AAPC Chapter 7 Review Exam

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Questions and Answers

What is the correct diagnosis code to report for a suspicious lesion of the nose with uncertain pathology?

D48.5

Melanin is found in what layer of the epidermis?

Basal

What does 7th character D indicate in ICD-10-CM?

Subsequent encounter

What is a true statement regarding the Table of Neoplasms in ICD-10-CM?

<p>There are six columns in the Table of Neoplasms; Malignant Primary, Malignant Secondary, Ca in situ, Benign, Uncertain Behavior and Unspecified Behavior.</p> Signup and view all the answers

What is the correct diagnosis code for melanoma in-situ of the left upper arm?

<p>D03.62</p> Signup and view all the answers

What type of burn is considered corrosion in ICD-10-CM?

<p>Burn from a chemical</p> Signup and view all the answers

What CPT® codes are reported for cryosurgery to destroy lesions on the neck and cheek?

<p>17273, 17281-51</p> Signup and view all the answers

What codes are reported for destruction of actinic keratosis on the chest and arms?

<p>17000, 17003 x 11, L57.0</p> Signup and view all the answers

What CPT® and ICD-10-CM codes are reported for excision of a seborrheic keratosis?

<p>11400, L82.1</p> Signup and view all the answers

What CPT® codes are reported for radical mastectomy and TRAM flap reconstruction?

<p>19368-LT, 19306-51-LT</p> Signup and view all the answers

What CPT® code(s) describe treatment for 9 plantar warts and 6 flat warts removed with cryosurgery?

<p>17111</p> Signup and view all the answers

What CPT® code is reported for a direct pedicle graft after avulsion injury to the finger?

<p>15574</p> Signup and view all the answers

What CPT® code(s) are reported for destruction of cutaneous vascular lesions using laser?

<p>17106</p> Signup and view all the answers

What ICD-10-CM code(s) are reported after biopsy for a suspicious lesion of the left ear?

<p>L70.9, D49.2</p> Signup and view all the answers

What CPT® code(s) are reported for removal of multiple skin tags?

<p>11200, 11201</p> Signup and view all the answers

What CPT® codes should be reported for excision of basal cell carcinoma on the neck and cheek?

<p>13132, 11623-51, 11100-59, 11101</p> Signup and view all the answers

What CPT® and ICD-10-CM codes are reported for Mohs micrographic excision of skin cancer?

<p>17311, 13152-51, C44.119</p> Signup and view all the answers

What CPT® and ICD-10-CM codes are reported for breast implant surgery due to congenital deformity?

<p>19342-LT, Q83.9</p> Signup and view all the answers

What codes are reported for aspiration of seroma post-surgery?

<p>10160-78, N99.842</p> Signup and view all the answers

What ICD-10-CM codes are reported for multiple skin lesions biopsied and excised?

<p>C44.319, D22.39</p> Signup and view all the answers

What CPT® and ICD-10-CM codes are reported for excision of a painful cyst in the chest?

<p>10060, L72.9</p> Signup and view all the answers

What CPT® codes are reported for squamous cell carcinoma excision and skin grafting?

<p>15100, 11603-51-LT, 15002-51-RT</p> Signup and view all the answers

What codes are reported for excision of a sebaceous cyst from the left arm?

<p>12031, 11401-51, L72.3</p> Signup and view all the answers

What is the planned procedure for basal cell carcinoma excision from the right lower eyelid?

<p>Rhomboidal excision with flap reconstruction.</p> Signup and view all the answers

Flashcards

Code D48.5

Suspicious lesions with an uncertain diagnosis.

Basal Layer

The epidermal layer where melanin is found.

Code D03.62

Treatment of melanoma in-situ on the left upper arm.

Codes L57.0, 17000, 17003

Actinic keratosis treatment involves multiple destruction codes.

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Codes 17273 and 17281-51

Basal cell carcinoma treatment using cryosurgery.

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Codes 11400 and L82.1

Excision of seborrheic keratosis on the axilla.

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Codes 19368-LT and 19306-51-LT

Radical mastectomy w/ TRAM flap reconstruction.

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7th character D

ICD-10-CM 7th character indicating a return visit.

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Code 17111

Treatment for removal of nine plantar warts.

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Code 15574

Formation of a direct pedicle graft for a finger injury.

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Code 17106

Laser treatment for telangiectasias on the face.

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Codes M79.5 and Z85.828

Includes codes for necrosis or retained foreign body surgery.

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Codes 11200 and 11201

Removal of skin tags from multiple areas.

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Code 10160-78 and N99.842

Recording aspiration of a seroma.

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Codes 17311, 13152-51, C44.119

Mohs excision of basal cell carcinoma on the face.

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Neoplasm Categories

The six neoplasm categories in ICD-10-CM.

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Chemical Burn

Classified as corrosion, relating to chemical injuries.

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Study Notes

Diagnosis and Codes

  • Suspicious lesions diagnosed uncertain are reported with code D48.5.
  • Melanin is located in the basal layer of the epidermis.
  • Treatment for melanoma in-situ of the left upper arm is coded D03.62.
  • Actinic keratosis treatment involves multiple destruction codes: L57.0, 17000, and 17003 x 11.

Surgical Procedures

  • Treatment for basal cell carcinoma with cryosurgery involves reporting codes 17273 and 17281-51.
  • Excision of seborrheic keratosis on the axilla involves codes 11400 and L82.1.
  • A radical mastectomy with TRAM flap reconstruction is reported with 19368-LT and 19306-51-LT.

Coding Modifiers

  • 7th character D in ICD-10-CM indicates a subsequent encounter.

CPT® Code Specifics

  • Treatment for 9 plantar warts removed is coded 17111.
  • Formation of a direct pedicle graft for a finger injury is reported as 15574.
  • Laser treatment for telangiectasias on the face is recorded with 17106.
  • Codes for necrosis or retained foreign body surgery include M79.5 and Z85.828.

Skin Condition Treatments

  • Removal of skin tags from multiple areas bills with 11200 and 11201.
  • Aspiration of a seroma is recorded with 10160-78 and N99.842.

Mohs Micrographic Surgery

  • Mohs micrographic excision of basal cell carcinoma on the face involves complex codes 17311, 13152-51, and diagnosis C44.119.
  • Basal cell carcinoma excisions with clear margins from multiple sites can involve complex coding for excisions and repairs, reported with 11623-51, 11100-59, and 11101.

Skin Grafts

  • Excision and skin grafting for squamous cell carcinoma entails codes 15100, 11603-51-LT, and 15002-51-RT.

Post-operative Diagnostics

  • After excision, analysis of skin lesions may lead to codes for findings reported as C44.319 for basal cell carcinoma and D22.39 for nevi.

Additional Information

  • The Table of Neoplasms in ICD-10-CM consists of six categories: Malignant Primary, Malignant Secondary, Ca in situ, Benign, Uncertain Behavior, and Unspecified Behavior.
  • A chemical burn, classified as corrosion, pertains to chemical-induced injuries.

These points encapsulate essential information about diagnosis codes, surgical procedures, CPT® codes, and treatment specifics relevant for AAPC Chapter 7 review examinations.

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