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AAPC CPC chapter 9
Respiratory, Hemic, Lymphatic, Mediastinum, Diaphragm
| Question | Answer |
|---|---|
| Spleen: creates and stores new RBC's, phagocytizes bacteria and worn out platelets and RBC's, recycles ____, synthosizes antibodies, hold in reserve monocytes and other bodies crucial to _____ function. | iron, immune |
| Stem cells can be harvested apheresis whereby blood is _____ to remove stem cells. | filtered |
| 4 organs of lymphatic system: tonsils, spleen, _____ gland and peyers patches. | thymus |
| Thymus: plays a role in autoimmunity- preventing the body from _____ itself. Provides T cells. | attacking |
| Peyer's patches: small intestine, prevents _____ from penetrating/infecting intestine wall. | bacteria |
| Pansinusitis: when all sinuses are affected on one or both _____ of the nose. Code based on acute, chronic or ______ status. | sides, recurrent |
| Influenza: ICD combination codes based on the ____ and the manifestations such as respiratory, gastrointestinal, etc. | strain |
| J44 (COPD) and J45 (Asthma) code for uncomplicated and those with _____. | exacerbations |
| Asthma codes: based on severity and if complicated or uncomplicated or _____ asthmaticus. | status |
| Pneumoconiosis: caused by inhalation of _____. Pneumothorax: collapse of _____. | dust, lung |
| _______ lung diseases (ILD): also known as diffuse parynchymal disease- group of lung diseases affecting the interstitium (the tissue and space around the air sacs) | Interstitial |
| Interstitial lung diseases: often cause is from exposure to contaminants like ______, which causes pulmonary fibrosis. | asbestos |
| Z codes to report family _____ of lung/respiratory conditions as secondary codes. | history |
| Vaping related disorders: associated respiratory signs and symptoms are _____ reported separately. | not |
| Bilateral diaphragmatic paralysis: can be caused from cutting of _____ nerve during surgery. Code for what procedure was being done. | phrenic |
| Lymphoproliferative disorders: _____ production of lymphocytes. | over |
| Lymphadenitis: often from a bacterial disease. Certain disorders involving the ____ can cause an increase or decrease in circulating blood cells. | spleen |
| Hyperspleenism: enlarged, _____ spleen, can cause decrease in circulating blood cells. | hyperactive |
| Leukemia: Remission identified in the code: not haveing remission, in remission or in _____. Not having remission also used for failed remission or not otherwise specified. | relapse |
| Vestibular stenosis: narrowing of nasal ______ resulting in airway obstruction. Repairs for this 30465- this code is bilateral. | inlet |
| Choanal atresia: congenital, back of the nasal _____ blocked by abnormal tissue. | passage |
| Intranasal synechaiae: lesions, often result of trauma or _____ | surgery |
| CPT: any time a diagnostic eval is performed all the areas are inspected and a _____ code is not reported of reach area. | separate |
| Diagnostic endoscopies: ______included in surgical endoscopies. If diagnostic scope is done and descision is made to do surgery, only the surgery _____ is coded. | always, scope |
| Dacryocystohinostomy: restores flow of _____ into the nose from the lacrimal sac. | tears |
| Concha bullosa enlargement of nasal turbinate, it may be resected to improve ______ | airflow |
| Maxillary anstrostomy: making opening in maxillary _____ to improve drainage. | sinus |
| Decompression: depending on structure treated, releives an _____ nerve or other structures of the eye. | optic |
| CPT: code with or without _____ for pharyngolaryngectomy. | reconstruction |
| Laryngectomy can be _____ or partial | total |
| Tracheostomy: any tube changes after the tract is established cannot be ______and become a componentof the appropriate E/M service for that visit. | billed |
| Planned tracheostomy (cpt): is a separate procedure that usually wouldn't be coded if performed at the same time as a more _____, related procedure. | extensive |
| 2 types of laryngoscopy: direct and indirect. Indirect- more simple, use of mirrors and _____ to view the larynx. | lights |
| Direct laryngoscopy: viwing larynx , voacal cords and back of _____using laryngoscope. | throat |
| Many (CPT) endoscopy codes include use of ______ or telescope. | microscope |
| Endoscopic stroboscopy: allows examiner to gather info on the virating nature of the ______ cords. | vocal |
