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68 terms

CPT Coding - Chapter 19

Musculoskeletal System
STUDY
PLAY
arthrodesis
surgical immobilization of joint
arthroplasty
reshaping or reconstructin of joint
closed treatment
treatment of fracture without surgical opening and visualization
dislocation
placement in a location other than original location
fasciectomy
excision of fascia
fracture
break in bone
internal fixation
application of pins, wires, screws to immobolize a body part placed internally
external fixation
application of pins, wires, screws to immobolize a body part externally
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 join t dislocation to its normal anatomic positin
open treatment
fracture site that is surgically opened and visualized
precutaneous skeletal fixation
considered neither open or closed; fracture is not visualized, but fixation is placed across the fracture using x-ray
tenorrhaphy
together tow parts of tendon
traction
application of force to limb
trocar 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
whichphysicans subspecialty can use the codes from the muskoskeletal subsection
closed
type of fracture treatment;treatment of fracture without surgical opening and visuallization
open
type of fracture treatment; treatment of fracture that is surgically opened and visualized
precutaneous skeletal fixation
type of fracture treatment; neither open or closed; fixation is placed across fracture site usually under x-ray imaging
extent
it is what of the fracture that determines type of treatment
traction
application of pulling force to hold bone in place
manipulation
physicians actions of bending, pulling, rotating or guiding bone back into place
reduction
means to put the bone back into place
tocar needle
hollow needle often use to withdraw samples of fluid from a joint
local anesthesia
biopsy code usually includes the administration of this
skeletal traction
application of force to a limb with the use of pins,screw, wire or clamp attached to bone
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
precutaneous
fractures are coded by 3 treatment
small
arthrocentisis is divided according to whether the joint 1
intermediate
arthrocentis is divided according to whether the joint is 2
major
arthrocentisis is divided accordint to whether the joint is 3
major
shoulder or hip
small
finger or toe
intermediate
ankle or elbow
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