Actual Questions & Verified Answers
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1. A 46-year-old female had a previous biopsy that indicated positive malig-
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M nant margins anteriorly on the right side of her neck. A 0.5 cm margin was
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M drawn out and a 15 blade scalpel was used for full excision of an 8 cm lesion.
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M Layered closure was performed after the removal.The specimen was sent for
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M permanent histopathologic examination.What are the CPT® code(s) for this
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M procedure?
A. 11626
B. 11626, 12004-51 M
C. 11626, 12044-51 M
D. 11626, 13132-51, 13133 M M
Answer>11626, 12044-51 M
2. A 30-year-old female is having 15 sq cm debridement performed on an
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M infected ulcer with eschar on the right foot. Using sharp dissection, the ulcer
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was debrided all the way to down to the bone of the foot.The bone had to
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,be minimally trimmed because of a sharp point at the end of the metatarsal.
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M After debriding the area, there was minimal bleeding because of very poor
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M circulation of the foot. It seems that the toes next to the ulcer may have some
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M involvementandculturesweretaken.The areawasdressedwithsterilesaline
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M and dressings and then wrapped.What CPT® code should be reported?
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A. 11043
B. 11012
C. 11044
D. 11042
Answer>11044
3. A 64-year-old female who has multiple sclerosis fell from her walker and
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M landed on a glass table. She lacerated her forehead, cheek and chin and the
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M total length of these lacerations was 6 cm.Her right arm and left leg had deep
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M cuts measuring 5 cm on each extremity. Her right hand and right foot had a
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M totalof3cmlacerations.TheEDphysicianrepairedthelacerationsasfollows:
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M The forehead, cheek, and chin had debridement and cleaning of glass debris
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with the lacerations being closed with one layer closure, 6-0 Prolene sutures.
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The arm and leg were repaired by layered closure, 6-0 Vicryl subcutaneous
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M sutures and Prolene sutures on the skin.The hand and foot were closed with
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,adhesive strips. Select the appropriate procedure codes for this visit.
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A. 99283-25, 12014, 12034-59, 12002-59, 11042-51
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B. 99283-25, 12053, 12034-59, 12002-59 M M M
C. 99283-25, 12014, 12034-59, 11042-51 M M M
D. 99283-25, 12053, 12034-59 M M
Answer>99283-25, 12053, 12034-59 M M
4. A 52-year-old female has a mass growing on her right flank for several years. It
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has finally gotten significantly larger and is beginning to bother her. She is
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M brought to the Operating Room for definitive excision. An incision was made
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directlyoverlying the mass.The masswas down into the subcutaneous tissue
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M and the surgeon encountered a well encapsulated lipoma approximately 4
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M centimeters.This was excised primarilybluntlywith a few attachments divided
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with electrocautery.What CPT® and ICD-10-CM codes are reported?
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A. 21932, D17.39 M
B. 21935, D17.1 M
C. 21931, D17.1 M
D. 21925, D17.9 M
M Answer>21931, D17.1 M
5. Question 5 M
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, PREOPERATIVE DIAGNOSIS:Right scaphoid fracture.TYPE OF PROCEDURE: M M M M M M
M Openreduction andinternal fixation ofrightscaphoid fracture.DESCRIPTION
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M OF PROCEDURE:The patient was brought to the operating room; anesthesia
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M having been administered.The right upper extremitywas prepped and draped in
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M a sterile manner.The limb was elevated, exsanguinated, and a pneumatic arm
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M tourniquet was elevated. An incision was made over the dorsal radial aspect of
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M the right wrist.Skin flaps were elevated. Cutaneous nerve branches were
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M identified and verygentlyretracted.The interval between the second and third
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M dorsal compartment tendons was identified and entered.The respective
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M tendons were retracted. A dorsal capsulotomy incision was made, and the
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M fracture was visualized.There did not appear to be any type of significant
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M defect at the fracture site. A0.045 Kirschnerwirewas thenused as aguidewire,
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M extending from the proximal pole of the scaphoid distal ward.The guidewire
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M was positioned appropriately and then measured. A25-mm Acutrak® drill bit
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M was drilled to 25 mm. A 22.5-mm screw was selected and inserted and rigid
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M internal fixation was accomplished in this fashion.This was visualized under
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M the OEC imaging device in multiple projections.The wound was irrigated and
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M closed in layers. Sterile dressings were then applied.The patient tolerated the
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M procedure well and left the operating room in stable condition.What CPT®
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