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AAPC chapter 15
Eyes and ears
| Question | Answer |
|---|---|
| Each eye has ____ muscles. Light first enters the cornea. | 6 |
| Cornea meets sclera in a ring called the _____. Physicians often reference this when describing the site of ______ in eye surgery. | Limbus, incision |
| Light travels from the cornea through the aqueous humor to the _____, through the vitreous humor to the _____. | lens, retina |
| Tympanic membrane ____ to send its message to middle ear. | vibrates |
| Middle ear: malleus, _____, stapes. Carry the message to the ____ window. | incus, oval |
| Organ of Corti: hair cells send electrical impulses to nerves and ____. Air conduction and ____ conduction. | brain, bone |
| Inner ear: balance and _____of sound. Mastoid cells transmit sound but not as effeciently as the pinna. | conduction |
| Eye neoplasms: category C69 and 4th character identifies locaction, 5th identifies _____. | laterality |
| ICD-1 eye infections/inflammation: report secondarily the _____ agent. | infectious |
| Retina: difficult to biopsy, dark _____ on retina- no biopsy. Sometimes called a retinal freckle, just gets monitored. | spot |
| Diabetic Retinopathy: earliest phase- background or non proliferative retinopathy. Arteries in retina become _____ and leak forming small dot-like hemorrages. | weakened |
| Open angle glaucoma: also known as wide anlge. Most _____ type, and leading cause of adult _____ in U.S. | common, blindness |
| Chronic closed angle Glaucoma: can be d/t ____ of defect or age. | illness |
| Right eye: OD, Left eye: ____. Both eyes: OU | OS |
| ROP: retinopathy of ______ | prematurity |
| POAG: primary _____ angle glacuoma. | open |
| RK: _____ keratotomy. TM trabecular _____ also tympanic membrane. | radical, meshwork |
| Eye removal: usually a temporary inplant placed until ____ one recieved, this is included in procedure and reported separately. | permanent |
| Pterygium: benign growth of conjunctive ____ to the sclera and extends from the inner canthus to the border of cornea with an ____ that points to the pupil. | attached, apex |
| Keratoplasty: repair of ____. Normally done with microscope. Some may include lamellar corneal _____ (thin outermost layers of cornea). | cornea, transplant |
| Penetrating corneal transplant: full _____. | thickness |
| Aphakic: had cateract surgery and doesn't have artificial or natural ____. These pts may have eye fluids withdrawn ____ to corneal removal. | lens, prior |
| Keratoplasties: for coding- determine the ____ status of pt | lens |
| Aphakia: absense of _____. Pseudophakic: has _____ inocular lens (IOL). | lens, artificial |
| Keratomileusis: procedure to alter visual acuity. Partial thickness ____ portion of cornea is frozen, reshaped on an electronic lathe, repositioned and sutured ____ into place. Replaced by Lasix. | central, back |
| Photorefractive keratectomy (PRK): cornea's entire epithelial ____ is removed to expose the area. | layer |
| Keratophakia procedure: a trephine is used to punch a measured circular _____ in the cornea. Donor cornea placed there. | holes |
| Epikeratoplasty: trephine punches circular holes in cornea. ___ is made from the stroma nd Bowman's membrane layers of cornea, shaped on a lathe and ____ into place. | Lens, sutured |
| Keratoprostesis: new anterior ____ is created with plastic implant. | chamber |
| Radial Keratomy: multiple nonpenetrating cuts in _____ spoke pattern on cornea to reduce myopia. | bicycle |
| Lasisx: thin _____ flap created to accress cornea, reshape it. To correct refractive error. | hinge |
| Most refractive procedures not reimbursed, they are considered _____. | cosmetic |
| If previous surgery results in astigmatism: corrective surgery with _____ shape in cornea done. | X |
| Goniotomy: surgery for ____ in which a lens is used to see anterior chamber and an opening made in the anterior trabecular ____. | children, meshwork |
| Trabeculotomy: create an ____ in the meshwork for drainage of aqueous humor. Performed on children with _____ glaucoma. | opening, congenital |
| Trabeculoplasty: repair meshwork with a ____ | laser |
| Cyclectomy: removes part of ciliary ____ along with the lesion. This muscle regulate the ____ of aqueous humor. | muscle, flow |
| When coding incision of secondary cataract: differentiate between techniques of ____ incision or laser surgery. | stab |
| VISC: vitreous infusion suction cutter: capable of _____, cutting and removing vitreous humor and at the same time introducing ____ fluid. | aspirating, introducing |
| Panretinal: all ____ quadrants of retina treated. | 4 |
| Procedure for retinal breaks and lattice degeneration detachments: by cryotherapy or diothermy (laser) to ____ retina. | secure |
| Prophylactic procedures (eyes) : coded by ____ used. May require one or more sessions. Modifier 58 (staged procedure) not used because the dfinition of these codes do not allow for ____ reporting of implants or drainage. | method, separate |
| Lesions of choroid: may need ocular photodynamic therapy (OPT) using a photosensitive ____ or laser treatment. | drug |
| Chalazion: small localized swelling or ____ at margin of eyelid | mass |
| Trichias: ingrown _____. Brown ptosis: _____ of eyebrows | eyelash, drooping |
| Tarsorrhaphy: suturing the edges of eyelids to close the papebral ____- which is linear opening beteween eyelids. | fissure |
| Entropion: inversion of the ____ of eyelid. | margin |
| Trachoma: chronic and contagious ____ of conjunctive with hypertrophy. | inflammation |
| For supply of spectacles: use HCPS code ____. | set |
| Mydriasis: using agent to ____ pupils creates the same effect of Mydriasis. | dialate |
| Comprehensive opthalmological services: include an ____ of the complete visual system. May require more than 1 visit. Always includes initiation of ____ and treatment programs. | eval, diagnostic |
| Adnexa: eyelids, conjunctaval sac, _____ drainage system, lacrimal gland, ____ contents except eye and optic nerve. | lacrimal, orbital |
| When only 1 eye assessed use Modifier _____for reduced services. | 52 |
| Gonioscope: used to examine ____. | meshwork |
| Serial tonometry: measurement of the ____ of aqueous humor from eye and it determines if the fluids in the eye are at proper ____. | outflow, levels |
| Atticotomy: cutting of an opening in the wall of the attic- cavity in ___ ear above tympanic membrane. | middle |
| Cochlear implant: report with or ______ mastoidectomy. | without |
| Vestibular function: tests for conditions such as ____. | vertigo |
| Modifiers: E1- upper left eyelid. E2- ____ left eyelid. E3- upper right eyelid, E4- lower right eyelid. LS: _____ monitored IOL implant, PL- progressive addition lenses. | lower, FDA |
| After cataract/secondary cataract removed: the outermost posterior shell is ____, later the shell may develop opacities as well. | retained |
| Cholesteatoma: benign growth of ____ in middle ear, usually caused from chronic ottitis media. | skin |
| Exenteration: removal of a complete structure and the surrounding skin, _____, fat and bone. | muscle |
| Karat/o: stands for _____ | cornea |
Created by:
mlovest
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