1. A patient
present with a bilateral thyroid nodule, after getting consent from the patient
the physician applied local anesthesia and inserted Fine needle to take tissue
samples from right and left lobe of thyroid gland under ultrasound guidance and
sent the specimen to pathology. The dressing is done at the operative site, how would
you report this service?
A. 10021, 10004
B.
10005, 10006
C. 10005,
10006, 76942
D. 10005 x 2
2. A 64 yrs old
female patient present with a basal cell carcinoma in her forehead, after
sterile prepping the site the physician removes the carcinoma and divides into
7 tissue blocks for examination, upon microscopic examination, the physician
finds there are positive margins, he removes the positive margin with another
excision which is divided into four tissue blocks, upon microscopic examination
margins are negative, the appropriate coding for the scenario is?
A.
17311,
17312, 17315 x 2
B. 17311,
17312, 17315 x 7
C. 17313,
17314, 17315 x 2
D. 17311, 17312,
17315
3. Preoperative Diagnosis: Mass in the Right and left breast.
Procedure: Ultrasound
guided B/L breast biopsy.
Findings: After
discussing the risk and benefits of the procedure with the patient, she has
signed the consent form. The patient was placed supine on the operative table and
the left breast was prepped with betadine. 1% of lidocaine was injected
subcutaneously for local anesthesia. The needle was passed under ultrasound
guidance to obtain biopsy samples and sent to the pathology. The patient
tolerated the procedure well. There was no apparent complication. The biopsy
site was dressed in the usual manner. The same procedure was repeated on the
right side of the breast. The patient received post-operative instructions and
left in good condition.
Impression: Successful
ultrasound core biopsy of the right and left breast mass. The patient left our department
in good condition today with post-operative instructions. The pathology report is
pending, how would you report the service?
A. 19083,
19084, 76942 - 26
B. 19100, 76942
C. 19083, 19084
D. 19285, 19286
4. A 70-year-old female is having chronic ulcers on her Left Hip (4
sq cm), Left heel (3 sq cm), Right elbow (3 sq cm) and Left elbow (4 sq cm).
Using sharp dissection, the ulcer was debrided all the way down to the
bone of the Hip, heel and right elbow. And subcutaneous tissue is debrided from
the left elbow. The area was dressed with sterile saline and dressings and then
wrapped. What CPT code should be reported?
A.
11044, 11042
– 59
B. 11044, 11042
C. 11044, 11042
– 51
D. 11012
5. A 58-year-old male for removal of 2 lesions located on his face and
neck. Both the lesions were identified and marked. Utilizing a 3-mm punch, a
biopsy was taken from the face. The neck lesion was shaved at the level of the epidermis.
What are the codes for these procedures?
A. 11104, 11102 – 59
B.
11104, 11103 – 59
C. 11102, 11105 – 59
D. 11104, 11103 – 51
6. A 72-year patient had SCC on his left arm measures 2cm and the margin required to adequately
excise the lesion is 0.5 cm, and the wound size of 4cm required layered closure,
what are the codes for these procedures?
A. 11603, 12032 - 59
B. 11602, 12002 - 51
C.
11603, 12032 - 51
D. 11623, 12032 – 51
7.
A 39-year-old male is here to excise a
melanoma on his right cheek and have reconstruction with an advancement flap.
The 2.5 cm lesion and the margin required to adequately excise the lesion is 0.5 cm totalling a primary defect of 4.5 cm. An
adjacent tissue transfer of 6 sq cm was taken from the adjacent area (Secondary
site) and was advanced into the primary defect. What are the
codes for these procedures?
A. 14041
B.
14040
C.
14041, 11646 - 51
D.
11644, 14041 - 51
8.
A 55 yrs old male was admitted to
hospital with third-degree burns on his thighs and trunk, surgical excision of
the burn tissue was performed and application of 225 sq cm of skin substitute
graft on his thighs and 150 sq cm of skin substitute graft on his trunk. What are the codes for these procedures?
A. 15002, 15003, 15273, 15274
B. 15002, 15003 x 2, 15273,
15274 x 2
C. 15002, 15003 x 3, 15271,
15272 x 3
D. 15002, 15003 x 3, 15273, 15274 x 3
9. A 16 year
old male is having one benign lesion on his nose (1.6 cm) and one benign lesion
on his neck (2.1 cm). The laser was used for the destruction of the lesions. The
procedures should be coded as?
A.
17110
B. 17273, 17272
C. 17273, 17282
D. 17000, 17003
10. A 14-year-old male had fallen on the road while
riding a bicycle. He lacerated his forehead
about 4 cm and left leg 3 cm.
The ED physician repaired the
lacerations as follows: In the forehead, he had done cleaning of the contaminated
wound and closed with sutures. The leg was repaired by superficial sutures on
the skin. What are the codes for these procedures?
A.
12052, 12002
– 59
B. 12052, 12002
– 51
C. 12052, 12002
D. None of the
above