek and chin and the total length of these lacerations was 6 cm. Her right arm and left leg had deep cuts measuring 5 cm on each extremity. Her right hand and right foot had a total of 3 cm lacerations. The ED physician repaired the lacerations as follows: The forehead, cheek, and chin had debridement and cleaning of glass debris with the lacerations being closed with 6-0 Prolene sutures. The arm and leg were repaired by 6-0 Vicryl subcutaneous sutures and prolene sutures on the skin. The hand and foot were closed with adhesive strips. Select the appropriate procedure codes for this visit.

a)      12014, 12034-51, 12002-51, 11041-51

b)      12053, 12034-51, 12002-51

c)       12014, 12034-51, 11041-51

d)      12053, 12034-51

12.  Patient has basal cell carcinoma on his upper back. A map was prepared to correspond to the area of skin where the excisions of the tumor will be performed using Mohs micrographic surgery technique. There were three tissue blocks that were prepared for cryostat, sectioned, and removed in the first stage. Then a second stage had six tissue blocks which were also cut and stained for microscopic examination. The entire base and margins of the excised pieces of tissue were examined by the surgeon. No tumor was identified after the final stage of the microscopically controlled surgery. What procedure codes should be reported?

a)      17313, 17314 x 2

b)      17313, 17315

c)      17260, 17313, 17314

d)      17313,17314, 17315

13.  What code would you use if the physician performs FNA using U/S guidance.

a) 10021

b) 10022

c) 10022, 76942-26

d) 10022, 76942

14.  24 yearsold patient had an abscess by her vulva which burst. She has developed a soft tissue infection caused by gas gangrene. The area was debrided of necrotic infected tissue. All of the pus was removed and irrigation was performed with a liter of saline until clear and clean. The infected area was completely drained and the wound was packed gently with sterile saline moistened gauze and pads were placed on top of this. The correct CPT code is,

a)      56405

b)      10060

c)      11004

d)      11042

15.  How should you code an excision of a lesion when completed with an adjacent tissue transfer or

rearrangement?

a)      The excision is always reported in addition to the adjacent tissue transfer or rearrangement.

b)      The excision is not separately reported with adjacent tissue transfer or rearrangement codes.

c)      Code only malignant lesions in addition to the adjacent tissue transfer or rearrangement codes.

d)      Code the lesion with a modifier -51 and code in addition to the adjacent tissue transfer or rearrangement codes

16.  Mary tells her physician that she has been having pain in her left wrist for several weeks. The physician examines the area and palpates a ganglion cyst of the tendon sheath. He marks the injection sites, sterilizes the area, and injects corticosteroid into two areas. codes.

a)      20550-LT x 2, M67.432

b)      20551-LT, M67.40

c)      20551-LT x 2, M67.432

d)      20612-LT, 20612-59-LT, M67.432

17.  The physician performs a surgical procedure for the release of a trigger finger condition on the right middle finger. At the same operative session, the surgeon excises a bone cyst on the left fourth metacarpal of the hand (no graft necessary). Select the correct codes.

a) 26210-F6, 26070-F8

b) 26200-F2, 26210-F3

c) 26200-F3, 26055-F7

d) 26210-F3, 26055-F8

18.  DIAGNOSIS: Foreign body, ball of left foot.

NAME OF OPERATION: Excision of foreign body, ball of left foot.

ANESTHESIA: General, tube balanced.

PROCEDURE: This 24-year-old lady was taken to surgery with the finding of a very tender isolated spot at the ball of the left foot between the first and second toes. By history, she felt like she stepped onsomething with pain, and over the ensuing week-and-a-half to two weeks the pain has gotten unbearable when she walks. X-rays did not show evidence of a foreign body. However, there is definitely a callous,granulous formation here that could possibly be a plantar wart.In the operating room in the supine position after induction of adequate per Anesthesia, the left foot was prepped with Hibiclens and alcohol for full three-minute prep. Drapes were applied exposing the ball of the footonly. Local infiltration of 0.5 cc of 2%  Xylocaine was carried out. The area was elliptically excised, noting a very thick granular reaction beneaththis. This was sent for pathology review which gave the final interpretation as a superficial foreign body embedded in the subcutaneous area of the foot. Total excision area was approximately 8 mm x 3 mm.  There was no reaction deep to this.With this, the wound was closed with two interrupted 5-0 Monocryl stitches giving complete closure. The area was cleansed with peroxide. A dressing was applied, and the patient was sent to the recovery room in satisfactory condition. Sponge count, needle count, and instrument counts were correct times three.

