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Chapter 15 Basic Cod

endocrine part 2

Acute inflammation of a localized area of superficial tissue. Predisposing conditions that can possibly cause this are open wounds, ulcerations, tinea pedis, and dermatits. Cellulitis
What are the signs and symptoms for cellulitis? red, hot skin with edema at the site of the infection; nearby lymph nodes often become inflamed.
This begins as cellulits. It is a localized collection of pus causing fluctuant soft-tissue swelling surrounded by erythema. Abscess
Redness of the skin due to capillary dilation. Erythema
Type of erythematous condition. A bullous form of erythema muliforme that may be extensive over the body and produce serious subjective symptoms and possibly death. Steven-Johnson Syndrome (SJS)
Type of erythematous condition. May occur with SJS. It is a syndrome in which large portions of the skin become intensely erythematous with epidermal necrolysis. The skin peels off the body in a manner of a second-degree burn. Toxic epidermal necrolysis (TEN)
Caused by tissue hypoxia. It usually occurs in a location of a bony prominence that has been subject to prolonged pressure against an external object. Aka pressure sores, or bed sores. Pressure (Decubitus) Ulcer
The removal of foreign material and contaminated or devitalized tissue from an infected lesion until the surrounding healthy tissue is exposed. Debridement
The surgical removal or cutting away of necrotic tissue usually performed with a scalpel. Excisional debridment
Can include forcepts, tweezers, or scissors. It often includes the clipping away of loose necrotic tissue fragments. Aka pulsed, mechanical lavage, or high pressure irrigation. Nonexcisional debridment
What's the code for carpal tunnel syndrome? G56
Paralysis or weakness of the muscles on one side of the face Bell's palsy
Intense burning pain and sensation to vibration or touch Causalgia
Damage to the myelin sheath of neurons occurs in multiple sclerosis MS Demyelination
Involves severe pain deep in the ear may be caused by compression of the somatic sensory branch of cranial nerve VII. This may also develop following herpes zoster oticus Geniculate ganglionitis
MD; a group of hereditary muscular disorders marked by progressive weakness and muscular atrophy Muscular dystrophy
Disorders affecting both muscles and nerves myalgia gravis is an example Myoneural disorders
Neuromuscular disorder, Slow relaxation of the muscles after a voluntary contraction or electrical stimulation, individuals with this may have trouble releasing their grip on objects or may have difficulty rising from sitting to standing. Myotonia
Pain hand muscle weakness affecting the upper extremity often in response to stressors such a surgery infection or minor trauma Neurologic Amayotrophy (brachial plexitis)
Which cranial nerve? Trigeminal nerve, delivers feeling to the face Cranial nerve V
How is the CPT endocrine system anatomically arranged? From the head downward
MEN1 or Werner's syndrome it causes multiple endocrine glands to become overactive simultaneously. Multiple endocrine neoplasias Type 1
It is considered routine to place a___ ___ for all intrathoracic surgeries to permit expansion of the lungs. It is not a separately billed service. Chest tube placement
When filing a claim using an ____ procedure code, submit a cover letter of explanation and the full documentation of services. Unlisted procedure code
Method to pierce the skull and access the brain. This type of puncture is described as the passage of a hollow needle through the posterior atlanto-occipital membrane into the cerebellar medullary cisterna magna area. Cisternal puncture
the vessels at the base of the brain may give rise to aneurysms with possible rupture and can cause bleeding around the brain Subarachnoid hemorrhage
Surgery on the back of the brain more to one side just behind the mastoid bone what is it called? Retromastoid craniectomy
An accumulation of CSF; treatment includes placement of an extracranial shunt or tube. hydrocephalus
Long spinal nerves emerging from the lower end of the spinal cord. These long nerves resemble a horse's tail. Cauda equina
63012 refers to the forward displacement of a vertebra over a lower segment usually in the lumbar region Spondylolisthesis
An intervertebral disc that has a ruptured and spread out of its capsule Herniated intervertebral disc
A bony outgrowth. They symptoms evelop on the upper and lower edges of the vertebral bodies and can exert pressure on the spinal cord. Osteophyte removal is osteophytectomy
Placed to treat chronic back pain by delivering low voltage electrical stimulation to the dorsal columns of the spinal cord to block the sensation of pain Spinal neurotransmitters
How many cranial nerves are there? How many spinal nerves? 12 Craigslist & 31 spinal
