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Understanding Medical Coding

Certified Registered Nurse Anesthetist (CRNA) A Registered Nurse licensed by the state of practice who has completed a Nurse Anesthesia program, credentialed as a CRNA, who provides the same anesthesia services as an Anesthesiologist
Epidural Located over or upon the Dural
General Anesthesia A state of unconsciousness, produced by anesthetic agents, with absence of pain sensation over the entire body
Local Anesthesia Anesthesia confined to one part of the body
Moderate Sedation A decreased level of consciousness during a procedure without being put completely to sleep. The patient is able to respond to verbal instructions and stimulation
Regional Anesthesia The production of insensibility of a part by interrupting the sensory nerve conductivity from that region of the body
Atrium Upper chamber of the heart
Cardiomyopathy A condition or general term describing a problem with the heart muscle
Endocardium The innermost layer of tissue that lines the chambers of the heart
Myocardium The muscular tissue of the heart
Pericardium Sac surrounding the heart
Septum The dividing wall or muscle between the right and left sides of the heart
Tricuspid Valve 3 Separate leaflets or cusps are found in this critical valve
Ventricles The 2 lower chambers of the heart
Achalasia The inability of a muscle to relax
Aphakia Absence of the crystalline lens of the eye
Base Units Values assigned to each anesthesia CPT Code to reflect the difficulty of the anesthesia service, including preoperative and postoperative care and evaluation
Benign Lesions A non-cancerous injury, wound, or infected patch of skin
Biopsy Tissue or organ removal for study or examination
Catheter A tubular, flexible instrument for withdrawal of fluids from, or introduction of fluids into, a body cavity
Definitive Diagnosis Diagnosis based upon physician findings; the determination of the illness, or disease is made by the physician
Echocardiogaphy (ECHO) An ultrasound of the heart used to diagnose cardiovascular diseases and cardiac valve disorders
Electrocardiogram (EKG or ECG) The recording of the electrical activity of the heart
Endoscopy Inspection of organs or cavities by use of a tube through a natural body opening or through a small incision
Fissure A groove, split, or natural division
Fistula An abnormal tube-like passage from a normal cavity to another cavity or surface
Malignant Lesion Having the properties of a nearby invasive and destructive tumor growth and metastasis changes in the tissue
Sphincter A muscle that constricts an orifice
Physical Status Modifiers A 2-digit amendment to the anesthesia CPT Codes that describes the physical status of the patient who is receiving anesthesia
Closed Fracture One in which the fracture site does not communicate with the outside environment
Dislocation A complete separation of the bone from its normal position in a joint
Open Fracture One in which the fracture site communicates with the outside environment
Created by: jeffypop