114 terms

Certified medical coder march2015

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Septicemia
Presence of bacteria in the blood associated with severe infection
SIRS
The body's systemic immune response to infection or trauma
Sepsis
SIRS due to infection
Severe sepsis
Sepsis with organ dysfunction
Septic shock
Sepsis with complete circulatory failure also with other organ dysfunction
Iatrigenic
Induced inadvertently by medical treatment
Idiopathic
Of unknown cause
Malignant
Tending to progressively worsen or having the properties of invasion or metastasis
Benign
Non malignant having favorable prognosis
Cancer in situ
A malignancy which is confined to the epithelium of the origin
Neuropathy
Disease of a nerve
Osteomalacia
Softening of the bone
Occlusion
An obstruction
Ischemic
Pertaining to an inadequate blood supply to an organ
Claudication
Limping impairment painful cramping
Herpes zoster
Viral infection HSV -1 involves lips mouth face HSV -2 sexually transmitted
Infarction
The formation of an infarct An area of tissue death due to lack of oxygne
Complicated wound
A wound with delayed healing delayed treatment foreign body or infection
Reduction
Correction or repair of a fracture luxation or hernia
Closed reduction
Correction by manipulation without an incision
Open reduction
Repair of fracture after incision into fracture site
Manipulation
Use of hands or adjusting tools to correct alignment position return to normal
Simple repair of wound closure
Used when the wound is superficial involving epidermis or dermis or subcutaneous tissues without significant involvement of deeper structures requires one layer c
closer
Intermediate wound closure repair
Includes the repair of wounds that require closure of one or more of the deeper layers of subcutaneous tissue and superficial fascia in addition to skin closure Single layer closure of heavily contaminate wounds that require extensive cleaning
Complex wound closure repair
Includes the repair of wounds requiring several layers of closure scar revision debridement extensive undermining stents or sutures
Ablation
Removal or excision
Resection
Removal of an organ or lesion by cutting it away from the body or remainder of the tissue
Ligation
Application of ligature act of binding constriction to tie off
Decompression
Removal of pressure by compressing a structure
Shunt
To remove a body fluid from one place to another
Stent
A tube designed to be inserted into a vessel to keep open
Fistula
Abnormal connection or opening between an organ
Debridement
Process of removing no living tissue to speed up healing
Peripheral
Away from the center
Allograft
Transplant of organ to an individual from another of the same species
Autograft
Transplant of organ to an individual from their own body
Xenograft
Transplant of organ to an individual from a differnt species
Percutaneous
Through the skin
Surgical pathology
Specimen removed during a surgical procedure to be examined by a pathologist with gross and or microscopic evaluation to identify or confirm disease or absence of disease
A- an-
Not without
Brady-
Slow
-Cele
Hernia
Chole-
Gall
Contra-
Against
-Desis
Bonding or fusing
Dys-
Difficult
-Ectomy
Excision
-Emia
Blood
End/o
Inner indie of
Enter/o
Intestines
Gluco. Glyco
Sugar
Herni/a
Ruptue
Hist/o
Tissue
-iasis
Condition of
Laparo-
Abdomen
Mal-
Bad poor
Myel/o
Spinal cord bone marrow
-Oma
Tumor
Ortho-
Straight
-Osis
Abnormal condition
-Ostomy
Creating artificial opening
-Otomy
Incision into
Para-
Near beside
-Pathy
Disease
Ped greek
Child
Ped latin
Feet
Peri-
Around surrounding
-Pnea
Breathing
Poly-
Many
-Rhea
Flow discharge
-Rrhage
Bursting forth
Spondyl/o
Vertebra
-Trophy
Nourishment development
Vas/o
Vessel
A1c
Hemoglobin used to monitor blood suger
ASA
Asprin
BK
Below the knee
c/o
Complains of
CABG
Coronary artery bypass graft
CAD
Coronary artery disease
CBC
Complete blood count
CNS
Central nervous system
COPD
Chronic obstructive pulmonary disease
CT
Computer tomography
DVT
Deep vein thrombosis
Ekg
Electrocardiogram
ERD
Emergency room department
FBS
Fasting blood suger
F/u
Follow up
GI
Gastroinstestinal
H&H
Hemoglobin and hematocrit
HA
Headache
HEENT
Head eyes ears nose and throat
Hgb
Hemoglobin
HIV
Human immunodeficiency virus
HTN
Hypertension
HPV
Human papillomavirus
HX
History
LUG
Left upper quardranr
MI
Myocardial infarction
MRSA
Methicillin resistant staphylococcus aureus
N&V
Nausea and vomiting
NPO
Nothing. By mouth
PERLA
Pupils equal reactive to light accomodation
PID
Pelvic inflammatory disease
Prn
As needed
Q4h
Every four hours
Qd
Every day
ROM
Range of motion
SIRS
Systemic inflammatory response syndrome
Tid
Three times a day
TURP
Transurethral resection of the prostate
WDWN
Well developed well nourished
WNL
Within normal limits