CPC Integumentary System Procedures 5

Question 1

A dermatologist uses photodynamic therapy (PDT) to treat actinic keratoses on the face. Which CPT code describes the illumination/activation portion of PDT?

Accepted Answer

96573

Answer

CPT 96573 describes photodynamic therapy by external application of light to destroy premalignant and/or malignant lesions of the skin.

Question 2

A wound requiring complex repair includes which of the following distinguishing features?

Accepted Answer

Scar revision, debridement, extensive undermining, or retention sutures

Answer

Complex repair involves more than layered closure, requiring scar revision, debridement, extensive undermining, retention sutures, or other complex techniques.

Question 3

When coding nail avulsion (CPT 11730), what additional code is reported if a chemical matrixectomy is also performed?

Accepted Answer

11750

Answer

CPT 11750 describes excision of the nail and nail matrix (matrixectomy), which includes chemical destruction; it is reported separately from simple avulsion (11730) when matrixectomy is performed.

Question 4

A surgeon repairs a complex laceration of the eyelid measuring 2.0 cm. Which CPT code range applies?

Accepted Answer

13151-13153

Answer

Complex repair of the eyelids, nose, ears, and/or lips is reported with CPT 13151-13153 (complex repair of face, ears, eyelids, nose, lips, and/or mucous membranes).

Question 5

Which modifier is appended to a staged skin graft procedure performed in the same operative session as an initial wound debridement?

Accepted Answer

Modifier 58

Answer

Modifier 58 indicates a staged or related procedure performed during the postoperative period, or a service that was planned prospectively at the time of the original procedure.

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CPC Integumentary System Procedures 5