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Respiratory, Hemic, Lymphatic, Mediastinum, Diaphragm

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Question
Answer
Spleen: creates and stores new RBC's, phagocytizes bacteria and worn out platelets and RBC's, recycles ____, synthosizes antibodies, hold in reserve monocytes and other bodies crucial to _____ function.   iron, immune  
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Stem cells can be harvested apheresis whereby blood is _____ to remove stem cells.   filtered  
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4 organs of lymphatic system: tonsils, spleen, _____ gland and peyers patches.   thymus  
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Thymus: plays a role in autoimmunity- preventing the body from _____ itself. Provides T cells.   attacking  
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Peyer's patches: small intestine, prevents _____ from penetrating/infecting intestine wall.   bacteria  
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Pansinusitis: when all sinuses are affected on one or both _____ of the nose. Code based on acute, chronic or ______ status.   sides, recurrent  
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Influenza: ICD combination codes based on the ____ and the manifestations such as respiratory, gastrointestinal, etc.   strain  
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J44 (COPD) and J45 (Asthma) code for uncomplicated and those with _____.   exacerbations  
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Asthma codes: based on severity and if complicated or uncomplicated or _____ asthmaticus.   status  
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Pneumoconiosis: caused by inhalation of _____. Pneumothorax: collapse of _____.   dust, lung  
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_______ lung diseases (ILD): also known as diffuse parynchymal disease- group of lung diseases affecting the interstitium (the tissue and space around the air sacs)   Interstitial  
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Interstitial lung diseases: often cause is from exposure to contaminants like ______, which causes pulmonary fibrosis.   asbestos  
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Z codes to report family _____ of lung/respiratory conditions as secondary codes.   history  
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Vaping related disorders: associated respiratory signs and symptoms are _____ reported separately.   not  
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Bilateral diaphragmatic paralysis: can be caused from cutting of _____ nerve during surgery. Code for what procedure was being done.   phrenic  
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Lymphoproliferative disorders: _____ production of lymphocytes.   over  
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Lymphadenitis: often from a bacterial disease. Certain disorders involving the ____ can cause an increase or decrease in circulating blood cells.   spleen  
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Hyperspleenism: enlarged, _____ spleen, can cause decrease in circulating blood cells.   hyperactive  
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Leukemia: Remission identified in the code: not haveing remission, in remission or in _____. Not having remission also used for failed remission or not otherwise specified.   relapse  
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Vestibular stenosis: narrowing of nasal ______ resulting in airway obstruction. Repairs for this 30465- this code is bilateral.   inlet  
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Choanal atresia: congenital, back of the nasal _____ blocked by abnormal tissue.   passage  
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Intranasal synechaiae: lesions, often result of trauma or _____   surgery  
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CPT: any time a diagnostic eval is performed all the areas are inspected and a _____ code is not reported of reach area.   separate  
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Diagnostic endoscopies: ______included in surgical endoscopies. If diagnostic scope is done and descision is made to do surgery, only the surgery _____ is coded.   always, scope  
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Dacryocystohinostomy: restores flow of _____ into the nose from the lacrimal sac.   tears  
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Concha bullosa enlargement of nasal turbinate, it may be resected to improve ______   airflow  
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Maxillary anstrostomy: making opening in maxillary _____ to improve drainage.   sinus  
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Decompression: depending on structure treated, releives an _____ nerve or other structures of the eye.   optic  
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CPT: code with or without _____ for pharyngolaryngectomy.   reconstruction  
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Laryngectomy can be _____ or partial   total  
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Tracheostomy: any tube changes after the tract is established cannot be ______and become a componentof the appropriate E/M service for that visit.   billed  
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Planned tracheostomy (cpt): is a separate procedure that usually wouldn't be coded if performed at the same time as a more _____, related procedure.   extensive  
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2 types of laryngoscopy: direct and indirect. Indirect- more simple, use of mirrors and _____ to view the larynx.   lights  
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Direct laryngoscopy: viwing larynx , voacal cords and back of _____using laryngoscope.   throat  
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Many (CPT) endoscopy codes include use of ______ or telescope.   microscope  
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Endoscopic stroboscopy: allows examiner to gather info on the virating nature of the ______ cords.   vocal  
