CPT Surgery Section
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| show | The relocation of tissue from one individual to another (both of the same species) without an identical genetic match.
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| show | The immobilization of a joint using a surgical technique.
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| show | The treatment of a fracture without surgically opening the affected area.
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| Complex Closure | show 🗑
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| show | The area or part of the body from which skin or tissue is removed with the intention of placing that skin or tissue in another area or body.
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| Excision | show 🗑
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| Fornix | show 🗑
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| Full-Thickness | show 🗑
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| show | The length of time allotted for postoperative care included in the surgical package, which is generally accepted to be 90 days for major surgical procedures and up to 10 days for minor procedures.
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| show | The process of taking skin or tissue (on the same body or another).
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| show | A multilevel method of sealing an opening in the skin involving 1+ of the deeper layers of the skin. Singlelayer closure of heavily contaminated wounds that required extensive cleaning or removal of particulate matter also constitutes intermediate closure
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| show | The surgical removal of a vertebral posterior arch.
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| show | The attempted return of a fracture or dislocation to its normal alignment manually by the physician.
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| show | Surgically opening the fracture site, or another site in the body nearby, in order to treat the fractured bone.
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| show | The insertion of fixation instruments (such as pins) placed across the fracture site. It may be done under x-ray imaging for guidance purposes.
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| Recipient Area | show 🗑
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| Saphenous Vein | show 🗑
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| Simple Closure | show 🗑
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| Standard of Care | show 🗑
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| Surgical Approach | show 🗑
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| show | The transfer of tissue from one site to another.
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| The global surgical package includes all except | show 🗑
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| When a surgeon does not provide preoperative or postoperative care to the patient upon whom he or she operates, the procedure code should be appended with modifier | show 🗑
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| Excision of lesions is reported | show 🗑
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| show | adding all the lengths together and coding the total.
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| show | 58
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| Backbench work during a transplant process is | show 🗑
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| show | 43644
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| show | 32098
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| Vulvectomy, radical, partial; with unilateral inguinofemoral lymphadenectomy would be coded | show 🗑
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| show | modifier 26
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| show | cast
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| Prophylactic Treatment | show 🗑
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| show | performed to gather more details about a condition or concern at issue. In other words, the reason for performing the test or procedure is to get closer to an accurate diagnosis.
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| Therapeutic Procedure | show 🗑
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| show | does not enter the patient's body
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| Minimally Invasive Procedure | show 🗑
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| Percutaneous Approach | show 🗑
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| show | uses instruments inserted into the body by way of a puncture or small incision to access and visualize the intended anatomical site.
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| show | instrumentation entered into the body through a natural or an artificial opening (such as a stoma) to visualize the intended anatomical site
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| show | insertion of a scope through a natural or artificial
opening to visualize and aid in the performance of a
procedure on the intended anatomical site.
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| Open Approach Procedures | show 🗑
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| Surgical Package Services Included | show 🗑
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| Surgical Package Services NOT Included | show 🗑
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| show | For procedures such as endoscopies and some minor
procedures:
• No preoperative period.
• No postoperative days.
• Visit on day of procedure is generally not payable as a separate service
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| 10-Day Postoperative Period | show 🗑
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| show | For major procedures, 1 day before the day of the surgery + the day of surgery + 90 days immediately following the day of surgery.
• One day preoperative included.
• Day of the procedure is generally not payable as a
separate service
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| 54 Surgical Care Only | show 🗑
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| show | This modifier is added to the CPT code for the surgical procedure included on a claim from the physician who only cares for the patient after the operation
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| show | When a physician, other than the surgeon who performed the procedure, cares for the patient from the decision to have surgery up to but not including the operation itself, modifier 56 is appended to the CPT code for the procedure.
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| show | When the work required to provide a service is substantially greater than typically required, it may be identified by adding modifier 22 to the usual procedure code. Documentation must support the
substantial additional work
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| Fine-needle aspiration biopsy | show 🗑
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| Core-needle biopsy | show 🗑
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| Excisional biopsies and incisional biopsies | show 🗑
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| Endoscopic biopsy | show 🗑
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| show | The anatomical location of the primary defect—the skin opening that needs to be repaired—as well
as the location of the secondary defect—the skin area from where the surgeon took the skin being transferred.
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| show | Add together the sizes of the primary defect and the secondary defect
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| The codes for skin grafts are determined by: | show 🗑
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| show | the process of destroying tissue with the use of
a chemical or electricity to seal a wound and stop bleeding.
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| Cryosurgical or cryotherapy | show 🗑
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| show | the method of using a special surgical tool, called
a curette, to scrape an organ, a muscle, or other site.
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| show | use high-frequency electrical current
instead of a scalpel to separate and destroy tissue.
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| Laser surgery | show 🗑
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| Manipulation | show 🗑
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| Penetrating trauma wounds require: | show 🗑
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| show | A partial laminectomy used to treat lumbar disc herniation.
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| Arthrodesis | show 🗑
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| show | The surgical removal of a vertebral posterior
arch
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| Percutaneous skeletal fixation | show 🗑
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| Lumbar puncture (spinal tap) | show 🗑
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| show | The standard for a nasal/sinus endoscopic procedure,
performed for diagnostic purposes, includes assessment of the:
• Interior nasal cavity.
• Middle and superior meatus.
• Turbinates.
• Sphenoethmoid recess
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| show | a hollow needle is inserted through a tiny incision and directed toward the internal area, typically with the support of imaging guidance.
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| Thoracotomy | show 🗑
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| show | used to visually examine and/or obtain a specimen for pathologic testing of the interior of an organ, such as the throat, stomach, or bladder, in order to make a
more accurate diagnosis
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| Simple | show 🗑
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| show | The removal of skin and deep subcutaneous
tissues
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| show | The removal of less than 80% of the vulvar area
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| show | The removal of more than 80% of the vulvar
area
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| Approach | show 🗑
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| Definitive | show 🗑
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| Electrical reprocessing | show 🗑
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| show | Medication administered intrathecally (directly into the cerebrospinal fluid via the subarachnoid space in the spinal cord)
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| show | If the condition is chronic, a peripherally inserted central catheter (PICC) line may be inserted and used for the administration of the medication for the duration of the therapy.
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| show | Treats glaucoma with an incision into the trabecular tissue of the eye to drain the excess fluid that has accumulated; in some cases, a tube is inserted
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| Vitrectomy | show 🗑
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