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WorksheetsSurgery Codes 2025
Total questions: 73
Worksheet time: 6hrs 32mins
Physician note states "patient has ductal carcinoma of the rt breast UOQ. Patient will follow up with me at my office as outpatient to schedule Mastectomy and Chemotherapy."
What is the Reason for No surgery of Primary site code?
8
1
6
9
Surgery is not performed for the right breast malignancy because the patient is considered a surgical risk.
What is the reason for no surgery code?
1
2
7
9
Patient had a breast biopsy on 02/01/25. Patient then had lumpectomy on 02/09/25 followed by radiation on 02/26/25 and hormone therapy on 04/01/25. What is the date of First Course Treatment? (traditional)
02/01/2025
02/09/2025
02/26/2025
04/01/2025
CT Chest reports lung cancer in RUL of lung and two mediastinal LNs positive for mets. What is the Regional Nodes Positive code?
00
02
98
99
A breast case is two separate primaries as determined by the STR Manual. The pathology report states "3 of 11 lymph nodes positive for metastasis" with no further information available. Which primary do I code the positive LNs to (Regional LN Positive field)?
highest histology
lowest histology
just pick one
both
Surgery performed pathology revealed margins grossly positive. What is the surgical margins code?
0
1
2
3
Patient had lumpectomy with regional axillary LN dissection and sentinel lymph node biopsy. Path revealed 2 out of 4 axillary LNs positive and 1 out of 2 sentinel LNs positive. What is the Sentinel Lymph node positive code?
00
02
03
01
When surgery of primary site is coded to A980, what is the surgical margins code?
0
1
2
9
Patient had a biopsy of the breast for suspected cancer. Pathology revealed negative for malignancy. What is the Surgical Diagnostic and Staging Procedure code?
00
01
02
09
Which Surgery Codes have tumor destruction with no specimen sent to pathology?
A100-A190
A000
A200-A800
all have path
Patient PET/CT scan shows a single periaortic lymph node suspicious of cancer. Biopsy of the lymph node was performed and reveals Hodgkin lymphoma. What is the Surgical Diagnostic and Staging Procedure code?
00
01
02
09
Patient had a lobectomy with a mediastinal LN dissection of 6 lymph nodes. What is the Scope of Regional Lymph node code?
4
5
04
05
How do I code Reason for No surgery of Primary site for the following case? Surgery was part of the first course treatment but was cancelled due to complete response from chemotherapy.
1
6
7
9
Patient had an attempted sentinel lymph node biopsy but no lymph nodes were found. What is the Scope of Regional lymph node surgery?
0
1
2
6
Patient had a positive single lymph node aspiration followed by lymph node dissection showing 2 out of 9 nodes positive. How do I code regional nodes positive and regional nodes examined?
RNP-02
RNE- 09
RNP- 03,
RNE- 10
RNP- 02, RNE- 10
RNP- 03, RNE- 09
Surgery is performed, pathology reveals margins indeterminate. How do I code surgical margins?
0
3
9
7
Patient has a TURP (with pathology) w/ Cryosurgery for prostate cancer. What is the surgery code?
A240
A200
A190
A500
How do I code Reason for No surgery of Primary site for the following case? Patient presented to my facility for breast biopsy. Pathology revealed Ductal Carcinoma.
0
1
8
9
Patient had a brain resection that showed metastatic breast carcinoma. This surgery was part of a first course treatment. How do I code Surgical Procedure of Other Site?
0
1
2
4
Patient with prostate cancer had laser ablation surgery. What is the Surgical Approach code?
0
1
3
9
Patient had cryosurgery of esophagus without pathologic specimen. What is the surgery code?
A100
A130
A230
A250
Patient had a proximal subtotal gastrectomy performed for stomach cancer. What is my surgery Code?
A300
A330
A400
A410
Patient had a Hartmann's Operation performed for rectal cancer. What is my surgery cancer?
A200
A300
A400
A500
Patient had a endoscopic polypectomy performed for colon cancer. What is my surgery code?
