10000 series Practice Questions

1. With the patient having a wire localization performed by radiology, she was taken to the operating
room and, under local anesthesia of the left breast, was prepped and draped sterilely. A breast line
incision was made through the entry point of the wire, and a core of tissue surrounding the wire
(approximately 1 󲐀 2 cm) was removed using electrocautery for hemostasis. The specimen, including
the wire, was then submitted to radiology, and the presence of the lesion within the specimen was
confirmed. The wound was checked for hemostasis, and this was maintained with electrocautery. The
breast tissue was reapproximated using 2-0 and 3-0 chromic. The skin was closed using 4-0 Vicryl in a
subcuticular manner. Steri-Strips were applied. The patient tolerated the procedure well and was
discharged from the operating room in stable condition. At the end of the procedure, all sponges and
instruments were accounted for. Pathology report later indicated: Benign lesion.

A. 11602-LT, D24.1
B. 11400-LT, D24.2
C. 19125-LT, D24.2
D. 19125-LT, D24.1

2. A dermatologist excises a 3.5 cm benign lesion from a patient’s back. After the lesion is successfully
removed, the dermatologist performs 3.5 cm layered closure. How should you report these services?
A. 11404, 12031
B. 11404, 12032-51
C. 11404
D. 11404, 12032-57

3. The physician removes a tumor from the patient’s neck using the Mohs micrographic surgery
technique. During the first stage, the physician takes four tissue blocks and reviews them under a
microscope. The exam of the tissue blocks reveals a second stage is necessary to remove areas
where the tumor is still present. The physician removes two additional tissue blocks. What is the
appropriate CPT® codes for reporting the procedure?
A. 17311, 17312, 17315
B. 17313, 17315
C. 17313, 17314, 17315
D. 17311, 17312

4. Pre-Procedure Diagnosis: Basal cell carcinoma, left chin. Procedure: Wide local excision of 3.0 cm with
0.3 cm margin basal cell carcinoma of the left chin with a 4 cm closure. Procedure: The patient’s left
chin was examined. The site of intended excision was marked out. The site was then prepped. The
patient was then prepped and draped in the usual fashion. A 15-blade scalpel was then used to make
an incision in the previously marked site. It was carried down to the subcuticular fat. The lesion was
then sharply dissected off underlying tissue bed using a 15-blade scalpel. It was tagged for pathologic
orientation. The hyfrecator was used for hemostasis. 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. The skin closure was subcuticular. Steri-Strips were then applied. What are the
procedure and diagnosis codes?
A. 11644, 12052-51
B. 11643, 12013-51
C. 11444, 12052-51
D. 11443, 12013-51
5. . A 52-year-old patient had a right breast reconstruction with free flap. The surgeon used a
microsurgical technique requiring an operating microscope. How would you report this procedure?
A. 19364-RT, 69990
B. 19357
C. 19361, 69990
D. 19364-RT

6. Dr. Alice, a plastic surgeon, completed a bilateral rhytidectomy of the neck and a suction assisted
lipectomy of the right upper arm. What codes should be reported for Dr. Alice’s service.
A. 15828-50, 15879-RT-59
B. 15826-59, 15879-RT-59
C. 15828-50, 15878-RT-59
D. 15826-RT, 15828-50, 15879-RT-59

7. What CPT code would best describe the treatment of 9 planter warts removed and 6 flat warts all
destroyed with cryosurgery during the same office visit?
A. 17110, 17111-52
B. 17110
C. 17110, 17003
D. 17111

8. The physician documents a complex repair, chest, 15.0 cm. Which is the appropriate coding?
A. 13101, 13102
B. 13101, 13102-59
C. 13101, 13102 x2
D. 13100, 13102 x3

9. Patient has basal cell carcinoma on his upper back. A map was prepared to correspond to the area
of skin where the 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. No tumor was identified after the final stage of the microscopically
controlled surgery. What procedure codes should be reported?
A. 17313, 17314 x2
B. 17313, 17315
C. 17260, 17313, 17314
D. 17313,17314, 17315

