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42 terms

CPT Coding

Integumentary System
STUDY
PLAY
What are the three things that are considered components of wound repair?
simple ligation
simple exploration
normal debridement
Wound repair codes are determined by what three criteria?
length of wound in cm
complexity of repair
site of repair
What are the three classifications of wound repair?
simple
intermediate
complex
Modifier -51 indicates what?
multiple procedures
What is the title for the information that precedes each section?
guidelines
______________ is the cleansing of an area or wound.
debridement
A(n) ___________ biopsy may be performed to excise a disc of tissue.
punch
What is the term for the elastic material formed into a sac that is then filled with fluid or air?
tissue expander
What is the name of the graft that is taken from the patient's body?
autograft
The major distinction in coding destruction of lesions is whether the lesion is __________ or ____________.
benign or malignant
The division of malignant lesion excision is based on _____________ and ________________.
site and size
What is the procedure used to treat acne or wrinkles by means of sanding?
dermabrasion
In order to report Mohs' surgery, the physician would act as the surgeon and the ______________.
pathologist
In a(n) ___________ biopsy, the entire lesion is removed for biopsy.
excisional
Incision and Drainage (I&D)
incision of a lesion, such as an abscess, followed by the drainage of its contents
Puncture aspiration
inserting a needle into a lesion and withdrawing the fluid (aspiration)
debridement
removal of infected, contaminated, damaged, devitalized, necrotic, or foreign tissue from a wound to promote wound healing by reducing sources of infection;
cleanse the wound
eczema
a skin condition that blisters and weeps
paring
peeling or scraping; removal of thin layers of skin by peeling or scraping such as, benign hyperkeratotic skin lesions like a callus or corn
shaving
slicing; horizontal or transverse removal of dermal or epidermal lesions, without full thickness excision - no closure is required because no incision was made
excision
cutting removal; process of cutting out; surgical removal; full thickness (through the dermis) excision of a lesion
destruction
ablation; killing of tissue by means of electrocautery, laser, freezing, burning, chemicals, or other means; totally destroy
macule
flat area of color change; no elevation or depression
papule
solid elevation; less than 0.5 cm in diameter
nodule
solid elevation 0.5 to 1 cm in diameter; extends deeper into dermis than papule
tumor
solid mass; larger than 1 cm
plaque
flat elevated surface found where papules, nodules, or tumors cluster
wheal
type of plaque; result is transient edema in dermis
vesicle
small blister; greater than 0.5 cm
bulla
larger blister; greater than 0.5 cm
scales
flakes of cornified skin layer
crust
dried exudate on skin
fissure
cracks in skin
erosion
loss of epidermis that does not extend into dermis
ulcer
area of destruction of entire epidermis
scar
excess collagen production following injury
atrophy
loss of some portion of the skin
If multiple lesions are treated, code the
most complex lesion procedure first followed by the others using modifier -51 unless multiple lesions is included in the code description
simple closure
nonlayered closure
intermediate closure
layered
complex closure
greater than layered
biopsy
the procedure of removing some or all of the tissue of a lesion for histopathology (study of microscopic tissue changes)