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AAPC chapter 14
Endocrine/nervous system
| Question | Answer |
|---|---|
| Pineal gland: resembles a ____, size of a grain of rice. Produces _____. | pinecone, melatonin |
| Dentrites: signals picked up by these travel through cells and ____ and on to the next. Increase the # of possible connections among nerve cells, resemble ____ branches. | axon, tree |
| Brachial plexus: chest, shoulders, _____, hands | arms |
| Solar or Celiae plexus: internal ______. The main portion of vertebra is the _____ or or corpus. | organs, body |
| Vertebral foraman: the opening which spinal cord _____ through. | passes |
| Facet Joints: also called paravertebral facet and zygapophyseal or ____ joints on posterior spine on each ____ of vertebrae. where it overlaps neighboring vertebrae. | Z, side |
| Endocrine gland which doesn't have lobes: _____. Thyroid, pituitary and thymus have ____ lobes. | pineal, 2 |
| Parietal lobe: processes spoken and ____ language. | written |
| Syringomyelia: disease marked by a formation of ____ filled cavities in spinal cord. | fluid |
| Category G89: make sure pain is specified as acute, chronic, post-thoracotomy, post _____ or neoplasm related to code these. | procedural |
| If encounter is for pain control: 1st code from G89 then the code identifying ____ of pain 2nd. | site |
| If encounter is for any other reason except pain management and definitive diagnosis hasn't been confirmed assign specific site of pain 1st then code from _____ 2nd. | G89 |
| Status Migrainosus: debilitating headache of severe intensity, last more than ____ hours. | 72 |
| Intractable migraine: doesn't respond to normal ____. | treatment |
| Causalgia: intense burning pain and sensitivity to _____ or touch. | vibration |
| Myotonia: slow relaxation of _____. Trigeminal Neuralgia: _____ of trigeminal nerve. Cranial nerve V delivers feeling to the ____. | muscles, inflammation, face |
| Isthmusectomy: excision of isthmus of thyroid- the connective passage between the 2 lateral ____ of thyroid. For coding state which ____ and whether the isthmus is transected or resected. | lobes, side |
| Medullary carcinoma of thyroid requires _____ thyroidectomy and lymph node dissection. | total |
| Werner's syndrome: multiple endocrine neoplasia syndrome. Inherited. Groups of endocrine ____ to be overactive similtaneously. | glands |
| Cisteranal puncture: passage of hollow ____ through the posterior alanto-occipital membrane into cerebellomedullary stem. | needle |
| Craniectomy or craniotomy: know the ____ for surgery (tumor etc) and also the surgical approach. | reason |
| Brain tumor can be treated with chemo ____. Biodegradable and dissolve. | waffers |
| Craniosynostosis: premature closure of sutures of the _____. Codes determined by anatomical position of anamoly and whterh the procedure involved is craniotomy or _____ | skull, craniectomy |
| _____ lobe: most common part of brain involved in seizures. | Temporal |
| For skull base surgery coding: look at physicians notes to determine the fossa _____ and whether incision was through dura ____. | targeted, mater. |
| Skull base surgery: verify exact structures moved or ____ to select best code. | removed |
| Skull base surgery: definitive portion of procedure is determined by the _____ of the sull base (anterior, middle etc). | area |
| Intracranial arteriovenous malformation: arteries and veins are _____ abnormally in a tumor like mass. Coded as ____ or complex. | fused, simple |
| Aneurysm repairs: Simple procedures: less than 15 mins. _____ procedures: more than 15 mins | Complex |
| Sterotaxis: minimally invasive, uses three-dimensional coordinates to _____ small targets inside the body and to perform some action on the target. Some are _____ based. | locate, frame |
| Simple cranial lesions: less than _____ cm. | 3.5 |
| Encephalocele: serous neurologic abnormality, often develops in first ____ months of gestation. Protrusion of nervous tissue and _____ through skull defect. | 2, meninges |
| Cerebrospinal fluid (CSF) shunts: coding depends on location of both the proximal portion of shunt and _____ site. | drain |
| Encephalocele: do not report an endoscopy code in ____ to the code describing the identical open procedure. | addition |
| Encephalocele: if surgeon must convert to open procedure from ____, report only the successful open procedure. | endoscopic |
| Torkildsen operation: ventriculocisternostomy to form _____ between the lateral ventricles and cisterna magna. | communication |
| Cerebellomedullary ____: also called cisterna magna. | stem |
| Spinal tap with flouroscopic CT guidance and radiology: codes are ____ reported with these separately. | not |
| Continuous epideral injection: catheter placement involves using a special needle called a _____ needle. | Touhy |
| Catheter reservoir/pump implantation: PIIP programable implantable _____ pump. Codes distinguish between programable and non programable pumps. | infusion |
| Laminotomy, Laminectomy: excision of lamina and _____ process. Laminotomy partial excision of lamina. | spinous |
| Laminotomy, Laminectomy: single code reported for ____ segment or interspace with add on codes used for additional segments or interspaces. | 1st |
| Laminotomy, Laminectomy: Mod 50 for bilat but report the code ____, Anatomically thse procedures are considered unilateral because either the left or right lamina can be excised to expose ____ material. | twice, disc |
| Extradural Exploration/decompression: grouped according to approach and the approach determines whether the procedure will include _____ of bone. | removal |