a) 10120

b) 11420

c) 28090

d) 28190

19.  Code the CPT for the following procedure(s):

DIAGNOSIS: Dorsal ganglion cyst, left wrist

NAME OF OPERATION: Excision of dorsal ganglion cyst

FINDINGS AT OPERATION: This patient had one of these thick, very firm cysts in the classic location beneath the extensor tendon

PROCEDURE: The patient was given a general anesthetic, and the arm was prepped and draped in a sterile fashion, with a well-padded tourniquet around the arm. The tourniquet was inflated to 250 mmHg after exsanguination with an Esmarch. A transverse incision was made over the cyst, carried down through subcutaneous tissue. The extensor retinaculum was incised, and tendons were protected with retractors.

The cyst was then surrounded and lifted up off the carpus, taking a portion of the dorsal ligament.Irrigation was then carried out. The incision was closed with nylon and Steri-Strips. A sterile dressing was applied. The patient appeared to tolerate the procedure well.

a) 25111

b) 25112

c) 25116

d) None of the above

20.  The patient fell while at home tow and a half weeks ago. She had sudden onset of severe left hip pain.She has been ambulatory with a cane, however, movement is slow and increasingly painful. The patient was noted to have a nondisplaced proximal neck fracture of the left femur. The patient elected to undergo stabilization with percutaneous pinning. The patient was taken to the operating room where spinal anesthetic was administered. The patient was placed on a fracture table in the supine position. Under fluoroscopic visualization, the direction for placement of the pins were noted and the skin was marked. A 1 cm stab incision was made over the the lateral aspect of the left hip at the level of the lesser trochanter. A self-tapping and self drilling Biomer 6.0 cannulated screw system was used. A guide pin was placed through the incision and through the lateral aspect of the proximal femur. It was drilled through the cortex across the fracture site then the femoral neck and femoral head. This portion of the procedure was accomplished under fluoroscopic guidance. It was measured to 85 mm and an 85 mm cannulated screw was placed over the guidewire. It was threaded into the femoral head. The identical procedure was performed with two more screws, one placed posteriorly in an anterior and posterior fashion and the other screw placed in the middle anterior position. The guide pins were removed. A fluoroscopy in AP and lateral projection showed that the screws were within the femoral head. The femoral head was put through a range of motion under fluoroscopy to confirm that there was no penetration of the screws out of the femoral head. The incisions were irrigated with normal saline and closed with 2-0 Vicryl subcutaneous sutures. The wounds were dressed with Adaptic, 4 x 4 gauze and an ABD pad held in place with tape. All sponge, needle, and instrument counts were correct. The patient left the operating room in good condition and there were no complications. Estimated blood loss was less than 20 cc. What are the correct codes to report this service?

a)      27235, S72.002A

b)      27238, S72.102A

c)      27244, S72.102A

d)      27235, S72.146B

21.  A patient had a unilateral percutaneous intradiscal electrothermal annuloplasty on L3-L5 with

fluoroscopic guidance for needle placement. How would you report this professional service procedure?

a)      22526, 22527

b)      22526, 22527, 77002-26

c)      22899, 77002-51

d)      22526, 22527, 77003-26

22.  Dr. Bender completed a therapeutic manipulation of the temporomandibular joint. An anesthesiologist placed this healthy 54-year-old patient under general anesthesia and monitored the patient during the procedure. The intraservice time was noted as one hour. The patient tolerated the procedure well and was returned to the recovery room in good condition. How would Dr. Bender’s services be reported?

a)      21073, 99151

b)      21480

c)      21073

d)      21480, 99151 x 2

23.  A patient was stabbed in the right arm. A surgeon took the patient to an operating suite and completed wound exploration. The surgeon widened the wound to achieve proper visualization and completed subcutaneous debridement and ligation of minor subcutaneous blood vessels. No further procedures were required for this wound exploration. The arm wound was closed and dressed in the usual fashion. The patient tolerated the procedure well and was returned to the recovery room in good condition. How would you report this procedure?

