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Bill 18
| Question | Answer |
|---|---|
| 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 |