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A 25-year-old man complains he has premature hair loss. The provider suspects it is due to stress, but is uncertain. List the ICD-10-CM coding for the hair loss.
correct answer ✅L64. When coding multiple burns, which is correct? - correct answer ✅Sequence first the code reflecting the highest degree of burn. Patient presents with a cyst on the arm. Upon examination the physician decides to incise and drain the cyst. The site is prepped and the physician takes a scalpel and cuts into the cyst. Purulent fluid is extracted from the cyst and a sample of the fluid is sent to the laboratory for evaluation. The wound is irrigated with normal saline and is covered with a bandage. The patient is to return in a week to ten days to re-examine the wound. Select the CPT® code for this procedure. - correct answer ✅ 10060
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A patient presents to the dermatologist with a suspicious lesion of the left cheek. Upon examination the physician discusses with the patient that the best course of treatment is to remove the lesion by shave technique. Consent is obtained and the physician preps the area and using an 11-blade scalpel makes a transverse incision and slices the lesion at the base. The wound is cleaned and a bandage is placed. The physician indicates the size of the lesion is 1.4 cm. The lesion is sent to pathology for evaluation and the patient is to return in 10 days to discuss the findings. Select the CPT® code for this procedure. - correct answer ✅ 11312 A patient presents to the Dermatologist with a suspicious lesion on her left arm and another one on her right arm. After examination the physician feels these lesions present as highly suspicious and obtains consent to perform punch biopsies on both sites. After prepping the area, the physician injects the sites with Lidocaine 1% and .05% Epi. A 3 mm punch biopsy of the lesion of the left arm and a 4mm punch biopsy of the lesion of the right arm is taken. The sites are
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pathology. The wound was closed in layers using 3. monocryl and 5.0 chromic. The repair measured 5. cm. Meticulous homeostasis was achieved using light pressure - correct answer ✅12032, 11403- A patient presents to her doctor with three medium sized suspicious lesions on her leg. The physician uses a saw type instrument and slices horizontally to remove the lesions. The lesions are sent for pathology. What CPT® coding is reported for this example? - correct answer ✅11300, 11300-51 x 2 A patient has a squamous cell carcinoma on the tip of the nose. After prepping the patient and site, the physician removes the tumor (first stage) and divides it into seven blocks for examination. Seeing positive margins, he removes a second stage, which he divides into five blocks. The physician again identifies positive margins. He performs a third stage and divides the specimen into three blocks proving to be clear of the skin cancer.
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What are the correct CPT® codes to report for this example? - correct answer ✅17311, 17312, 17312, 17315, 17315 A 32-year-old female is having excision of a mass in her left breast. The physician makes a curved incision along the inferior and medial aspect of the left areola. A breast nodule, measuring approximately 1 cm in diameter, was identified. It appeared to be benign. It was firm, gray, and discrete. It was completely excised. There was no gross evidence of malignancy. The bleeding was controlled with electrocautery. The skin edges were approximated with a continuous subcuticular 4-0 Vicryl suture. Indermil tissue adhesive was applied to the skin as well as a dry gauze dressing. What is the correct CPT® code to report for this example? - correct answer ✅19120-LT
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Melanin is found in what layer of the epidermis? - correct answer ✅Basal What is another term for hives? - correct answer ✅Urticaria What is the correct diagnosis code to report initial treatment of an infected post procedural stitch abscess of the right leg from a previous excision of a squamous cell carcinoma? - correct answer ✅T81.41XA What term best describes a mass of hypertrophic scar tissue? - correct answer ✅Keloid A patient presents with a recurrent seborrheic keratosis of the left cheek. The area was marked for a shave removal. The area was infiltrated with local anesthetic, prepped and draped in a sterile fashion. The lesion measuring 1.8 cm was shaved using an 11- blade. Meticulous hemostasis was achieved using light pressure. The specimen was sent for permanent
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pathology. The patient tolerated the procedure well. What CPT® code is reported? - correct answer ✅ 11312 The patient has a suspicious lesion of the left jaw line. Clinical diagnosis of this lesion is unknown, but due to the appearance, malignancy is a realistic concern. The lesion was excised into the subcutaneous fat measuring 0.8 cm and margins of 0.1 cm on each side. Hemostasis was achieved using light pressure. The wound was closed in layers using 5.0 Monocryl and 6.0 Prolene. Pathology revealed a nevus with clear margins. What CPT® and ICD-10-CM codes are reported? - correct answer ✅12051, 11441-51, D22. What CPT® code(s) would best describe treatment of 9 plantar warts removed and 6 flat warts all destroyed with cryosurgery during the same office visit? - correct answer ✅ 17111 While whittling a piece of wood, the patient sustained an avulsion injury to a portion of his left index finger