10. James suffered a severe crushing injury to his left upper leg. Two days after surgery, Dr. Barnes
completed a dressing change under general anesthesia. How would you report this service?
A. 16020-LT
B. 15852, 01232, J2060
C. 01232-P6
D. 15852-LT

11. What code(s) would be used to code a split-thickness skin graft, both thighs to the abdomen,
measuring 45 X 21 cm?

A. 15100 X 2
B. 15100, 15101 X 9
 C. 15100, 15101 X 9-51
D. 15100, 15101 X 8

12. A child is brought into the emergency department after having her fingers on her
right hand closed in a car door. The physician evaluates the patient and diagnosis
her with a 3cm laceration to her second finger and a subungual hematoma to her
third finger. The physician then proceeds to cleanse the fingers with an iodine scrub
and injects both digits with 2 mL of 1% lidocaine with epinephrine. The wound on
the second finger was then irrigated with 500 cc of NS and explored for foreign
bodies or structural damage. No foreign bodies were found, tendons and vessels
were intact. The wound was then re-approximated. Three 5-0 absorbable mattress
sutures were used to close the subcutaneous tissue and six 6-0 nylon interrupted
sutures were used to close the epidermis. The finger was then wrapped in sterile
gauze and placed in an aluminum finger splint. The physician then check that the
digital block performed on the third finger was still effective. After ensuring the
patient’s finger was still numb he then proceeded to take an electronic cautery unit
and created a small hole in the nail. Pressing slightly on the nail he evacuated the
hematoma. The hole was then irrigated with 500cc of NS and the finger was
wrapped in sterile gauze. The patient tolerated both procedures well without
complaint.
A. 12042-F6, 11740-F7
B. 64400 (x2), 20103-51, 12042-51, 11740-51,59
C. 20103, 12042-F6, 11740-F7
D. 20103, 12042-51, F6, 11740-51, F7

13. A simple, single layered laceration requires extensive cleaning due to being heavily
contaminated. The code selected would come from code range 12031-12057.
a. True
b. False

14. . A patient is being treated for third degree burns to his left leg and left arm which
cover a total of 18 sq cm. The burns are scrubbed clean, anesthetized, and three
incisions are made with#11 scalpel, through the tough leathery tissue that is dead,
in order to expose the fatty tissue below and avoid compartment syndrome. The
burns are then re-dressed with sterile gauze.
a. 97597
b. 97602
c. 16035, 16036 x2
d. 16030, 16035, 16036 x2

15. A skin graft where the donor skin comes from another human (often a cadaver) is
known as a/an:
a. Autograft
b. Acellulargraft
c. Allograft
d. Xenograft
16. A patient presents with a recurrent seborrheic keratosis of the left cheek. The area
was marked for a shave removal. The area was infiltrated with local anesthetic,
prepped and draped in a sterile fashion. The lesion measuring 1.8 cm was shaved
using an 11-blade. Meticulous hemostasis was achieved using light pressure. The
specimen was sent for permanent pathology. The patient tolerated the procedure
well. What CPT® code(s) is reported?
a. 11200
b. 11312
c. 11442
d. 11642

17. A patient presents for an incision and drainage of a pilonidal cyst. What is the
correct code for these services?
a. 10060
b. 10061
c. 10080
d. 10081

18. Dr. Smith completed an extensive debridement due to infected skin. The patient
was an 18-year-old who was fully cooperative. The debridement included 13% of
the total body surface including portions of his abdominal wall. How would you
code Dr. Smith’s services?
a. 11005, 11001-59
b. 11000, 11001-52
c. 11000, 11001
d. 11005

19. Gavin, a 39-year-old male patient, underwent a mastectomy for gynecomastia. His
recovery was uneventful. What is the correct code to report the mastectomy?
a. 19300
b. 19302
c. 19307
d. None of the above

20. What code(s) is used by the radiologist when performing preoperative placement of
a needle localization wire of a single lesion of the breast using MRI guidance.
a. 19285, 19125
b. 19125
c. 19287
d. 19085