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# BAS 00 Dx or Tx
Question | Answer |
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When to use the ICD9 and CPT books. You need to determine if you have a disease or procedure in the description | Use ICD9 for disease and CPT for procedures. However, hospital procedures are coded from the ICD9 book. |
CPT book | Code all office procedures from here. Doctor exams, counseling, tests. |
ICD9 book | Code all diseases from this book. Disease is coded here for office, hospital and any facility. Code all hospital procedures from this book, CPT is for office procedures only. |
Procedure words will have suffixes to indicate the procedure: | Go to the next slide |
-otomy | surgical opening |
-ectomy | surgical removal |
-centesis | surgical puncture for fluid removal from the body |
-clasis | to break. Sometimes done to reset a poorly healed bone break. |
-desis, -pexy | to bind together |
-plasty | surgical repair |
-rrhaphy | surgical suturing. |
-stomy, -tomy | surgical opening |
-tome | to cut |
-tripsy | to crush. A lithotripsy is the destruction of stones (kidney or gall bladder) |
-gram | A recording. Used for test procedures that write or record results. i.e. Electrocardiogram is the writing of heart measurements. |
-graph | This is the instrument used to do a test procedure. |
-graphy | The process of recording. A mammography is taking an Xray of the breast. |
-meter | instrument for measuring a procedure or test. |
-metry | The act of measuring |
-scope | An instrument used to view. A colonoscope is used to view the colon. |
-scopy | A procedure where the doctor looks at the body area with an instrument. |
Sometimes you just have to know the meaning of the word. There are many procedures words without a procedure suffix | Go to the next card |
ablation | surgical removal of a body part, as by incision |
aspiration | to draw out by suction such as ear aspiration to remove excess earwax |
amputation | removal of a body part, limb, or organ |
indwelling | located or implanted inside the body such as a catheter or tube for drainage. |
insertion | to place or implant; site of attachment |
introduction | to insert into the body |
ligation | process of binding or tying a body structure |
lysis | process of destruction or separating |
manipulation | use of hands to produce a desired movement or effect in the body. |
paring | cutting or scraping |
percutaneous | through the skin |
radical | extreme or drastic treatment or surgery |
reconstruction | repair, change or alter in order to affect recovery such as a nasal reconstruction of a broken nose |
reduction | to restore to a normal position such as straightening a broken bone. |
replantation | surgical replacement of a body part |
biopsy | removal of living tissue for microscopic examination |
cauterization | destroying tissue by heat, freezing or electrical current |
chemosurgery | use of chemical to destroy tissue |
chemotherapy | use of chemicals to treat disease |
closed therapy | procedural treatment that does not use surgical opening |
closure | to bring together the edges of a wound |
curettage | procedure that is scraping of a cavity to remove tissue, growths, or debris |
debridement | excision of dead or damaged tissue and foreign matter from a wound |
dilation | the enlargement of a hollow structure or opening. |
discission | incision or a cutting into |
drainage | continuous withdrawal of fluid from a wound, sore, or cavity |
resection | partial excission of a body structure |
suture | material used in closing body tissue |
Sometimes the procedure is named after a person. | Eponyms are procedures or diseases are named after a person or thing. |
Eponyms sometimes do not indicate disease in the word but usually have a the word test, procedure, or disease after it. | Snellen test - Eye test named after Dr.Snellen Addison's disease - Named after Dr. Addison |
Diseases are coded in the ICD9 book only. Diseaes are not in the CPT or HCPCS books. | Go to the next slide |
Diseases, just like procedures have suffixes | Go to the next slide |
Some disease terms use the organ root word just like procedures | hepat/o = liver pancreat/o = pancreas cardi/o = heart |
It is the organ name and the prefix and suffix that describes the disease. | Go to the next slide |
Suffixes of disease follow this slide. | Suffixes of disease describe a condition or character of that disease |
-ia, -ism | Indicates a condition of: Pneumonia, Alcoholism |
-iatrics, -iatry | Indicates the doctor or practice that treats disease: Podiatry = treats foot/ankle Geriatrics = treats the elderly |
-ist | Indicates a specialist in that disease area. Cardiologist = treats heart diseases Nephrologist = treats kidney diseases |
-algia, -dynia | pain |
-emia | blood condition |
-iasis | abnormal condition |
-itis | inflammation |
-lith = stone | The disease has the organ in front (nephrolith) The procedure has the action in the word (lithotripsy). -tripsy means to crush. |
-logist, -logy | Means the study of. This is used to describe an area specialty like cardiologist for heart diseases. |
-malacia | softening |
-megaly | enlargement |
-oid | resembling |
-oma | tumor |
-osis | abnormal condition dermatosis is an abnormal condition of the skin. |
-paresis | partial paralysis |
-pathy | disease |
