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89 terms

Ch 27 Eye, Ocular Adnexa, Auditory, & Operating Microscope

Buck Step By Step Medical Coding 2012
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Evisceration (eye)
least extreme eye removal surgery; removal of contents of globe, leaving extraocular muscles and sclera intact
enucleation (eye)
moderate eye removal surgery; removal of the entire eyeball
exenteration (eye)
most extreme eye removal surgery; removal of eye with surrounding skin, fat, muscle, and bone
slit lamp
low powered microscope with high intensity light source that focuses the light as a long narrow beam or slit
paracentesis (eye)
removal of fluid (performed on anterior chamber) for either diagnostic or therapeutic purposes
How do you code skin grafting after eye removal surgery?
Code separately with codes from Integumentary system.. If eyelid was repaired deeper than skin level, refer to reconstruction codes.
Implant placed inside the muscular cone
ocular implant (fake eye)
implant placed outside the muscular cone
orbital implant (scleral shell prosthesis)
What are the parts of the anterior segment?
cornea, anterior chamber, anterior sclera, iris, ciliary body, and lens
transparent part of the eye
cornea
keratoplasty
repair of the cornea
penetrating keratoplasty
removal of the full thickness of the cornea and replacement with donor cornea
lamellar keratoplasty
thin layer of cornea is removed and replaced with donor cornea
Fluid-filled (aqueous humor) space located behind the cornea and in front of the iris
anterior chamber
paracentesis
removal of fluid
goniotomy
procedure using goniolens, used for congenital glaucoma
posterior synechiae
adhesions of the iris to the lens of the eye
anterior synechiae
adhesions of the iris to the cornea
anterior sclera
white fibrous outer layer of the front of the eyeball
fistulization
creation of a passage, sometimes used to decrease pressure of fluid in the sclera
surgical procedure in which the trabecular meshwork is reshaped or punctured
trabeculotomy ab externo or trabeculectomy ab externo; used for treatment of glaucoma or trauma
iris-scleral junction, drains aqueous humor
trabecular meshwork
colored part of the eye
iris
This smooth muscle is located behind the iris and produces aqueous humor
ciliary body
extracapsular, intracapsular, and phacoemuslification are three types of what procedure?
cataract removal
this surgery corrects muscle misalignment
strabismus surgery
tarsorrhaphy
suturing the eyelids together
tympanostomy
insertion of small tube that allows fluid to drain
exotosis
bony growth; if present in external auditory canal, is termed "surfer's ear."
otoplasty
surgical repair of protruding ear
canaloplasty
surgical repair of the external auditory canal
myringotomy
incision into tympanic membrane and re-inflation of eustachian tube
cholesteatoma
benign growth of skin in abnormal location
ossicular chain
bones of the ear that include the malleus (hammer), incus (anvil), and stapes (stirrup).
tympanoplasty
surgical correction or repair of defects or injuries in the eardrum or the bones of the middle ear; small tubes are inserted through tympanic membrane to allow for drainage.
labyrinth
cavelike structure located in inner ear
labyrinthotomy
procedure in which the labyrinth is surgically incised and various procedures performed to return labyrinth to functional condition
labyrinthectomy
procedure in which incus and stapes are removed
ECCE
extracapsular cataract extraction
ICCE
intracapsular cataract extraction
uvea
vascular tissue of the choroids, ciliary body, and iris
Cor/o-
prefix meaning pupil
cyclo/o-
prefix meaning ciliary body or eye muscle
dacry/o-
prefix meaning tear/tear duct
dacryocyst/o-
prefix meaning pertaining to the lacrimal sac
aural atresia
congenital absence of the external auditory canal
auricle, pinna, external acoustic, and meatus are parts of what?
outer ear
malleus, incus, and stapes are parts of what?
middle ear
vestibule, semicircular canals, and cochlea are parts of what?
inner ear
mastoid-
prefix meaning posterior temporal bone
myring-
prefix meaning eardrum
salping/o-
prefix meaning eustachian tube
apicectomy
excision of a portion of the temporal bone
The Auditory System subsection is divided anatomically into what 4 subheadings?
External ear, Middle ear, Inner ear, and Temporal Bone/Middle Fossa Approach
-ectomy
suffix meaning removal
-otomy
suffix meaning surgical incision or cutting into
incision into tympanic membrane and reinflation of the Eustachian tube?
myringotomy
What is the most common childhood surgery?
tympanostomy
What are the small bones in the middle ear known as?
Ossicular chain
Reconstruction of the external ear may require a split full thickness graft and would be reported from the ________ System.
Integumentary
canth/o
corner of eyelid
goni/o
angle
tars/o
margin of eyelid
AACG
acute angle closure glaucoma
AC
anterior chamber
AMD
age-related macular degeneration
CACG
chronic angle closure glaucoma
CE
cataract extraction
DA
dark adaptation
FA
fluoroscein angiography
GDD
glaucoma drainage device
NLD
nasal lacrimal duct
OAG
open angle glaucom
PCIOL
posterior chamber IOL
PMMA
polymethylmetacrylate
PSC
posterior subcapsular cataract
RD
retinal detachment
RK
radial keratotomy
ROP
retinopathy of prematurity
TM
trabecular meshwork
VALE
visual acuity, left eye
VARE
visual acuity, right eye
WNL
within normal limits
meniere's disease
a disease of the inner ear characterized by vertigo, nerve deafness, and a roar or buzzing in the ear.
limlbus
ring where cornea meets the sclera; aka sclerocorneal junction
microtia
abnormally small ears
perilymph
fluid that fills the bony labyrinth of the inner ear
retrobulbar
space behind the eye
trachoma
bacterial infection of the eyes