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AAPC Chapter 11
AAPC CPC- digestive system
| Question | Answer |
|---|---|
| Pancreas: empties digestive fluid into _____, and insulin into bloodstream. | duodenum |
| Barrett's Esophagus: abnormal growth of ____ and intestinal cells at distal esophagus. May be caused by chronic ____. | stomach, GERD |
| Malloy- Weiss Tear: in mucous membrane of esophagus where connects to _____. Usually from forceful or long-term vomiting or ____ or epiliptic seizures. | stomach, coughing |
| Common cause of ______: H. Pylori | gastritis |
| Diverticulitis: combination codes to include the ____ and complications. 4th character for _____ and if perforation or abcess. | condition, location |
| IBS: code with or without ____. | diarrhea |
| ICD-10: any personal history or family history of any _____ should be coded in addition to treatment. | neoplasm |
| Meckel's diverticulum: congenital, Remnant of the connection from the yolk sac to the _____ intestine during embyonic development. | small |
| Redundant Colon: congenital, colong ____ than normal. | longer |
| Vermilionectomy: lip shave, code also includes the repair of the excisional area by ______ advancement. | mucosal |
| Cheiloplasty: plastic surgery of _____. Coding based on indication of the vertical ____ with the repair. Used for example- cleft lip. | lips, height |
| Vestibule: space between the ____, lips, teeth. | cheeck |
| Excision on parotid gland is determined by amount of tissue excised, the ____ affected and if nerve dissection done. | lobe |
| Sialedochoplasty: inserting hollow tube into salivary duct, duct allowed to ____, tube is later removed and opening restored. | heal |
| Adenoidectomy and tonsilectomy: codes determined by age of pt under ____ and over. | 12 |
| Esophagectomy: code based on if it's partial, _____ total or total. Whether approach is cervical or thoracic and if any ____ done. | near, reconstruction |
| Endoscopic procedures: code based on _____ site. If provider converts endoscopic procedure to an open procedure only code open procedure. | anatomic |
| Hot biopsy forceps: uses monopolar ______ with grounding pad placed on pt. Enables doctor to similtaneously excise a lesion and control _____ and if needed to preserve speciman. | current, bleeding |
| Electrocautery snare: to remove small ____, polyps or other lesions. A snare is a wire loop used to encircle tissue. | tumors |
| If more than 1 tumor is removed by multiple techniques which have distinct CPT codes- ______ report each removal. | separately |
| EGD- if the examdoesn't include proximal duodenum or jejunum, report appropriate code and append modifier ___ to report full exam wasn't complete. | 52 |
| If pt returned to endoscopy suite later with a ____ complication, the procedure done to resolve this might be reported separately. | bleeding |
| When PEG tube requires 2 providers, both should report 43246 with modifier ____ "2 surgeons." | 62 |
| Nissen Fundoplasty: mobilization of _____ of stomach which is then wrapped around the lower esophageal sphinchter to correct ____ or hiatal hernia. | fundus, reflux |
| Modifier 52: when service was ____. | reduced |
| Gastectomy: codes based on how much stomach removed and type of ____. | reconstruction |
| Enterectomy: resection of one or more segments of ____ bowel. Code determined by amount ____, type of repair done and with or w/o tapering. | small, removed |
| Endoscopic procedures: to code need to know technique to remove lesions, polyps or ____ through endoscope. | tumors |
| Enterostomy: codes determined by the portion of the ____ tract that is brought to the serface of the abdomen and if the procedure is not included in the verbage of a more ____ procedure. | digestive, exstensive |
| Add on code 44701 "Intraoperative lavage" may be used for inadequate bowel ____ at time of elective or semi-elective surgery. | prep |
| When multiple specimens removed during _____ endoscopic session by different techniques, report a code for each procedure performed and sequence the codes with highest _____ 1st. | same, value |
| Liver allotransplantation: requires 3 components of doctor's work: harvesting of graft or cold prep, _____ prep and recipient transplantation. | backbench |
| Backbench: standard prep of the ___ for transplant into recipient. | organ |
| Modifier 66: "surgical ____" requiring several physicians of different specialties. Ex: transplant | team |
| Whipple procedure: pancreaticoduodenectomy. Normally done to treat _____. Coding depends on how much duodenum is ____ and if pancratojejunostomy is done. | malignancies, removed |
| Anastomossi: a cross connection surgically between adjacent ____, parts of intestine or other channels of the body. | vessels |
| Hernia repairs: to determine codes need to know type of hernia for some, may also need to know pts ____, whether hernia is initial or reccurent and clinical presentaion of hernia. | age |
| Anterior abdominal hernias: need to know the total ____ size. | defect |
| Spigelianhernia: protruding peritoneal fat, peritoneal _____ or a viscous-containing sac through the spigelian zone. | sac |
| Omphalocele: conginetal anomaly, variable amounts of abdominal contents _____ into base of the unbillical cord. | protrude |
| Incarcerated hernia: contricted and cannot be ____ by simple manipulation. Medical emergency- _____ hernia. | reduced, strangulated |
| Radiology: some codes- modifier TC or 26 if technical and professional component. No modifier needed to report ____ procedure. | complete |
| When ____ pt is screened for malignant neoplasm of gastro tract, refert o HCPC instead of CPT | Medicare |
| PEH: peraesophageal ____ | hernia |
| Exenteration: major surgery, when ____ and adjacent strutures are removed. | organ |
| Exstrophy: condition when organ is turned ____ out. | inside |
Created by:
mlovest
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