AAPC CPC Practice Exam D Questions and Answers
1. Indication :
The 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. His 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.
, What are the CPT codes✔✔ 15100,
15002 Rationale :
The physician is taking a split-thickness skin autograft from the thigh
and grafting it to the patient's left leg, which needs repair.
Look in the CPT® Index for Split/Grafts, you are referred to
15100-15101, 15120-15121.
Code 15100 is the correct code because there was less than 100 sq
cm taken from the leg (thigh).
The second procedure 15002 is reported because the patient had a
hypertrophic scar on the leg and the physician is preparing the
recipient's site by excising the scar, which left a 90 sq cm defect, to
provide healthy blood vessels onto which the skin graft will be placed.
2. The physician is called in to perform repairs for a 17 year-old girl
involved in a motor vehicle accident. She sustained an 8.6 cm laceration to
her
1. Indication :
The 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. His 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.
, What are the CPT codes✔✔ 15100,
15002 Rationale :
The physician is taking a split-thickness skin autograft from the thigh
and grafting it to the patient's left leg, which needs repair.
Look in the CPT® Index for Split/Grafts, you are referred to
15100-15101, 15120-15121.
Code 15100 is the correct code because there was less than 100 sq
cm taken from the leg (thigh).
The second procedure 15002 is reported because the patient had a
hypertrophic scar on the leg and the physician is preparing the
recipient's site by excising the scar, which left a 90 sq cm defect, to
provide healthy blood vessels onto which the skin graft will be placed.
2. The physician is called in to perform repairs for a 17 year-old girl
involved in a motor vehicle accident. She sustained an 8.6 cm laceration to
her
