Coding - Information Given in the Notes

Information given in the notes preceding a subsection is also contained in the section guidelines. (T OR F) False Parenthetical phrases that sometimes follow a code or code group provide further information about codes that may be applicable. (T OR F) True Unlisted codes are assigned to identify procedures for which there is no more specific code. (T OR F) True Third-party payers determine the contents of a surgical package. (T OR F) True When using an unlisted code a(n) ? must accompany the claim. The surgical package includes: special report typical follow-up care Local anesthesia is defined in the CPT guidelines as: a. local infiltration b. metacarpal/digital block c. topical anesthesia d. all of the above d. all of the above The usual global surgery period for a major procedure is: 90 days The global surgery period includes: all routine preoperative and postoperative care This information is placed after some codes in the CPT manual and contains helpful information parenthetical information What code is used to report routine postoperative care? 99024 Excision including simple closure of benign lesions of the skin includes this type of anesthesia: local What are the divisions of the Surgery section based on? body system The CPT code that is used to report materials and supplies by the physician for which no other more specific CPT code exists is: 99070 When the words "separate procedure" appear after the descriptor of a code, you know which of the following about the code? The procedure was a minor procedure that would only by reported if it was the only service reported. A triangle before a code indicates that the code description is or has been: revised Which of the following represents the contents of a surgical package: intraoperative, and postoperative services The correct code for an unlisted procedure for the breast is: 19499 preoperative, Incision and drainage codes are divided into subcategories according to the: condition for which the procedure is performed When an excision is being performed, the "margins" refer to the ? required to adequately excise the lesion based on the physician's judgement. narrowest margin The removal of a lesion by transverse incision that did not require sutured closure is reported using codes from which subsection? Shaving of epidermal or Dermal Lesions Excision defined as full thickness would be through the: dermis Single-layered closure of heavily contaminated wounds that require extensive cleaning or removal of particulate matter constitutes what type of repair? The repaired wound should be measured or converted to: intermediate centimeters Using the "Rule of Nines," one adult leg is what percentage of the human body? 18% Mohs micrographic surgery requires a single physician to act in two integrated but separate and distinct capabilities of a surgeon and a(n): ?? pathologist Wound closure requiring the use of adhesive strips as the sole repair material should be coded with: an E/M code What two items are needed to correctly code for local treatment of burns? percentage of body surface and depth of burn When reporting a staged procedure what modifier is added to the CPT code? -58 A physician performs an operative procedure that has a 90-day surgical package. On day 40, the same physician performs an unrelated procedure on the same patient. What modifier would you attach to the CPT code when reporting the second procedure? -79 There is no tissue remaining for pathological examination after this method has been used. destruction Which modifier indicates a significant, separately identifiable E/M service? -25 To properly code lesion excision, you must know the behavior and the narrowest margin about the lesion, in addition to the following: site, number, diameter The method used by the physician to obtain a lesion biopsy depends on which set of factors? size and type When coding 3 biopsies of the skin, performed at the same visit, the reporting would be: 11100, 11101 x 2 An excision of a benign lesion from the neck measuring 1.8 cm: 11422 An excision of the left great toe nail and matrix, complete for permanent removal: 11750-TA The correct code for repairing the following lacerations: 4.2 simple repair of the trunk, 1.3 simple repair of the arm, and 2.8 intermediate repair of the scalp: 12032, 12002-59 Dermabrasion of the segmental face: 15781 Destruction of 7 actinic keratosis: 17000, 17003 x 6 units Fine-needle aspiration of the breast without imaging: 10021 Mastectomy that is done for gynecomastia: 19300 Excision of three malignant lesions: a 2.4 cm lesion of the leg, a 3.2 cm lesion of the back, and a 1.6 cm lesion of the lip: 11604, 11603, 11642 Excision of a pilonidal cyst that was a complicated procedure: 11772 To report an excision of a malignant lesion, the correct range of codes to use would be: 11600- 11646 Removal of 37 skin tags by electrosurgical destruction: 11200, 11201 x 3 units Removal with reinsertion of an implantable contraceptive capsule: 11983 Full-thickness graft, free, to the axillae, including direct closure of donor site, 12 sq. cm.: 15240 Unlisted vascular endoscopy procedure 37501 Unlisted procedure, accessory sinuses 31299 Unlisted laparoscopy procedure, lymphatic system 38589 Unlisted procedure, excision pressure ulcer 15999 Spine: Arthrodesis (Code range?) 22532-22819 Excision-Benign Lesions (Code range?) 11400-11471 Endovascular Repair of Abdominal Aortic Aneurysm (Code range?) Transcatheter Procedures (Code range?) 34800-34834 37184-37218 Evaluating the patient in the post-anesthesia recovery area (Surgery Guidelines Heading?) CPT Surgical Package Definition "Special Services and Reports" are presented in the Medicine Section (Surgery Guidelines Heading?) Services List drugs, trays, supplies, and material provided (Surgery Guidelines Heading?) Supplied Materials Complexity of Service (Surgery Guidelines Heading?) Special Report