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30 terms

Ch. 25; CPT

Reproductive, Intersex Surgery, Female genital System, and Maternity Care and Delivery
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Para-urethral ducts
one of a pair of ducts that drains the bulbourethral glands into the vestibule of the vagina. Also called Skene's duct.
introitus
a surgical opening of the vagina
Clitoroplasty
Surgical reduction of a clitoris that has become enlarge due to an adrenal gland imbalance
Perineoplasty
plastic repair of the perineum, usually to provide additional support to the perineal area.
Colpotomy
is cutting into the vagina to gain access to pelvic cavity
Colpocentesis
is the insertion of a long needle (puncture) attached to a syringe through the back wall of vagina to gain access to the peritoneal cul-de-sac- the area between the uterus and the rectum- to drain fluid.
Colporrhaphy
to strengthen an area on the weakened vaginal area reinforcement.
Manipulation
the vagina includes dilation (stretching), and removal of foreign material.
Conization
cervix is defined as excision of a cone-shaped or cylindrical wedge from the cervix uteri that includes the transformation zone and all or a portion of the endocervical canal.
cerclage
(repair of the cervix) involves extensive suturing of the cervix to decrease the size of the opening into the vagina
Trachelorrhaphy
is complex cervical repair in which plastic methods are to repair a laceration of the cervix
Endometrial sampling
is a biopsy of the mucous lining of the uterus
Dilation & Curettage (D&C)
can be diagnostic or therapeutic procedure performed when an endometrial biopsy has failed or was inconclusive or to determine the cause of abnormal bleeding or locate a neoplasm.
hysterectomy
is the removal of the uterus, but in the CPT manual there are many variations of this procedure
note: the division of the hysterectomy code is based on approach (abdominal or vaginal), then on the secondary procedures (extent) that was preformed (removal of tubes, biopsy, bladder, ect.)
hysterectomy approach
abdominal: is one in which the surgeon opens the abdomen to view by means of an incision.

vagina: the surgeon makes an incision in the vagina around the cervix and removes the uterus the uterus and /or ovaries/ fallopian tubes (sapingo-oophorectomy) through the incision.
Intrauterine device (IUD), as illustrated in, for birth control and for some not -so -common procedures such as artificial insemination.
artificial insemination.
is the process by which sperm is placed into the reproductive tract of a female for the purpose of impregnating the female by using means other than sexual intercourse or natural insemination. I
In vitro fertilization
is a different procedure in which an egg from the female is withdrawn and fertilized with sperm in a laboratory for 2 or 3 days with subsequent implantation into the uterus.
hysterosalpingography
is a diagnostic procedure to test the potency (unblocked) of the fallopian tubes.
Chromtubation
is surgical procedure to open an obstructed or narrowed tube.
salpingolysis
removal of abnormal scar tissue between a fallopian tube and nearby tissue
ovariolysis
The cutting away of adhesions that prevent the normal motility of the ovary. The procedure is used in the treatment of certain cases of female infertility.
Amniocentesis
is a procedure in which the physician inserts a needle into the pregnant to withdraw amniotic fluid and is only performed after the first the first 14 weeks of pregnancy.
Cordocentesis
is a procedure in which fetal blood is drawn.
hysterotomy
(abdominal ) may be performed to remove a hydatidiform mole ( cystlike structure) or an embryo.
ectopic pregnancy
is one in which the fertilized ovum has been become implanted outside of the uterus
Postpartum curettage
is performed within the first 6 weeks after delivery to remove remaining pieces of the placenta or clotted blood
spontaneous abortion (miscarriage)
is one that happens naturally
incomplete abortion
requires intervention to remove the remaining fetal material
missed abortion
is one in which the fetus has died naturally sometime during the first half of the pregnancy but remains in the uterus
septic abortion
is similar to a missed abortion but has the added compilation of infection