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Surgery Guidelines and General Surgery and Integumentary Systemb

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Surgery
The largest section in the CPT Manual
Medicare
Does not reimburse for a surgical tray.
The Subsections in Surgery section
Medical Speciality;Body System and Anatomical Site
Guidelines
Are found at the beginning of each section and contains information specific to the section.
><
Indicates new or revised text within the current edition of the CPT manual.
Parenthetical Expressions
Is information within parentheses
Unlisted Procedures
Befor assiging this type of code, you must be certain that a more specific Category I or a Category III code is not available.
Special Reports
Is a type of report that contains the nature, extent, need, time, effort, and times equipment necessary to provide service.
Seperate Procedures
Is designated within the CPT manual to indicate a procedure tha tis only reported when it is performed as the only procedure or shen another procedure performed at the same time is unrelated to this procedure.
Surgiacal Package
When time, effort, and services are bundled together.
Local Anesthesia
Is defined as local infiltration, metacarpal/digital blocks, or topical anesthesia.
Routine Complications
Accoridng to Medicare guidelines of a surgical procedure are usually included in the reinbursement for a major surgical procedure.
99070
Is a CPT code that can be assigned to a report Surgical tray.
A4550
Is a HCPCS code that can be assigned to report a Surgical tray.
99024
Reports a postoperative follow-up visit that is included in the global services.
Surgical Destruction
Is a part of a surgical procedure and different methods of destruction are not ordinarily listed seperate.
Commitent Conditions
Are the care of the conditions for which a diagnostic procedure was erformed or is not included and may be listed seperately.
Local Treatment
There are "Notes" in this subsection.
69990
Code used for Operationg Microscope Subsection.
Surgical Service
Follow-up care for therapeutic surgical procedures includes only that care.
Three Components of Wound Repair
Ligation, Exploration, Debridement
Three Wond Repair determination Criteria
Length of wound in cm, Complexity, Site of the wound repair.
Three Classificaitons of Wound Repair
Simple, Intermediate, Complex
Modifier-51
Multiple Procedures
Guidelines
The title for the information that percedes each section.
Debridement
Is the cleansing of an area or wound.
Punch Biopsy
May be performed to excise a disc of tissue.
Tissue Expansion
Is the term for the elastic material formed into a sac that is then filled with fluid or air.
Autografts
Is the nameof the graft that is taken from the patients body.
Malignant & Benign
The two major distictions in coding destruciton of lesions.
Site Location & Size
The divisions of malignant lesions excisions.
Dermabrasion
Is the procedure used to treat acne or wrinkles by means of sanding.
Physician would act as the Sergeon and Pathologist
In order to report Moh's Surgery
Excisional Biopsy
Is the entire lesion removed for biopsy.