COURSE DESCRIPTION

Proper CPT wound repair coding is often a challenging process.

The coder must first understand the various classifications of
wound repair coding as well as the CPT manuals guidelines in
coding these procedures. This continuing education course
describes the different types of wounds and gives instructions on
how to code these wound repair procedures accurately.



















Rev 1.0
Page 1 of 18
February 2007
















Upon completion of this continuing education module, the professional
should be able to:

1. Name and describe five types of wounds.
2. Describe simple, intermediate, and complex repair of wounds as
discussed in the CPT manual.
3. Identify CPT codes used for simple, intermediate, and complex repair of
wounds.
4. Identify factors to take into account when coding for wound repair.
5. Identify when multiple wound repairs may be treated as one repair.
6. Identify when modifier 51 is attached to a CPT code for wound repair.
7. Given case studies, identify the CPT code(s) for wound repairs.















Disclaimer

The writers for NCCT continuing education courses attempt to provide factual information based on
literature review and current professional practice. However, NCCT does not guarantee that the
information contained in the continuing education courses is free from all errors and omissions.


Page 2 of 18
COURSE TITLE: 2007 Update: A Guide to Wound Repair Coding

Author: Virginia Escobedo, CPC, NCICS
Program Director, Medical Billing & Coding
Virginia College @ Austin


Number of Clock Hours Credit: 3.0
Course #1221207
P.A.C.E. Approved: Yes X No
Page 3 of 18

INTRODUCTION

The goal of all healthcare providers is to receive the maximum legal reimbursement for
services provided while efficiently utilizing proper coding. Wound repair (closure)
coding can sometimes be a challenge. There are several types of wounds in which the
skin or tissue may be in need of repair: abrasions, lacerations, amputations, incisions,
punctures and avulsions. A wound may include only one of these types or may include
a combination of them. The definition of these wound types are:


Abrasion the skin is rubbed or scraped off. Rope burns or rug burns are a few
examples of an abrasion. This type of wound can become easily infected as dirt
can be embedded into the wound.


Laceration a ragged skin tear often made by a blunt object or machinery
accidents. Lacerations sometimes have the added complication of the tissues
being crushed due from the nature of the injury. These types of wounds are also
prone to infection.


Amputation nonsurgical removal of a limb. Bleeding is heavy and shock is
common. In certain situations, the limb may be reattached surgically.


Incision a wound from a sharp object; a cut. These types of wounds are least
likely to become infected.


Puncture a wound caused by a penetrating object that usually causes less
surface damage than other wounds. Wounds made by nails and bullets are
usually puncture wounds. If the nail or penetrating object has bacteria on it,
infections may be common.


Avulsion a tearing away of tissue from a body part. Bleeding may be heavy.
It is possible that the torn tissue may be surgically reattached.


The wound repair codes found in the Current Procedural Terminology (CPT*), surgery
section, integumentary system subsection, are to be used only when the physician uses
sutures, staples and/or tissue adhesives to close a wound. If the physician only uses
adhesive strips to close the wound, the CPT directs the physician to use the appropriate
evaluation and management code (99201 99499). The more simple procedure would
be billed an evaluation code rather than a procedure code. The physician may use
adhesive strips in addition to these procedures, but he may not bill for a wound repair
code that is found in the surgery section if adhesive strips are the only method utilized
to close the wound.
Page 4 of 18

It should be noted that Medicare is the only payer that uses a HCPCS code to report a
simple repair using tissue adhesives (G0168). This is sometimes used in lieu of
sutures.

A good coder will always reference the CPT manual for notes and/or directions. The
three types of classifications for the wound repair (closure) codes found in the surgery
section of the CPT are simple, intermediate, or complex. Following are the CPT
definitions of these classifications.

*CPT is a registered trademark of the American Medical Association.


