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19 simplified
| Question | Answer |
|---|---|
| a _____ is shaving of the lip | vermilionectomuy |
| In addition to the sites from mouth to the anus, the Digestive System codes include codes for the pancreas, liver and | gallbaldder |
| How many centimeters are there in 4 inches round to the nearest tenthea | 10.2 (4 X 2.54) |
| transverse wedge excision | a wedge of lip tissue is removed and tissue flaps are placed to repair the defect. |
| Abbe-Estlander also known as (Abbe flap or cross flap) | is a reconstructive procedure in which a graft is taken from a portion of the lip, and the non-defective area above the lip is used to repair the area of defect. |
| If more than 1/4 of the lip surface is removed, the procedure is considered a | Resection 40530 |
| Reconstruction | |
| Cheiloplasty | lip repair are located in the Repair category |
| Cleft Lip (common birth defect where the upper lip doesn't fully join during fetal development, creating a split from a small notch to a large opening extending into the nose & gums sometimes involving the palate/roof of the mouth | is a congenital defect in which the muscle and tissue of the lip did not close properly. |
| Rhinoplasty= surgical repair of the nose | may be required if a nasal deformity has occurred with the cleft lip defect. (Surgical repair of the nose) |
| Cleft Palate: cause by incomplete fusion of facial tissues in early pregnancy) | A birth defect where the roof of the mouth (palate) doesn't fully close during pregnancy, leaving an opening that can range from the back soft palate to the front hard palate, often co-existing with a cleft lip. |
| sublingual | under the tongue |
| submandibular | under the mandible or within the space from the floor of the mouth to the hyoid bonde/masticator space |
| lingual frenum | is the flap of skin under the tongue |
| Ankyloglossia | tongue tie due to a tight lingual frenum often dx by the pediatrician during a newborn exam. occurs in 4.8% of the population and may interfere with feeding. |
| Excision codes report | oral biopsises based on the location from which the biopsy was obtained also base on the location floor of mouth , tongue or lingual frenum |
| If a local tongue flap is required to repair the excisional defecxt, report | the repair with 41114 in addition to the code for the primary excision procedure |
| Repair of the tongue is reported base on | the size of the repair |
| Biopsy codes include | obtaining the biopsy sample but do not include the use of a scope to obtain the sample |
| If a laryngoscopic biopsy is performed the service is reported with a code from | the Respiratory System not with a code from the Digestive System. |
| Branchial cleft | is a congenital defect that appears as a gill located on the neck, Branchia is the Greek word for gills which the cyst resembles. |
| Tonsillectomy and Adenoidectomy are commonly | reported surgical procedures. The tonsils are 2 glands located at the back of the throat. The adenoids are located behind the nose and above the soft palate |
| Pharyngoplasty | is the surgical repair of the pharynx and includes the use of flaps fashioned from the skin, tongue and/or tissue located near the area of defect (regional cutaneous flaps) uased in the repair procedure |
| pharyngostomy | is a procedure to create an opening for insertion of a long-term feeding tube. |
| Codes to report the control of oropharyngeal (between the soft palate and the epiglottis) or nasopharyngeal (above the soft palate) hemorrhage are located in | the other procedures Subheading |
| Roux-en-Y (RNY) gastric bypass procedure | is a y-shapedsurgical connection in which the intestine is detached from its original origin and reattached open procedure is 6-9 inch incision made in abdomen to gain access to the stomach and instestines. for Laparoscopic procedure about 6 access ports |
| Bariatric Surgery for gastric restrictibe procedures that are accomplished by | placing restrictive device around the stomach to decrease its functional size ie gastric band and subcutaneous port components |
| REsection of the intestine means | taking out a portion of the intestine and either joining the remaining ends (anastomosis) directily or developin an artificial opening (exteriorizing through the abdominal wall |
| 3 types of anastomoses are | end to end, end to side, side to side |
| Appendix surgical procedures are | Open, Percutaneous, Laparoscopic |
| Proctosigmoidoscopy | Endoscopic exam of the rectum and the sigmoid colon |
| Sigmoidoscopy | Endoscopic exam of the sigmoid clolon may include the descending colon. |
| Colonoscopy | procedures in which the endoscope is advanced to the proximal colon (past the splenic flexure) to the cecum or into a portion of the reminal ileum ( most distant part of the small intestine |
| Cold biopsy | the use of forceps to grasp and remove a small piece of tissue without the application of cautery |
| Choledochotomy | is an in ision into the biliary tracy |
| Cholecystostomy is | the formation of a stoma between the abdominal wall and the gallbladder |
| An injection procedure may be necessary to determin if the | biliary tract may become obstructed.` |
| Stents may be placed in the obstructed biliary tract to | open the area |
| Hernia Strangulated | the blood supply is cut of |
| Hernia incarcerated | cannot be returned to the abdominal cavity |
| The codes is the digestive system subsection begin with this anatomic part_____ and end with this anatomic part____ | begin with the mouth end with the anus |
| In the digestive system, many of the procedures performed to view the esophagus and stomach are performed with a gastroscope also known as an | Endoscope |
| What type of endoscopy is always included in a surgical endoscopy and would therfore never be reported separately | diagnostic endoscopy |