a)      20103, 11011-51

b)      20103

c)      20103, 11011-59

d)      11043, 12036-59, 20103-51

24.  Dr. Reese completed a deep transfer of the anterior tibial and flexor digitorum tendons. Which code(s) should be used to report this procedure?

a)      27658 x 2

b)      27690, 27692-51

c)      27691, 27692

d)      27691, 27692 x 2

25.  A 50 year-old male had surgery on his upper leg one day ago to remove an intramuscular tumor and presents with serous drainage from the wound. He was taken back to the operating room for evaluation of a hematoma. His wound was explored down to the rectus femoris muscle, and there was a hematoma which was very carefully evacuated. The wound was irrigated with antibacterial solution, and the wound was closed in multiple layers. What CPT® and ICD-10-CM codes are reported?

                       a) 10140-79, M96.810

                        b) 27603-78, T81.4XXA

                        c) 10140-76, T81.9XXA

                        d) 27301-78, M96.840

26.  A 42-year-old man has his “total knee” prosthesis removed after he develops an inflammatory reaction. Choose the best procedure codes for the service

a)      27372

b)      27486

c)      27438

d)      27488

27.  Patient is having ongoing back and hip pain. The physician elects to perform a sacroiliac injection at an ambulatory surgery center. After sterile prep, the patient is placed prone and under fluoroscopic guidance; the needle is placed into the SI joint with a mixture of 20 mg of Celestone and Marcaine for pain relief. Code the procedure(s).

a)      27096, 77003-26

b)      20610

c)      27096, 73542-26

d)      27096

28.  Patient is seen in the hospital’s outpatient surgical area with a diagnosis of a displaced comminuted fracture of the lateral condyle, right elbow. An ORIF procedure was performed, which included the following techniques: An incision was made in the area of the lateral epicondyle. This was carried through subcutaneous tissue, and the fracture site was easily exposed. Inspection revealed the fragment to be rotated in two places about 90 degrees. It was possible to manually reduce this quite easily, and the manipulation resulted in an almost anatomic reduction. This was fixed with two pins driven across the humerus. The pins were cut off below skin level. The wound was closed with plain catgut subcutaneously and 5-0 nylon for the skin. Dressings and a long arm cast were applied. Which are the correct ICD-10-CM and CPT® codes assignment?

a)      24579, 29065-51, S42.451B

b)      24577, S42.451B

c)      24579, S42.451A

d)      24575, S42.451A

29.  A 35-year-old female patient presents with acute onset of severe pain since October. Her workup has revealed evidence of disk herniation with loss of lordosis at the C5-C6. Intraoperative findings were consistent with two large fragments of free disk fragments in the foramen at C5-C6 on the right side. After general anesthesia, the patient was placed on the operative table in the supine position. All pressure points were cushioned and a transverse skin incision was fashioned under fluoroscopic guidance over the C5-C6 disc space. Dissection through the platysma eventually allowed for exposure of the anterior entrance to the vertebral body of C5 and C6 and retractors were inserted to maintain adequate exposure. The operating microscope was brought into the field. Caspar posts were placed and slight distraction allowed exposure. A complete discectomy was performed at C5-C6 by using endplate curets pituitary rongeurs and Kerrisonrongeurs. The posterior longitudinal ligament was resected and beneath the posterior longitudinal ligament, two significant sized disc fragments were noted in the foramen at C5-C6. These were removed using pituitary and Decker instruments. The endplates were then decorticated so that they were parallel to each other and a midline keel was performed on AP and lateral fluoroscopy. A size #1 by 5 mm interbody Kineflex-C device was placed under fluoroscopic guidance. Satisfied with the positioning of the device, the decision was made to close. What is the correct code for this procedure?

a)      63075

b)      63081

c)      22856

d)      22554

30.  How should you report a deep biopsy of soft tissue of the thigh or knee area

a)      27323

b)      27324

c)      20206

d)      27328

31.  The patient presented for medial meniscal tear left knee. Arthroscopy with partial medial

menisectomy left knee and arthroscopic picking (drilling pick holes) of the lateral femoral condyle left knee was performed. Code the procedure and diagnosis codes.

