A Short Integumentary System (Procedure Codes) Quiz!

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A Short Integumentary System (Procedure Codes) Quiz! - Quiz

The skin, hair, nails, and exocrine glands together make up the whole integumentary system. It protects the body from various kinds of damage such as starvation, malnutrition, chemical, and radiological damage, etc. So, what do you know about the procedure codes in its study? Let's find out with this quiz!


Questions and Answers
  • 1. 

    A dermatologist opened and drained multiple complicated acne pustule and comedones on a 20 year old patient with severe acne. For one of the most complicating acne pustule Dr incised drained, and marsupial zed  the acne cyst by suturing  the right and left side, leaving the cyst open for drainage, what is the correct procedure code?

    • A.

      10060

    • B.

      10061, 10040

    • C.

      10040

    • D.

      10061

    Correct Answer
    C. 10040
    Explanation
    The correct procedure code for the described scenario is 10040. This code is used for "Incision and drainage of hematoma, seroma or fluid collection." In this case, the dermatologist performed an incision and drainage procedure on the acne cyst, leaving it open for drainage.

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  • 2. 

    Dr Yang is seeing a patient for an acne surgery follow up that was performed eight month ago. The surgery was successful and the patient skin condition has rapidly improved. Today patient stated that he would like to reduce acne scarring by having dermabrasion on his entire face. Although the patient requested entire face the dermatologist Dr Yang performed the dermabrasion on the area of face that are not currently prone to acne break outs (his forehead and brow area). What is correct code for this procedure?

    • A.

      15781

    • B.

      15780

    • C.

      15786

    • D.

      15788

    Correct Answer
    A. 15781
    Explanation
    The correct code for this procedure is 15781 because the patient requested dermabrasion on his entire face, but the dermatologist only performed it on the area of the face that is not currently prone to acne breakouts. Code 15781 specifically refers to dermabrasion of the face.

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  • 3. 

    A physician biopsied the skin on a 30 year old woman’s upper eye lid with a possible fungal infection three site were biopsied. How you code?

    • A.

      11100, 11101 X2

    • B.

      11100X3

    • C.

      11100, 67810

    • D.

      67810

    Correct Answer
    A. 11100, 11101 X2
    Explanation
    The correct answer is 11100, 11101 X2. The question states that the physician biopsied the skin on the woman's upper eyelid with a possible fungal infection, and three sites were biopsied. CPT code 11100 is used for a biopsy of a single lesion, and code 11101 is used for each additional lesion. Since three sites were biopsied, the correct coding would be 11100 for the first lesion and 11101 X2 for the additional two lesions. This accurately represents the procedure performed.

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  • 4. 

    The physician performed the excision of two 5 cm malignant lesions on patient upper back. During the surgery physician noted four additional lesions which looked to be pre malignant these lesion excision were 0.3, 0.7, 1.0 and 1.45 cm respectively. The suspect lesions sent to lab where they were determined to be benign, what is appropriate code for services?

    • A.

      1400 X 4, 11602 X2

    • B.

      11400, 11401X2 11402

    • C.

      11404, 11603

    • D.

      11400, 11401X2, 11402, 11602X 2

    Correct Answer
    D. 11400, 11401X2, 11402, 11602X 2
    Explanation
    The appropriate code for the services is 11400, 11401X2, 11402, 11602X2. This is because the physician performed the excision of two 5 cm malignant lesions (code 11400), and also excised four additional lesions which were determined to be benign (code 11401X2). The sizes of these additional lesions were 0.3 cm, 0.7 cm, 1.0 cm, and 1.45 cm respectively. Additionally, the physician performed excision of pre-malignant lesions (code 11402) and excision of malignant lesions (code 11602X2).

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  • 5. 

    A 22 year old women with excessive skin on her upper eye lid presented to physician for the revision of her right eye lid her physician decided that she would perform  a blepharoplasty of the right eye lid during which she remove excessive skin down the lid. When physician perform the procedure, what code should be reported?

    • A.

      15822

    • B.

      15823

    • C.

      15823-50

    • D.

      15820

    Correct Answer
    B. 15823
    Explanation
    The correct code to report in this scenario is 15823. This code is used for blepharoplasty procedures involving excessive skin removal on the upper eyelid. The physician in this case decided to perform a blepharoplasty of the right eyelid to remove the excessive skin. Therefore, the appropriate code to report is 15823.