| Laryngeal web: ______ malformation of the larynx. Horizontal nexk incision exposes the laryngeal web (between vocal cords), excises the web and puts a _____ between vocal cords . Later it's removed. | congenital, spacer |
| Cricoid split: break in the circular carilage of larynx. The split is _____ and affixed with a wire. | reduced |
| Code for each anatomical site examined with ______. | endoscopy |
| If multiple bronchoscopies done: append modifier ____. Check payers for this to see if compatible. | 51 |
| Bronchial alveolar lavage: sampling of lung ____ by irrigating with saline and then suctioning. | tissue |
| Bronchial thermoplasty: pts with severe asthma, bronchoscope into bronchus then _____ inserted through scope and thermal entegry used to reduce amount of smooth _____ to clear airway. | catheter, muscles |
| Diagnostic thoractotomy: ____ of lung or pleura. | biopsy |
| Decortication: to remove fibrous or scarred pluera adhered to _____. | lungs |
| Chest tubes: required to expand the lungs. Is _____ into lung/thoractomy procedures and chest endoscopic procedures. | bundled |
| Thoractotomy: for definitive diagnosis. Is an inherent part of other _____ lung procedures if it's done as part of procedure it's not coded separately. | open |
| VATS: video ______ thorascopic surgery. | assisted |
| CPT: surgery VATS always include same _____ diagnostic VATS. | session |
| If results of VATS biopsy prompt surgeon to perform surgical VATS to perform malignancy only report surgical _____ code. | VATS |
| Lung transplant codes include 3 ____ areas of work involved in transplant: Donor pneumonectomy, backbench work to prepare the donor lung, _____ lung transplant. | separate, recipient |
| Pneumonolysis: separates chest wall from lungs to make _____. | collapse |
| Apnea: monitor for infants with high risk apnea, codes once per ____ day period. | 30 |
| Inbrication: surgery to ____ diaphragmatic disorder. | treat |
| Spleen: chambers (lobules) which contain 2 types of tissue- red and ____ pulp. | white |
| Spleen: Red pulp: many blood cells, also supplies body with _____. White pulp: spleenic nodules. Generates _____ humoral antibodies. | phagocytes, protective |
| Excision of spleen: many be total or _____ | partial |
| Allogenic bone marrow transplants: from donor person, same ______. | species |
| Lymph nodes incised to drain an abcess: _____ or extensive. Query provider if unsure which. | simple |
| Lymph nodes that lie under muscle or bone are considered ____. | deep |
| Limited Lymphadenectomy: for staging of cancer, to determine if primary neoplasm has ____ | spread |
| Modifier 22: "increased procedural services" when the service is greater than that ______ required for the listed procedure. | usually |
| Modifier 25: "significant separately identifiable E/M service by same _____ on same day of procedure" For when an E/M service occurs on same day as procedure. | physician |
| Modifier _____ "muliple procedures" more than one procedure or service done during same session . Many payers now use software that automatically detects _______ procedures. | 51, 2nd |
| Modifier 57: decision for _____ | surgery |
| Modifier 58: post-op period if procedure or service was: ______ at time of original procedure, more extensive than original procedure, for therapy ______ a diagnostic surgical procedure. | planned, following |
| Do Not Use modifier _____ if pt needs f/u procedure cause of surgical complication or unexpected post-op findings, arising from the initial surgery. | 58 |
| Modifier 59: "Distinct procedural service" to identify procedures that are distinctly _____ from any other procedure provided on same day. | separate |
| May append modifier 59 when provider: treats a pt during a different session, treats a _____ site or organ system, makes a separate incision/excision, treats a separate ______. | different, injury |
| Do not append modifier ____ to E/M codes and if a more specific modifier available, choose that. | 59 |
| Modifier 79: "Unrelated procedure or service by same physician during the post-op period." Unrelated surgery by _____ physician during global period of a previous surgery. | same |
| En bloc: in total or in _____, single piece. | full |
| Medicare pulmonary rehab codes are in HCPCS- "Therapeutic Procedures" ______ report supplies used during pulmonary rehab. | Separately |
Created by:
mlovest
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