CPT WOUND REPAIR CLASSIFICATION DEFINITIONS

The CPT manual defines simple repair (12001 12021) when the wound is
superficial; eg, involving primarily epidermis or dermis, or subcutaneous tissues without
significant involvement of deeper structures, and requires simple one layer closure.
This includes local anesthesia and chemical or electrocauterization of wounds not
closed. In other words, this code is utilized for the simplest type of surgical wound
repair on the integumentary system. Normal debridement (cleaning the skin tissue until
normal tissue is viewed) and single-layered closure are included in a simple repair. In
the documentation, the physician may bill for a simple repair by indicating in the medical
record that the patient had a superficial wound that was repaired using sutures.


Intermediate repair (12031 12057) includes, in addition to the requirements of a
simple repair, layered closure of one or more of the deeper layers of subcutaneous
tissue and superficial (non-muscle) fascia, in addition to the skin (epidermal and dermal)
closure. Single-layer closure of heavily contaminated wounds that have required
extensive cleaning or removal of particulate matter also constitutes intermediate repair.
In other words, an intermediate repair may be coded if the physician performed a
layered closure or a single-layered closure that required extensive debridement. If the
documentation shows that the physician performed a deep layered closure on the
patients wound using staples for the method of repair, then the physician would be able
to use an intermediate repair code from the surgery section. Or, if the documentation
reveals that the physician performed a single-layered closure only but he had to perform
extensive debridement in addition to the single-layered closure, therefore going above
and beyond normal debridement, the physician may bill for the intermediate repair code.

Also, note that the physician does not need to specifically use the word intermediate in
the documentation to bill for an intermediate repair. A layered closure constitutes an
intermediate repair, therefore he may simply document that a layered closure was
performed.

Page 5 of 18

Complex repair (13100 13160) includes the repair of wounds requiring more than
layered closure, viz., scar revision, debridement (eg, traumatic lacerations or avulsions),
extensive undermining, stents, or retention sutures. Necessary preparation includes
creation of a defect for repairs (eg, excision of a scar requiring a complex repair) or the
debridement of complicated lacerations or avulsions. Complex repair does not include
excision of benign (11400 11446) or malignant (11600 11646) lesions. A complex
repair code is the most complicated surgical repair that a physician will perform on the
integumentary system. The physician would have to perform more than layered closure
in order to bill for a complex repair. In addition, if the physician removed a benign lesion
before he performed a wound repair procedure, then at least two surgical codes would
be billed: one for the excision and one for the repair.


INSTRUCTIONS

All insurance companies go by the rule: If it is not documented, then it was not done.
What this means is that even if a physician provided a high level of service to a patient,
the physician does not get to bill for this level of service if the service is not documented
appropriately. To obtain optimal reimbursement, detailed procedure information MUST
be documented in the medical record. Sometimes, physicians forget to dictate
seemingly insignificant information into the dictated letter that causes them to lose
reimbursement. The physician knows what level of service he provided, but the
documentation sometimes does not reflect this. When this occurs, optimal
reimbursement is not being obtained. The first step in being a good coder is to educate
the office staff and physicians that the more detailed information that is listed in the
medical record usually results in greater reimbursement. One recommendation would
be to have monthly meetings in which you go into detail about specific cases or
examples in which you thought you could have billed for a higher level code if the
required documentation was in the medical record. This method is usually quite
effective and does not have to be time consuming for the busy physician.

The factors that the coder needs to take into account when coding for wound repair
(12001 13160) are the anatomic site, the length of the wound and the type of repair.
The CPT manual precisely states that wound repairs should be recorded in centimeters.

When multiple wounds are repaired, it is possible to sometimes treat multiple repairs as
one repair.


You may add up the lengths of wounds from the same classification
(simple, intermediate or complex) if the anatomic sites are grouped
together in the CPT manual. This allows you to bill for multiple wound
repairs using one CPT code.

Page 6 of 18

Reference the CPT code below for the following scenario. You can observe that the
CPT code 12002 groups together the scalp, neck, axillae, external genitalia, trunk,
and/or extremities (including the hands and feet). The CPT groups these anatomic sites
together because the techniques used to perform these repairs are similar. In other
words, the procedures used to repair these anatomic sites are treated, according to the
CPT manual, as the same procedure as long as the classification for the repair is
simple.



