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Bill 18

QuestionAnswer
Axillary Nodes Lymph nodes located in the armpit
Splenectomy excision of the spleen
Splenoportography Radiographic procedure to allow visualization of the splenic and portal veins of the spleen
Allogenic a graft from the same species, but genetically different.
Thoracic duct collection and distribution point for lymph and the largest lymph vessel located in the chest.
Retroperitoneal behind the sac holding the abdominal organs and viscera (peritoneum)
Jugular Nodes Lymph nodes located next to the large vein in the neck.
Cystic hygroma Congenital deformity or benighn tumor of teh lymphatic system.
Cloquet's Node is also called a gland, it is the highest of the deep groin lymph nodes.
Inguinofemoral referring to the groin and thigh
Cannulation Insertion of a tube into a duct or cavity
Abscess Localized collection of pus that will result in the disintegration of tissue over time.
Autologous/ Autogenous from oneself
Aspiraton Use of a needle and syringe to withdraw fluid
Stem cell immature blood cell
Transplantation grafting of tissue from one source to another
Lymph Node Station along the lymphatic system.
Lymph Adenitis inflammation of a lymph node
Lymphangiotomy incision into a lymphatic vessel.
Lymphadenectomy excision of a lymph node
Mediastinum Area between the lungs that contains the heart, aorta, trachea, lymph nodes, thymus gland, esophagus,and bronchial tubes.
Fundoplasty repair of the bottom of an organ or muscle
Pyloroplasty incision and repair of the pyloric channel
Diaphragmatic Hernia hernia of the diaphragm
Mediastinoscopy use of an endoscope inserted through a small incision to view the mediastinum
Imbrication Overlapping
Transthoracic across the thorax
Transabdominal across the abdomen
Paraesophageal Hiatus Hernia hernia that is near the esophagus.
Gastroplasty operation on the stomach for repair or reconfiguration.
The Hemic and Lymphatic System subsections include: Spleen, General, and Lymph Nodes and Lymphatic channels
What system is considered a transportation system for interstitial fluids, proteins and fat? the Lymphatic System
During a complete neck dissection, the lymph nodes in __ ___ regions are re-sected removed All five regions are res-ected removed.
The area between the lungs is called the Mediastinum.
The difference between the Mediastinotomy codes is the Surgical Approach
The Mediastinoscopy code includes any biopsy performed during the procedure.
Area between the lungs that contains the heart, lymph nodes, thymus gland, esophagus and bronchial tubes
Endoscope that is inserted through a small incision to view the Mediastinum
Excision of a lymph node or nodes
Immature blood cell
Radiographic procedure to allow visualization of the splenic and portal veins of the spleen
Submental and Submandibular nodes are located at the chin arean and beneath the body of the mandible
Upper Jugular nodes are divided in two groups and are located at the mandibular angle and the front of the sternocleidomastoid muscle.
Middle Jugular nodes are located between the hyoid bonde and the crioid cartilage
Lower Jugular nodes are located between the cricoid cartilage and the clavicle
Posterior Triangle nodes ard divided into two groups
Upper visceral nodes are locagted by the hyoid bone
Superior mediastinal nodes are located between the left and right common carotid arteries
The term complete neck dissection in code 38720 is the same as radical neck sissection
During a complete or radical neck sissection the lymph nodes in all five regions are resected ((removed) in ssirion rhw inrwenl jufule cwin, apinl s arwenoxlwisomarois muaxlw ew ewmocws Rhw xosw ia unilrwe
a modified radical neck dissection 38724 is the removal of all lymph nodes that are routinely removed by radical neck dissection howerver the internal jugular vein, spinal accessory nerve, and sternocleidomastoid muscle are preserved rather than removed.. The code is unilateral so -50 is require
suprahyoid neck dissection is a variation of the modified radical neck dissection and is reported with 38700
a lymphangiogram is a procedure in which contrast medium is injected into lymph vessels in the foot, and x-rays are taken to image the lymph flow. often for staging and dx of lymphoma.
Staging is determining the grade or level of a neoplasm based on a common grading sytstem such as tumors, nodes and metastases TNM
A sentinel lymph node biopsy is bundled intal a planned lyphadenectomy and not paid separately. The injection of dye to visualize teh sentinel node should be reported by the sugeon/physician who performs the injection with 38792 or 38900 If the surgeon who is performing the surgical procedure alson provie the inj procedure intaoper Reported once regardless of the number of inject made around the lesion.
The Mediastinum is the area between the llungs The Mediastinum and Diaphragm subsection is dvided by procdures and includes incision, excision, and endoscopy
The difference between the mediastinotomy codes is the susrgical approach can be either cervical neck, across the thoracic are transthracic, or sternum
A mediastinotomy is performed by making an incision next to the breastbone for the purposes of exploration, drainage, removal ofa foreign body, or biopsy
Excision codes are only reported for cysts or tumors
Excision codes are based on whether a cyst or tumor was excised, the surgical approach is one in which the surgeon makes the incision just below the nipple line and retracts the rib cage and muscles to expose the thoracic cavity The cyst or tumor is removed and the incision closed
If the thyroid gland is removed using an excision into the mediastinum, the procedure is reported with 60270 from the Endocrine system subsection and not with an excision code from the Mediastium subcategory If the thymus gland is removed using a mediastinum approach, you would report the procedure with 6052-
The diaphragm is the wall of muscle that separates the thoracic and abdominal cavities the codes in the diajphragm subheadin are repair codes repairs are usually for a hernia or laceration. Diaphragm codes are located in the index under Diaphragm
There is one code for imbrication of the diaphragm An imbrication of the diaphragm may be performed for eventration which is when the diaphragm moves up usually because of the paralysis of the diaphragmatic nerve phrenic nerve in this case the surgeon sutures the diaphrqagm back inot place
Created by: luci2
 

 



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