B260
B280
B290
B200
Patient had a Abdominal perineal resection w/ left inguinal lymph node dissection for anal cancer. What is my surgery code?
A600
A620
A630
A610
08/29/21 Breast US: 2.8cm mass RT Breast, enlarged axillary lymph node. 08/19/21 needle core biopsy of breast mass and enlarged lymph node revealing ductal carcinoma with mets ductal carcinoma in axillary lymph node. What is my Regional LN Pos?
00
01
95
97
08/29/21 Breast US: 2.8cm mass RT Breast, enlarged axillary lymph node. 08/19/21 needle core biopsy of breast mass and enlarged lymph node revealing ductal carcinoma with mets ductal carcinoma in axillary lymph node. What is my Regional LN examined?
01
95
96
97
08/29/21 Breast US: 2.8cm mass RT Breast, . 08/19/21 needle core biopsy of breast mass revealing ductal carcinoma. What is my diagnostic staging procedure?
01
02
05
06
What is not one of the major curative treatments?
Hormone
Surgery
Palliative
Radiation
What is it called when treatment is performed prior to surgery?
Neoadjuvant
Adjuvant
Systemic
Palliative
____ is an exploratory surgery that involves abdominal organs.
Thoractomy
Laparotomy
Robotic
NOTES
What surgical approach uses high intensity light to treat cancer?
Radiofrequency ablation
Laser Ablation
Cryosurgery
Endocrine Surgery
Patient had a esophagogastrectomy performed for Eshophageal cancer. What is the surgery code
A400
A530
A520
A800
Patient had a lobectomy with chest wall resection for lung cancer. What is the surgery code?
B300
B330
B450
B460
Patient has a laser excision w/ path specimen performed for lung cancer. What is the surgery code?
B120
B240
B130
B230
Patient had a lumpectomy and 3 days later had a re-excision of site for residual disease for breast cancer. What is the surgery code for the second surgery?
B200
B210
B240
B290
Patient had a wedge resection performed for kidney cancer. What is the surgery code?
A300
A270
A400
A500
Patient had a bilateral skin sparing mastectomy performed for breast cancer. What is the surgery code?
B320
B400
B300
B520
Patent had a kidney and partial adrenal gland removed for kidney cancer. What is the surgery code?
A270
A500
A400
A700
Patient had bladder removed with ileal conduit for bladder cancer. What is the surgery code?
A600
A500
A700
A610
T/F We code patient refusal of treatment.
True
False
Pathology revealed margins were positive but not visible by the naked eye. How do I code Surgical Margins?
0
1
2
3
Pathology revealed margins were indeterminate. How do I code surgical margins?
0
1
7
9
T/F We include Distant Lymph nodes in Scope of Regional Lymph Node Surgery.
True
False
Surgical dissection pathology report revealed 03/07 regional lymph nodes positive. What is my scope of regional lymph node surgery?
0
4
5
6
On 2/14/25 patient had lumpectomy with regional lymph node dissection of 4 lymph nodes. on 2/21/25 patient had a sentinel lymph node biopsy. How do I code Scope of Regional Lymph node surgery?
1
2
4
7
Patient has a needle aspiration of a single sentinel lymph node. What is my sentinel lymph node examined code?
00
01
95
99
Patient had 5 sentinel lymph nodes biopsied. What is my sentinel lymph nodes examined code?
00
05
95
99
Patient had a sentinel lymph node biopsy. What is my sentinel lymph nodes examined code?
00
01
98
99
Patient presented for lumpectomy with axillary lymph node dissection having 02/05 pos. What is my sentinel lymph node positive code?
00
02
98
99
Patient had a core biopsy of two axillary lymph nodes. What is my Regional lymph node examined?
00
02
95
98
Patient presented to my facility with multiple myeloma (C421) for abd pain. how do I code regional lymph node examined
00
97
98
99
01/24/25 Path: positive single mediastinal lymph node aspiration. 02/10/25 mediastinal lymph node dissection showing 3 of 6 nodes positive. How do I code regional nodes positive and regional nodes examined?