CPT Code 12002
Simple repair of superficial wounds of scalp,
neck, axillae, external genitalia, trunk and/or
extremities (including hands and feet); 2.6 cm to
7.5 cm

If the documentation states that the physician performed a simple repair of a 2.5 cm
abrasion on the neck and a simple repair of a 3.4 cm laceration on the back, then the
length of these wounds may be added up and billed as one simple repair. The two
items to look at in this scenario:


Is the wound repair classification the same? Yes, the physician performed a
simple repair on both anatomic sites.

Does the CPT manual group the anatomic sites together? Notice that code
12002 pertains to the scalp, neck, axillae, external genitalia, trunk and/or
extremities (including hands and feet). Therefore, yes, the neck and trunk
(back is part of the trunk) are grouped together. The CPT now directs you to
add up the lengths of the simple repairs and code these two wound repairs as
one: 3.4 cm +2.5 cm =5.9 cm. Because 12002 is a simple repair between
2.6 cm and 7.5 cm, then this is the correct code for this scenario.


For the next scenario, some of the information will be the same as the previous
scenario. The documentation in this scenario states that the physician performed a
simple repair of a 2.5 cm abrasion on the lip and a simple repair of a 3.4 cm laceration
on the back. Notice, the size of the wounds has not changed, but one of the anatomic
sites has. What difference do you think this will make in the answer? Factors to look at
before coding this case:


Is the wound repair classification the same? Yes, the physician performed a
simple repair on both anatomic sites. This is step one to allowing us to add
up our wounds and code the repair as one CPT code.

Does the CPT manual group the anatomic sites together? There is an
abrasion on the lip and laceration on the back. Reference the following
codes:

Page 7 of 18

CPT Code
12001
Simple repair of superficial wounds of scalp,
neck, axillae, external genitalia, trunk and/or
extremities (including hands and feet); 2.5 cm or
less

CPT Code
12002
Simple repair of superficial wounds of scalp,
neck, axillae, external genitalia, trunk and/or
extremities (including hands and feet); 2.6 cm to
7.5 cm

CPT Code
12011
Simple repair of superficial wounds of face, ears,
eyelids, nose, lips and/or mucous membranes;
2.5 cm or less

CPT Code
12013
Simple repair of superficial wounds of face, ears,
eyelids, nose, lips and/or mucous membranes;
2.6 cm to 5.0 cm

CPT Code
12014
Simple repair of superficial wounds of face, ears,
eyelids, nose, lips and/or mucous membranes;
5.1 cm to 7.5 cm


Lips and back are not grouped together. CPT code 12001 is the stand-alone
code for scalp, neck, axillae, external genitalia, trunk, and/or extremities
(including hands and feet). CPT code 12011 is the stand-alone code for the
face, ears, eyelids, nose, lips, and/or mucous membranes. Therefore, you
are not allowed to add up the sum of these simple repairs. You are instructed
to code them separately. 12002 and 12011 (with modifier 51 added to this
second code) are the correct codes for this case study.


You may never add together the lengths of different classifications.


In other words, you can not add together a 3.2 cm complex repair of the hand with a
7.2 cm simple of the hand. Even though they are the same anatomic sites, different
classifications are always coded separately.


When more than one classification of wounds is repaired, always list the
more complicated procedure first.


This stems from the rule to always code the most resource intensive reason for the visit
first. A complicated wound is more serious, and therefore more in need of a repair, than
a simple wound. It is also more time consuming.
Page 8 of 18

Add modifier 51 to the secondary procedure to indicate that multiple
procedures were performed.


These rules will be demonstrated with the following example. The documentation states
that the physician performed a 2.5 cm complex repair of the forearm and a much larger
10.7 cm intermediate repair to the forearm. The CPT directs you always to list the most
complicated procedure first, and then the biggest repair would go next, and so on.
Reference the following codes for this case study.


