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AAPC-- CPC chapter 8
Musculoskeletal
| Question | Answer |
|---|---|
| Smith's Fracture: similiar to Colle's fracture except the bones are displaced toward the ____ | palm |
| Colle's Fracture: fracture of wrist at distal ____, sometimes ulnar styloid is involved. | radius |
| Jones fracture: stress fracture of the _____ metatarsal of the foot. | 5th |
| Salter-Harris fracture: Epiphyseal plate fracture, commonly in _____ | children |
| Dupuytren's Fracture: fracture of distal _____ with rupture of distal tibiofibular ligaments and lateral displacement of talus. | fibula |
| Monteggia's fracture: fracture of the proximal third of the ulna with _____ of radial head. | dislocation |
| Medial Collateral (MCL) and anterior cruciate (ACL) are the _____ knee injured structures. | most |
| Bucket handle: tear of lateral _____ due to old tear or injury, is common. | meniscus |
| Bucket handle occurs when inside portion of meniscus ____ off, staying attached on both sides and creating what looks like a a bucket hande. | tears |
| Dorsopathies: disorders affecting spinal column. Most codes according to what _____ of spine- cervical, thoracic, lumbar. | part |
| Dorsopathies: 4th character: type of disorder. 5th character: _____ of spine | area |
| Spondylosis: osteoarthritis of ____, inflammation | spine |
| Ankylosis: stiffening of the _____ | joint |
| Rheumatism: painful disorder of joints, _____, or connective tissues. | muscles |
| Enthesopathies: disorders of _____ | ligaments |
| _______: also called synovitis. Inflammation of tissue surrounding joint. | Capsulitis |
| Compartment _______: traumatic and non-traumatic | syndrome |
| Nursemaids Elbow: common in ____ children | small |
| Subluxation: partial dislocation of joint. Dislocation is _____. | complete |
| If fracture not indicated whether it's displaced or non displaced: code it as _____ | displaced |
| ____ codes are not used for traumatic after care fractures. | Z |
| HNP: herniated _____ pulposus | nucleus |
| Compartment syndrome: if doesn't specify- _____ is default code. | traumatic |
| Closed treatment: fracture not treated with making an ______ into site | incision |
| Closed treatment without manipulation: _____ or splint, etc. used (skin traction) | cast |
| Closed treatment with manipulation: realigning the fracture or dislocation, specify with or without _____ | traction |
| Closed treatment without traction: usually worded "with manipulation or _____ traction: | without |
| Percutaneous skeletal fixation: treatment is neither open or _____. X rays to verity the fracture can be treated with fixation (Ex screws/pins) through the ____ and into the bone without making incision to expose bone. Small stab wounds. | closed, skin |
| Codes for application of external fixation are reported separately only when ____ listed as part of basic procedure. | not |
| Modifier 58 for staged or related procedure or service by the ____ physician during the post-op period for repeat reductions. | same |
| Modifier ____: repeat procedure or service by same physician for same date or global period. | 76 |
| Modifier 78: unplanned return to OR by same physician following ____ procedure for related procedure during post-op | initial |
| Modifier 54: surgery care services only to a fracture treatment code when physician is only doing the initial fracture care treatment and the f/u is done by ______ physician during global period. | another |
| Gunshot or _____ wounds have their own category- trauma/penetrating and coded specific way. | stab |
| Some biopsies coded as superficial or ____ excisions. Muscle biopsy considered superficial when muscle is _____ to the skin. | deep, close |
| For code 20525- deep or complicated is if foreign body is below ______ | fascia |
| Injection of a substance doesn't include the drug itself: the drug may be ______ separately | billed |
| Codes 20670-20680 for removal of _____ are reported more than once if the harware need to be taken out from more than one fracture site involved. | implants |
| Modifier _____: "distinct procedure service is required" | 59 |
| If more than 1 incision made or multiple hardware items being removed from one fracture: report the code _____ | once |
| 20692 Application of multiplane fixation, external device: rings attached by multiplane external longitudinal rods, making complete ____ around limb. | circles |
| Add-on codes 20700-20705 for the manual mixing and preparation of _____ or other therapeutic agents with a carrier substance, then shaping the mixture into a delivery device (Ex: beads, nails, spacers). | antibiotics |
| Replantation codes: when surgeon is replanting a digit or limb after _____ amputation. | complete |
| If digit or limb is amputated partially, usde specific codes for _____ of bones, ligaments, tendons, nerves or blood vessels. | repair |
| Codes 20802-20838: to identify the replantation of specific ____ part. These codes include attachments of all underlying structures, associated with complete amputation. | body |
