Chapter 07 Integumentary – Set A

1. What is another term for hives?

a. Rash c. Urticaria
b. Eruption d. Dermatitis
2. Melanin is found on what layer of the epidermis?
a. Epithelium c. Dermal
b. Squamous d. Basal
3. What term relates to connection of skin to underlying muscles?
a. Dermis c. Hypodermis
b. Epidermis d. Sebaceous
4. What term best describes a mass of hypertrophic scar tissue?
a. Keloid c. Dermatofibroma
b. Pilonidal cyst d.Congenital nevus
5. What is commonly known as a boil of the skin?
a. Abscess c. Lesion
b. Furuncle d. Impetigo
6. What are the layers of the skin?
a. Epidermis and Dermis
b. Epidermis, Dermis and Fascia
c. Epidermis, Dermis, Subcutaneous Tissue and Fascia
d. Epidermis and Fascia
7. What is the correct diagnosis code to report treatment of a melanoma in-situ of the left
upper arm?
a. C44.609 c. D03.62
b. C43.62 d. D04.62
8. A patient is taken to surgery for removal of a squamous cell carcinoma of the right thigh.
What is the correct diagnosis code for today’s procedure?
a. C44.702 c. C79.89
b. C79.2 d. C44.722
9. What is the correct diagnosis code to report initial treatment of an infected post
procedural wound of the right leg from a previous excision of a squamous cell
carcinoma?
a. C44.701 c. T81.9XXA
b. T81.4XXA d. T81.31XA
10. A patient presents to the office with a suspicious lesion of the nose. The physician takes a
biopsy of the lesion and pathology determines the lesion to be uncertain. What is the
correct diagnosis code to report?
a. C44.301 c. D49.2
b. D22.39 d. D48.5
11. Joe has a terrible problem with ingrown toenails. He goes to the podiatrist to have a nail
permanently removed along with the nail matrix. What CPT® code is reported?
a. 11730 c. 11765
b. 11750 d. 11720
12. What CPT® code(s) would best describe treatment of 9 plantar warts removed and 6 flat
warts all destroyed with cryosurgery during the same office visit?
a. 17110, 17111-52 c. 17110, 17003
b. 17110 d. 17111
13. What CPT® code(s) are reported for the destruction of 16 premalignant lesions and 10
benign lesions using cryosurgery?
a. 17000, 17003 x 2, 17110 c. 17000, 17003, 17004, 17110
b. 17110, 17003 d. 17004, 17110
14. While whittling a piece of wood, the patient sustained an avulsion injury to a portion of
his left index finger and underwent formation of a direct pedicle graft with transfer from
his left middle finger. What CPT® code is reported?
a. 15574 c. 15750
b. 15740 d. 15758
15. A patient presents to the ED physician with multiple burns. After examination the
physician determines the patient has third-degree burns of the anterior and posterior
portion of his left leg, starting at the knee extending above the ankle (12.5%). He also has
third-degree burns of the anterior portion of the left side of his chest (4.5%). The patient
also has second-degree burns on his left upper arm (7%). What ICD-10-CM codes are
reported?
a. T24.292A, T24.192A, T31.20
b. T21.399A, T21.39XA, T22.299A, T31.31
c. T24.109A, T25.112A, T21.21XA, T22.392A, T31.31XA
d. T24.392A, T21.31XA, T22.232A, T31.20
16. A patient presents to the physician to discuss her acne and ask the physician about a
suspicious lesion of the left ear. The patient and the physician discuss further treatment of
the acne and agree to take a biopsy of the lesion of the ear. Billing was sent prior to
receiving the pathology report. What ICD-10-CM code(s) is/are reported?
a. L70.9, D48.5 c. L70.9, D49.2
b. L70.9 d. L70.9, C44.202
17. The patient is here to follow-up for a keloid excised from his neck in November of last
year. He believes it is coming back. He does have a recurrence of the keloid on the
superior portion of the scar. Because the keloid is still small, options of an injection or
radiation to the area were discussed. It was agreed our next course should be a Kenalog
injection. Risks associated with the procedure were discussed with the patient. Informed
consent was obtained. The area was infiltrated with 1.5 cc of medication. This was a
mixture of 1cc of Kenalog-10 and 0.5 cc of 1% lidocaine with epinephrine. He tolerated
the procedure well. What codes are reported?
a. 11900, J3300, L90.5 c. 11951, J3300, L91.0
b. 11900, J3301, L91.0 d. 11950, J3301, L90.5
18. The 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 is
reported?
a. 11200 c. 11442
b. 11312 d. 11642
19. The patient has a suspicious lesion of the left jaw line. Clinical diagnosis of this lesion is
unknown, but due to the appearance, malignancy is a realistic concern. The lesion was
excised into the subcutaneous fat measuring 0.8cm and margins of 0.1cm on each side.