| Vertebral corpectomy: vertebral body resection or the _____ of the body of a vertebra and _____ disectomy of above and below the vertebral segment. | removal, includes |
| Lumbar vertebral corpectomy: when performed anterior (abd incision) a ____ surgeon of different specialty may be needed. Both surgeons would bill same copectomy code with modifier ____. | 2nd, 62 |
| Cordotomy: section of the nerve fibers that pass up the spinal cord in special _____. | tracts |
| Excision, anterior or anteriolateral approach, intraspinal lesion: select codes according to spinal ____ (cervical, thoracic), whether intra or extradural and by specific approach. | region |
| Spinal Sterostatic radiosurgery: unlike cranial procedure, these codes don't differentiate lesions as _____ or simple. | complex |
| Spinal neurotransmitters: Implantation reported according to method, removal according to _____. | type |
| Transversus abdominis plane (TAP) block: reported based on whether done unilaterally, bilaterally and method of admin, either through _____ or continuous infusions. | injections |
| Facet joint injections may describe either a nerve ____ or nerve destruction. These codes include ____ guidance. | block, imaging |
| When reporting nerve blocks: focus on the ____ area between adjacent nerves. Taht the provider targets, one nerve block (level) will involve ____ nerves. | joint, 2 |
| Nerve block: if both left and righ side procedure at same _____- modifier 50. | level |
| Somatic nerves: voluntary, motor and _____. Sympathetic nerves are part of ______, autonomic system. | sensory, involuntary |
| When coding nerve blocks: what type of substance injected? Differintiate between _____ and autonomic nerves. These codes reported only once without units and units are not by ____ of injections given. | somatic, number |
| Nerve blocks coding: consider duration of infusion. Use codes for ____ infusion by catheter and daily management for anestetic agent admin. | continuous |
| Trigeminal nerve: _____ cranial nerve and is a pair of nerves that ____ the brain on left and right sides. | largest, exit |
| Greater occipital nerve: provides feeling to the ____ of skull. | back |
| Vagus nerve: longest, goes from head and neck to chest and _____ area. A block to this anesthetizes breathing passages. | abdomen |
| Peripheral nervous system: 12 pairs of crainial nerves, ____ pairs of spinal nerves and the autonomic ganglid. | 31 |
| Two branches of autonomic: sympathetic and parasympathetic. They ____ each other and keep homeostasis. | counteract |
| Bracheal plexus: muscles of ___ of chest, shoulders and arms. | skin |
| Autonomic nerves: blocks to these nerves produce _____, incrased blood flow and a consequent rise in skin temp. | vasodialation |
| Muscles or extremeties or trunk injected- codes based on how many ____ are injected and where muscles located. | muscles |
| Trigeminal nerve disorders: chewing or brushing teeth often ____ this type of pain. | activates |
| Neuroplasty: freeing of ___ nerves. Codes applied according to the nerve targeted. | intact |
| _____: the nerve has been moved from one place to another. | Transposition |
| Transection: divided by transverse _____. | incision |
| When surgeon transects over the supra-orbital nerve, pts pain to ____ and neck eliminated. | head |
| Neurorrhaphy: surgical suturing of a divided nerve. Code selected based on ____ and nerve length (either more or less than 4 cm). | location |
| Operating microscope: only when primary surgery does not _____ microdissection as part of operation. | include |
| Polysomnography: _____ study staging | sleep |
| Multiple sleep latency test: during daytime to see how _____ pt gets. | sleepy |
| Actigraphy testing: done to study pts circadian rhythms and ____ schedule. | sleep |
| ROM testing: coded per extremity, trunk section or ____. | hand |
| EEG: measure electrical activity in ____. EMG: evaluates the cause of ____, paralysis, involuntary muscle twitching etc. | brain, weakness |
| EMG: limb testing depends on ____ of limbs studied. 4 or fewer muscles studied report: _____ EMG. | number, limited |
| EMG: provider must evaluate extremity muscles innervated by at least ____ nerves or 4 spinal levels with a minimum of 5 muscle studies per _______. | 3, limb |
| Nerve conduction studies: coded by ____ of studies performed. | number |
| EP (evoked potential) studies include _____, sensory and visual studies. | auditory |
| Auditory EP studies: codes based on _____ for testand the portion of test being performed. | reason |
| Regaurdless of number of skin sites tested, can report on a _____ unit of 95925-95927 | single |
| Neurostimulators: either simple or complex. Simple- capable of affecting 3 or ____ of listed compnents. Complex- affects _____ than 3. | less, more |
| Coding for brain neurostimulator: programming is ____ based. | time |
| Category III codes: temporary, for emerging _____. | technologies |
| Report Category III when no Cat I code _____ | exists |
| HCPS: modifiers- when reporting endocrine and nervous system related services and procedures: expect to access the ____ gamut of CPT modifiers, as well as several level _____ modifiers. | full, II |
| Neurolytic agent: agent used to _____ nerves. | destroy |
| F-wave: voltage change observed after electrical stimulation is applied to the ____ surface to measure nerve conduction velocity. | skin |
| Ligation: a tie or bandage, ______. | binding |
Created by:
mlovest
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