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100 terms

chapter 19

Musculoskeletal system
STUDY
PLAY
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