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  • 6. 

    Two weeks ago a 32 year male suffered a thumb injury at work he was using a belt grinder on a small piece of steel when the belt caught the tip of his left thumb in the grinder his thumb nail was removed and a small piece of his anterior phalange bone was broken off. The patient has appointment scheduled today to see if his nail bed on his left thumb can be reconstructed using  a graft from his left great toe. What is code for this procedure?

    • A.

      11760- LT

    • B.

      11765

    • C.

      11762-LT

    • D.

      11730, 11732

    Correct Answer
    C. 11762-LT
    Explanation
    The correct answer, 11762-LT, is the code for the procedure of reconstructing the nail bed on the left thumb using a graft from the left great toe.

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  • 7. 

    The emergency physician performed the simple closure of one 2 cm laceration on a 10 year boy’s cheek and two 2.3 cm lacerations on the left leg. The physician performed the simple closure of one 4 cm laceration on right arm and the layered closure of two laceration on the left arm, which were 5 cm and 3 cm respectively. The physician treated the 5 cm laceration on the boy’s chest, which required the removal of a particle of glass and a single layer closure. What are the correct codes for the wound repair for the physician to be coded?

    • A.

      12001, 12002x2, 12032x 2

    • B.

      12005, 12011x 51, 12032-51

    • C.

      12004, 12011-51, 12032x2

    • D.

      12004, 12011-51, 12034-51

    Correct Answer
    D. 12004, 12011-51, 12034-51
    Explanation
    The correct codes for the wound repair are 12004 for the simple closure of the 2 cm laceration on the cheek, 12011-51 for the layered closure of the two lacerations on the left arm (5 cm and 3 cm), and 12034-51 for the treatment of the 5 cm laceration on the chest, which required the removal of a particle of glass and a single layer closure. The -51 modifier indicates multiple procedures were performed on the same day.

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  • 8. 

    A 32 year old female with sever Gynecomastia and family history of breast cancer elected to have complete mastectomy with immediate insertion of breast prosthesis implants. What is the code for the procedure?

    • A.

      19300-50, 19340-50

    • B.

      19300-50, 193040

    • C.

      19303, 19357

    • D.

      19300-50, 19357-50

    Correct Answer
    D. 19300-50, 19357-50
    Explanation
    The correct answer is 19300-50, 19357-50. The code 19300-50 represents the complete mastectomy procedure, while the code 19357-50 represents the immediate insertion of breast prosthesis implants. The "-50" modifier indicates that the procedure was performed on the opposite side of the body. This is the appropriate code combination for a 32-year-old female with severe Gynecomastia and a family history of breast cancer who underwent a complete mastectomy with immediate insertion of breast prosthesis implants.

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  • 9. 

    A 50 year old male present to physician office with complaints of recurrent problems with ingrown toenail on his right great toe. The doctor performs a wedge excision of the skin of the nail fold to his right great toe. Which of the following codes should you code?

    • A.

      10060

    • B.

      11760

    • C.

      11765

    • D.

      11750

    Correct Answer
    C. 11765
    Explanation
    The correct code to use in this scenario is 11765. This code is used for the excision of a nail and nail matrix, partial or complete (e.g., ingrown or deformed nail), for permanent removal. In this case, the physician performed a wedge excision of the skin of the nail fold, which falls under the description of this code. The other codes listed do not accurately describe the procedure performed in this case.

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  • 10. 

    A 10 year old girl come to physician office after smashing the nail of her right 2nd digit in the car door last night. This morning the tip of her finger is edematous, there is large amount of ecchymosis resent , the pediatrician uses a disposable bovie high temperature cautery pen to cauterize a hole in the nail to allow subungual hematoma to drain. A small amount of fluid is removed. What code should you use?

    • A.

      11720

    • B.

      11730

    • C.

      11740

    • D.

      11750

    Correct Answer
    C. 11740
    Explanation
    The correct code to use in this scenario is 11740. This code is used for the drainage of a subungual hematoma, which is the accumulation of blood under the nail. In this case, the physician used a disposable bovie high temperature cautery pen to cauterize a hole in the nail and allow the hematoma to drain. The removal of a small amount of fluid further supports the use of code 11740.

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