Basal cell carcinoma (BCC), left chin. Procedure: Wide local excision of 3.0 cm with 0.3 cm margin BCC of the left chin with a 4 cm closure.

Question 1 (2.5 points)

 Select the correct codes for the following:

Diagnosis: Basal cell carcinoma (BCC), left chin. Procedure: Wide local excision of 3.0 cm with 0.3 cm margin BCC of the left chin with a 4 cm closure. A 15-blade scalpel was then used to make an incision in the previously marked site. The lesion was then sharply dissected off the underlying tissue bed using a 15-blade scalpel. It was tagged for pathologic orientation. The wound was then closed by advancing the tissue surrounding the lesion and closing in layers with 3-0 Vicryl for the deep layer, followed by 5-0 Prolene for the skin.

 

Question 1 options:

 

 

11643, 12013-51, C44.319

 

 

11443, 12013-51, C44.309

 

 

11444, 12052-51, C44.399

 

 

11644, C44.319

 

 

 

Question 2 (2.5 points)

 

 Select the correct code for the following:

 

Debridement of bilateral heel decubiti down through muscle

 

Question 2 options:

 

 

11042

 

 

11010

 

 

11043

 

 

11046

 

 

 

Question 3 (2.5 points)

 

 Select the correct code for the following:

 

The patient is a 42-year-old female who was discovered to have breast cancer on the right side. She was treated with a mastectomy followed by chemotherapy and radiation therapy. She now elects to proceed with reconstruction by TRAM flap, performed uneventfully.

 

Question 3 options:

 

 

19367-RT

 

 

19316-RT

 

 

19361-RT

 

 

19364-RT

 

 

 

Question 4 (2.5 points)

 

Select the correct codes  for the following:

 

Destruction malignant lesion, 2.0 cm face; excision malignant lesion, 1.5 cm face; and benign excision lesion, 2.5 cm arm

 

Question 4 options:

 

 

11442, 11403-51

 

 

17282, 11642, 11403

 

 

11442, 11403-51, 17282

 

 

11642, 11403-51, 17282-51

 

 

 

Question 5 (2.5 points)

 

Select the correct codes for the following:

 

The patient has basal cell carcinoma on his upper back. Excisions of the tumor will be performed using Mohs micrographic surgery technique. There were three tissue blocks that were prepared for cryostat, sectioned, and removed in the first stage. Then a second stage had six tissue blocks, which were also cut and stained for microscopic examination. The entire base and margins of the excised pieces of tissue were examined by the surgeon.

 

Question 5 options:

 

 

17313, 17315

 

 

17313, 17314, 17315

 

 

17260, 17313, 17314

 

 

17313, 17314 x 2

 

 

 

Question 6 (2.5 points)

 

Select the correct code(s) for the following:

 

Excision of leg carcinoma and FTSG. The lesion in the distal leg at the anterior side was 2 cm. I excised the lesion with a generous margin. Supposed to do an STSG, but dermatome was not available; therefore, FTSG was obtained from the upper thigh, 3 x 1 cm, and applied to the leg area.

 

Question 6 options:

 

 

11602, 15120

 

 

15220

 

 

11602

 

 

11602, 15220

 

 

 

Question 7 (2.5 points)

 

Select the correct code(s) for the following:

 

A 33-year-old female presents to have multiple lesions destroyed. Three benign lesions on her face are destroyed, and five actinic keratoses on her left arm are destroyed.

 

Question 7 options:

 

 

17000, 17003

 

 

17280 x 5, 17000, 17003

 

 

17110

 

 

17000, 17003 x 4, 17110

 

 

 

Question 8 (2.5 points)

 

 What term describes an open fracture?

 

Question 8 options:

 

 

Compound

 

 

Depressed

 

 

Greenstick

 

 

Slipped epiphysis

 

 

 

Question 9 (2.5 points)

 

Select the correct code for the following:

 

Repair tear, quadriceps tendon, right knee. There were two separate vertically oriented tears in the quadriceps tendon, both were sharply debrided to healthy tissue. The quadriceps tendon was reapproximated to full thickness.