| Incomplete amputation: report specific codes for reattachment of bones, tendons, etc. Append modifier 51 or ____ if able. | 59 |
| Morselized bone: bone in ____ form. | particle |
| Monocortical: graft of cortical bone removed from outer _____ of the illium. | cortex |
| Bicortical: graft of cortical bone removed as one piece from the inner and outer portions of _____. | ilium |
| Tricortical: graft of cortical bone from Ilium that includes anterior-superior iliac spine and both the innter and outer iliac cortex as a _____ peice. (Ex: having 2 layers of exeternal bone surfaces). | single |
| Add-on code 20939: is only used for _____ procedures when bone marrow is aspirated to complete bone graft. Reported twice when done bilaterally and not with modifier 50. | spinal |
| Microsurgery: includes not only the anastomosis (connecting) of blood vessels less than 2 mm in ______ but also the anastomosis of individual nerve fibers. | diameter |
| LeFort Procedures and fractures: of upper jaw and ____. Also referred to as Guerin's fracture. | skull |
| LeFort Procedures and fractures: if performed on one side only report 21195 and append modifier ____. | 52 |
| 2 surgeons working together on one surgery: both surgeons bill _____ CPT code with modifier 62 | same |
| Vertebroplasty: on a compression fracture of vertebra by percutaneously creating a ____ in bone and injecting bone cement for stability. | cavity |
| Arthrodesis: immobilization of a joint intended to result in bone _____ | fusion |
| When coding spinal instrumentation: Segmental-fixation at each end of the contruct (rod) with at lease one ______interposed bony attachment. | additional |
| When coding spinal instrumentation: Non-segmental- fixation at each end of the contruct only and may span _____ vertebral segments without attachment to the intervening segments. | several |
| Spinal instrumentation: used to treat abnormal spinal _____ (Ex: scoliosis). These are add-on codes. | curvature |
| Add-on insertion codes: when new hardware inserted for first time or when new hardware put in which exceeds the previously place hardware and ____ is removed. | old |
| CPT- Differentiate whether tendons are worked on _____ or just single tendon through same incision. | together |
| Tendon repair: (bundled) Included- extension to expose the entire tendon, _____ and closure of the tendon sheath, application of immobilization or other devices for post-op therapy. | repair |
| Tendon repair: Not included: harvesting and insertion of tendon grafts from a _____ site using code 20924, repair of nerves and/or arteries and fracture fixation. May be reported in ____ to. | distant, addition |
| Procedure "extra Articular:" performed on the outer portion of the _____ | joint |
| Mosiacplasty: procedure where celindrical osteochondral (bone and cartilage) _____ are removed from donor site and transplanted to holes prepared at the recipient site. | grafts |
| Diaphyseal fractures: from force by direct blow or from indirect force at the _____. | knee |
| Cheilectomy: surgery to _____ metatarsal-phalangeal joint (Ex: hammertoe) | correct |
| Bunionectomies: involve removal of part of bone and coded based on _____ of bone removed. | portion |
| ESW: energy ______ waves- treatment of plantar facia and specific to plantar faciitis. | shock |
| When the cast or strapping is a replacement for the first cast within or after the f/u period the code for cast ______ is reported. | application |
| Surgical arhroscopic procedures always include a diagnostic arthroscopy of the _____ joint. If no CPT code it is not permissable to code the ____ procedure for the arthroscopy. | same, open |
| When diagnosis scope is followed by an open procedure such as arthrotomy code _____ procedures and append modifier 59 to diagnostic scope code. | both |
| If surgeon performs surgery in different compartments of _____ only report 1 code, only bill for 1 procedure. | knee |
| When repairing malunion of femur there are different codes for repairing with or without _____ | graft |
| L codes: orhotic and prosthetic procedures and supplies that are _____ used for musculoskeletal procedures and services. | mainly |
| E codes: many used with musculoskeletal and orthopedic services such as _____, crutches, wheelchairs, walkers, tractions devices etc. | canes |
| Modifiers for indicating the side of ____ for orthopedic procedures. | body |
| Modifier 50 "bilat procedure" 1st check with payer to determine if the codes should be separated with modifiers LT and RT for each side or if they prefer a _____ code with modifier 50 | single |
| Modifier 58 "staged or related procedure or service by same physician during post-op period"- append this when an additional procedure was _____ or related to the initial. Ex: reconstruction of cleft lip needs 2nd or 3rd surgery. | planned |
| Modifier 59 "Distinct procedural service" indicates a service should not be considered ______ when it normally might be. | bundled |
| Morton's neuroma: _____ nerve usually causing pain between 3rd and 4th toes. | pinched |
Created by:
mlovest
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