This document contains 20 multiple choice questions related to coding for integumentary, cardiovascular, and sensory systems. The questions cover topics like coding breast and skin procedures, hearing aids, hip arthroscopy, congestive heart failure, skin grafts, breast and eye procedures, hypertension, diabetes, kidney disease, lacerations, and biopsies of the cornea and lacrimal gland. Correct coding of ICD-10 diagnoses and CPT/HCPCS procedure codes is tested based on patient case scenarios.

1. Advanced Coding: Integumentary/Cardiovascular/Sensory Paper
Advanced Coding: Integumentary/Cardiovascular/Sensory PaperAdvanced Coding:
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sensory-paper/Advanced Coding: Integumentary/Cardiovascular/SensoryPlease answer all
questions CORRECTLY, and return back to me.1. A 38-year-old patient is admitted to the
hospital due to a lesion in her right breast, and a painful lump and nipple discharge from the
left breast. The physician places a percutaneous needle localization device in the right
breast under ultrasound guidance, excises the right breast lesion, and then excises the
lactiferous duct fistula in the left breast. What CPT codes should be assigned?A. 19129-RT,
19284-RT, 19122-LT B. 19125-RT, 19285-RT, 19112-LT C. 19127-RT, 19283-RT, 19132-
LT D. 19122-RT, 19275-RT, 19142-LT2. A 92-year-old female patient experiences
difficulty hearing in her left ear. She is prescribed a BICROS hearing aid that she can wear
behind the ear. What HCPCS code is assigned?A. V5250 B. V5320 C. V5220 D. V5240 3. A
57-year-old patient is admitted to the hospital for a hip arthroscopy procedure. The patient
is a normal healthy patient with no systemic disease. What CPT code should be
assigned?A. 01612-P1 B. 01402-P1 C. 01202-P1 D. 01312-P1 4. An 80-year-old patient
is admitted to the hospital with congestive heart failure. What ICD-10-CM code should be
assigned?A. K15.0 B. L50.5 C. K52.9 D. I50.9 5. A 44-year-old female patient comes to
the hospital for removal of a 4 cm malignant lesion from the arm. During the course of the
procedure, the patient undergoes a 14 sq. cm adjacent tissue transfer from the right leg, as
well as a 20 sq. cm split-thickness skin graft from the left arm. What CPT codes are
assigned?A. 14021, 15100-51 B. 14045, 15400 C. 14032, 15207 D. 14044, 15350 6. A
patient has a breast localization device placed through the skin using stereotactic guidance
in order to treat two lesions. What codes would be assigned?A. 19285, 19286 B. 19287,
19288 C. 19283, 19284 D. 19296, 19297 7. A 19-year-old patient is diagnosed with acne
vulgaris. The physician performs laser dermabrasion of the facial skin. What codes are
assigned?A. L50.5, 0HB1XZZ B. L70.0, 0HD1XZZ C. L70.5, 0HA1XZZ D. L70.6,
0HQ1XZZ 8. Implantation of a patient-activated cardiac event recorder is assigned to
codeA. 33286. B. 33282. C. 33285. D. 33284. 9. A 27-year-old patient is diagnosed with a
chalazion on the upper left eyelid, which is excised using an external approach. What ICD-10
diagnosis and procedure codes are assigned?A. H04.16, 08BQXZZ B. H02.14,
08BTXZZ C. H00.14, 08BPXZZ D. H07.19, 08BRXZZ 10. A 77-year-old patient is diagnosed
with an ear infection. She receives an injection of 40 mg of gentamicin sulfate. What HCPCS
code should be assigned?A. J1452 B. J1472 C. J1675 D. J1580 11. A patient undergoes a

2. transcanal labyrinthectomy. What code would be
assigned?A. 69930 B. 69915 C. 69955 D. 69905 12. A 92-year-old patient is diagnosed
with senile cataracts and bilateral sensorineural hearing loss. The physician performs a
bilateral cataract extraction. What ICD-10 codes are reported?A. H27.9, H90.3, 08KJ3ZZ,
08MK3ZZ B. H26.9, H90.3, 08EJ3ZZ, 08LK3ZZ C. H25.9, H90.3, 08DJ3ZZ,
08DK3ZZ D. H21.9, H90.3, 08PJ3ZZ, 08NK3ZZ 13. Mr. Oliver is an elderly gentleman who
has been having problems with his vision for the previous three weeks. He is diagnosed
with keratoconus, as well as hypertension with stage III chronic kidney disease, and
diabetes mellitus, for which he takes long-term insulin. The anesthesiologist provided
general anesthesia for this patient with severe systemic disease. After the administration of
anesthesia, the surgeon performs an endothelial keratoplasty. Prior to performing the
endothelial keratoplasty, the surgeon performs backbench preparation of the allograft. Code
this scenario (including the anesthesiology service).A. 65756, 65757, 00144-P3; H18.609,
E11.65, R46.89, Z79.4 B. 65754, 65727, 00134-P1; H18.609, E11.40, I12.9, N18.4,
Z79.899 C. 65756, 65757, 00144-P3; H18.609, E11.9, I12.9, N18.3, Z79.4 D. 65757, 65787,
00142-P2; H18.229, E11.51, I12.0, N18.9 14. A 47-year-old female patient is seen for a
worrisome lesion on the back of her hand. What ICD-10-CM code should be
assigned?A. L94.9 B. L98.9 C. L91.5 D. L97.4 15. Breast reconstruction with transverse
rectus with a TRAM flap would be assigned to
codeA. 19370. B. 19342. C. 19369. D. 19316. 16. Ms. Nelson comes to the emergency
room due to sustaining multiple lacerations after being pushed into a glass door during a
physical altercation with her husband at a hotel. She sustained a 5 cm laceration on her
right hand and a 7 cm cut on her neck. She also has a 5.0 benign lesion removed from her
left arm. The physician performs a simple repair on the lacerations on her hand and neck.
Code this scenario.A. 11443, 12008-59; S61.209A, S31.652A, Y04.0XXA, W45.8XXA,
V97.29XA B. 11422, 12007-59; S51.809A, S61.351A, W86.8XXA, Y04.0XXA C. 11409,
12005-59; S58.119A, S11.22XA, X19.XXXA, V95.13XA D. 11406, 12004-59; S61.401A,
S11.90XA, Y04.0XXA, W45.8XXA, Y92.29 17. Biopsy of the lacrimal gland is assigned to
codeA. 68520. B. 68811. C. 68815. D. 68510. 18. A patient comes to the emergency room
complaining of lightheadedness and difficulty hearing. The physician examines her and
determines that she has Ménière’s disease. The physician performs an endolymphatic sac
decompression (excision of the right inner ear using an open approach). What ICD-10
diagnosis and procedure codes are assigned?A. H81.03, 09BF0ZZ B. H83.03,
09BK0ZZ C. H81.03, 09BD0ZZ D. H82.03, 09BG0ZZ 19. A physician performs a biopsy of
the cornea. What code should be
assigned?A. 65420 B. 65410 C. 65419 D. 65415 20. Injection of contrast medium for
dacryocystography is assigned to codeA. 68853. B. 68854. C. 68850. D. 68851.Advanced
Coding: Integumentary/Cardiovascular/Sensory