CPT Code
13120
Repair, complex, scalp, arms, and/or legs; 1.1 cm
to 2.5 cm


CPT Code
12034
Layer closure of wounds of scalp, axillae, trunk
and/or extremities (excluding hands and feet); 7.6
cm to 12.5 cm


The factors to consider when coding:


Are the classifications that the physician performed similar? No, the
physician performed a 2.5 cm complex repair of the forearm and a 10.7 cm
intermediate repair of the forearm. Even though the physician operated on
the same anatomic sites, the classifications are different. Therefore, the
coder is not able to add up the length of the repairs.


Which procedure should be listed first? The most complicated procedure that
the physician performed was the 2.5 cm complex repair of the forearm. The
CPT directs the coder to list the most complex repair first. Code 13120 is a
complex repair of the arm; therefore, this code is listed first. 12034 is an
intermediate repair of the extremities between 7.6 cm and 12.5 cm;
therefore, this code is listed second.


Is modifier 51 needed? Yes. You are directed to add modifier 51 to the
secondary procedure to indicate that multiple procedures were performed.


o ANSWER: 13120, 12034 51.





Page 9 of 18

CONCLUSION


Debridement is not considered a separate procedure unless prolonged
cleansing is required to remove the contaminated tissue, or if
debridement is performed separately from the repair.


In other words, debridement is usually considered part of the repair procedure.
However, if a physician performs debridement on a day other than the wound closure
procedure, then he may bill for the debridement. The CPT manual also states, For
extensive debridement of soft tissue and/or bone, not associated with open fracture(s)
and/or dislocation(s) resulting from penetrating and/or blunt trauma, see (11040
11044.) For extensive debridement of subcutaneous tissue, muscle fascia, muscle,
and/or bone associated with open fracture(s) and/or dislocation(s), the coder is directed
to reference codes (11010 11012.) The CPT manual differentiates between
debridement procedures that are associated with fractures and/or dislocations and other
debridement procedures that are not. The debridement codes are listed at the end of
this course.


In this next case study, the physician performed a 7.4 cm complex repair of a laceration
to the chest that was grossly contaminated. The documentation revealed that the
wound required prolonged cleansing in order to remove the contaminated tissue. The
physician spent extra time cleaning the wound. Partial thickness debridement was
performed. Reference the codes below.


CPT Code
13101

Repair, complex, trunk; 2.6 cm to 7.5 cm

CPT Code
11040

Debridement; skin, partial thickness


In this case, due to the prolonged cleaning of the grossly contaminated
wound, the physician is able to bill for the debridement in addition to the
wound repair code.


The physician would list the complex repair code first and the debridement
code second with modifier 51 attached.


o ANSWER: 13101, 11040 51.

Page 10 of 18

A few more things to consider when coding for wound repair (closure) procedures:


If the wound that is repaired involves nerves, blood vessels and
tendons, the CPT manual directs the coder to report these procedures
under the appropriate body system.


For example, if a physician repairs a blood vessel in the heart, then the CPT manual
directs the coder to go to the surgery section, cardiovascular subsection to find the
correct code. The coder would not bill for this procedure in the integumentary system
subsection.


Simple ligation of vessels and simple exploration of nerves, blood
vessels, or tendons is included in the wound repair procedure.


Simple repair (closure) is bundled into the excision codes.


If the physician excised a malignant lesion and performed a simple repair during the
same operative session, the physician would only report the excision code. The simple
repair is included in the excision procedure. Intermediate or complex repair is not
included in the excision procedure and therefore may be billed separately.




Use the following list of codes to answer the test questions.








