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Mod 120 Theory Exam Part 1

30 Questions
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  • 1. 
    Incision and drainage codes are divided into subcategories according to the:
    • A. 

      Size of the lesion

    • B. 

      Condition for which the procedure is performed

    • C. 

      Depth of the incision

    • D. 

      Amount of drainage

  • 2. 
    When an excision is being performed, the amarginsa refer to the _______ required to adequately excise the lesion based on the physician's judgement:
    • A. 

      Widest diameter

    • B. 

      Narrowest margin

    • C. 

      Square centimeters

    • D. 

      Length

  • 3. 
    The removal of a lesion by transverse incision that did not require sutured closure is reported using codes from which subsection:
    • A. 

      Removal of skin tags

    • B. 

      Biopsy

    • C. 

      Paring or curetting

    • D. 

      Shaving of epidermal or dermal lesions

  • 4. 
    Excision defined as full thickness would be through the:
    • A. 

      Epidermis

    • B. 

      Dermis

    • C. 

      Subcutaneous tissue

    • D. 

      Muscle

  • 5. 
    Single-layered closure of heavily contaminated wounds that require extensive cleaning or removal of particular matter constitutes what type of repair:
    • A. 

      Simple

    • B. 

      Intermediate

    • C. 

      Complex

    • D. 

      None of the above

  • 6. 
    The repaired wound should be measured or converted to:
    • A. 

      Millimeters

    • B. 

      Centimeters

    • C. 

      Inches

    • D. 

      All of the above

  • 7. 
    Using the aRule of Ninesa, one adult leg is what percentage of the human body:
    • A. 

      12%

    • B. 

      14%

    • C. 

      16%

    • D. 

      18%

  • 8. 
    Mohs micrographic surgery requires a single physician to act in two integrated but separate and distinct capabilities of a surgeon and a(n):
    • A. 

      Radiologist

    • B. 

      Pathologist

    • C. 

      Assistant surgeon

    • D. 

      None of these

  • 9. 
    Wound closure requiring the use of adhesive strips as the sole repair material should be coded with:
    • A. 

      99024

    • B. 

      Repair code

    • C. 

      99499

    • D. 

      An E/M code

  • 10. 
    What two items are needed to correctly code for local treatment of burns:
    • A. 

      Length and width of burn

    • B. 

      Width and depth of burn

    • C. 

      Percentage of body surface and depth of burn

    • D. 

      Percentage of body surface and width of burn

  • 11. 
    When reporting a staged procedure what modifier is added to the CPT code:
    • A. 

      -25

    • B. 

      -51

    • C. 

      -58

    • D. 

      -76

  • 12. 
    A physician performs an operative procedure that has a 90-day surgical package. One day 40, the same physician performs an unrelated procedure on the same patient. What modifier would you attach to the CPT code when reporting the second procedure:
    • A. 

      -24

    • B. 

      -25

    • C. 

      -58

    • D. 

      -79

  • 13. 
    There is no tissue remaining for pathological examination after this method has been used:
    • A. 

      Ablation

    • B. 

      Mohs

    • C. 

      Excision

    • D. 

      Destruction

  • 14. 
    Which modifier indicates a significant, separately identifiable E/M service:
    • A. 

      -25

    • B. 

      -51

    • C. 

      -50

    • D. 

      -47

  • 15. 
    To properly code lesion excision, you must know the behavior and the narrowest margin about the lesion, in addition to the following:
    • A. 

      Site, number

    • B. 

      Site, number, diameter

    • C. 

      Status, diameter

    • D. 

      Status, site, number

  • 16. 
    The method used by the physician to obtain a lesion biopsy depends on which set of factors:
    • A. 

      Size and location

    • B. 

      Location and type

    • C. 

      Malignant/benign

    • D. 

      Size and type

  • 17. 
    When coding 3 biopsies of the skin, performed at the same visit, the reporting would be:
    • A. 

      11100x3

    • B. 

      11100x2 and 11101x1

    • C. 

      11100, 11101x2

    • D. 

      None of the above

  • 18. 
    Anexcision of a benign lesion from the neck measuring 1.8 cm:
    • A. 

      11422

    • B. 

      11200

    • C. 

      11307

    • D. 

      11622

  • 19. 
    An excision of the left great toe nail and matrix, complete for permanent removal:
    • A. 

      11740-TA

    • B. 

      11730-TA

    • C. 

      11720-TA

    • D. 

      11750-TA

  • 20. 
    • A. 

      12032, 12001-51, 12002-51

    • B. 

      12004

    • C. 

      12034

    • D. 

      12032, 12002-51

  • 21. 
    Dermabrasion of the segmental face:
    • A. 

      15780

    • B. 

      15781

    • C. 

      15782

    • D. 

      15783

  • 22. 
    Destruction of 7 actinic keratoses:
    • A. 

      17004

    • B. 

      17000x7 units

    • C. 

      17000, 17003x7 units

    • D. 

      17000, 17003x6 units

  • 23. 
    Fine needle aspiration of the breast without imaging:
    • A. 

      19000

    • B. 

      19100

    • C. 

      10021

    • D. 

      19030

  • 24. 
    Mastectomy that is done for gynecomastia:
    • A. 

      19300

    • B. 

      19301

    • C. 

      19303

    • D. 

      19305

  • 25. 
    Excision of three malignant lesions, 2.4-cm lesion of the leg, a 3.2-cm lesion of the back, and a 1.6-cm lesion of the lip:
    • A. 

      11606, 11642

    • B. 

      11604, 11603, 11642

    • C. 

      11606, 11624, 11642

    • D. 

      11603, 11624, 11642

  • 26. 
    Excision of a pilonidal cyst that was complicated procedure:
    • A. 

      11770

    • B. 

      11771

    • C. 

      11772

    • D. 

      10081

  • 27. 
    To report an excision of a malignant lesion, the correct range of codes to use would be:
    • A. 

      11600-11646

    • B. 

      11400-11471

    • C. 

      11200-11201

    • D. 

      11100-11101

  • 28. 
    Removal of 37 skin tags by electrosurgical destruction:
    • A. 

      11200, 11201x3 units

    • B. 

      11201x4 units

    • C. 

      11200x4 units

    • D. 

      None of the above

  • 29. 
    Removal with reinsertation of an implantable contraceptive capsule:
    • A. 

      11976

    • B. 

      11977

    • C. 

      11982

    • D. 

      11983

  • 30. 
    Full-thickness graft, free, to the axillae, including direct closure of the donor site, 12 sq. cm:
    • A. 

      15240

    • B. 

      15200

    • C. 

      15260

    • D. 

      15340

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