Question 1

Diseases of the Skin and Subcutaneous Tissue is Chapter _____ in ICD-10-CM:

Accepted Answer

A)   12
B)   9
C)   10
D)   11E) A) and B)
F) A) and C)

Question 2

When selecting the appropriate CPT code to describe a wound repair/closure, which of the following questions is not relevant to code selection?

Accepted Answer

A)   On what anatomical site is this being performed?
B)   What type of closure is being performed?
C)   Are there multiple wounds on the same anatomical site?
D)   How did the injury/laceration occur?E) B) and C)
F) None of the above

Question 3

A patient's pressure ulcer of the right hip is covered by eschar (scar tissue)  and the ulcer stage cannot be clinically determined: The coder should assign:

Accepted Answer

A)   L89.210, pressure ulcer of right hip, unstageable
B)   L89.211, pressure ulcer of right hip, stage 1 (healing pressure ulcer) 
C)   L89.200, pressure ulcer of unspecified hip, unstageable
D)   L89.219, pressure ulcer of right hip, unspecified stageE) All of the above
F) A) and B)

Question 4

In ICD-10-CM, Pressure ulcers of the ankle reported with codes from which subcategory:

Accepted Answer

A)   L89
B)   L89.500
C)   L89.5
D)   L 97.3E) C) and D)
F) A) and D)

Question 5

Incision and Drainage of the Integumentary System is considered to be:

Accepted Answer

A)   a minor procedure with postoperative periods of 0 days
B)   a major procedure with postoperative periods of 90 days
C)   an intermediate procedure with postoperative periods of 10 to 30 days
D)   a minor procedure with postoperative periods of 0 to 10 daysE) All of the above
F) A) and B)

Question 6

The word integumentary translates from a Latin word that means:

Accepted Answer

A)   to spread
B)   to wrap
C)   to cover
D)   to encloseE) A) and D)
F) C) and D)

Question 7

The ICD-10-CM code for a skin tag, regardless of site, is:

Accepted Answer

A)   L91.0
B)   L91.9
C)   L91.8
D)   L90.8E) B) and C)
F) A) and B)

Question 8

When selecting code(s)  to describe multiple lesions being excised from the same anatomical group, the coder should select:

Accepted Answer

A)   multiple codes to describe the largest and the smallest lesion excised from each body area
B)   one code describing the total surface area of all lesions excised in each body area
C)   multiple codes to describe the size and conditions of each lesion excised, regardless of body area
D)   one code describing the largest lesion excised in each body areaE) None of the above
F) B) and C)

Question 9

The patient record describes the patient as presenting with a pressure ulcer of the right lower back with abrasion, blistering and partial thickness skin loss involving the epidermis. This type of pressure ulcer would be described as being in which of the following stages.

Accepted Answer

A)   Stage 2
B)   Stage 4
C)   Stage 3
D)   Stage 1E) A) and B)
F) A) and C)

Question 10

The moon-shaped whitish area located beneath the proximal end of the nail is the:

Accepted Answer

A)   bed
B)   plate
C)   matrix
D)   lunaE) A) and B)
F) All of the above

Question 11

This part of the nail is located beneath the skin of the finger at the proximal end of the nail:

Accepted Answer

A)   plate
B)   bed
C)   matrix
D)   cuticleE) All of the above
F) A) and C)

Question 12

Multiple burns of the same anatomical site, as identified by the category code, but of different degrees are coded:

Accepted Answer

A)   separately, with codes for each degree of burn
B)   once to the lowest degree of the burn
C)   separately, with codes for the highest degree of burn sequenced last
D)   once to the highest degree of the burnE) All of the above
F) A) and C)

Question 13

This layer of skin forms a protective covering for the other layers of the integumentary system:

Accepted Answer

A)   dermis
B)   keratenous
C)   subcutaneous
D)   epidermisE) A) and C)
F) B) and C)

Question 14

Code L89.022 identifies:

Accepted Answer

A)   Pressure ulcer of left elbow, unspecified stage
B)   Pressure ulcer of right elbow, stage 2
C)   Pressure ulcer unspecified elbow, unstageable
D)   Pressure ulcer of left elbow, stage 2E) B) and C)
F) None of the above

Question 15

Paronychia is:

Accepted Answer

A)   a benign outward growth of skin usually occurring on the neck, axillary, and chest of older persons
B)   a fungal infection of the nail root that deforms and discolors the nails of the fingers or toes
C)   a bacterial infection of the cuticle
D)   a localized response to an injury or destruction of tissuesE) C) and D)
F) A) and B)

Question 16

Code L89.022 identifies:

Accepted Answer

A)   Pressure ulcer of right elbow, stage 2
B)   Pressure ulcer unspecified elbow, unstageable
C)   Pressure ulcer of left elbow, stage 2
D)   Pressure ulcer of left elbow, unspecified stageE) A) and B)
F) None of the above

Question 17

In Mohs Micrographic Surgery, a physician:

Accepted Answer

A)   excises a partial specimen and submits it to pathology
B)   performs the surgical procedure and asks a pathologist to stage the specimen
C)   performs the procedure with the assistance of a pathologist
D)   acts as surgeon and pathologist throughout the procedureE) C) and D)
F) B) and D)

Question 18

Diseases of the Skin and Subcutaneous Tissue is Chapter _____ in ICD-10-CM:

Accepted Answer

A)   10
B)   12
C)   11
D)   9E) B) and C)
F) C) and D)

Question 19

The basal layer of epidermis:

Accepted Answer

A)   consists of cells devoid of nuclei and filled with keratin
B)   contains melanocytes
C)   is the middle layer of the skin
D)   is the deepest layer of the epidermisE) None of the above
F) All of the above

Question 20

Retention sutures, debridement, or placement of stents or drains while performing a wound closure necessitate the selection of which level of wound repair?

Accepted Answer

A)   intermediate
B)   invasive
C)   complex
D)   extensiveE) All of the above
F) None of the above

Exam 8: Surgery Section: Integumentary System

The moon-shaped whitish area located beneath the proximal end of the nail is the:

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In ICD-10-CM, Pressure ulcers of the ankle reported with codes from which subcategory:

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The patient record describes the patient as presenting with a pressure ulcer of the right lower back with abrasion, blistering and partial thickness skin loss involving the epidermis. This type of pressure ulcer would be described as being in which of the following stages.

Correct AnswerverifiedShow Answer

The word integumentary translates from a Latin word that means:

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Retention sutures, debridement, or placement of stents or drains while performing a wound closure necessitate the selection of which level of wound repair?

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In Mohs Micrographic Surgery, a physician:

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Diseases of the Skin and Subcutaneous Tissue is Chapter _____ in ICD-10-CM:

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Incision and Drainage of the Integumentary System is considered to be:

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Diseases of the Skin and Subcutaneous Tissue is Chapter _____ in ICD-10-CM:

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The basal layer of epidermis:

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Code L89.022 identifies:

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This layer of skin forms a protective covering for the other layers of the integumentary system:

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Paronychia is:

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This part of the nail is located beneath the skin of the finger at the proximal end of the nail:

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Code L89.022 identifies:

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Multiple burns of the same anatomical site, as identified by the category code, but of different degrees are coded:

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When selecting code(s) to describe multiple lesions being excised from the same anatomical group, the coder should select:

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When selecting the appropriate CPT code to describe a wound repair/closure, which of the following questions is not relevant to code selection?

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The ICD-10-CM code for a skin tag, regardless of site, is:

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A patient's pressure ulcer of the right hip is covered by eschar (scar tissue) and the ulcer stage cannot be clinically determined: The coder should assign:

Correct AnswerverifiedShow Answer

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