Page 11 of 18
Repair (Closure) 2007 CPT Codes

2007 CPT CODES DESCRIPTION
SURGERY/INTEGUMENTARY SYSTEM
Repair-Simple
Sum of lengths of repairs for each group of anatomic sites.
12001 Simple repair of superficial wounds of scalp, neck,
axillae, external genitalia, trunk and/or extremities
(including hands and feet); 2.5 cm or less
12002 2.6 cm to 7.5 cm
12004 7.6 cm to 12.5 cm
12005 12.6 cm to 20.0 cm
12006 20.1 cm to 30.0 cm
12007 over 30.0 cm
12011 Simple repair of superficial wounds of face, ears,
eyelids, nose, lips and/or mucous membranes; 2.5 cm
or less
12013 2.6 cm to 5.0 cm
12014 5.1 cm to 7.5 cm
12015 7.6 cm to 12.5 cm
12016 12.6 cm to 20.0 cm
12017 20.1 cm to 30.0 cm
12018 over 30.0 cm
12020 Treatment of superficial wound dehiscence; simple
closure
12021 with packing
SURGERY/INTEGUMENTARY SYSTEM
Repair-Intermediate
Sum of lengths of repairs for each group of anatomic sites.
12031 Layer closure of wounds of scalp, axillae, trunk and/or
extremities (excluding hands and feet); 2.5 cm or less
12032 2.6 cm to 7.5 cm
12034 7.6 cm to 12.5 cm
12035 12.6 cm to 20.0 cm
12036 20.1 cm to 30.0 cm
12037 over 30.0 cm
12041 Layer closure of wounds of neck, hands, feet and/or
external genitalia; 2.5 cm or less
12042 2.6 cm to 7.5 cm
12044 7.6 cm to 12.5 cm
12045 12.6 cm to 20.0 cm
12046 20.1 cm to 30.0 cm
12047 over 30.0 cm
12051 Layer closure of wounds of face, ears, eyelids, nose,
lips and/or mucous membranes; 2.5 cm or less
12052 2.6 cm to 5.0 cm
12053 5.1 cm to 7.5 cm

Page 12 of 18
Repair (Closure) 2007 CPT Codes-continued

2007 CPT CODES DESCRIPTION
SURGERY/INTEGUMENTARY SYSTEM cont.
Repair-Intermediate cont.
Sum of lengths of repairs for each group of anatomic sites.
12054 7.6 cm to 12.5 cm
12055 12.6 cm to 20.0 cm
12056 20.1 cm to 30.0 cm
12057 over 30.0 cm
SURGERY/INTEGUMENTARY SYSTEM
Repair-Complex
Reconstructive procedures, complicated wound closure.
Sum of lengths of repairs for each group of anatomic sites.
(For full thickness repair of lip or eyelid, see respective anatomical subsections)
13100 Repair, complex, trunk; 1.1 cm to 2.5 cm
(for 1.0 cm or less, see simple or intermediate repairs)
13101 2.6 cm to 7.5 cm
+13102 each additional 5 cm or less (List separately in
addition
to code for primary procedure)
(Use 13102 in conjunction with 13101)
13120 Repair, complex, scalp, arms, and/or legs; 1.1 cm to
2.5 cm
(For 1.0 cm or less, see simple or intermediate
repairs)
13121 2.6 cm to 7.5 cm
+13122 Each additional 5 cm or less (List separately in
addition
to code for primary procedure)
(Use 13122 in conjunction with 13121)
13131 Repair, complex, forehead, cheeks, chin, mouth,
neck, axillae, genitalia, hands and/or feet; 1.1 cm to
2.5 cm
(for 1.0 cm or less, see simple or intermediate repairs)
13132 2.6 cm to 7.5 cm
+13133 each additional 5 cm or less (List separately in
addition
to code for primary procedure)
(Use 13133 in conjunction with 13132)
13150 Repair, complex, eyelids, nose, ears and/or lips; 1.0
cm or less
13151 1.1 cm to 2.5 cm
13152 2.6 cm to 7.5 cm
+13153 each additional 5 cm or less (List separately in
addition
to code for primary procedure)
(Use 13153 in conjunction with 13152)
13160 Secondary closure of surgical wound or dehiscence,
extensive or complicated
(For packing or simple secondary wound closure, see
12020, 12021)
Page 13 of 18
Excision--Debridement 2007 CPT Codes


