Digestive System coding
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| The first step in choosing the correct digestive endoscopic procedure code is to identify the______ of the procedure. | extent
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| The procedure used to develop a artificial opening through the abdominal wall | exteriorization
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| Two words that are important factors in coding hernia repair. | incarcerated/strangulated
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| Endoscopic exam of rectum and sigmoid colon, scope is advanced 6-25 cm. | proctosigmoidoscopy
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| Endoscopic exam of sigmoid colon which may include descending colon. Scope is advanced 26-60 cm. | Sigmoidoscopy
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| Inflammation of venous plexuses around anus. Can be inside and outside. | Hemorrhoids
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| UPP | Urethral Pressure Profile
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| Xray of vessels after injection of contract material | angiography
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| Shaving of the lip | Vermilionectomy
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| Wedge of lip tissue removed and tissue flap placed to repair a defect. | transverse wedge excision
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| Reconstructive procedure in which a graft is taken from a portion of the lip and the non-defective area above the lp and used to repair area of defect. | Abbe-Estlander
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| More than 1/4 of ip surface removed, procedure is considered.... | resection
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| Congenital defect which the muscle and tissue of the lip did not close properly. | cleft lip
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| Flap of skin under the tongue | lingual frenum
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| Incison codes of Pharynx, adenoids and tonsils are assigned based on what? | Location and approach
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| Congenital defect that appears as a gill located on the neck. | branchial cleft
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| Surgical repair of the pharynx | Pharyngoplasty
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| Procedure to create an opening for insertion of a long-term feeding tube. | Pharyngostomy
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| EGD | esophagogastroduodenoscopy
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| Y shapfed surgical connection which the intestine is detached from its original orgin and reattached to bypass part of the stomach and entire duodenum. | Roux-en Y (RNY)
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| Two herni types that affect code selection for hernia repair are.... | strangulated/incarcerated
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| Procedure to decompress renal system by insertig catheter into the kidney while the other end is left open outside to temporarily drain the kidney | nephrostomy
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| exploration of the inside of the kidney | nephrotomy
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| Secondary surgical operation for calculus, includes removal of calculus | nephrolithotomy
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| Patient placed on x-ray table with a water-filled cusion placed under theirback. | ESWL
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| Tests to measure kidney and ureter flow and pressure | Manometric studies
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| LRP | Laprascopic retropubic prostatectomy
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| RAP | Robotic Assisted Prostatectomy
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| TURP | transurethral resection of the prostate
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| TUNA | transurethral needle ablation
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| TUMT | transurethral microwave heat treatment
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| TUVP | transurethral vaporization of the prostate
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| HOLEP | Holmium laser enucleation of prostate
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| Incision into tympanic membrane and reinflation of eustachian tube | myringotomy
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| insertion of small plastic or metal tube allowing fluid to drain | tympanostomy
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| What procedure is the examination of the esophagus, stomach, and duodenum | esophagogastroduodenoscopy
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| ________ is a common anal condition | Abscess
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| The pancreas produces hormones and ________. | enzymes
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| When a colonoscopy with biopsy and polypectomy in separate sites are performed, the biopsy may require modifier ____. | -59
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| The type of treatment used to treat prostate cancer by placing radioactive elements directly into the prostate. | brachytherapy
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| Term that means "surgical cutting into the seminal vesicles." | vesiculotomy
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| The term that describes the study of the motion and flow of urine is | urodynamics
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| Scrotoplasty codes are divided based on whether the procedure was ________. | simple complicated
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| What category of the Epididymis subheading has only one code? | Incision
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| Codes within the Urinary subsection, Kidney subheading, are often divided based on this unique factor: | existence of a stoma
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| Urethral dilatation codes are often divided based on this factor: | initial or subsequent
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| The removal of the eye that leaves the orbital structures intact. | enucleation
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| This is the most commonly performed childhood surgery. | tympanostomy
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| The operating microscope is only used on inner ear procedures. t/f | False
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| A slit lamp is a microscope with a light attached. t/f | True
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| Transparent part of the eye is: | cornea
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| The ciliary body is located behind the: | iris
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| A(n) ________ is a procedure performed for protruding ears. | otoplasty
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| The ossicular chain consists of the hammer, stapes, and anvil. t/f | True
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| Deciding on the code to report for a labyrinthotomy is based on whether a ________ was performed. | mastoidectomy
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| This is a cavelike structure that is dominated by two fluid-filled spaces: | labyrinth
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| What is the type of procedure performed independently of, and is not immediately related to, another service? | separate
