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2018 Medical Coding Training: CPC

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
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Term
Definition
show skin  
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show the outermost portion of skin; comprised of many layers but does not contain blood vessels; contains pigment melanin; composed of stratified squamous epithelium; thinner on the eyelids and thicker on the palms and soles  
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dermis   show
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show located under the dermis; primarily fat cells that give the skin a smooth appearance and act as cushioning; not a layer of skin, but is just below it  
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show Fine Needle Aspiration; a diagnostic procedure most often used to determine the nature of superficial (just under the skin) lumps or masses.  
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squamous cells   show
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basal cells   show
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melanocytes   show
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show papillary layer (upper portion) and reticular layer (lower portion)  
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FBR   show
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show skin, hair, and nails  
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Functions of the skin   show
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show stratum corneum, stratum lucidum, stratum granulosum, stratum spinosum, stratum basale  
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Stratum Corneum   show
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show A clear or translucent layer found only in the palms and soles.  
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show The Keratinocytes in this layer lose their nuclei and cytoplasm and appear less granular.  
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Stratum Spinosum   show
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Stratum Basale   show
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debridement   show
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Biopsy   show
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Calculus   show
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Corn   show
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show Refers to a penetration or an opening with a sharp edge, surgical incision. Surgical cutting instruments used for cutting, include scalpels, drills, burs, saws, scissors, or rongeurs.  
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Icthyosis Follicularis (Karatosis Pilaris)   show
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Seborrheic Keratosis   show
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show To remove by cutting off, or peeling away the other coat. To gradually decrease or diminish the surface or part of something.  
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show A congenital, often hereditary, thickening of the stratum corneum of the skin in the palms and soles, sometimes with painful lesions resulting in the formation of fissures.  
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Seed Corn   show
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show Has much thinner surface than other corns and usually occurs between the 4th and 5th toes.  
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show Slightly raised flat papules, which are generally associated with aging and exposure to sunlight, which can become cancerous.  
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show Form of the melanocytic nevus, which presents itself with a skin-colored mole elevated from the skin's surface, generally associated with hair growth. These moles are benign and slow growing.  
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show Most common benign lesion in older patients caused by epidermal proliferation and keratin cysts.  
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show Skin growth caused by HPV virus.  
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Rhinophyma   show
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show Skin infection caused by molluscum virus, which results in raised lesions and bumps.  
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show Small reddish-brown or flesh-colored papules about 0.1-0.3 cm on side of nose or medial portions of cheeks, which contain fibrous tissue.  
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Cauterization   show
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show Small wart-like growth from the epidermis layer of the skin or mucous membrane, which is generally benign.  
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show Lesion that arises from the basal cells of epidermis. Rarely spreads to other sites beyond the original tumor site.  
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show A conical-shaped lesion that resembles a horn above the surface of the skin, which is composed of compacted keratin.  
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show Refers to a benign, fibrous tumor.  
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show These are skin growths, which are harmless, benign, painless, and typically acquired. Present in the creases, such as the neck, armpit, groin, buttock folds, under breasts, and eyelids as projections from the surface of the skin.  
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show Churchspire-like projections of epidermal cells on the skin, which is a few millimeters in size, present in the lower extremities of older individuals.  
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Acrochordon   show
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Keratoacanthoma (KA)   show
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show This is a malignancy of the epithelial cells. Major form of skin cancer, which can also occur in the lining of the digestive tract, mouth, esophagus, urinary bladder, prostate, lung, vagina, and cervix.  
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show Caused due to proliferation of pigment cells such as the melanocytes.  
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Dermatology   show
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Vascular Lesions   show
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Squamous Cell Carcinoma (SCC) in situ   show
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show Scaly, crusty lesions caused by damage from the sun, typically on face, scalp, lips, and back of hands. If left untreated, up to 10% develop into Squamous Cell Carcinoma (SCC).  
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show Causes single or multiple lesions that are yellowish, soft, small papules on the face of sebaceous glands in adults of middle or older age.  
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show Lesion that arises from the basal cells of epidermis. Rarely spreads to other sites beyond the original tumor site.  
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Hutchinson's Melanotic Freckle   show
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show These are benign lesions, however if left untreated may become malignant skin cancers.  
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show Benign fibrous tumor.  
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Ablation   show
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show Skin infection caused by molluscum virus, which results in raised lesions and bumps.  
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show Skin growth caused by HPV virus.  
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show Most common benign lesion in older patients caused by epidermal proliferation and keratin cysts.  
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Hyponichium   show
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show Cells at the base of the nail that rapidly divide and soon fill with protein, keratin.  
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Eponychium   show
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Nail Bed   show
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Cuticle   show
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Nail Sinus   show
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show An extension of the proximal nail fold, which protects the sides of the nail plate.  