2007 CPT CODES DESCRIPTION
SURGERY/INTEGUMENTARY SYSTEM
Skin, Subcutaneous and Accessory Structures
11010 Debridement including removal of foreign material
associated with open fracture(s) and/or dislocation(s);
skin and subcutaneous tissues
11011 skin, subcutaneous tissue, muscle fascia, and
muscle
11012 skin, subcutaneous tissue, muscle fascia, muscle
and
bone
11040 Debridement; skin, partial thickness
11041 skin, full thickness
11042 skin, and subcutaneous tissue
11043 skin, subcutaneous tissue, and muscle
11044 skin, subcutaneous tissue, muscle and bone






Page 14 of 18


References
http://www.nlm.nih.gov/medlineplus/ency/imagepages/19616.htm (National Library of
Medicine pictures)
American Medical Association. 2007 Current Procedural Terminology Standard Edition.
Chicago, IL., page 51.
http://tpub.com/content/medical/10669-c/css/10669-c_101.htm: (wound repair
definitions)
http://www.google.com/search?hl=en&ie=ISO-8859-1&q=abrasion+picture
http://images.google.com/imgres?imgurl=http://www.uniquelyemu.com/images/abrasi6.j
pg&imgrefurl=http://www.uniquelyemu.com/pics_abrasion.htm&h=288&w=234&sz=8&tb
nid=J 1WVlnPKT6mNoM:&tbnh=115&tbnw=93&prev=/images%3Fq%3Dabrasion%2Bpi
cture&start=2&sa=X&oi=images&ct=image&cd=2 (abrasion picture)























Page 15 of 18
TEST QUESTIONS
A Guide to Wound Repair Coding
Course # 1221207

Directions:
Before taking this test, read the instructions on how to correctly complete the answer
sheet.
Select the response that best completes each sentence or answers each question
from the information presented in the module.
If you are having great difficulty answering a question, go to www.ncctinc.com and
select CE/Renewals, then select CE Update to see if course content and/or a test
question have been revised.
Code ONLY the wound repair codes. Modifier 51 is the only modifier that will
be utilized for this test.



1. A four-year-old patient came into the emergency department after she fell off a
swing and scraped her arm. The physician examined the abrasion and
documented that she required a 4.3 cm simple repair on her left arm.

a. 12001
b. 12002
b. 12013
c. 12014


2. A 52-year-old male patient slipped on a wet floor in a local restaurant. The
patient collided with a bus boy, landed on a dirty fork, and cut himself on a
broken plate. The restaurant manager recommended that the fork stay where it
was to prevent heavy bleeding. The puncture wound measured 2.8 cm on his
index finger. The patient also had a 3.4 cm laceration on his index finger from
the broken plate. The physician performed a 2.8 cm intermediate repair on the
patients index finger and a 3.4 cm simple repair of the laceration on his index
finger. Normal debridement was performed.

a. 12042, 12002-51
b. 12002, 12042-51
c. 12042
d. 12004

Page 16 of 18

3. The patient got his finger caught in the car door when his brother accidentally
shut the door on him. Part of the patients right middle finger was hanging to the
side. The patients mother rushed him to the hospital after wrapping his finger in
a tee shirt to help stop the bleeding. Patient was very distressed and in pain.
The surgeon performed an immediate 7.5 cm complex repair to the patients right
middle finger to reattach the finger.
a. 13121
b. 13120, 13121-51
c. 13131, 13132-52
d. 13132


4. A police officer suffered a series of knife wounds to the chest while on duty. The
physician performed a 2.6 cm intermediate repair, a 5.2 cm intermediate repair, a
3.7 cm complex repair and an 8.4 cm simple repair.

a. 13100,13101-51,12033-51,12034-51
b. 12032,12034-51, 13100-51
c. 13101,12034,12004
d. 13101, 12034-51,12004-51