| What is the term that describes a surgical opening into the abdomen | Laparotomy |
| When a hernia can be returned to the abdominal cavity, it is said to be | Reducible |
| CPT codes in the Digestive System subsection are divided according to: | Anatomic Site and Procedure |
| Shaving of the lip is called | Vermilionectomy |
| The vestibule of the mouth is also called the ___ ____ | Buccal Cavity |
| What association provides a dental claim form? | American Dental Association |
| The ____ _____ is the flap of skin under the tongue | LIngual frenum |
| The roof of the mouth is called the | Palate |
| The 3 Salivary glands are the | Parotid, submandibular, and sublingual |
| A branchial cleft cys is a(n) ______ defect | Congenital defect |
| The first step taken to determine the correct code for procedures of the esophagus is the | Approach |
| Decreasing the size of the stomach is a procedure performed to aid | Weight loss |
| What medical term describes creation of an artificial opening in the large intestine | Colostomy |
| What is the name for a congenital pouch on the wall of the small bowel? | Meckel's diverticulum |
| What are the 3 technique options used to remove the appendix? | Open, Percutaneous, Laparoscopic |
| An endoscopic examination of the rectum and sigmoid colon is called a/n | Proctosigmoidoscopy |
| What is the opening at the end of the alimentary canal through which solid waste matter leaves the body? | Anus |
| Identify the liver procedure that usually involves team surgeons | Liver Transplant |
| What is the procedure called that involves an incision into the bilary tract? | Choledochotomy |
| What organ is located behind the stomach and produces enzymes and hormones? | Pancreas |
| What is the medical term for returning a hernia to the abdominal cavity? | Reducible |
| Peritoneal connection between the stomach and other internal organs | Omentum |
| Flap of skin located under the tongue | Lingual Frenum |
| Tongue Tie | Ankyloglossia |
| Surgical removal of the pharynx and Larynx | Pharyngolaryngectomy |
| Blood Supply is cut off to hernia | Strangualted hernia |
| The dentat line is the line where the | `anal mucosal lining meets the skin (mucocutaneous junction or anal verge) An internal hemorrhoid is one that is 1-1.5 cm above this line. An External hemorrhoid is one that is located below the dentate line. |
| Excision is | the removal of the entire lesion |
| Ablation | destroys the entire lesion |
| Biobsy | is taken, the physician removes a tissue sample for pathological evaluation |
| A virtual Colonoscopy | utilizes x-rays and computer to produce a two and three dimensional image of the colon. The virtual colonoscopy can also be performed using CT or MRI in Rad dept no sedation. |
| Virtual Colonoscopy when colonoscopy can't be performed | may be performed when a colonoscopy cannot be successfully completed and is used as a technique for screening. Colonoscopy can more accurately detect colon cancer though. |
| The first step to choosing th e correct GI Endoscopic code is to determine the ______to which the scope was passed | Extent |
| To choose the correct endoscopy, indentify | the farthest extent to which the scope was passed and then the procedure/s performed. |
| What is the code description term that means "against the flow" | Retrograde |
| Dysphagia | difficulty swallowing, often characterized by food or liquids sticking tin the throat/chest, choking, coughing, or drooling tightening sensation in throat when swallowing, choking. |
| Coloproctostomy: from the _____ to the _____ | surgical communicationfrom the colon to the rectum |
| Illeostomy: from the _______ to the _______ surface | surgical communication from the ileum to be body surface |
| Colostomy: from the____ intestine to the _____ surface | surgical communication from the large intestine to the body surface |
| Enteroenterostomy: between ______ of intestine | surgical communication between segments of intestine |
| Gloss- | Prefix meaning tongue |
| Gastro- | Combining form meaning stomach |
| Anastomosis | Surgical connection of two tubular structures, such as two pieces of the intestine. |
| Hernia | Organ or tissue protruding through the wall or cavity that usually contains it. |
| Gastrointestinal | Pertaining to the stomach and intestine |
| Ostomy | Artificial opening |
| Colostomy | Artificial opening between the colon and the abdominal wall |
| Ileostomy | Artificial opening between the ileum and the abdominal wall |
| Jejunostomy | Artificial opening between the jejunum and the abdominal wall |
| Gastrostomy | Artificial opening between the stomach and the abdominal wall. |
| Proctosigmoidoscopy | Endoscopic examination of the sigmoid colon and rectum |
| Sigmoidoscopy | Endoscopic examination of the entire rectum and sigmoid colon that may include a portion of the descending colon. |
| Colonoscopy | Endoscopic examination of the entire colon that may include part of the terminal ileum. |
| Cholangiography | Radiographic recording of the bile ducts |
| Chole- | Combining form meaning bile |
| Hepat- | Combining from meaning liver. |
| Incarcerated | Regarding hernias, a constricted, irreducible hernia that may cause obstruction of an intestine. |
| Reducible | Able to be corrected or put back into a normal position. |
| Separate Procedure means | it cannot be reported if performed with another related service during the same session. |
| fissure is | a cleft or a groove, normal or otherwise. An anal fissure is a painful ulcer usually located at the margin of the anus. |
| Anoscope is an | instrument that is inserted a short distance into the anal canal. once inserted, various procedures may be performed such as dialation, biopsy, removal of a foreign body or lesion, and control of hemorrhage |
Created by:
luci2