had a previous biopsy
that indicated positive
malignant margins
anteriorly on the right
side of her neck. A 0.5
cm margin was drawn
out and a 15 blade
scalpel was used for full
excision of an 8 cm
lesion. Layered closure
was performed after the
removal. The specimen
was sent for permanent
histopathologic
examination. What are
the CPT® code(s) for
this procedure?
A. 11626
B. 11626, 12004-51
C. 11626, 12044-51
D. 11626, 13132-51,
13133
A 30-year-old female is C. 11044
having 15 sq cm
debridement performed
on an infected ulcer with
eschar on the right foot.
Using sharp dissection,
the ulcer was debrided
all the way to down to
the bone of the foot. The
bone had to be minimally
trimmed because of a
sharp point at the end of
the metatarsal. After
debriding the area, there
was minimal bleeding
because of very poor
circulation of the foot. It
seems that the toes next
to the ulcer may have
some involvement and
cultures were taken. The
area was dressed with
sterile saline and
,dressings and then
wrapped. What CPT®
code should be
reported?
A. 11043
B. 11012
C. 11044
D. 11042
A 64-year-old female D. 99283-25, 12053, 12034-59
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 one
layer closure, 6-0
Prolene sutures. The
arm and leg were
repaired by layered
closure, 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. 99283-25, 12014,
12034-59, 12002-59,
11042-51
B. 99283-25, 12053,
12034-59, 12002-59
C. 99283-25, 12014,
12034-59, 11042-51
D. 99283-25, 12053,
12034-59
A 52-year-old female has C. 21931, D17.1
a mass growing on her
right flank for several
years. It has finally
gotten significantly larger
and is beginning to
bother her. She is
brought to the Operating
Room for definitive
excision. An incision was
made directly overlying
the mass. The mass was
down into the
subcutaneous tissue and
the surgeon encountered
a well encapsulated
lipoma approximately 4
centimeters. This was
excised primarily bluntly
with a few attachments
divided with
electrocautery. What
CPT® and ICD-10-CM
codes are reported?
A. 21932, D17.39
B. 21935, D17.1
, C. 21931, D17.1
D. 21925, D17.9
Question 5 A. 25628-RT
PREOPERATIVE
DIAGNOSIS: Right
scaphoid fracture. TYPE
OF PROCEDURE: Open
reduction and internal
fixation of right scaphoid
fracture. DESCRIPTION
OF PROCEDURE: The
patient was brought to
the operating room;
anesthesia having been
administered. The right
upper extremity was
prepped and draped in a
sterile manner. The limb
was elevated,
exsanguinated, and a
pneumatic arm
tourniquet was elevated.
An incision was made
over the dorsal radial
aspect of the right wrist.
Skin flaps were elevated.
Cutaneous nerve
branches were identified
and very gently
retracted. The interval
between the second and
third dorsal compartment
tendons was identified
and entered. The
respective tendons were
retracted. A dorsal
capsulotomy incision
was made, and the
fracture was visualized.
There did not appear to
be any type of significant
defect at the fracture
site. A 0.045 Kirschner
wire was then used as a
guidewire, extending
from the proximal pole of