Show-Me Chapter AAPC
Coding Questions and Answers
November 13, 2003
1) What is the CPT code for: Anesthesia for procedures on the integumentary system on the extremities, anterior trunk and perineum; reconstructive procedures on breast (e.g., reduction or augmentation mammoplasty, muscle flaps)? 00402
2) Which CPT code should be used to code: Repair, tendon or muscle, extensor, forearm and/or wrist; primary, single, each tendon or muscle? 25270
3) What is the Medicare specialty code for Plastic and Reconstructive Surgery (Reconstruction of Tissue and Bone)? 24
4) Which CPT code would identify: Conjunctivoplasty, reconstruction cul-de-sac; with buccal mucous membrane graft? 68328
5) Does the CPT code above include obtaining a graft? Yes
6) Which CPT code should be used to code: Neuroplasty and/or transposition; median nerve at carpal tunnel? 64721.
7) True or False: Plastic Procedures of the Breast (Policy #33) was retired on October 1st, 2003. True.
8) Which CPT code would identify: Reconstruction midface, LeFort I; three or more pieces, segment movement in any direction, without bone graft? 21143
9) What does LeFort I fracture mean? See horizontal maxillary fracture. A horizontal fracture occurring at the base of the upper jawbone above the apices of the teeth.
10) Which CPT code should be used to code: Dermabrasion; total face (e.g. for acne scarring, find, wrinkling, rhytids, general keratosis)? 15780
11) Which diagnosis codes would by appropriate to use for an open maxillary fracture that occurred when the injury occurred from a fall from a pedal cycle? 802.5 Malar and maxillary bones, open and E826.1 Pedal cycle accident pedal cyclist.
12) True or False: CMS does not regulate the length of both the pre- and post-operative periods. False. (CMS regulates the length of both the pre- and post-operative periods. The pre-operative period is limited to the day before surgery for major surgeries. There is no pre-operative period for minor surgeries.)
13) Fill in the blanks: The pre-operative period is limited to the day before surgery for minor surgeries. There is no pre-operative period for minor surgeries.
14) True or False: During non-critical or non-key portions of the surgery, if the teaching surgeon is not physically present, he or she must be immediately available to return to the procedure, i.e., he or she cannot be performing another procedure. If circumstances prevent a teaching physician from being immediately available, then he/she must arrange for another qualified surgeon to be immediately available to assist with the procedure, if needed. True
15) Which CPT code should be reported when an excision, malignant lesion including margines, face, ears, eyelids, nose, lips; excised diameter 2.1 to 3.0cm? 11643.
Show-Me Chapter AAPC
Coding Questions
November 13, 2003
_D____ 1. dermis a. full-thickness removal of a lesion that may
include simple closure
_J____ 2. epidermis b. prefix meaning breast
_P____ 3. subcutaneous c. localized collection of pus that will result in the
disintegration of tissue over time
_N____ 4. incision and drainage d. second layer or skin holding blood vessels, nerve
endings, sweat glands, and hair follicles
_C____ 5. abscess e. removal of a small piece of living tissue for
diagnostic purposes
_S____ 6. cyst f. transplantation of tissue to repair a defect
_M____ 7. debridement g. not progressive or recurrent
_O____ 8. paring h. killing tissue, possibly by electrocautery, laser,
chemical, or other means
_E____ 9. biopsy i. destruction of lesions using extreme cold
_K____10. shaving j. outer layer of skin
_A____11. excision k. horizontal or transverse removal of dermal or
epidermal lesions, without full-thickness excision
_G____12. benign l. pertains to suturing a wound
_R____13. malignant m. cleansing of or removing dead tissue from a
wound
_L____14. repair n. to cut and withdraw fluid
_F____15. skin graft o. removal of thin layers of skin by peeling or
scraping
_Q____16. tissue transfer p. tissue below dermis, primarily fat cells that
insulate the body
_H___17. destruction q. piece of skin for grafting that is still partially
attached to the original blood supply and is used
to cover an adjacent wound area
_B___18. mast r. used to describe a cancerous tumor that grows
worse over time
_I___19. cryosurgery s. closed sac containing matter or fluid