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Laryngeal web: ______ malformation of the larynx. Horizontal nexk incision exposes the laryngeal web (between vocal cords), excises the web and puts a _____ between vocal cords . Later it's removed.   congenital, spacer  
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Cricoid split: break in the circular carilage of larynx. The split is _____ and affixed with a wire.   reduced  
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Code for each anatomical site examined with ______.   endoscopy  
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If multiple bronchoscopies done: append modifier ____. Check payers for this to see if compatible.   51  
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Bronchial alveolar lavage: sampling of lung ____ by irrigating with saline and then suctioning.   tissue  
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Bronchial thermoplasty: pts with severe asthma, bronchoscope into bronchus then _____ inserted through scope and thermal entegry used to reduce amount of smooth _____ to clear airway.   catheter, muscles  
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Diagnostic thoractotomy: ____ of lung or pleura.   biopsy  
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Decortication: to remove fibrous or scarred pluera adhered to _____.   lungs  
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Chest tubes: required to expand the lungs. Is _____ into lung/thoractomy procedures and chest endoscopic procedures.   bundled  
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Thoractotomy: for definitive diagnosis. Is an inherent part of other _____ lung procedures if it's done as part of procedure it's not coded separately.   open  
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VATS: video ______ thorascopic surgery.   assisted  
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CPT: surgery VATS always include same _____ diagnostic VATS.   session  
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If results of VATS biopsy prompt surgeon to perform surgical VATS to perform malignancy only report surgical _____ code.   VATS  
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Lung transplant codes include 3 ____ areas of work involved in transplant: Donor pneumonectomy, backbench work to prepare the donor lung, _____ lung transplant.   separate, recipient  
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Pneumonolysis: separates chest wall from lungs to make _____.   collapse  
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Apnea: monitor for infants with high risk apnea, codes once per ____ day period.   30  
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Inbrication: surgery to ____ diaphragmatic disorder.   treat  
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Spleen: chambers (lobules) which contain 2 types of tissue- red and ____ pulp.   white  
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Spleen: Red pulp: many blood cells, also supplies body with _____. White pulp: spleenic nodules. Generates _____ humoral antibodies.   phagocytes, protective  
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Excision of spleen: many be total or _____   partial  
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Allogenic bone marrow transplants: from donor person, same ______.   species  
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Lymph nodes incised to drain an abcess: _____ or extensive. Query provider if unsure which.   simple  
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Lymph nodes that lie under muscle or bone are considered ____.   deep  
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Limited Lymphadenectomy: for staging of cancer, to determine if primary neoplasm has ____   spread  
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Modifier 22: "increased procedural services" when the service is greater than that ______ required for the listed procedure.   usually  
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Modifier 25: "significant separately identifiable E/M service by same _____ on same day of procedure" For when an E/M service occurs on same day as procedure.   physician  
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Modifier _____ "muliple procedures" more than one procedure or service done during same session . Many payers now use software that automatically detects _______ procedures.   51, 2nd  
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Modifier 57: decision for _____   surgery  
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Modifier 58: post-op period if procedure or service was: ______ at time of original procedure, more extensive than original procedure, for therapy ______ a diagnostic surgical procedure.   planned, following  
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Do Not Use modifier _____ if pt needs f/u procedure cause of surgical complication or unexpected post-op findings, arising from the initial surgery.   58  
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Modifier 59: "Distinct procedural service" to identify procedures that are distinctly _____ from any other procedure provided on same day.   separate  
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May append modifier 59 when provider: treats a pt during a different session, treats a _____ site or organ system, makes a separate incision/excision, treats a separate ______.   different, injury  
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Do not append modifier ____ to E/M codes and if a more specific modifier available, choose that.   59  
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Modifier 79: "Unrelated procedure or service by same physician during the post-op period." Unrelated surgery by _____ physician during global period of a previous surgery.   same  
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En bloc: in total or in _____, single piece.   full  
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Medicare pulmonary rehab codes are in HCPCS- "Therapeutic Procedures" ______ report supplies used during pulmonary rehab.   Separately  
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