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Surgery Codes 2025

Total questions: 73

Worksheet time: 6hrs 32mins

Name
Class
Date
1.

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?

a)

8

b)

1

c)

6

d)

9

2.

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?

a)

1

b)

2

c)

7

d)

9

3.

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)

a)

02/01/2025

b)

02/09/2025

c)

02/26/2025

d)

04/01/2025

4.

CT Chest reports lung cancer in RUL of lung and two mediastinal LNs positive for mets. What is the Regional Nodes Positive code?

a)

00

b)

02

c)

98

d)

99

5.

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)?

a)

highest histology

b)

lowest histology

c)

just pick one

d)

both

6.

Surgery performed pathology revealed margins grossly positive. What is the surgical margins code?

a)

0

b)

1

c)

2

d)

3

7.

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?

a)

00

b)

02

c)

03

d)

01

8.

When surgery of primary site is coded to A980, what is the surgical margins code?

a)

0

b)

1

c)

2

d)

9

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?

a)

00

b)

01

c)

02

d)

09

10.

Which Surgery Codes have tumor destruction with no specimen sent to pathology?

a)

A100-A190

b)

A000

c)

A200-A800

d)

all have path

11.

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?

a)

00

b)

01

c)

02

d)

09

12.

Patient had a lobectomy with a mediastinal LN dissection of 6 lymph nodes. What is the Scope of Regional Lymph node code?

a)

4

b)

5

c)

04

d)

05

13.

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.

a)

1

b)

6

c)

7

d)

9

14.

Patient had an attempted sentinel lymph node biopsy but no lymph nodes were found. What is the Scope of Regional lymph node surgery?

a)

0

b)

1

c)

2

d)

6

15.

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?

a)

RNP-02

RNE- 09

b)

RNP- 03,

RNE- 10

c)

RNP- 02, RNE- 10

d)

RNP- 03, RNE- 09

16.

Surgery is performed, pathology reveals margins indeterminate. How do I code surgical margins?

a)

0

b)

3

c)

9

d)

7

17.

Patient has a TURP (with pathology) w/ Cryosurgery for prostate cancer. What is the surgery code?

a)

A240

b)

A200

c)

A190

d)

A500

18.

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.

a)

0

b)

1

c)

8

d)

9

19.

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?

a)

0

b)

1

c)

2

d)

4

20.

Patient with prostate cancer had laser ablation surgery. What is the Surgical Approach code?

a)

0

b)

1

c)

3

d)

9

21.

Patient had cryosurgery of esophagus without pathologic specimen. What is the surgery code?

a)

A100

b)

A130

c)

A230

d)

A250

22.

Patient had a proximal subtotal gastrectomy performed for stomach cancer. What is my surgery Code?

a)

A300

b)

A330

c)

A400

d)

A410

23.

Patient had a Hartmann's Operation performed for rectal cancer. What is my surgery cancer?

a)

A200

b)

A300

c)

A400

d)

A500

24.

Patient had a endoscopic polypectomy performed for colon cancer. What is my surgery code?

a)

B260

b)

B280

c)

B290

d)

B200

25.

Patient had a Abdominal perineal resection w/ left inguinal lymph node dissection for anal cancer. What is my surgery code?

a)

A600

b)

A620

c)

A630

d)

A610

26.

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?

a)

00

b)

01

c)

95

d)

97

27.

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?

a)

01

b)

95

c)

96

d)

97

28.

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?

a)

01

b)

02

c)

05

d)

06

29.

What is not one of the major curative treatments?

a)

Hormone

b)

Surgery

c)

Palliative

d)

Radiation

30.

What is it called when treatment is performed prior to surgery?

a)

Neoadjuvant

b)

Adjuvant

c)

Systemic

d)

Palliative

31.

____ is an exploratory surgery that involves abdominal organs.

a)

Thoractomy

b)

Laparotomy

c)

Robotic

d)

NOTES

32.

What surgical approach uses high intensity light to treat cancer?

a)

Radiofrequency ablation

b)

Laser Ablation

c)

Cryosurgery

d)

Endocrine Surgery

33.

Patient had a esophagogastrectomy performed for Eshophageal cancer. What is the surgery code

a)

A400

b)

A530

c)

A520

d)

A800

34.

Patient had a lobectomy with chest wall resection for lung cancer. What is the surgery code?

a)

B300

b)

B330

c)

B450

d)

B460

35.

Patient has a laser excision w/ path specimen performed for lung cancer. What is the surgery code?

a)

B120

b)

B240

c)

B130

d)

B230

36.

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?

a)

B200

b)

B210

c)

B240

d)

B290

37.

