Certified Coding Specialist (CCS) Practice Exam

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Which statement is true about benign neoplasms of skin?

They are always coded in category D22

Some benign neoplasms have specific exclusions

The statement that some benign neoplasms have specific exclusions is true because certain benign skin neoplasms, while generally regarded as non-cancerous, still have unique coding considerations or specific exclusions based on factors such as their location, type, and characteristics. For instance, conditions like certain dermatofibromas may not be coded the same way as other benign lesions due to their potential for particular clinical features or associations that require separate classification.

This understanding of exclusions is important because coding must accurately reflect a patient’s condition for appropriate treatment and research data. Categories in coding systems may have exceptions in the guidelines to ensure accurate representation of the conditions that healthcare providers encounter, influencing everything from treatment to insurance claims.

In contrast, the other statements do not accurately represent the nature of benign neoplasms. For instance, benign neoplasms are not always coded in category D22, as this category specifically addresses benign tumors of the skin but does not encompass all benign neoplasms. Additionally, benign neoplasms do not require surgery for diagnosis, as they can often be diagnosed via clinical examination and imaging techniques, with surgery being an option for removal only if necessary. Lastly, benign neoplasms are, by definition, not malignant, which is contrary to the

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They require surgery for diagnosis

They are always malignant

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