CPC Practice Exam C| 50 QUESTIONS| WITH COMPLETE SOLUTIONS

7-year-old riding his bike struck a tree stump throwing him off his bike. He received multiple lacerations. He had a 3 cm dermis laceration on his scalp with two 0.5 cm lacerations on his face. His right arm had a 5 cm laceration and right leg has a 5cm laceration. The physician stapled the laceration for the scalp. Physician used steri-strips (adhesive strips) to close the wounds on the face. The legs and arms were cleaned by heavily irrigating them with normal saline and removal of embedded debris performed on both wounds, followed with a single-layer closure. Select the repair codes to report. A. 12032, 12032-59, 12011-59, 12002-59 B. 12002, 12002-59, 12011-59, 12002-59 C. 12005, 11042-59 D. 12034, 12002-59 correct answer: D. 12034, 12002-59 The two face lacerations were closed with steri-strips (adhesive strips). When adhesive strips are the only repair material used to close an open wound a repair code is not reported. According to CPT® subsection guidelines for Repair (Closure), when wound closure uses adhesive strips as the only repair material it should be coded using the appropriate E/M service. Code 12011 is inappropriate to report for this scenario, eliminating multiple choices A and B. The repairs for the wounds on the arm and leg are intermediate closures. According to CPT® subsection guidelines for Repair (Closure), single-layer closure of heavily contaminated wounds that have required extensive cleaning or removal of particulate matter also constitutes intermediate repair. This eliminates multiple choice C. To report multiple wounds that are repaired in the same classification and from the anatomic sites that are grouped together into the same code descriptor, add together the length of the wounds. The subsection guidelines also indicates when more than one classification of wounds is repaired, append modifier 59 to the least complicated repair(s). A 55-year-old male presents in the office with an ingrown toenail on the right and left foot. The procedure was discussed in detail and the patient elected to have it performed. The right foot was prepped and draped in sterile fashion. The right great toe was anesthetized with 50/50 solution of 2 percent lidocaine and .05 percent Marcaine. A mini-tourniquet was placed around the toe for hemostasis in which part of the nail plate and maxtrixectomy were performed. Phenol was then applied, the toe was then flushed. Tourniquet was released and dressing applied. At this time the patient elected to only have one performed and will return in two weeks for the left foot. Code the procedure. A. 11765-T5 B. 11750-T5 C. 11752-T5 D. 11740-T5 correct answer: B. 11750-T5 This patient is coming in to have an in-grown toe nail removed, eliminating multiple choice answer D (Evacuation of Subungual Hematoma), which is evacuating blood from under the nail. You are now left with choices A, B, and C that involves the removal of an ingrown toenail. Code 11752 is not correct. The scenario does not mention an amputation. The clue to help you narrow down between the codes 11765 and 11750 is that there