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1.A 6-year-old boy was bitten by a dog and sustained multiple lacerations as a result. He has a 5 cm laceration on his right lower arm, a 2 cm laceration on his left hand, and a 2.6 cm laceration to the right side of his lower cheek. While in the ER, the wounds were flushed, then the patient was sedated and the arm and hand lacerations were repaired. Intermediate repair was necessary for the facial laceration due to the depth of the wound and layered closure was performed. The patient was also given a tetanus shot and started on antibiotics. What CPT codes would you use for the laceration repairs of this child and what order is correct?
2.A 60-year-old woman presents to her dermatologists office with a reddish brown lesion on her right upper arm. It is approximately 0.8 cm in diameter and is raised. The patient and provider decide to proceed with a shave excision and will send this to pathology for confirmation. The dermatologist suspects this is a benign angiofibroma. The patient receives local anesthetics at the site and the area is excised with a sharp razor. What is the correct code for this procedure?
3.The patient returned to the office one month later for removal of cast on her left lower arm. The original attending physician removed the cast. The physician also examined the arm and determined that no further casting or follow-up was necessary. What is the appropriate code for this service?
4.A 67-year-old male has an intramuscular tumor of his right scalp over the parietal bone that is approximately 3 cm in diameter. It is getting larger and is causing him pain. He elects to have it removed and will have this excised in the OR as an outpatient procedure. Which procedure code is correct?