When reporting nerve blocks blocks focus on the joint areas between adjacent nerves that the provider targets one nerve block 'level' will involve how many nerves? 2
Physician provides diagnostic nerve blocks for C2 C3 & C4. How many nerves or levels? 2 Code 64490 for 1st level & add on code 64491 for the 2nd level
Voluntary motor and sensory nerves supplying skeletal muscles and tissues Somatic nerves
Nerves that are part of the involuntary autonomic nervous system Sympathetic nerves
Any agent used to destroy nerve tissue. The purpose is to provide constant relief of pain due to disease or other abnormal CT of the nerve root. These procedures are also referred to as rhizotomy. Neurolytic agents
Refers to the process of interrupting the complex chemical reactions at the junction of the nerve endplate and the muscular surface it is designed to enervate. It is useful in treating patients with spasmodic problems such as dystonia and cerebral palsy. Chemodenervation
Excruciating last treating pain lasting up to two minutes accompanied with sensory division. Chewing or brushing teeth often activates this pain. Compression of the trigeminal nerve where enters the brain is usually the cause. Trigeminal neuralgia
Means the nerve has been moved from one place to another Transposition
The liberation/freeing of a nerve from adhesions for the relief of tension of a nerve due to stretching Neurolysis
Includes sleep staging with various parameters of sleep for at least six hours. Parameters include EEG, EMG, EOG, plus four or more additional parameters. Polysomnography
EMG; used to evaluate the cause of weakness paralysis involuntary muscle twitching in other symptoms (needle) electromyography
Hcpcs level II code for implantable neurotransmitters emulator electrode L8680
Hcpcs level II code for injection one unit of Botox J0585
S codes are temporary national codes for emerging procedures and technology. Decompression procedures, percutaneous, of nucleus pulposus of intervertebral disk using radiofrequency energy uses what code? S2348
Which modifier would you use for: excessive blood loss, presence of excessively large surgical specimen, extra time or high complex trauma Modifier 22
What are the three E/M criteria that must be met in order to report modifier 24? The E/M service occurs during the post-operative of another procedure. The current EM service is unrelated to the previous procedure The same provider who performed the previous procedure provides the E/M
Which modifier is used for EM service that is both significant and separately identifiable. 25
Which modifier is used when a provider conducts diagnostic test or other services using equipment he or she does not own? 26
Measures the movement of a limb; method utilizing miniature sensors translating physical motion into a numeric presentation Actinography testing
A passage or communication between two vessels or organs. May be normal or pathologic or may be created surgically. Anastomosis
An interruption of messages sent between nerves and muscles by administration of a chemical substance Chemodenervation
Injection of an enzymeto dissolve the gelatinous cushioning material in an intervertebral dis Chemonucleolysis
When referring to neves of the spine; freeing of a pinched nerve, for instance from between adjacent vertebrae Decompression
Rare disorder in which the bones of the skull do not close completely, creating a gap through which cerebral spinal fluid, brain tissue & meninges can protrude into a sac-like formation Encephalocele/cephalocele/ meningoencephalocele
a voltage change observed after electrical stimulation is applied to the skin surface above the distal region of a nerve often used to measure nerve conduction velocity F-wave
A reflectory reaction of muscles after electrical stimulation of sensory fibers in their innervating nerves H-reflux Hoffman reflux
The three membranes that cover the brain and spinal cord Meninges
Protrusion through a bone defect in the vertebral column of the meninges covering the spinal cord Meningocele
Agent used to destroy nerves for instance alcohol or phenol neurolytic agent
An extension of dura mater, separates the cerebrum from the cerebellum Tentorium cerebelli
Cutting a piece of bone out of the skull the instrumentation used is a trepan Trephination, burr hole
located on the posterior spying on each side of the vertebrae or it overlaps the neighboring vertebrae. The facet joints provide stability and give the spine the ability to bend and twist. Zygapophseal joint, z joint, paravertebral facet joint
What modifier is used for an E/M service resulting in a decision for a major surgery with a 90-day global period. Modifier 57
Premature closure of the sutures of the skull Craniosynostosis
MCA Middle cerebral artery
In the ICD-10 how would you index dorsal column stimulator generator malfunction? Complication/ electronic stimulator device/ generator/ breakdown
Created by: marrufotheresa
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