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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?
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?
Melanin is found in what layer of the epidermis?
Basal
What does 7th character D indicate in ICD-10-CM?
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?
What is a true statement regarding the Table of Neoplasms in ICD-10-CM?
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What is the correct diagnosis code for melanoma in-situ of the left upper arm?
What is the correct diagnosis code for melanoma in-situ of the left upper arm?
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What type of burn is considered corrosion in ICD-10-CM?
What type of burn is considered corrosion in ICD-10-CM?
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What CPT® codes are reported for cryosurgery to destroy lesions on the neck and cheek?
What CPT® codes are reported for cryosurgery to destroy lesions on the neck and cheek?
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What codes are reported for destruction of actinic keratosis on the chest and arms?
What codes are reported for destruction of actinic keratosis on the chest and arms?
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What CPT® and ICD-10-CM codes are reported for excision of a seborrheic keratosis?
What CPT® and ICD-10-CM codes are reported for excision of a seborrheic keratosis?
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What CPT® codes are reported for radical mastectomy and TRAM flap reconstruction?
What CPT® codes are reported for radical mastectomy and TRAM flap reconstruction?
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What CPT® code(s) describe treatment for 9 plantar warts and 6 flat warts removed with cryosurgery?
What CPT® code(s) describe treatment for 9 plantar warts and 6 flat warts removed with cryosurgery?
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What CPT® code is reported for a direct pedicle graft after avulsion injury to the finger?
What CPT® code is reported for a direct pedicle graft after avulsion injury to the finger?
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What CPT® code(s) are reported for destruction of cutaneous vascular lesions using laser?
What CPT® code(s) are reported for destruction of cutaneous vascular lesions using laser?
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What ICD-10-CM code(s) are reported after biopsy for a suspicious lesion of the left ear?
What ICD-10-CM code(s) are reported after biopsy for a suspicious lesion of the left ear?
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What CPT® code(s) are reported for removal of multiple skin tags?
What CPT® code(s) are reported for removal of multiple skin tags?
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What CPT® codes should be reported for excision of basal cell carcinoma on the neck and cheek?
What CPT® codes should be reported for excision of basal cell carcinoma on the neck and cheek?
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What CPT® and ICD-10-CM codes are reported for Mohs micrographic excision of skin cancer?
What CPT® and ICD-10-CM codes are reported for Mohs micrographic excision of skin cancer?
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What CPT® and ICD-10-CM codes are reported for breast implant surgery due to congenital deformity?
What CPT® and ICD-10-CM codes are reported for breast implant surgery due to congenital deformity?
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What codes are reported for aspiration of seroma post-surgery?
What codes are reported for aspiration of seroma post-surgery?
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What ICD-10-CM codes are reported for multiple skin lesions biopsied and excised?
What ICD-10-CM codes are reported for multiple skin lesions biopsied and excised?
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What CPT® and ICD-10-CM codes are reported for excision of a painful cyst in the chest?
What CPT® and ICD-10-CM codes are reported for excision of a painful cyst in the chest?
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What CPT® codes are reported for squamous cell carcinoma excision and skin grafting?
What CPT® codes are reported for squamous cell carcinoma excision and skin grafting?
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What codes are reported for excision of a sebaceous cyst from the left arm?
What codes are reported for excision of a sebaceous cyst from the left arm?
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What is the planned procedure for basal cell carcinoma excision from the right lower eyelid?
What is the planned procedure for basal cell carcinoma excision from the right lower eyelid?
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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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Description
Test your knowledge with this review exam based on AAPC Chapter 7. The questions cover essential coding guidelines and medical terminology related to lesions and epidermis. Perfect for preparing for certification exams in medical coding.
