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Location: Hospital PREOPERATIVE DIAGNOSIS: Pilonidal cyst. POSTOPERATIVE DIAGNOSIS: Same. PROCEDURE PERFORMED: Excision of pilonidal cyst, simple. ANESTHESIA: General endotracheal anesthesia with 30 cc of local infiltrated directly into the wound. PROCEDURE IN DETAIL: After good general endotracheal anesthesia, the patient was carefully placed in the prone position. Care was taken to pad dependent areas. The area around the pilonidal cyst was shaved, prepped, and draped sterilely. After this, a total of 30 cc of Marcaine was injected into the area around the pilonidal sinus and a small elliptical incision was made to include the two sinuses. Wide dissection was carried down to the coccyx to include all inflamed tissue. After this, the wound was irrigated. Hemostasis was obtained with electrocautery. The wound was packed with Vaseline gauze and dressed. The patient tolerated the procedure well and was returned to the recovery room in good condition. CPT Code: ____________________

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A physician performs an operative procedure that has a 90-day surgical package. On 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

E) A) and D)
F) All of the above

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


A) 15240
B) 15200
C) 15260
D) 15261

E) A) and D)
F) All of the above

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Match the following common procedures and suffixes with the correct definition. -biopsy


A) to remedy, replace, or heal
B) suffix for molding or surgically forming
C) free flow or withdrawal of fluids from a wound or cavity
D) cutting or taking away
E) to unite parts by stitching them together
F) inspection of body organs or cavities by the use of a lighted scope that may be placed through an existing opening or through a small incision
G) scraping of a cavity using a spoon-shaped instrument
H) forcing a fluid into a vessel or cavity
I) suffix for suturing
J) suffix for puncture of a cavity
K) suffix for removal of part or all of an organ of the body
L) removal of a small piece of living tissue for diagnostic examination
M) surgically cutting into
N) binding or tying off, as in constricting blood flow of a vessel or binding fallopian tubes for sterilization
O) suffix for incision into

P) J) and N)
Q) L) and O)

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Single-layered closure of heavily contaminated wounds that require extensive cleaning or removal of particulate matter constitutes what type of repair?


A) simple
B) intermediate
C) complex
D) none of the above

E) A) and B)
F) A) and C)

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Match the following common procedures and suffixes with the correct definition. --rrhaphy


A) to remedy, replace, or heal
B) suffix for molding or surgically forming
C) free flow or withdrawal of fluids from a wound or cavity
D) cutting or taking away
E) to unite parts by stitching them together
F) inspection of body organs or cavities by the use of a lighted scope that may be placed through an existing opening or through a small incision
G) scraping of a cavity using a spoon-shaped instrument
H) forcing a fluid into a vessel or cavity
I) suffix for suturing
J) suffix for puncture of a cavity
K) suffix for removal of part or all of an organ of the body
L) removal of a small piece of living tissue for diagnostic examination
M) surgically cutting into
N) binding or tying off, as in constricting blood flow of a vessel or binding fallopian tubes for sterilization
O) suffix for incision into

P) E) and O)
Q) H) and K)

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Match the following common procedures and suffixes with the correct definition. -curettage


A) to remedy, replace, or heal
B) suffix for molding or surgically forming
C) free flow or withdrawal of fluids from a wound or cavity
D) cutting or taking away
E) to unite parts by stitching them together
F) inspection of body organs or cavities by the use of a lighted scope that may be placed through an existing opening or through a small incision
G) scraping of a cavity using a spoon-shaped instrument
H) forcing a fluid into a vessel or cavity
I) suffix for suturing
J) suffix for puncture of a cavity
K) suffix for removal of part or all of an organ of the body
L) removal of a small piece of living tissue for diagnostic examination
M) surgically cutting into
N) binding or tying off, as in constricting blood flow of a vessel or binding fallopian tubes for sterilization
O) suffix for incision into

P) D) and F)
Q) A) and I)

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Patient presents for an excision of a sacral pressure ulcer with ostectomy, with primary suture. CPT Code: ____________________

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The repaired wound should be measured or converted to:


A) millimeters
B) centimeters
C) inches
D) all of the above

E) A) and B)
F) A) and C)

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To correctly code lesion excision, you must know the behavior (benign/malignant) as well as the site, ____________________, and ____________________ of the lesion(s).

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number, si...

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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

E) None of the above
F) All of the above

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Mastopexy. CPT Code: ____________________

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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

E) A) and B)
F) All of the above

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Using the "Rule of Nines," one adult leg is what percentage of the human body?


A) 12%
B) 14%
C) 16%
D) 18%

E) All of the above
F) A) and B)

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Excision defined as full thickness would be through the:


A) epidermis
B) dermis
C) subcutaneous tissue
D) muscle

E) A) and D)
F) A) and C)

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Match the following common procedures and suffixes with the correct definition. -suture


A) to remedy, replace, or heal
B) suffix for molding or surgically forming
C) free flow or withdrawal of fluids from a wound or cavity
D) cutting or taking away
E) to unite parts by stitching them together
F) inspection of body organs or cavities by the use of a lighted scope that may be placed through an existing opening or through a small incision
G) scraping of a cavity using a spoon-shaped instrument
H) forcing a fluid into a vessel or cavity
I) suffix for suturing
J) suffix for puncture of a cavity
K) suffix for removal of part or all of an organ of the body
L) removal of a small piece of living tissue for diagnostic examination
M) surgically cutting into
N) binding or tying off, as in constricting blood flow of a vessel or binding fallopian tubes for sterilization
O) suffix for incision into

P) L) and M)
Q) E) and N)

Correct Answer

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Match the following common procedures and suffixes with the correct definition. -injection


A) to remedy, replace, or heal
B) suffix for molding or surgically forming
C) free flow or withdrawal of fluids from a wound or cavity
D) cutting or taking away
E) to unite parts by stitching them together
F) inspection of body organs or cavities by the use of a lighted scope that may be placed through an existing opening or through a small incision
G) scraping of a cavity using a spoon-shaped instrument
H) forcing a fluid into a vessel or cavity
I) suffix for suturing
J) suffix for puncture of a cavity
K) suffix for removal of part or all of an organ of the body
L) removal of a small piece of living tissue for diagnostic examination
M) surgically cutting into
N) binding or tying off, as in constricting blood flow of a vessel or binding fallopian tubes for sterilization
O) suffix for incision into

P) A) and F)
Q) F) and O)

Correct Answer

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Excision of a pilonidal cyst that was a complicated procedure:


A) 11770
B) 11771
C) 11772
D) 10081

E) None of the above
F) C) and D)

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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

E) All of the above
F) None of the above

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The correct code for repairing the following lacerations: 4.2 simple repair of the trunk, 1.3 simple repair of the arm, and 2.8 intermediate repair of the scalp:


A) 12032, 12001-59, 12002-59
B) 12004
C) 12034
D) 12032, 12002-59

E) None of the above
F) All of the above

Correct Answer

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