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Musculoskeletal system

Closed treatment

fracture treatment when site is not surgically opened and visualized or reduction

Open treatment

fracture site that is surgically opened and vusualized

Percutaneous

reshaping or reconstructing a jiont

Fracture

break in a bone

Dislocation

displacement of a bone from its normal location in a joint

Manipulation

word used interchangeably with reduction to mean the attempted restoration of a fracture or joint dislocation to its normal anatomic position

Fixation

the application of pins, wires, screws, and so on to immobilize; these can be placed externally or internally

Skeletal traction

application of force to a limb with the used of a pin, screw, wire, or clamp attached to the bone

Soft tissue

tissues (fascia, connective tissue, muscle, etc..)surrounding organs and other structures

Arthroplasty

reshaping or reconstructing a joint

Arthrodesis

surgical immobilization of a joint

Would a biopsy code usually include the administration of any necessary local anesthesia?

Yes

What is arthrocentesis?

Aspiration of a joint

What is a uniplane fixation device?

Device that has 2 or more pins inserted above a fracture & 2 or more pins below a fracture on only 1 surface & is used to stabilize the fracture

What is the name of the graft that is taken from the lower thigh area where the fascia is the thickest?

Fascia lata graft

What type of stimulation often is used to promote healing of a slow healing fracture?

Electrical or ultrasound

What is fast becoming the surgical method of choice for many musculoskeletal procedures today?

Arthroscopy

What is the term that describes the use of tape applied to the body to provide support or limit motion?

Strapping

Do you bill for the removal of a cast that your physician applied?

No-removal is part of cast service

What 2 words describe when elastic wrap or take is fastened to the skin or wrapped around a limb and weights are then attached to the wraps or tape?

Skin traction

What is the primary difference between the excision codes found in the musculoskeletal system subsection and the excision codes found in the integumentary system subsection?

Musculoskeletal applies to muscle and Integumentary applies to skin & subcutaneous tissue. The primary difference is extent.

fasciectomy

excision of fascia

joint movement abduction

movement of a limb away from the midline of the body

adduction

movement of limb toward midline of body

circumduction

circular movement of limb

extension

movement by which two parts are drawn away from each other

hyperextension

excessive extension of a limb

pronation

applied to hand, the act of turning palm down

ligament

band of fibrous tissues that connect cartilage or bone and supports a joint

lysis

releasing

manipulation or reduction

mean the attempted restoration of a fracture or joint dislocation to its normal anatomic position

tenorrhaphy

together tow parts of tendon

traction

application of force to limb

tocar needle

needle with tube on the end; used to puncture and withdraw fluid from cavity

anatomic site

muscoskeletal system subsection is formated according to what type of sites

any physician

which physicans subspecialty can use the codes from the muskoskeletal subsection

local anesthesia

biopsy code usually includes the administration of this

arthrocentisis

aspiration of a joint

uniplane fixation device

device that has two or more pins

fascia lata graft

name of graft that is takent from lower thigh area where fascia is thickest

electric or ultrasound

type of stimulation often used to promote healing of slow healing fracture

arthroscopy

becoming the surgical method of choice for many muscoskeletal procedures

strapping

use of tape applied to the body to provide support or limit motion

no

removal of cast that physician applied is part of service

skin traction

elastic wrap or tape is fastened to the skin or wrapped around a limb and weights are attached to wraps of tape

type of biopsy

excision category based on this first

depth of biopsy

excision category based on this second

method of obtaining biopsy

excision category based on this third

wound exploration

used for traumatic wounds that result from penetrating trauma

incision

code used when abscess is associated with soft tissue and possibly down to the bone that underlies the abscess area

open

fractures are coded by 1 treatment

closed

fracture are coded by 2 treatement

orif

open reduction with internal fixation uses pins wires screws to stabilize a fracture

keller type procedure

in which a wire is inserted through the bone of a toe to hold bones in correct alignment

hallux

great toe

valgus

angulation of toe toward midline

body area

arthroscopy codes are divided according to1

type of procedure

arthroscopy codes are divided according to2

extent of procedure

arthtroscopy codes are dividing according to 3

removal codes

used to report removal of foreign bodies that are lodged in the muscle

injection codes

used to report injections made into tendon,ligament or ganglion cyst

spinal instrumentation

used to stabilize the spinal column in some repair procedures

segmental

instrumentation is attached of a fixated device at each end of area being repaired, at least on other attachement in spinal area being fixed

nonsegmental

instrumentation is application of fixative device at each end of area being repaired

major

shoulder or hip

small

finger or toe

intermediate

ankle or elbow

CPT

current procedural terminology

Revisions

are terms that reflectd the tchnologic advances made in medicine and are incorpated into the CPT manual

Solid dot

new code

+

add-on code

( )

encloses additional information

arrow facing up

revised code

O with a line through it

modifier -51 exempt

Appendix A

modifiers are found

Appendix B

where they have additions, deletions, and revisions

Guidelines

a list of the unlisited procedures for use in a specific section of the CPT manual

Third-party payers

requires a special report with the use of unlisted codes

Nature, extent, and need

represent three of the six elements that a special report must contain

Hyphen

punctuation mark between codes in the index of the CPT mannual indicate two codes are available

Comma

punctuation mark between codes in the index of the CPT mannual indicating 2 codes are available

Largest to smallest division of the CPT

category is the largest
section is the second category
subsection is the third category
subheading is the smallest division

Procedure/service descriptor

words that follow a code number in the CPT manual

stand alone

are codes that has all the words that describe the codes

Unlisted/Category III

procedures that are experimental, newly approved, or seldom used are reported

scoliosis

abnormal condition of lateral curvature of the spine

pyrexia

fever

podagra

pain in big toe

ischium

upper part of hip bone

ethmoid bone

cranial bone supports nasal cavity

colles fracture

bone break at the wrist

myelopoiesis

formation of bone marrow

bone occipital

forms the back and base of skull

talipes

clubfoot

trochanter

large process below the neck of the femur

calcaneus

heel bone

olecranon

elbow bone

communited fracture

bone is splintered or crushed

acetabulum

hip socket

sphenoid bone

bat-shaped cranial bone behind the eye

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