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| The divisions of the Radiation Oncology section of the CPT manual are divided into subsections based on what? | type of service
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| What is the standard measure of energy in radiation treatment? | MeV
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| What is the modifier used to identify the professional component of a radiologic procedure? | -26
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| What are the radioisotopes that attach themselves to red blood cells called? | tracer
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| What is the name of the high-frequency sound waves in an imaging process that is used to diagnose patient illness? | ultrasound
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| What is the standard measure of energy in radiation treatment | Megaelectron volts MeV
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| How many levels of Surgical Pathology are there? | 6
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| What type of drug test measures the presence of a drug in the specimen? | qualitative
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| What type of drug test measures the amount of a drug in the specimen? | quantitative
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| What is the name given to grouped laboratory work that represents those tests commonly done together? | panels
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| In what section would you find codes used to report venipunctures and arterial punctures? | Surgery
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| In the Pathology/Laboratory section of the CPT, drugs are listed by their ____________ names. | generic
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| Codes in the Pathology/Laboratory section, Evocation/Suppression Testing include which of the following: | test only
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| A sample of tissue from a suspect area can be divided into which of the following? | block, section
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| What name is given to cultures for identification of organisms as well as the identification of sensitivities of the organism to antibiotics? | culture/sensitivity
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| What is the name of the subsection within Pathology/Laboratory that deals with the laboratory work done to determine cellular changes? | Cytopathology
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| If an established patient is given an immunization at an office visit, and the only service provided was the immunization, what type of codes would you use to report the service? | Only Medicine section immunization/administration codes
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| What word is used to describe the pushing of liquid into the body over a long period of time? | infusion
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| What must always be documented in the patient record and is the major billing factor for the Psychiatric subsection? | time
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| Outpatient dialysis services are billed on what fee basis? | monthly
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| What is the name of the process that routes the blood including waste products outside the body through filters? | hemodialysis
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| What is the name of the dialysis that involves using a body cavity as a filter? | peritoneal
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| What is the name of the procedure that is performed to check the intraocular pressure of the eye? | ophthalmoscopy
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| The Cardiovascular subsection contains many diagnostic and therapeutic procedures and services that are primarily divided as to whether the procedures or services are invasive or ______________________. | noninvasive
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| What is being measured while the sleep testing is being conducted? | parameters
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| What does the abbreviation EMG stand for? | electromyography
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| On what basis are the dermatology codes usually used by the dermatologist who sees patients in the office? | consultation
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| National Codes are not used in which setting? | inpatient
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| What is the term that describeds a surgical opening into the abdomen | laparotomy
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| What type of endoscopy is always included in a surgical endoscopy and would never be reported separately | diagnostic
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| When a hernia can be returned to the abdominal cavity, it is said to be____ | reducible
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| Greatest amount of Male genital system codes are under ___ subheading | penis
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| The _____ area is located behind the abdominal cavity and during surgical procedures is often accessed by an abdominal incision | retroperitoneal
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| A _____ calculus involves at least two calyces and the renal pelvis and accounts for about 30% of the stones reported | staghorn
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| Removal of an accessible stent of kidney when imagine guidance is not indicated is reported using a _____ code | E/M
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| If an obstruction occurs, the urine will not drain and may results in dilation of the collecting system and enlargement of the renal pelvis, known as____ | hydronephrosis
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| Skene's glands procedures are reported using codes from which subsection? | Urinary System
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| Destruction of a lesion is also known as excision t/f | False
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| Would you expect a pathology report to be available for a lesion that was removed by destruction | no
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| Removal of a portion of the vulva | vulvectomy
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| Vulvar area tissue removal that involves the skin and superficial subcutaneous tissues is termed___ | simple
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| The removal of vulvar area is reported with which two measures? | extent and size
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| Vulvar area tissue removal that involves skin and deep subcutaneous tissues is termed _____ | radical
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| This type of vulvectomy involves less than 80% of the vulva | partial
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| This type of vulvectomy involves more than 80% of the the vulva | complete
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| How many endocrine glands are included in the endocrine subsection of the CPT manual | 4
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| The _______ Procedure that is the method used to obtain exposure to a lesion of skull, and _______ procedure is what is done to the lesion | approach, difinitive
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| Most commonly known neuroplasty procedure | carpal tunnel release
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