1) Four wounds are debrided on the same day: A 4 sq.

cm
ischial ulcer were debrided to the level of bone, and 16
sq.cm necrotizing dehisced abdominal wound and a 10-
sq.cm thigh wound were debrided at the subcutaneous
tissue level. Which of the following answers best describe
this encounter?
a) 11044*2, 11042, 11005
b) 11044, 11042-59, 11005-59
c) 11044*2, 11042
d) 11005, 11044

2) A 55 year old retired female with a history of skin cancer

arrives to her dermatologist’s office for biopsies of 3
suspicious lesions. The physician performed 3 separate
biopsies on each of the lesions. A tangential biopsy of a 2.3
cm chest lesion was carried out first, followed by an
incisional biopsy of a 3cm lesion of the back, then a
tangential biopsy of a 2cm lesion of the neck was carried
out. What procedure codes best describe this encounter?

a) 11102*2, 11106
b) 11102, 11103, 11106
c) 11102, 11103, 11106-59
d) 11006, 11102-59, 11103-59
3) Procedure Diagnosis: Basal cell carcinoma, left chin.
Procedure: Wide local excision of 3.0 cm with 0.3cm
margin basal cell carcinoma of the left chin with 4 cm
closure.
Procedure: The patient’s left chin was examined. The site
of intended excision was marked out. The site was then
prepped. The patient was then prepped and draped in the
unusual fashion. A 15 blade scalpel was then used to make
an incision in the previously marked site. It was carried
down to the subcuticular fat. The lesion was then sharply
dissected off the underlying tissue bed using 15-scalpel. It
was tagged for pathologic orientation. The hyfrecator was
used for hemostasis. The wound was then closed by
advancing the tissue surrounding the lesion and closed in
layers with 3-0 vicryl for the deep layer, followed by 5-0
prolene for the skin. The skin closure was in a running
subcuticular fashion. Steri-strips were then applied. What
are the procedure and diagnosis codes for this encounter?
a) 11644, 12052-51, C44.319
b) 11643, 12013-51, C44.319
c) 11444, 12052-51, D49.2
d) 11443, 12013-51, D49.2

4) A 29 year old female involved in an MVA was brought into

the ED via ambulance. The patient sustained severe facial
trauma. After comprehensive examination, it was
 determined that the patient’s trauma was isolated to the
mouth area and complex full thickness repair of the lips
was necessary. Due to the location of the wound, the
tissue adjacent to the wound was stretched just enough to
cover and repair the wound. The patient is expected to
have minimal scaring. Which procedure coded best
describe this encounter?
a) 15220
b) 40654
c) 14040
d) 14040, 13132

5) Suzanne, a 16-year-old, was trapped in a car when it

caught fire. They were able to get her out quickly, but she
sustained significant burns on her right arm as well as her
right hand and thumb. She was taken to the burn unit
where they determined that she had 3rd degree burns on
her right arm (100 sq. cm), hand (25 sq.cm) and thumb
(2sq.cm). The surgical assistant surgically prepared the
wounds and a bovine dermal matrix full thickness skin
graft was grafted to the prepared burns and secured. What
CPT codes are appropriate for this encounter?

a) 15273,15275,15002-59,15004-59
b) 15273-RT,15277-RT,15002-RT,15003-RT
c) 15273-RT,15275-RT,15276-RT,15002-RT-59,15004-RT-59
 d) 15273-RT,15277-RT,15002-RT,15004-RT

6) A 29 year old flight attendant