a)      29880-LT, 29879-LT

b)      29881-LT, 29879-LT

c)      29882-LT, 29885-LT

d)      29881-RT, 29885-LT

32.  Replantation of foot that was amputated incompletely.

a)      20838

b)      20838-52

c)      20838-53

d)      20802

33.  Code for trigger finger release

a)      20551

b)      26055

c)      26060

d)      26037

34.  What is the appropriate CPT code to report replacement of a forearm cast on a date other than the initial application?

a)      29085

b)      None, as the cast application is part of the global fracture care code

c)      29805×2

d)      99024

35.  A patient presents to an internal medicine provider complaining of wrist pain due to an imbedded foreign body (thorn entered while trimming outside bushes). The internist requests an orthopedist to evaluate the patient’s injury. The orthopedist performs a detailed historyand exam and discusses the treatment option & performed low complexity MDM.The patient opts for surgical intervention. The orthopedist relays his findings to the internist and proceeds to explore the wrist area. The thorn is located deep in the tissues of the wrist which the orthopedic surgeon removes without complications. Select the appropriate CPT codes.

a)      25250, 25246-51, 99242-57

b)      25040, 25248, 99241-57

c)      25248, 99243-57

d)      25040, 99242-57

36.  Patient presents to the physician for removal of a squamous cell carcinoma of the right cheek. After the area being prepped and draped in a sterile fashion the surgeon measured the lesion, documenting the size of the lesion to be 2.3 cm in its largest diameter. Additionally, the physician took margins of 2 mm on each side of the lesion.  Single layer closure was performed. The patient tolerated the procedure well. What CPT® code(s) is/are reported?

a)      11442

b)      11643

c)      11643, 12013

d)      11642, 12013

37.  INDICATIONS FOR SURGERY: The patient is an 82 year-old white male with biopsy-proven basal cell carcinoma of his right lower eyelid extending to the upper part of the cheek. I marked the area for rhomboidal excision and I drew my planned rhomboid flap. The patient observed these markings in a mirror, he understood the surgery and agreed on the location and we proceeded.
DESCRIPTION OF PROCEDURE: The area was infiltrated with local anesthetic. The face was prepped and draped in sterile fashion. I excised the lesion as drawn into the subcutaneous fat. Hemostasis was achieved using Bovie cautery. Modified Mohs analysis showed the margin to be clear. I incised the rhomboid flap as drawn and elevated the flap with a full-thickness of subcutaneous fat. Hemostasis was achieved in the donor site, the Bovie cautery was not used, hand held cautery was used. The flap was rotated into the defect. The donor site was closed and flap inset in layers using 5-0 Monocryl and 6-0 Prolene. The patient tolerated the procedure well. The total site measured 1.3 cm x 2.7 cm.What CPT® code(s) should be reported?

a)      14060, 11643

b)      14040, 14060

c)      11643

d)      14060

38.  A 66 year-old sustained a left proximal humerus fracture. Standard deltopectoral approach was used and dissection was carried down to the fracture site. The fracture site was identified and fragments were mobilized and the humeral head fragments removed. Once this was done, the stem was prepared up to a size 10. A trial reduction was carried out with the DePuy trial stem and implant head. Sutures were placed in key positions for closure of the tuberosities down to the shaft including sutures through the shaft. The shaft was then prepared and cement was injected into the shaft. The implantwas placed. Once the cement was hardened, the head was placed on Morse taper and reduced. A bone graft was placed around the area where the tuberosities were being brought down. The tuberosities were then tied down with a suture previously positioned. This gave excellent closure and coverage of the significant motion at the repair sites. The wound was thoroughly irrigated. The skin was closed with Vicryl over a drain and also staples in the epidermis. A sterile dressing and sling was applied. The patient was taken to recovery in stable condition. No immediate complications. What CPT® code is reported?