Hemostasis was achieved using light pressure. The wound was closed in layers using 5.0
Monocryl and 6.0 Prolene. Pathology revealed a nevus with clear margins. What CPT®
and ICD-10-CM codes are reported?
a. 13131, 11441-51, C44.309 c. 12051, 11441-51, D22.39
b. 13131, 11441-51, D49.2 d. 12051,11641-51, D22.39
20. Patient has a suspicious lesion of the right axilla. The area was infiltrated with local
anesthetic and draped in a sterile fashion. With a use of a 3mm punch tool the lesion was
excised and closed with 5.0 Prolene suture. Pathology report indicated this was a
seborrheic keratosis. What CPT® and ICD-10-CM codes are reported?
a. 11100, L82.1 c. 11400, L82.0
b. 11400, L82.1 d. 11100, L82.0
21. The patient is here to see us about some skin tags on her neck and both underarms. She
has had these lesions for some time; they are irritated by her clothing, itch, and at times
have a burning sensation. We discussed treatment options along with risks. Informed
consent was obtained and we proceeded. We removed 16 skin tags from the right axilla,
16 skin tags from the left axilla, 10 from the right side of the neck and 17 from the left
side of the neck. What CPT® and ICD-10-CM codes are reported?
a. 11057, D23.5, D23.4 c. 11200, 11201 x 4, 11201-52, L91.8
b. 11200, 11201-51 x5, D23.5, D23.4 d. 11200, 11201 x 5, L91.8
22. Patient presents to the physician for removal of a squamous cell carcinoma of the right
cheek. After the area is prepped and draped in a sterile fashion the surgeon measured the
lesion, and documented the size of the lesion as 2.3 cm at its largest diameter.
Additionally, the physician took margins of 2mm on each side of the lesion. Single layer
closure was performed. The patient tolerated the procedure well. What CPT® code(s)
is/are reported?
a. 11642, 12013 c. 11643, 12013
b. 11643 d. 11442
23. A patient is diagnosed with actinic keratosis of the chest and arms. She presents to her
physician’s office for destruction of these lesions. Using cryosurgery, the physician
destroys 4 lesions on the right arm, 4 lesions on the left forearm and 4 lesions on the
chest. What CPT® and ICD-10-CM codes are reported?
a. 17000, 17003, D49.2 c. 17000, 17003 x 11, L57.0
b. 17003 x 19, D48.5 d. 17000, 17003, 17004, L57.0
24. The patient is diagnosed with a superficial basal cell carcinoma of the neck and cheek.
After discussion with the physician about different treatment options the patient decides
to have these lesions destroyed using cryosurgery. Consent is obtained and the areas are
 prepped in a sterile fashion. With the use of cryosurgery, the physician destroys the lesion
on the neck measuring 2.3 cm and the lesion on the cheek measuring 0.8cm. What CPT®
codes are reported?
a. 17272, 17281-51 c. 17000, 17003
b. 17273, 17281-51 d. 11623, 11641-51
25. Patient is a 69 year-old woman with a biopsy-proven squamous cell carcinoma of her left
forearm measuring 2.3 cm in greatest diameter. The area was marked with 4mm gross
normal margins. The area was removed as drawn, and the surgeon then incised his
planned rhomboid flap, elevating the full thickness flap into the defect and closing the
sites in layers using 3-0 Monocryl, 4-0 Monocryl and 5-0 Prolene. The patient tolerated
the procedure well. Final measurements were 2.7 cm x 2.1 cm. What CPT® code(s) is/are
reported?
a. 14020 c. 13101, 11603-51
b. 14020, 11603-51 d. 15100, 11603-51