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76 terms

chapter 4

STUDY
PLAY
abscess
localized collection of pus that will result in the disentegration of tissure over time
allogenic
graft that is from the same species, but genetically different
allograft
tissue graft between individuals who are not of the same genotype
allotransplantation
transplantation between individuals who are not of the same genotype
anomaly
abnormality
autogenous
for oneself; autotogous
axillary nodes
lymph nodes located in the armpit
benign
not progressive or recurrent
biopsy
removal of small piece of living tissure for diagnostic purposes
cryosurgery
destruction of lesions using extrene cold
dermis
second layer of skin, holding blood vessels, nerve endings, sweat glands and hair follicles
destruction
killing of tissure by means of laser, electrocautery . chemicals and other means
electrodesiccation
destruction of lasion by the use of electric current radiated through a needle
excision
full thickness removal of lesion that may include simple closure
incision
cut into
lesion
abnormal or altered tissure, wound, abcess, cyst or boil
seperate procedure
minor procedure that when done by themselves are coded as a procedure
seperate procedure
when performed at same time as a major procedure are considered incidental and not coded seperately
shaving
horizontal or transvere removal of dermal or epidermal lesions, without full thickness graft
skin graft
transplantation of tissue to repair a defect
soft tissue
tissues; fascia, connective tissue, muscle and so forth
suture
to unite parts by stitching them together
tissue transfer
piece of skin for grafting thats still part of the original blood supplyu
wound repair, complex
involves complicated wound closure including revision, debridement, extansive undermining
wound repair, intermediate
require closure of one or more subcutaneous tissues and superficial fascea, in addition to skin closure
wound repair, simple
superficial wound repair, involving epidermis, dermis and subcutaneous tissure, requiring only simple one layer suturing
19 subsections
surgery is divided in how many sections
anatomic site
body system; subsections are usually devided according to this in surgery
arrow beginning and end
indicate that the information is new or has been revised for current edition
metric
meaurement in the cpt manual is in what system
length
1rst criteria for wound repair
complexity
2nd criterai for wound repair
site of repair
3rd criteria for wound repair
simple
1rst classification of wound repair (complexity)
intermediate
2nc classification of wound repair(complexity)
complex
3rd classification of wound repair(complexity)
modifier 51
most complex lesion procedure first and other using this; indicates multiple procedures
modifier 50
bilateral procedure modifier
same procedure
performed on a different site; 1rst time multiple procedures are coded
multiple procedure
performed during same operation; 2nd time multiple procedures are coded
procedure performed
multiple times; 3rd time multiple procedures are coded
general
first subsection in surgery section
special report
must accompany submission of unlisted code
preoperative
surgery package and surgical gobal fee are terms to describe what 1
intraoperative
surgery package and surgical global fees are terms to describe what 2
postoperative
surgical package and surgical fees are terms to describe what3
99024
five digit code used for documentaion purposes to report non billed postoperative services provided to the patient under the umbrella of surgical package
benign or malignant
major distinction in coding destruction of whether the lesion is
site and size
division of malignant lesion excision is base on what
global or singular
kind of package was developed by third party payers and may go beyond the package described in the ct manual
seperate procedure
two words follow a procedure discription alert you to the fact that you can code the procedure only if it is not done as part of a more extensive procedure
preoperative
first thing bundled in a surgery package
intraoperative
second thing bundled in a surgery package
postoperative
third thing bundled in a surgery package
modifier 27
multiple outpatient hospital e/m encounters on same date
abcess
localized collection of pus that will result in disintegration over time
cyst
closed sac containing fluid or matter
lesion
abnormal or altered tissue
tumor
swelling or enlargement; sponataneous growth or tissue that forms ans abnormal mass
epidermis
outer layer of skin
dermis
second layer of skin holding blood vessel nerve endings, sweat glands and hair follicles
repair
pertains to suturing a wound
modifier 58
stage or related procedure or service by same physician during the postoperative period
modifier 59
distinct procedural service
modifier 76
repeat procedure by same physician
modifier 77
repeat procedure by another physician
modifier 78
return to the operating room for a related procedure during the postoperative period
modifier 79
unrelated procedure or service by the same physician during the postoperative period
modifier 91
repeat clinical diagnostic labratory test
skin grafts, flaps
measurement area in square cm
lesion removal
measurement of diameter in cm
wound repair
measurement of length in cm
repairs
group together same anatomic site
repairs
group together the same classification such as simple or intermediate
hcpcs
modifiers used for indication of finger or toe
fee for surgery
surgery package and surgical global fee are terms to describe what 4