a)      23615-LT

b)      23670-LT

c)      23616-LT

d)      23605-LT

39.  A 68 year-old female with long-standing degenerative arthritis in her right knee presented. Risks and benefits were discussed. She was agreeable to surgery. After adequate anesthesia, the patient was prepped and draped in usual sterile fashion with DuraPrep1 and Betadine scrub. The leg was exsanguinated and tourniquet inflated. An anterior incision was made and carried through the skin and bursa, cauterizing all bleeders. The bursa was elevated medially and a medial parapatellar incision was made. The proximal tibia was cleaned. The knee had an 18-degree flexion contracture. The cruciate ligaments were debrided along with the menisci. The proximal tibial cutting guide was placed and the proximal tibial cut made. The femoral canal was entered and a 6 degree cut was made for the anterior jig. The distal cut was made at 6 degrees. The femur measured a size 2. The 2 cutting block was placed and the anterior, posterior and chamfer cuts were made. The notch cut was made and the trial component was placed with a size 2 tibia and 12 mm spacer and was found to fit beautifully and it tracked well. The patella was cut and measured to be a 32. The holes were drilled and the proximal tibial cuts were made. All the excess meniscal tissue and hypertrophic synovium were debrided. The wound was thoroughly irrigated and the bone dried. The cement was mixed; the size 2 tibia with a 12 mm tibial tray, size 2 femur and a size 32 patella were all cemented in place removing all excess cement. After the cement was hard, the tourniquet was released. The knee was placed through a range of motion and was found to track beautifully. The knee was thoroughly irrigated. The retinaculum was closed with interrupted figure-of-eight 1 Vicryl. The bursa was closed with 1 and 0. The subcutaneous layers were closed with 0 and 2-0 and the skin with staples. Sterile dressing was applied. The patient was taken to the recovery room in stable condition. What CPT® code is reported?

a)      27420-RT

b)      27488-RT

c)      27447-RT

d)      27445-RT

40.  The patient has a torn medial meniscus. An arthroscope was placed through the anterolateral portal for the diagnostic procedure. The patellofemoral joint showed grade 2 chondromalacia on the patellar side of the joint only, this was debrided with a 4.0-mm shaver. The medial compartment was also entered and a complex posterior horn tear of the medial meniscus was noted. It was probed to define its borders. A meniscectomy was carried out to a stable rim.  What CPT® code(s) is/are reported?

a)      29870, 29877-59

b)      29881

c)      29881, 29877-59

d)      29880

41.  55-year-old female has a fracture of lumbar spine. She had been admitted and taken to the main OR for osteotomy by posterior approach and followed by arthrodesis of L2-L5 using anterior instrumentation and morselized auto grafting of iliac bone (including harvesting) of same site. What procedure code should be reported?

a) 22214, 22558-51, 22585, 22846, 20937

b) 22207, 22558-51, 22585, 22845, 20937

c) 22214, 22558-51, 22585-51, 22846, 20937

d) 22207, 22558, 22585, 22845, 20937

42.  Adjacent tissue transfer, trunk, 8 sq.cm. Give the appropriate code.

a)      15002

b)      15101

c)      15220

d)      14000

43.  A patient has six wounds repaired. Three wounds 2 cm of the scalp, 3.5 cm on the leg and 1.5 cm on the face require simple repairs. Two more wounds 1 cm on the foot and 3 cm on the hand require layered closures. The final procedure is a complex repair 5 cm on the ear. Code these repairs and list them according to complexity.

a) 13152, 12042-51, 12002-51, 12011-51

b) 12052, 12041-51, 12042-51, 12001-51, 12011-51, 12002-51

c) 12052, 12002-51, 12041-51, 12011-51, 12002-51, 12001-51

d) 12042, 12002-51, 12011-51, 13152-51

44.  The frozen section pathology after 1.5 cm malignant melanoma lesion showed positive margins, so an additional excision for 2.5 cm was done in the post operative period of the initial procedure. How will you code the second re-excision procedure

a) 11602-58

b) 11603

c) 11603-58

d) 11606

45.  Barry underwent a complex incision and drainage due to a postoperative wound infection, which required an extensive secondary closure of the surgical site. Which codes describe this procedure?

a) 13160, 10081-59

b) 10121, 12020-51

c)13160, 10180-51

d) 10061, 12021-59