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Buck, 23,24,27-30
Digestive System coding
| Question | Answer |
|---|---|
| The first step in choosing the correct digestive endoscopic procedure code is to identify the______ of the procedure. | extent |
| The procedure used to develop a artificial opening through the abdominal wall | exteriorization |
| Two words that are important factors in coding hernia repair. | incarcerated/strangulated |
| Endoscopic exam of rectum and sigmoid colon, scope is advanced 6-25 cm. | proctosigmoidoscopy |
| Endoscopic exam of sigmoid colon which may include descending colon. Scope is advanced 26-60 cm. | Sigmoidoscopy |
| Inflammation of venous plexuses around anus. Can be inside and outside. | Hemorrhoids |
| UPP | Urethral Pressure Profile |
| Xray of vessels after injection of contract material | angiography |
| Shaving of the lip | Vermilionectomy |
| Wedge of lip tissue removed and tissue flap placed to repair a defect. | transverse wedge excision |
| Reconstructive procedure in which a graft is taken from a portion of the lip and the non-defective area above the lp and used to repair area of defect. | Abbe-Estlander |
| More than 1/4 of ip surface removed, procedure is considered.... | resection |
| Congenital defect which the muscle and tissue of the lip did not close properly. | cleft lip |
| Flap of skin under the tongue | lingual frenum |
| Incison codes of Pharynx, adenoids and tonsils are assigned based on what? | Location and approach |
| Congenital defect that appears as a gill located on the neck. | branchial cleft |
| Surgical repair of the pharynx | Pharyngoplasty |
| Procedure to create an opening for insertion of a long-term feeding tube. | Pharyngostomy |
| EGD | esophagogastroduodenoscopy |
| Y shapfed surgical connection which the intestine is detached from its original orgin and reattached to bypass part of the stomach and entire duodenum. | Roux-en Y (RNY) |
| Two herni types that affect code selection for hernia repair are.... | strangulated/incarcerated |
| Procedure to decompress renal system by insertig catheter into the kidney while the other end is left open outside to temporarily drain the kidney | nephrostomy |
| exploration of the inside of the kidney | nephrotomy |
| Secondary surgical operation for calculus, includes removal of calculus | nephrolithotomy |
| Patient placed on x-ray table with a water-filled cusion placed under theirback. | ESWL |
| Tests to measure kidney and ureter flow and pressure | Manometric studies |
| LRP | Laprascopic retropubic prostatectomy |
| RAP | Robotic Assisted Prostatectomy |
| TURP | transurethral resection of the prostate |
| TUNA | transurethral needle ablation |
| TUMT | transurethral microwave heat treatment |
| TUVP | transurethral vaporization of the prostate |
| HOLEP | Holmium laser enucleation of prostate |
| Incision into tympanic membrane and reinflation of eustachian tube | myringotomy |
| insertion of small plastic or metal tube allowing fluid to drain | tympanostomy |
| What procedure is the examination of the esophagus, stomach, and duodenum | esophagogastroduodenoscopy |
| ________ is a common anal condition | Abscess |
| The pancreas produces hormones and ________. | enzymes |
| When a colonoscopy with biopsy and polypectomy in separate sites are performed, the biopsy may require modifier ____. | -59 |
| The type of treatment used to treat prostate cancer by placing radioactive elements directly into the prostate. | brachytherapy |
| Term that means "surgical cutting into the seminal vesicles." | vesiculotomy |
| The term that describes the study of the motion and flow of urine is | urodynamics |
| Scrotoplasty codes are divided based on whether the procedure was ________. | simple complicated |
| What category of the Epididymis subheading has only one code? | Incision |
| Codes within the Urinary subsection, Kidney subheading, are often divided based on this unique factor: | existence of a stoma |
| Urethral dilatation codes are often divided based on this factor: | initial or subsequent |
| The removal of the eye that leaves the orbital structures intact. | enucleation |
| This is the most commonly performed childhood surgery. | tympanostomy |
| The operating microscope is only used on inner ear procedures. t/f | False |
| A slit lamp is a microscope with a light attached. t/f | True |
| Transparent part of the eye is: | cornea |
| The ciliary body is located behind the: | iris |
| A(n) ________ is a procedure performed for protruding ears. | otoplasty |
| The ossicular chain consists of the hammer, stapes, and anvil. t/f | True |
| Deciding on the code to report for a labyrinthotomy is based on whether a ________ was performed. | mastoidectomy |
| This is a cavelike structure that is dominated by two fluid-filled spaces: | labyrinth |
| What is the type of procedure performed independently of, and is not immediately related to, another service? | separate |
| The divisions of the Radiation Oncology section of the CPT manual are divided into subsections based on what? | type of service |