5. A 6-year-old girl fell on a nail while her father was repairing a shelf in the garage.
The nail is stuck in her right hand with minimal bleeding. The patient had a
tetanus shot about 18 months ago. The physician performed a 1.2 cm
intermediate repair to heal the puncture wound and applied an adhesive strip to a
small abrasion on her forearm.

a. 12041
b. 12041-51
c. 12041-RT, 12001-51
d. 12001-51


6. A 55-year-old woman came into the Emergency Department at 7:52 am with
several lacerations on her chest and scalp. She was standing on a chair in the
kitchen trying to reach the jelly jar at the top of the storage cabinet. The jelly jar
broke and several pieces of glass were embedded in her wounds. The doctor
irrigated the wound to remove all the debris before performing an 8.5 cm
complex repair on the side of her chest and a 2.5 cm complex repair on her
scalp.

a. 13101, 13102-51
b. 13101, 13102, 13120-51
c. 13102, 13120-51
d. 13101 x 2

Page 17 of 18

7. A 25-year-old female patient was injured in a motor vehicle accident when she
lost control of her car and ran into a tree. The physician performed a 3.7 cm
complex repair to her upper lip, a 10.5 cm complex repair to her cheek and a 4.2
cm intermediate repair to her thigh.

a. 13132, 13151-51,12031
b. 13132, 13152-51, 12032-51
c. 13132, 13133, 13152-51, 12032-51
d. 13132, 13133-51, 13152-51, 12031-51


8. A construction worker fell 1 floors while building a house. He landed on a bed
of nails, plywood and other debris. He had several lacerations to his arms, chest
and face. The physician repaired a 5.9 cm complex repair to his chest, an 8.2
cm complex repair to his arm, a 4.9 cm intermediate repair to his cheek and a 2.5
cm intermediate repair to his lip. Because of the gross contamination of the
wounds, the physician performed a prolonged cleansing using partial thickness
debridement.

a. 13122, 13101, 12052-51, 12053-51
b. 13121, 13122-51, 11041, 11404-51
c. 13121, 13122, 13101-51, 12053-51, 11040-51
d. 13122, 13101-51, 13102-51,13121-51


9. A 28-year-old woman was plucking her eyebrows while at a stop light on the
highway. A car going about 30 miles per hour hit her from behind. She suffered
a 4.2 cm laceration to her forehead. The physician performed an intermediate
repair. The physician is uncertain if the patient will sustain a scar so a referral
was made to a plastic surgeon.


a. 12052
b. 12034
c. 12052, 12034-51
d. 12051, 12052-52


10. A young boy was skateboarding down the long stone stairs at the Capital
Building, and wounded himself when his board flipped to the side. The patient
was going quite fast and suffered a serious abrasion to his nose and his arm.
The physician performed a 7.6 cm complex repair to his nose and a 7.4 cm
intermediate repair to his knee.

a. 13121, 13153-51
b. 13152, 13153, 12032-51
c. 13152, 12032-51
d. 12045, 12046, 13152-51
Page 18 of 18

11. A 43-year-old woman was hurt at work while using a box cutter to open a
package. Patient was ordered by her work to go to the Emergency Department
to have her incision evaluated. The physician performed a 1.7 cm one-layer
closure on her left hand.

a. 12031
b. 12002
c. 12011
d. 12001


12. A 14-year-old male patient was dared by his friends to jump from his homes
room to his neighbors roof. He was knocked unconscious and received several
lacerations and abrasions to his chest, face, head, and legs. He was rushed to
the Emergency Department where he was evaluated by a physician. The
physician performed a 9.5 cm complex repair to his scalp, a 7.5 cm complex
repair on his chest, a 3.4 cm intermediate repair on his lip, an 8.4 cm
intermediate repair on his left leg, and a 5.5 cm intermediate repair on his right
leg.

a. 13121, 13122, 13101-51, 12035-51, 12052-51
b. 13121, 13101-51, 12035-51, 12052-51
c. 13122, 13101-51, 12034-51, 12032-51
d. 13132, 13133, 13101-51, 12034-51, 12032-51






*End of Test*