-penia | deficiency |
-phagia | Indicates a condition that deals with eating. dysphagia = Eating is difficult or abnormal |
-phasia | Indicates a speech problem. Speaking is difficult |
-phobia | fear |
-plasia | Growth or formation. hyperplasia = abnormal number of body cells have multiplied. |
-ptosis | prolapse |
-rrhage, -rrhagia | Indicates "bursting forth". Hemorrhage is excessive bleeding |
-rrhea | Indicates discharge of flow. diarrhea |
-rrhexis | This is a rupture. angiorrhexis is a rupture of a blood vessel |
-spasm | involuntary muscle contration. to be spastic is to have involuntary muscle movements. |
-stenosis | condition in which a blood vessel or organ opening narrows. |
-toxic | poison thyrotoxic is a condition of thyroid toxicity |
-trophy | This means development but is used with conditions of organ wasting or insufficient development. muscle atrophy is a wasting away of the muscle tissue as in muscular dystrophy |
-algia | pain |
-cele | hernia. |
-pathy | disease condition. neuropathy is a disease of nerves. |
-ptosis | drooping, sagging. |
-ole, -ule | means little or small |
-um, -ium | means structure of tissue. epithelium means outside skin endothelium means inside skin |
-y | means condition or process. Be carefull here! Not all words that end in "y" are conditions. lithotripsy is a procedure to crush kidney aor gall stones. |
Some Disease terms will describe the nature of an illness. They are sometimes used with the disease word. | acute describes the nature of an illness that turns bad within 6 months. i.e. acute bronchitis |
Following is a list of terms that describe the nature of illnesses | Go to the next slide |
acute | disease develops within 6 months. |
advanced | disease that have developed so far that it is difficult or impossible to treat. |
asymptomatic | no physical signs of a medical problem. |
autoimmune | disease where the person's own immune system attacks their own body. |
benign | not cancerous |
catching, communicable, contagious, infectious | disease that can spread easily to others. |
chronic | disease that lasts over 6 months. Usually used to describe a disease that lasts years. |
clinical | relating to an illness. |
congenital | medical condition that is not inherited but is a disease that a person was born with. |
crippling | causing someone to be physically disabled, especially unable to walk. |
curable | can be treated and cured |
degenerative | a disease that gradually gets worse |
depressive | relating to depression |
disabling | condition that affects the brain or body that makes you unable to use it properly. |
epidemic | disease that spreads locally in a particular region or area. |
febrile | relating to fever |
first-degree | a first-degree burn is the least serious type of burn. |
focal | disease or condition limited to one part of the body. |
fungal | disease caused by a fungus microorganism. |
generalized | affecting most of the body, not localized. |
inactive | an inactive disease or other threat is present buy not doing anything at this time. |
incurable | not able to be cured |
infantile | affecting young children |
inflammatory | causing inflammation in a part of the body. |
inoperable | cannot be cured or treated by an operation. |
invasive | disease that spreads inside the body and is difficult to treat. |
life-threatening | likely to cause someone to die |
local | affecting only a small area of the body |
low-grade | medical condition is not very serious. |
malignant | a malignant tumor consists of cancer cells that can spread in the body. |
mild | a mild illness or injury is one that is not serious |
morbid | relating to or caused by disease |
mortal | serious enough to cause death |
severe | a severe pain, injury, or illness is medically serious and unpleasant |
stubborn | difficult to cure or remove |
suspected | condition that doctors think you have, but they are not sure yet. |
systemic | affecting the whole body |
terminal | cannot be cured and will cause death |
third-degree | a third-degree burn is the most serious type. |
traumatic | injury that causes serious damage to the body. |
treatable | illness can be cured |
tubercular | relating to or affected by tuberculosis |
unresponsive | disease that does not improve with treatment. |
viral | disease caused by a virus |
virulent | disease that is very dangerous, and affects people very quickly. A highly virulent bacterial infection is very serious. |
wasting | a wasting disease makes you thin, weak, and tired. |
waterborne | disease is spread through water. |
noninvasive | not spreading to other parts of the body. |
nonspecific | condition that may have more than one cause |
operable | can be cured by surgery |
opportunistic | disease or infection is one that attacks people who are already sick and who have a very weak immune system. |
parasitic | caused by parasites living inside the body. |
pathological | caused by disease |
perforated | organ or tube inside the body that has a small hole or cut in its surface |
primary | in the first stage of development |
psychiatric | involving mental illness |
psychosomatic | caused by a person's mind. |
quiescent | disease or illness is not getting worse. |
refractory | does not improve despite medical treatment |
incubation period | early stages of disease. person does not show symptoms of disease at this time. |