A patient presents to the office with a suspicious lesion of the nose. The physician takes a biopsy of the lesion and pathology determines the lesion to be uncertain. What is the correct diagnosis code to report? - Answer- D48.5
Melanin is found in what layer of the epidermis? - Answer- Basal
...
a patient presents to the office with a suspicious lesion of the nose the physician takes a biopsy of the lesion and pathology determines the lesion to be uncertain what
AAPC - Chapter 7 Review Exam
A patient presents to the office with a suspicious lesion of the nose. The physician takes
a biopsy of the lesion and pathology determines the lesion to be uncertain. What is the correct diagnosis code to report? - Answer- D48.5
Melanin is found in what layer of the epidermis? - Answer- Basal
Most categories in ICD-10-CM chapter 19: Injury, Poisoning, and Certain Other Consequences of External Causes have three main 7th character extenders (with the exception of fractures). What does 7th character D indicate? - Answer- Subsequent encounter
Which statement is TRUE regarding the Table of Neoplasms in ICD-10-CM? - Answer- There are six columns in the Table of Neoplasms; Malignant Primary, Malignant Secondary, Ca in situ, Benign, Uncertain Behavior and Unspecified Behavior.
What is the correct diagnosis code to report treatment of a melanoma in-situ of the left upper arm? - Answer- D03.62
In ICD-10-CM, what type of burn is considered corrosion? - Answer- Burn from a chemical
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 measuring 0.8 cm. What CPT® codes are reported? - Answer- 17273, 17281-51
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? - Answer- 17000, 17003 x 11, L57.0
Patient has a suspicious lesion of the right axilla. The area was infiltrated with local anesthetic, prepped and draped in a sterile fashion. With the use of a 3 mm punch tool the lesion was excised and closed with 5.0 Prolene suture. Pathology report indicated this was a seborrheic keratosis. What CPT® and ICD-10-CM codes are reported? - Answer- 11400, L82.1
Meredith has breast cancer on the left side, diagnosed by an excisional biopsy performed last week. Today she is having a radical mastectomy, Urban type, and concurrently a single pedicle TRAM flap reconstruction with supercharging. What CPT®
codes are reported? - Answer- 19368-LT, 19306-51-LT
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? - Answer- 17111
While whittling a piece of wood, the patient sustained an avulsion injury to a portion of his left index finger and underwent formation of a direct pedicle graft with transfer from his left middle finger. What CPT® code is reported? - Answer- 15574
A 50 year-old female has telangiectasias of the face on both cheeks. She is very bothered by this and presents to have them destroyed via laser. The physician lasers one cutaneous vascular lesion on each cheek; each lesion measuring 2 sq. cm. What CPT® code(s) is/are reported? - Answer- 17106
A patient presents to the physician to discuss her acne and ask the physician about a suspicious lesion of the left ear. The patient and physician discuss further treatment of the acne and agree to take a biopsy of the lesion of the ear. Billing was sent prior to receiving the pathology report. What ICD-10-CM code(s) is/are reported? - Answer- L70.9, D49.2
A 63 year-old patient arrives for skin tag removal. As previously noted at her last visit, she has 3 located on her face, 4 on her shoulder and 15 on her back. The physician removes all the skin tags with no complications. What CPT® code(s) is/are reported for this encounter? - Answer- 11200, 11201
Patient is an 81 year-old male with a biopsy-proven basal cell carcinoma of the posterior
neck just near his hairline; additionally, the patient had two other areas of concern on his cheek. Informed consent was obtained and the areas were prepped and draped in the usual sterile fashion. Attention was first directed to the basal cell carcinoma of the neck. I excised the lesion measuring 2.6 cm as drawn down to the subcutaneous fat. With extensive undermining of the wound I closed it in layers using 4.0 Monocryl, 5.0 Prolene and 6.0 Prolene; the wound measured 4.5cm. Attention was then directed to the other two suspicious lesions on his cheek. After administering local anesthesia, I proceeded to take a 3mm punch biopsy of each lesion and was able to close with 5.0 Prolene. The patient tolerated the procedures well. Pathology later showed the basal cell carcinoma was completely removed and the biopsies indicated actinic keratosis. What CPT® codes should be reported? - Answer- 13132, 11623-51, 11100-59, 11101
Operative Report
Diagnosis: Basal Cell Carcinoma
Procedure: Mohs micrographic excision of skin cancer.
Site: Face left lateral 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,
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