Patient had a wedge resection performed for kidney cancer. What is the surgery code?

a)

A300

b)

A270

c)

A400

d)

A500

38.

Patient had a bilateral skin sparing mastectomy performed for breast cancer. What is the surgery code?

a)

B320

b)

B400

c)

B300

d)

B520

39.

Patent had a kidney and partial adrenal gland removed for kidney cancer. What is the surgery code?

a)

A270

b)

A500

c)

A400

d)

A700

40.

Patient had bladder removed with ileal conduit for bladder cancer. What is the surgery code?

a)

A600

b)

A500

c)

A700

d)

A610

41.

T/F We code patient refusal of treatment.

a)

True

b)

False

42.

Pathology revealed margins were positive but not visible by the naked eye. How do I code Surgical Margins?

a)

0

b)

1

c)

2

d)

3

43.

Pathology revealed margins were indeterminate. How do I code surgical margins?

a)

0

b)

1

c)

7

d)

9

44.

T/F We include Distant Lymph nodes in Scope of Regional Lymph Node Surgery.

a)

True

b)

False

45.

Surgical dissection pathology report revealed 03/07 regional lymph nodes positive. What is my scope of regional lymph node surgery?

a)

0

b)

4

c)

5

d)

6

46.

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?

a)

1

b)

2

c)

4

d)

7

47.

Patient has a needle aspiration of a single sentinel lymph node. What is my sentinel lymph node examined code?

a)

00

b)

01

c)

95

d)

99

48.

Patient had 5 sentinel lymph nodes biopsied. What is my sentinel lymph nodes examined code?

a)

00

b)

05

c)

95

d)

99

49.

Patient had a sentinel lymph node biopsy. What is my sentinel lymph nodes examined code?

a)

00

b)

01

c)

98

d)

99

50.

Patient presented for lumpectomy with axillary lymph node dissection having 02/05 pos. What is my sentinel lymph node positive code?

a)

00

b)

02

c)

98

d)

99

51.

Patient had a core biopsy of two axillary lymph nodes. What is my Regional lymph node examined?

a)

00

b)

02

c)

95

d)

98

52.

Patient presented to my facility with multiple myeloma (C421) for abd pain. how do I code regional lymph node examined

a)

00

b)

97

c)

98

d)

99

53.

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?

a)

RNE 06, RNP 03

b)

RNE 07, RNP 04

c)

RNE 06, RNP 04

d)

RNE 07, RMP 03

54.

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?

a)

0

b)

1

c)

3

d)

4

55.

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?

a)

0

b)

1

c)

3

d)

4

56.

Patient's oncologist advised the patient needed Surgery but the patient refuse. What do I code for Reason for no Surgery of primary site?

a)

0

b)

1

c)

6

d)

7

57.

Robotic-assisted laparoscopic surgery was performed. What is the surgical approach code?

a)

1

b)

2

c)

3

d)

9

58.

BX Report: myeloproliferative disease (C421). What is the surgical margins code?

a)

0

b)

7

c)

8

d)

9

59.

Polypectomy was performed with out tissue specimen. What is the margins of primary site code?

a)

0

b)

7

c)

8

d)

9

60.

Surgery to the chest is called what?

a)

thoracotomy

b)

Laparotomy

c)

NOTES

d)

Chestrectomy

61.

During ____ the surgeon removes as much of the tumor as possible to decrease the tumor burden for later chemo/radiation.

a)

resection

b)

Robotic

c)

debulking

d)

NOTES

62.

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?

a)

00

b)

01

c)

02

d)

09

63.

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?

a)

0

b)

2

c)

3

d)

4

e)

6

64.

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?

a)

05

b)

01

c)

06

d)

97

65.

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?

a)

RNE 06, RNP 03

b)

RNE 07, RNP 03

c)

RNE 06, RNP 04

d)

RNE 07, RNP 04

66.

Lymph-vascular invasion is the presence of tumor cells in the

a)

Distant mets

b)

Lymph nodes

c)

Lymphatic Channels or blood vessels

d)

the thymus

67.

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?

a)

B000

b)

B200

c)

B210

d)

B215

68.

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?

a)

0

b)

2

c)

6

d)

7

69.

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?

a)

B230

b)

B500

c)

B520

d)

B530

70.

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?

a)

2

b)

3

c)

5

d)

7

71.

A hemicolectomy including removal of the small bowel For colon primary. What is the Surgery of other site code?

a)

0

b)

3

c)

4

d)

9

72.

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.

a)

4

b)

1

c)

2

d)

3

73.

Patient presented for breast mastectomy. pathology revealed ductal carcinoma, grade 2, 2 lymph nodes positive and lymphovascular invasion pos. What is the LVI code?

a)

0

b)

1

c)

4

d)

9