CPC Surgery 10000: Integumentary Practice Questions
Surgery 10000: Integumentary makes up 3 of every 50 questions on a Tigertest CPC practice test. Here are 10 of the 12 questions on it, each with the answer and the reason.
Updated by the Tigertest team. Based on AAPC's published CPC exam areas, the ICD-10-CM Official Guidelines, CMS rules and CPT conventions. Original questions; no code-book lookups.
1. Lengths of wound repairs may be added together when the wounds are:
- A.Repaired by the same physician
- B.Same class and anatomic group
- C.Any class in one anatomic group
- D.Same class anywhere on the body
Answer: B. CPT adds lengths of repairs of the same classification (simple, intermediate or complex) within the same anatomic grouping. Different classes are coded separately.
2. A wound closed in layers, with the deeper subcutaneous layer closed separately, is:
- A.A complex repair
- B.An adjacent tissue transfer
- C.A simple repair
- D.An intermediate repair
Answer: D. Layered closure of the deeper subcutaneous tissue and superficial fascia is intermediate repair. Single-layer closure of a heavily contaminated wound also counts as intermediate.
3. For code selection, the size of an excised lesion is:
- A.Largest diameter plus margins
- B.Size of the pathology specimen
- C.Lesion diameter alone
- D.Length of the closure
Answer: A. CPT measures the greatest clinical diameter of the lesion plus the narrowest margins needed to remove it, before excision. Closure length is coded separately.
4. Excision of a benign skin lesion includes which closure?
- A.Complex repair
- B.Adjacent tissue transfer
- C.Simple repair
- D.Intermediate repair
Answer: C. Simple closure is part of the excision. Intermediate or complex repair is reported separately.
5. A surgeon removes tissue in stages and examines each stage as the pathologist. This is:
- A.Wide local excision
- B.Destruction by laser
- C.Mohs micrographic surgery
- D.Shave removal of a lesion
Answer: C. In Mohs surgery one physician acts as both surgeon and pathologist, mapping and examining each stage. If a separate pathologist reads the tissue, Mohs codes are not used.
6. For adults, split-thickness autograft codes for the trunk are counted in units of:
- A.Each 100 sq cm
- B.Each 1% of body area
- C.Each cm of length
- D.Each 10 sq cm
Answer: A. Split-thickness autograft codes for adults and children 10 and older are per 100 sq cm (full-thickness grafts use smaller units). The 1% of body area unit applies to infants and children under 10.
7. Using the rule of nines for an adult, one entire leg is about:
- A.36%
- B.9%
- C.27%
- D.18%
Answer: D. Each leg is 18%, each arm 9%, the head 9%, the front and back of the trunk 18% each and the perineum 1%.
8. Adjacent tissue transfer codes include:
- A.Repair of the donor site with a graft
- B.Excision of the lesion
- C.A separate skin graft
- D.Any later scar revision
Answer: B. Excision of a lesion and repair of the defect are included in adjacent tissue transfer. A skin graft needed to close a donor site is reported separately.
9. Debridement codes are selected by:
- A.Length of the wound
- B.Deepest tissue removed
- C.Number of wounds treated
- D.Instrument used
Answer: B. Debridement is coded by depth (subcutaneous, muscle, bone) and surface area. Wounds at the same depth have their areas added.
10. Incision and drainage codes for a skin abscess are divided into:
- A.Acute or chronic
- B.Open or closed
- C.Small or large
- D.Simple or complicated
Answer: D. The abscess I&D codes distinguish simple or single from complicated or multiple. Size is not a factor.
Practice all 12 surgery 10000: integumentary questions, and the rest of the 200-question bank, in the free CPC training sets. Questions you miss come back until you have mastered them.
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