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AAPC Chapter 12
Urinary system
| Question | Answer |
|---|---|
| Urosepsis: seek clarification from physician if needed, to find out if pt has a ____ or sepsis. Look at ICD guidelines. | UTI |
| Pyelonephritis: if organism causing infection is known use add on code to _____ it. | identify |
| Caculi: reported by _____. Ex: ureter, kidney, lower urinary tract. | location |
| Impaired renal tubular function: conditions causing it include osteodystrophy and nephrogenic _____ insipidus. | diabetes |
| Impaired renal tubular function: code underlying disease ____ then code to describe renal impairment. Provider must document specifically that the condition is ____ by the impaired renal function to code this. | 1st, caused |
| LUTS: lower urinary tract symptoms and you need to code each ____ individually. | symptom |
| Orchitis and epididymitis: when due to another disease- code ____ disease 1st. | underlying |
| Smoking being the main risk factor for ____ and kidney cancer. Bladder cancer is 3-4 x's more common in men than women. | bladder |
| Excision codes describe either total or ____ removal of the organ. | partial |
| Exision: codes selected based on type of imagine, the ____ of lesions being biopsied. Open procedures. | number |
| Renal transplantation allograft: code for backbench reconstruction of donor or cadaver prior to transplant and code selection based on ____ of anastomosis (venous, arterial, ureteral). Report each anastomosis ____. | type, separately |
| Horseshoe kidney: most common type of renal ____ anamoly. 2 distinct functioning kidneys connected by fibrous tissue. More common in ____. | fusion, males |
| Ureter Catheterization: coded with or without _____. | dialation |
| Ureter incisions: specific codes for procedure areas of ureter, Ex: ____ one third of ureter. | lower |
| Edsocopy of ureter: codes based on the _____ (through an established ureterostemy etc) and by the procedure performed by _____. | approach, endoscope |
| The ureterovesical junction: area where ureters meet bladder. 3 major components: lower ureter, trigone ______ (triangular shape), adjacent _____ wall. | muscle, bladder |
| Bladder removal codes: include ______ by needle, trocar or intracatheter. | aspiration |
| Excision of bladder: partial or complete, coded based on the disease being ____, diverticulum or tumor. | removed |
| Urachus: embryonic tube connecting the urinary bladder to the _____ during fetal development that usually closes before birth. | umbillicus |
| Cystectomy: if no lymph ____ dissection, code for base procedure. | node |
| Urodynamics codes: have both professional and technical components. If billed without a _____, the service must be performed in physician's office and equipment needed must be ____ by the physician. | modifier, owned |
| Cystometrogram: (CMG) measures how much fluid the bladder can _____. Codes based on type of ____ done. | hold, study |
| If complete pelvic study was done: bill separately for post void residual determination becasue payment for this is already ____ in full complete pelvic study. | included |
| RAZ procedure: correct uretheral and bladder ____ hyper mobility when there is minimal or no herniation of the bladder into vagina. Lifts the front of the ____ and urethra. | neck, vagina |
| Marshall-Marchetti-Krantz procedure: to alleviate _____. Suprapubic incision. Laproscopic extraperotoneal used to perform modification to this. | incontinence |
| Cystoscopy: identify the specific procedure being done and _____ treated. | area |
| Transurethral surgery: cystourethral scope. For biopsy extracted from ____ and urethra- report only _____ regaurdless of # of biopsies done. | bladder, once |
| Morcellation: solid tissue such as a tumor is ____ into little pieces so then can be removed. | divided |
| Male urethra: divided into 3 sections: prostatic urethra, membranous urethra, ___ urethra. | spongy |
| Transvaginal urethrolysis: cutting obstructive adhesions that fix the urethra to the _____ bone, and performed through incision in vagina. | pubic |
| Manipulation such as urethral strictures, codes selected based on the type of ____, pt's gender, and if anesthesia used. | dialation |
| Dialation: code whether ___ or subsequent. | initial |
| Paraphinosis: _____ trapped in retracted position and can act as a tourniquet. Dorsal split performed, codes based on whether pt is a ____. | foreskin, newborn |
| Peyronies disease: penile _____. There's no incision codes for _____-these are in the epididymus section. | plaque, testis |
| Incision of Vas deferens done to obtain semen sample to test ____ of tubes. This is a separate procedure and should not be reported when a more complex service is done at the _____ site. | patency, same |
| Prostate biopsy: report imaging guidance used. Modifier ____ if procedure done in a facility, no modifier needed if doctor does the service in ____ and owns the equipment and writes interpretation of service. | 26, office |
| Prostatectomy: ususally performed for _____. Codes determined by the approach and whether lymph node _____ or dissection was done. | cancer, biopsy |
| Tunica vaginalis: serous membrane ____ covers the testes formed by an outpocketing of the peritoneum when testes ____. | partially, descend |
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