 

Question 9 options:

 

 

27385-RT

 

 

27380-RT

 

 

27390-RT

 

 

27386-RT

 

 

 

Question 10 (2.5 points)

 

What modifier should you report when the same physician provided a re-reduction of a fracture?

 

Question 10 options:

 

 

-58

 

 

-79

 

 

-78

 

 

-52

 

 

 

Question 11 (2.5 points)

 

Select the correct code(s) for the following:

 

Left knee arthroscopy and major synovectomy. Arthroscope was inserted, and thickened synovial tissue was excised from the medial, lateral, and femoropopliteal compartments.

 

Question 11 options:

 

 

29876-LT, 29870-51-LT

 

 

29876-LT

 

 

29876-LT, 29870-59-LT

 

 

29870-LT

 

 

 

Question 12 (2.5 points)

 

Select the correct code for the following:

 

Incision and drainage of abscess left index finger

 

Question 12 options:

 

 

26010-F1

 

 

10081

 

 

10061

 

 

10080

 

 

 

Question 13 (2.5 points)

 

Select the correct code(s) for the following:

 

Diagnostic knee arthroscopy, right knee with lateral arthroscopic meniscectomy, right knee

 

Question 13 options:

 

 

29881-RT, 29870-51-RT

 

 

29881-RT, 29870-59-RT

 

 

29881-RT

 

 

29870-RT, 29881-59-RT

 

 

 

Question 14 (2.5 points)

 

Select the correct code for the following:

 

ORIF, distal radial fracture, right

 

Question 14 options:

 

 

25607-RT

 

 

25607

 

 

25600-RT

 

 

25608-RT

 

 

 

Question 15 (2.5 points)

 

Select the correct code for the following:

 

Thromboendarterectomy, subclavian thoracic incision

 

Question 15 options:

 

 

35303

 

 

35311

 

 

35301

 

 

35302

 

 

 

Question 16 (2.5 points)

 

Select the correct code(s) for the following:

 

The bronchoscope was passed via the left nares without difficulty. The scope was passed into the tracheobronchial tree. Scope was then taken into the right lower lobe, and multiple tracheobronchial brushings and biopsies were obtained.

 

Question 16 options:

 

 

31628

 

 

31623, 31628-51-RT

 

 

31623

 

 

31625-RT, 31623-51-RT

 

 

 

Question 17 (2.5 points)

 

Select the correct code(s) for the following:

 

The patient had been hoarse for a month. His surgeon scheduled a direct laryngoscopy with injection of his vocal cords. During the surgery, it became necessary to use an operating microscope.

 

Question 17 options:

 

 

31571, 69990

 

 

31571

 

 

31561

 

 

31545

 

 

 

Question 18 (2.5 points)

 

Select the correct code for the following:

 

A sinus endoscopy with tissue removal from the sphenoid sinus was performed.

 

Question 18 options:

 

 

31050

 

 

31288

 

 

31287

 

 

31235

 

 

 

Question 19 (2.5 points)

 

Select the correct codes for the following:

 

Endoscopic ethmoidectomy, bilateral, right maxillary antrostomy, concha bullosa resection

 

Question 19 options:

 

 

31254, 31254-50

 

 

31254-50, 31256-51-RT, 31240-51

 

 

31254, 31254-50, 31256-RT

 

 

31254, 31254-50, 31256-51

 

 

 

Question 20 (2.5 points)

 

Select the correct codes for the following:

 

Endoscopic right anterior ethmoidectomy, bilateral maxillary antrostomy, bilateral frontal sinus exploration

 

Question 20 options:

 

 

31276, 31276-50, 31256-51, 31256-50-51, 31254-RT

 

 

31255-RT, 31256-50, 31276-50

 

 

31256, 31256-50, 31254-51-RT

 

 

31276-50, 31256-50-51, 31254-51-RT

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