1: forty six-year-old lady had a previous biopsy that indicated high-quality malignant margins
anteriorly at the proper side of her neck. A zero.Five cm margin become drawn out and a 15
blade scalpel was used for complete excision of an 8cm lesion. Layered closure become
finished after the removal. The specimen changed into despatched for everlasting
histopathologic exam. What are the code(s) for this technique?
A. 11626
B. 11626, 12004-fifty one
C. 11626, 12044-fifty one
D. 11626, 13132-fifty one, 13133 - ANS-
2: 30-12 months-old female is having 15 squarecm debridement done on an infected ulcer with
eschar at the proper foot. Using sharp dissection, the ulcer turned into debrided all the manner
to all the way down to the bone of the foot. The bone had to be minimally trimmed because of a
pointy point on the end of the metatarsal. After debriding the region, there was minimal bleeding
because of very terrible movement of the foot. It seems that the toes next to the ulcer may
additionally have a few involvement and cultures had been taken. The vicinity was dressed with
sterile saline and dressings after which wrapped. What CPT® code ought to be said?
A. 11043
B. 11012
C. 11044
D. 11042 - ANS-
three: 64-yr-vintage female who has more than one sclerosis fell from her walker and landed on
a pitcher desk. She lacerated her forehead, cheek and chin and the full period of those
lacerations became 6 cm. Her right arm and left leg had deep cuts measuring five cm on each
extremity. Her proper hand and proper foot had a total of three cm lacerations. The ED medical
doctor repaired the lacerations as follows: The forehead, cheek, and chin had debridement and
cleansing of glass particles with the lacerations being closed with one layer closure, 6-0 Prolene
sutures. The arm and leg have been repaired by means of layered closure, 6-0 Vicryl
subcutaneous sutures and prolene sutures at the pores and skin. The hand and foot were
closed with adhesive strips. Select the appropriate method codes for this go to.
A. 99283-25, 12014, 12034-fifty nine, 12002-fifty nine, 11042-fifty one
B. 99283-25, 12053, 12034-59, 12002-59
C. 99283-25, 12014, 12034-59, 11042-fifty one
D. 99283-25, 12053, 12034-59 - ANS-
four: fifty two-year-old lady has a mass growing on her right flank for several years. It has
ultimately gotten appreciably large and is beginning to bother her. She is delivered to the
Operating Room for definitive excision. An incision become made without delay overlying the
mass. The mass turned into down into the subcutaneous tissue and the general practitioner
encountered a nicely encapsulated lipoma about four centimeters. This became excised
, frequently bluntly with some attachments divided with electrocautery. What CPT® must be
suggested?
A. 21932, D17.39
B. 21935, D17.1
C. 21931, D17.1
D. 21925, D17.9 - ANS-
five: PREOPERATIVE DIAGNOSIS: Right scaphoid fracture. TYPE OF PROCEDURE: Open
reduction and inner fixation of proper scaphoid fracture. DESCRIPTION OF PROCEDURE: The
affected person became brought to the operating room, anesthesia having been administered.
The right top extremity become prepped and draped in a sterile manner. The limb become
accelerated, exsanguinated, and a pneumatic arm tourniquet turned into extended. An incision
become remodeled the dorsal radial issue of the proper wrist. Skin flaps were improved.
Cutaneous nerve branches had been identified and very lightly retracted. The interval between
the second and 1/3 dorsal compartment tendons changed into recognized and entered. The
respective tendons had been retracted. A dorsal capsulotomy incision was made, and the
fracture become visualized. There did now not look like any type of considerable defect on the
fracture web page. A zero.1/2 Kirschner twine turned into then used as a guidewire, extending
from the proxi - ANS-
6: An infant with genu valgum is brought to the running room to have a bilateral medial distal
femur hemiepiphysiodesis done. On each knee, the C-arm turned into used to localize the
increase plate. With the boom plate localized, an incision became made medially on both facets.
This became taken right down to the fascia, which became opened. The periosteum turned into
no longer opened. The Orthofix figure-of-eight plate was located and checked with X-ray. We
then irrigated and closed the medial fascia with 0 Vicryl suture. The pores and skin become
closed with 2-0 Vicryl and 3-0 Monocryl. What procedure code is reported?
A. 27470-50
B. 27475-50
C. 27477-50
D. 27485-50 - ANS-
7: The affected person is a 67-12 months-old gentleman with metastatic colon most cancers
lately operated on for a mind metastasis, now for placement of an Infuse-A-Port for continued
chemotherapy. The left subclavian vein become placed with a needle and a guide cord located.
This became showed to be inside the right role fluoroscopically. A transverse incision was made
just not as good as this and a subcutaneous pocket created simply not so good as this. After
tunneling, the introducer changed into positioned over the guide cord and the energy port line
changed into located with the introducer and the introducer was peeled away. The tip became
placed in the proper position underneath fluoroscopic steerage and the catheter trimmed to the
suitable period and secured to the electricity port device. The locking mechanism was
completely engaged. The port became located within the subcutaneous pocket and the whole
lot sat very nicely fluoroscopically. It became secured to the underlying soft tis - ANS-
eight: A CT experiment diagnosed mild-sized proper pleural effusion in a 50-year-old male. This
turned into expected to be 800 cc in length and had an appearance of fluid at the CT Scan. A
needle is used to puncture through the chest tissues and input the pleural cavity to insert a
guidwire. A pigtail catheter is then inserted at the period of the guidwire and fluid changed into
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