| What is the standard measure of energy in radiation treatment? | MeV |
| What is the modifier used to identify the professional component of a radiologic procedure? | -26 |
| What are the radioisotopes that attach themselves to red blood cells called? | tracer |
| What is the name of the high-frequency sound waves in an imaging process that is used to diagnose patient illness? | ultrasound |
| What is the standard measure of energy in radiation treatment | Megaelectron volts MeV |
| How many levels of Surgical Pathology are there? | 6 |
| What type of drug test measures the presence of a drug in the specimen? | qualitative |
| What type of drug test measures the amount of a drug in the specimen? | quantitative |
| What is the name given to grouped laboratory work that represents those tests commonly done together? | panels |
| In what section would you find codes used to report venipunctures and arterial punctures? | Surgery |
| In the Pathology/Laboratory section of the CPT, drugs are listed by their ____________ names. | generic |
| Codes in the Pathology/Laboratory section, Evocation/Suppression Testing include which of the following: | test only |
| A sample of tissue from a suspect area can be divided into which of the following? | block, section |
| What name is given to cultures for identification of organisms as well as the identification of sensitivities of the organism to antibiotics? | culture/sensitivity |
| What is the name of the subsection within Pathology/Laboratory that deals with the laboratory work done to determine cellular changes? | Cytopathology |
| If an established patient is given an immunization at an office visit, and the only service provided was the immunization, what type of codes would you use to report the service? | Only Medicine section immunization/administration codes |
| What word is used to describe the pushing of liquid into the body over a long period of time? | infusion |
| What must always be documented in the patient record and is the major billing factor for the Psychiatric subsection? | time |
| Outpatient dialysis services are billed on what fee basis? | monthly |
| What is the name of the process that routes the blood including waste products outside the body through filters? | hemodialysis |
| What is the name of the dialysis that involves using a body cavity as a filter? | peritoneal |
| What is the name of the procedure that is performed to check the intraocular pressure of the eye? | ophthalmoscopy |
| The Cardiovascular subsection contains many diagnostic and therapeutic procedures and services that are primarily divided as to whether the procedures or services are invasive or ______________________. | noninvasive |
| What is being measured while the sleep testing is being conducted? | parameters |
| What does the abbreviation EMG stand for? | electromyography |
| On what basis are the dermatology codes usually used by the dermatologist who sees patients in the office? | consultation |
| National Codes are not used in which setting? | inpatient |
| What is the term that describeds a surgical opening into the abdomen | laparotomy |
| What type of endoscopy is always included in a surgical endoscopy and would never be reported separately | diagnostic |
| When a hernia can be returned to the abdominal cavity, it is said to be____ | reducible |
| Greatest amount of Male genital system codes are under ___ subheading | penis |
| The _____ area is located behind the abdominal cavity and during surgical procedures is often accessed by an abdominal incision | retroperitoneal |
| A _____ calculus involves at least two calyces and the renal pelvis and accounts for about 30% of the stones reported | staghorn |
| Removal of an accessible stent of kidney when imagine guidance is not indicated is reported using a _____ code | E/M |
| If an obstruction occurs, the urine will not drain and may results in dilation of the collecting system and enlargement of the renal pelvis, known as____ | hydronephrosis |
| Skene's glands procedures are reported using codes from which subsection? | Urinary System |
| Destruction of a lesion is also known as excision t/f | False |
| Would you expect a pathology report to be available for a lesion that was removed by destruction | no |
| Removal of a portion of the vulva | vulvectomy |
| Vulvar area tissue removal that involves the skin and superficial subcutaneous tissues is termed___ | simple |
| The removal of vulvar area is reported with which two measures? | extent and size |
| Vulvar area tissue removal that involves skin and deep subcutaneous tissues is termed _____ | radical |
| This type of vulvectomy involves less than 80% of the vulva | partial |
| This type of vulvectomy involves more than 80% of the the vulva | complete |
| How many endocrine glands are included in the endocrine subsection of the CPT manual | 4 |
| The _______ Procedure that is the method used to obtain exposure to a lesion of skull, and _______ procedure is what is done to the lesion | approach, difinitive |
| Most commonly known neuroplasty procedure | carpal tunnel release |
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