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reports.docx - Integumentary (10K) 1. A 46-year-old female...

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Integumentary (10K)1. A 46-year-old female had a previous biopsy that indicated positive malignant marginsanteriorly on the right side of her neck. A 0.5 cm margin was drawn out and a 15 blade scalpelwas used for full excision of an 8 cm lesion. Layered closure was performed after the removal.The specimen was sent for permanent histopathologic examination.What are the CPT code(s)for this procedure?A. 11626B. 11626, 12004-51C. 11626, 12044-51D. 11626, 13132-51, 13133
2.A 30-year-old female is having 15 sq cm debridement performed on an infected ulcer witheschar on the right foot. Using sharp dissection, the ulcer was debrided all the way to down tothe bone of the foot. The bone had to be minimally trimmed because of a sharp point at the endof the metatarsal. After debriding the area, there was minimal bleeding because of very poorcirculation of the foot. It seems that the toes next to the ulcer may have some involvement andcultures were taken. The area was dressed with sterile saline and dressings and then wrapped.Report CPT code.
3.A 64-year-old female with multiple sclerosis fell from her walker and landed on a glasstable. She lacerated her forehead, cheek and chin; the total length of these lacerations was 6 cm.Her right arm and left leg had deep cuts measuring 5 cm on each extremity. Her right hand andright foot had a total of 3 cm lacerations. The ED physician repaired the lacerations as follows:The forehead, cheek, and chin had debridement and cleaning of glass debris with thelacerations being closed with one layer closure, 6-0 Prolene sutures.The arm and leg wererepaired by layered closure, 6-0 Vicryl subcutaneous sutures and Prolene sutures on the skin.The hand and foot were closed with adhesive strips.Select the appropriate procedure codes forthis visit.A. 99283-25, 12014, 12034-59, 12002-59, 11042-51B. 99283-25, 12053, 12034-59, 12002-59C. 99283-25, 12014, 12034-59, 11042-51D. 99283-25, 12053, 12034-594.PREOP DIAGNOSIS: Left Breast Abnormal MMG or Palpable Mass; Other Disorders ofBreast PROCEDURE: Automated Stereotactic Biopsy Left Breast.FINDINGS: Lesion is located in the lateral region, just at or below the level of the nipple onthe 90 degree lateral view. There is a subglandular implant in place. I discussed the procedurewith the patient today including risks, benefits and alternatives. Specifically discussed was thefact that the implant would be displaced out of the way during this biopsy procedure.Possibility of injury to the implant was discussed with the patient. Patient has signed theconsent form and wishes to proceed with the biopsy. The patient was placed prone on thestereotactic table; the left breast was then imaged from the inferior approach. The lesion ofinterest is in the anterior portion of the breast away from the implant which was displaced backtoward the chest wall. After imaging was obtained and stereotactic guidance used to targetcoordinates for the biopsy, the left breast was prepped with Betadine. 1% lidocaine was injectedsubcutaneously for local anesthetic. Additional lidocaine with epinephrine was then injected

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Term
Spring
Professor
Sam
Tags
Common carotid artery, Femoral artery, stenosis

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