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show Hard translucent portion of the nail, composed of keratin. An average person has 50 layers of keratin cells that make up the nail plate.  
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Lanula   show
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Dermatophytosis   show
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show Most common surgical procedure performed on the nail, which involves the excision of the nail plate body from its attachments which includes the nail bed or proximal nail fold.  
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show Small wart-like growth from the epidermis layer of the skin or mucous membrane, which is generally benign.  
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show Infection of soft parts around the nail or the matrix beneath it.  
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show Also referred to as Ingrown nail, is a growth of one or both lateral margins of the nail into the adjacent soft tissue, causing pain, inflammation, and possible infection.  
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show Fungal infection of the toenails or fingernails.  
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Paronchyia   show
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show Blood and fluid collects beneath the fingernail or toenail. Usually caused by traumatic injury, such as stubbing toe, or hitting finger, leading to increased pressure under the nail.  
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show The complete removal or eradication of an organ or tissue.  
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show The lips are covered on the outside by skin and on the inside by a mucous membrane. The transition zone, where the two kinds of covering tissue meet is the vermilion (red colored).  
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show Refer to excess puckering of skin and/or fat at the end of a surgical incision.  
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Subunit   show
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RSTL   show
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show A surgical technique for cutting the fibers that connect the skin to the underlying fascia.  
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Cellular Dermal Matrix   show
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Autograft   show
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show An instrument for cutting thin slices of skin for grafting.  
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Allogenic graft/allograft/homograft   show
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show A de-epithelialized split-thickness graft, used to minimize poor color match in the recipient site and donor site morbidity.  
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Keloid   show
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Xenograft   show
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show Tissue taken from one person's body and transplanted into another person's body.  
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Skin Mesher   show
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Eschar   show
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Cultured Epidermal Autograft   show
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Split-Thickness Graft or STSG   show
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Transposition   show
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show A rotation flap is similar to an advancement flap except instead of being stretched in a straight line, the flap is stretched in an arc.  
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show Free skin implies the skin is completely detached from the blood supply at the donor site.  
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Advancement   show
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show Semi-circular area of the pelvis.  
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Coccyx   show
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show The greater trochanter is the rounded edge at the top of the femur where the femur meets the pelvis.  
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show The skin has areas of redness over a bony prominence that does not blanch. Blanching means that when pressed, the reddened area turns white briefly and then the color returns to the area.  
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Pressure ulcers, Stage II: partial thickness   show
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Pressure ulcers, Stage III: full thickness   show
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show There is full thickness skin tissue loss and there is exposed bone, tendon, or muscle tissue. There is often tunneling or undermining.  
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show Ankle, back, buttock, coccyx, contiguous site of back or buttock or hip, elbow, face, head, heel, hip, sacral region (tailbone), or other specified site  
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First Degree Burns   show
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Second Degree Burns   show
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Third Degree Burns   show
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Fourth Degree Burns   show
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show With burns, interstitial pressure can rise and may cause impairment of venous outflow, followed by reduced arterial inflow resulting in compartment syndrome.  
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Eschar   show
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Atypical Fibroxanthoma   show
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show Rare type of soft tissue sarcoma in the deep layers of skin, with tentacles that can grow into surrounding fat, muscle, and even bone.  
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show The complete removal or eradication of an organ or tissue.  
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show Rare, slow-growing, usually noninvasive intraepithelial adenocarcinoma outside the mammary gland and includes Paget's disease of the vulva or penis (very rare).  
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show Similar to squamous cell carcinoma, it originates in the skin's hair follicles. It is rapid-growing over a few weeks to months, rarely is it invasive or metastatic.  
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show The lips are covered on the outside by skin and on the inside by a mucous membrane. The transition zone, where the two kinds of covering tissue meet is the vermillion (red colored).  
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show A surgical technique for cutting the fibers that connect the skin to the underlying fascia.  
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show Adipose tissue, connective tissue, ligaments, blood vessels, lymph vessels, and nerves.  
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Lobules   show
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Ductogram/Galactogram   show
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Incision   show
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Medial   show
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show Pertain to the side, in or toward the side.  
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Mamm/o   show
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Lobo   show
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Galact/o   show
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show Milk  
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Breast Abscess   show
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Breast Cyst   show
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Breast Mass or Lump   show
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show Collection of blood due to internal bleeding in the breast tissue as a result of either traumatic or non-traumatic conditions. At times can be caused due to puncture or compression after a breast surgery. Sometimes requires an ultrasound for diagnosis.  
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show A collection of yellow fluid, which is usually the "Serum" component of the blood.  
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Clavicle (Collarbone)   show
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Breast Calcifications   show
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Ductal Carcinoma In Situ (DCIS)   show
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Invasive Ductal Carcinoma/Infiltrative Ductal Carcinoma (IDC)   show
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