RNE 06, RNP 03
RNE 07, RNP 04
RNE 06, RNP 04
RNE 07, RMP 03
Patient presented for brain mass. Patient had craniotomy w/ resection of brain tumor with pathology revealing carcinoma c/w breast primary. What is my surgical procedure of other site?
0
1
3
4
Patient presented for surgery for right breast cancer. Patient had a bilateral mastectomy performed revealing right ductal carcinoma. What is my surgical procedure of other site?
0
1
3
4
Patient's oncologist advised the patient needed Surgery but the patient refuse. What do I code for Reason for no Surgery of primary site?
0
1
6
7
Robotic-assisted laparoscopic surgery was performed. What is the surgical approach code?
1
2
3
9
BX Report: myeloproliferative disease (C421). What is the surgical margins code?
0
7
8
9
Polypectomy was performed with out tissue specimen. What is the margins of primary site code?
0
7
8
9
Surgery to the chest is called what?
thoracotomy
Laparotomy
NOTES
Chestrectomy
During ____ the surgeon removes as much of the tumor as possible to decrease the tumor burden for later chemo/radiation.
resection
Robotic
debulking
NOTES
Patient PET/CT scan revealed a multiple axillary lymph nodes suspicious of cancer. Biopsy of the lymph node was performed revealed diffuse large b-cell lymphoma. How do I code Surgical Diagnostic and Staging Procedure?
00
01
02
09
Patient had an attempted sentinel lymph node but no lymph nodes were found. During the same procedure 2/4 axillary LN were pos. What is the Scope of Regional lymph node surgery?
0
2
3
4
6
Lumpectomy w/ regional axillary dissection and sentinel LN biopsy. Path: 05/07 axillary LN pos, 01/02 sentinel lymph node pos. What is my Regional Lymph node positive code?
05
01
06
97
01/24/25 Path: positive single hilar lymph node aspiration. 02/10/25 mediastinal lymph node dissection showing 3 of 6 nodes positive. How do I code regional nodes positive and regional nodes examined?
RNE 06, RNP 03
RNE 07, RNP 03
RNE 06, RNP 04
RNE 07, RNP 04
Lymph-vascular invasion is the presence of tumor cells in the
Distant mets
Lymph nodes
Lymphatic Channels or blood vessels
the thymus
08/12/25 lumpectomy: ductal carcinoma, 1/1 SLN pos. 09/02/25 right axillary ln dissection with 02/08 axillary LN pos. What is the code for surgical procedure of primary site?
B000
B200
B210
B215
08/12/25 lumpectomy: ductal carcinoma, 1/1 SLN pos. 09/02/25 right axillary ln dissection with 02/08 axillary LN pos. What is the code for Scope of regional lymph node surgery?
0
2
6
7
09/15/25 patient had a punch biopsy revealing melanoma. 10/21/25 operative report: wide local excision of right upper arm lesion w/ 3.5 cm margins. w/ right sentinel lymph node biopsy. Pathology: 3.4mm, 3.5 cm margin of healthy tissue present. 08 SLN pos. What is the code for Surgical Procedure of Primary Site for 10/21/25?
B230
B500
B520
B530
10/21/25 operative report: wide local excision of right upper arm lesion w/ 3.5 cm margins. w/ right sentinel lymph node biopsy. Pathology: 3.4mm, 3.5 cm margin of healthy tissue present. 08 SLN pos. What is the code for Scope of Regional LN surgery?
2
3
5
7
A hemicolectomy including removal of the small bowel For colon primary. What is the Surgery of other site code?
0
3
4
9
Patient with thyroid cancer presented for thyroidectomy for thyroid cancer. Pathology revealed papillary follicular carcinoma of thyroid. LVI showed small vessel invasion. What is the lymphovascular invasion code.
4
1
2
3
Patient presented for breast mastectomy. pathology revealed ductal carcinoma, grade 2, 2 lymph nodes positive and lymphovascular invasion pos. What is the LVI code?
0
1
4
9
