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27 terms

CH 22 Hemic, Lymphatic, Mediastinum, and Diaphragm

2012 Buck Step by Step Medical Coding
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The Hemic and Lymphatic Systems subsection is divided into what 3 subheadings?
Spleen, General, and Lymph Nodes and Lymphatic Channels
splenoportography
Radiographic procedure to allow visualization of splenic and portal veins of spleen
How many codes does it take to completely code a splenoportography?
2. Code the injection (Surgery) and the radiological visualization (Radiology).
allogenic
a graft/bone marrow, etc, that is from the same species, but genetically different
What are the two categories of lymphadenectomies?
Limited (removal of lymph nodes only)
Radical (removal of lymph codes and surrounding tissue)
From what section do you code a diagnostic-only laparoscopy?
Digestive System (49320)
What's another term for radical neck dissection?
complete neck dissection
Determining the grade or level of a neoplasm based on a common grading system
Staging
How many codes does it take to completely code a lymphangiogram?
2. Code the procedure (Surgery) and the radiological superivision/interpretation (Radiology)
lymphangiogram
an x-ray image of a lymph node or vessel taken after injection of a contrast medium
mediastinum
region between the lungs in the chest cavity
mediastinoscopy
endoscopic visual examination of the mediastinum
diaphragm
wall of muscle that separates the thoracic and abdominal cavities
imbrication
surgical pleating and folding of tissue to realign organs and provide extra support (eg diaphragm)
eventration
Weakening of diaphragm muscle, usually because of paralysis of the diaphragmatic (phrenic) nerve
Total or partial splenectomy codes are designated in the CPT manual as "________ procedures."
separate
You would find codes for the spleen in this subsection
Hemic and Lymphatic (Surgery)
The two categories of lymphadenectomies are:
limited/radical
True or False:The difference between the mediastinum incision codes is whether the procedure is performed with or without a biopsy.
False. Codes are organized by surgical approach.
retroperitoneal
Behind the peritoneum of the abdominal cavity
peritoneum
Membrane surrounding the organs in the abdomen
cystic hygroma
congenital deformity or benign tumor f the lymphatic system
lymphangiotomy
Incision into a lymphatic vessel
lymphangiectomy
surgical removal (excision) of a lymph vessel
What ICD9 Index term do I reference when coding the harvesting of bone marrow?
"Donor, Bone Marrow" (V59.3)
sentinel lymph node
first lymph node(s) in the lymphatic basin that receives drainage from the primary tumor in the breast; identified by a radioisotope and/blue dye
A radiologist performs lymphoscintigraphy in the radiology dept. Then the general surgeon injects blue dye and excises a sentinel lymph node (both in the operating room). What two modifiers are used?
Radiology -26 (professional component)
Surgeon -59 (Distinct procedural service) for Injection (since also excising node)