Integumentary System

1. Code the procedure for debridement of 17% infected skin.

(a) 11000

(b) 11001

(c) 11000X2

(d) 11000, 11001

2. Surgeon performed incision & drainage of absecess of nail (paronychia) under local
anesthesia. Code the service of surgeon.

(a) 10140

(b) 10160

(c) 10180

(d) 10060

3. Surgeon removed a thorn from the sole of 6 year old boy through incision. Code the service
of the surgeon.

(a) 10121

(b) 11010

(c) 10120

(d) 10080

4. A dermatologist removes 5 corns of size 2.2 cm each from the right foot of a 30 year old
female patient by cutting. Code the service.

(a) 11055

(b) 11056

(c) 11057

(d) 11308X5
5. Surgeon excised 2 cystic lesions of 1 cm diameter from the neck of a 62 year old male
patient through exicision, by 2mm margins & performed simple repair closure. Code the
procedure.

(a) 11422x2

(b) 11421

(c) 11423

(d) 11422

6. Dermatologist performed tattooing of the skin on a female patient of 25 years age to treat a
large hypodermic vitiligo patch on her back. The total area tattooed was measured to be 23
sq. cm. Code the procedure.

(a) 11921

(b) 11922

(c) 11920, 11922

(d) 11921, 11922

7. A primary care physician repaired multiple injuries on the body of a patient who survived a
traffic mishap with laceration. Physician performed intermediate repair of a wound of 3 cm
on the trunk, 2.2 cm wound on face, 4 cm on right elbow, and 1 cm on the lower lip.

(a) 12032X2, 12051X2

(b) 12032, 12052-51

(c) 12031, 12032, 12051, 12052

(d) 12032, 12052

8. Surgeon performed excision of 1 cm malignant lesion with 4 mm margin from the face with
intermediate repair on the face of a 52 year old male patient.

(a) 11642, 12051

(b) 11641

(c) 11642, 12051-51

(d) 11641
9. A physician performed removal of 2 benign lesions of 1.3 & 1.6 cm diameter each from the
back of a male patient of age 42 years by transverse incision.

(a) 11402-51

(b) 11401-51

(c) 11302X2

(d) 11301

10. Code the procedure for removal & reinsertion of implantable contraceptive capsules.

(a) 11975

(b) 11976

(c) 11977

(d) 11980

11. A surgeon performs debridement of a wound up to the level of muscle fascia, muscle &
bone with removal of foreign body resulting from open fracture of humerus.

(a) 11011

(b) 11012

(c) 11010

(d) 10120

12. Physician performed biopsy of nail bed on a 58 year old female patients right great toe.

(a) 11755

(b) 11760

(c) 11750

(d) 11752
13. A duty physician at an ASC performed debridement of partial thickness burns subsequently
on the 3rd day of inpatient status on a large area.

(a) 16020

(b) 16025

(c) 16000

(d) 16030

14. A dermatologist removed 2 actinic keratotic lesions by cryosurgery on a 32 ear old females
face.

(a) 17000

(b) 17003

(c) 17000X2

(d) 17000, 17003

15. A surgeon aspirated 3 cystic lesions from breasts of a 27 year old female patient under
ultrasound guidance. Code the surgical procedure only.

(a) 19000

(b) 19000-22

(c) 19001X3

(d) 19000, 19001X2

16. A physician performed destruction of a 3.6 cm large malignant lesion by chemosurgery from
the ear of a 62 year old male patient. Code the service.

(a) 17284

(b) 17274

(c) 17264

(d) 11644
17. A gynecologist performed incisional biopsy of breast by open procedure. Code the surgical
service.

(a) 19100

(b) 19102

(c) 19103

(d) 19101

18. A surgeon performed excision of a fibroadenoma of breast for a male patient of age 42 years
by open procedure.

(a) 19300

(b) 19125

(c) 19120

(d) 19301

19. Surgeon performed excision of chest wall with ribs or right side of the thoracic cage. Code
the procedure.

(a) 19260

(b) 19271

(c) 19272

(d) 19126

20. A surgeon performed excision of a decubitus ulcer with removal of coccyx & repaired the
wound with a flap. Code the service.

(a) 15934

(b) 15922

(c) 15920

(d) 15933

21. Code for FNA without imaging any site of the body is ______________.
22. Modifier _______ can be appended to code 10180 (Incision & drainage, complex,
postoperative, wound infection).

23. In excisional biopsy ___________ mass is excised.

24. In excision of skin lesion the tissue sample for pathological examination is reported
separately. True/False

25. Modifier 58 can be appended to re-excision procedure if performed during the post-
operative period of the excision procedure. True/False

26. The sizes of different wounds of the same classification are added & then should report with
only one code for the repair for all these wounds. True/False

27. Autograft means graft harvested from the ones own body. True/False

28. Xenograft is a graft harvested from an animal other than human being. True/False

29. Simple repair is not reported separately when removal of skin lesions are done by excision.
True/False

30. Debridement is not reported separately with repair unless the wound need prolonged
cleansing & gross debridement. True/False