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discussed with the patient. Informed consent was obtained. The area was infiltrated with 1.5 cc of medication. This was a mixture of 1 cc of Kenalog- and 0.5 cc of 1% lidocaine with epinephrine. He tolerated the procedure well. What codes are reported? - correct answer ✅11900, J3301, L91. A patient is diagnosed with actinic keratosis of the chest and arms. She presents to her physician's office for destruction of these lesions. Using cryosurgery, the physician destroys 4 lesions on the right arm, 4 lesions on the left forearm and 4 lesions on the chest. What CPT® and ICD-10-CM codes are reported? - correct answer ✅17000, 17003 x 11, L57. The patient is diagnosed with a superficial basal cell carcinoma of the neck and cheek. After discussion with the physician about different treatment options the patient decides to have these lesions destroyed using cryosurgery. Consent is obtained and the areas are prepped in a sterile fashion. With the use of cryosurgery, the physician destroys the lesion on the neck measuring 2.3 cm and the lesion on the cheek
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measuring 0.8 cm. What CPT® codes are reported? - correct answer ✅17273, 17281- A patient presents to the ED physician with multiple burns. After examination the physician determines the patient has third-degree burns of the anterior and posterior portion of his left leg, starting at the knee extending above the ankle (12.5%). He also has third- degree burns of the anterior portion of the left side of his chest (4.5%). The patient also has second-degree burns on his left upper arm (7%). What ICD-10-CM codes are reported? - correct answer ✅T24.392A, T21.31XA, T22.232A, T31. What CPT® codes are reported for the destruction of 16 premalignant lesions and 10 benign lesions using cryosurgery? - correct answer ✅17004, 17110 Patient is a 53-year-old female who yesterday underwent Mohs surgery with Dr. Smith to remove a basal cell carcinoma of her scalp. Due to the size of
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INDICATIONS FOR SURGERY: The patient is an 82-year- old male with biopsy-proven basal cell carcinoma of his right lower eyelid extending to the upper part of the cheek. I marked the area for rhomboidal excision and I drew my planned rhomboid flap. The patient observed these markings in a mirror, he understood the surgery and agreed on the location and we proceeded.DESCRIPTION OF PROCEDURE: The area was infiltrated with local anesthetic. The face was prepped and draped in sterile fashion. I excised the lesion as drawn into the subcutaneous fat. Hemostasis was achieved using Bovie cautery. Modified Mohs analysis showed the margin to be clear. I incised the rhomboid flap as drawn and elevated the flap with a full-thickness of subcutaneous fat. Hemostasis was achieved in the donor site, the Bovie cautery was not used, hand held cautery was used. The flap was rotated into the defect. The donor site was closed and flap inse - correct answer ✅ 14060 Operative Report PATIENT: SURGEON:
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ASSISTANT:
PREOPERATIVE DIAGNOSIS: HYPOPLASIA OF THE
BREAST.
POSTOPERATIVE DIAGNOSIS: HYPOPLASIA OF THE
BREAST.
OPERATIVE PROCEDURE: BILATERAL AUGMENTATION
MAMMOPLASTY USING SILICONE GEL IMPLANTS.
ANESTHESIA: General. OPERATIVE SUMMARY: The patient was brought to the operating room awake and placed in a supine position where general anesthesia was induced without any complications. The margins of the dissection were marked to be the sternal border within two fingerbreadths of the clavicle slightly beyond the anterior axillary line and slightly below the inframammary crease. The chest was prepped and draped in the usual sterile fashion. The left breast was done first. An inframammary crease incision was made going through skin. subcutaneous tissue, down to the muscle fascia. Dissection was then carried in the subglandular plane to the above mentioned areas. After careful hemostasis - correct answer ✅19325-
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INDICATIONS FOR SURGERY: The patient is an 81-year- old white man with biopsy proven squamous cell carcinoma of his left leg. I marked the areas for excision with gross normal margins of 5 mm, and I drew my planned skin graft donor site from his left lateral thigh. He also had an open wound of his right leg from a squamous cell carcinoma excised four months ago; the skin graft had not taken. We plan on re-skin grafting the area. The patient is aware of all of these markings, and understands the surgery and location. DESCRIPTION OF PROCEDURE: The patient was taken to the operating room. IV Ancef was given. I used plain lidocaine for his local anesthetic throughout the procedure until the skin grafts were inset. The anterior of his leg and the thigh we - correct answer ✅15100, 11603-51-LT, 15002-51-RT A localization wire placement in the lower outer aspect of the right breast was performed by a radiologist the day prior to this procedure. During this operative session, the surgeon created an incision through the wire track and the wire track was followed down to its entrance into breast tissue. A nodule of
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breast tissue was noted immediately adjacent to the wire. This entire area was excised by sharp dissection, sent to pathology and returned as a benign lesion. Bleeders were cauterized and subcutaneous tissue was closed with 3-0 Vicryl. Skin edges were approximated with 4-0 subcuticular sutures and adhesive strips were applied. The patient left the operating room in satisfactory condition. What is/are the correct code(s) for the surgeon's service? - correct answer ✅19125-RT Operative Report Diagnosis: Basal Cell Carcinoma Procedure: Mohs micrographic excision of skin cancer. Site: Face left lateral upper canthus eyelid Pre-operative size: 0.8 cm Indications for surgery: Area of high recurrence, area of functional and/or cosmetic importance. Discussed procedure including alternative therapy, expectations, complications, and the possibility of a larger or deeper defect than expected requiring significant reconstruction. Patient's questions were answered.
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Attention was then directed to the other two suspicious lesions on his cheek. After administering local anesthesia, I proceeded to take a 3 mm punch biopsy of each lesion and was able to close with 5. Prolene. The patient tolerated the procedures well. Pathology later showed the basal cell carcinoma was completely removed and the biopsies indicated actin - correct answer ✅13132, 11623-51, 11104-59, 11105
