[SOLVED] Discussion week 3 CPT - Education

Describe and list the range of codes for two subheadings of the Hemic and Lymphatic systems.Using 200 words APA format

CHAPTER 18
HEMIC, LYMPHATIC,
MEDIASTINUM, AND DIAPHRAGM

Slide ‹#›

Slide ‹#›
Copyright © 2021 by Elsevier Inc.

Hemic and Lymphatic Systems
Subsection (Excision, Repair, Introduction)
Divisions
Spleen
General
Lymph Nodes and Lymphatic Channels (Figure 18.1 in text)

Slide ‹#›
Copyright © 2021 by Elsevier Inc.

This subsection is divided into subheadings of Spleen, General, and Lymph Nodes/Lymphatic Channels.
Further division is based on type of procedure, such as excision, incision, or repair.
Where are the codes for spleen and lymph nodes located in the CPT manual Index? (Under main terms, spleen, lymph nodes, and bone marrow)

Spleen (38100-38200) (1 of 2)
Spleen easily ruptured, causes massive hemorrhage
May require splenectomy
Splenectomy: total or partial

Slide ‹#›
Copyright © 2021 by Elsevier Inc.

Codes for spleen are further divided into excision, repair, laparoscopy, and introduction.
Why can a person live without a spleen? (The bone marrow, liver, and lymph nodes take over the work of the spleen.)

Spleen (38100-38200) (2 of 2)
Often done as part of more major procedure
Bundled into major procedure

Slide ‹#›
Copyright © 2021 by Elsevier Inc.

Splenectomy carries the designation “(separate procedure)”; if the splenectomy is an integral part of another procedure, it is bundled into the main procedure code and is not reported separately.

General (38204-38243) (1 of 2)
Codes divided based on
Aspiration
Biopsy
Harvesting
Transplantation/Infusion

Slide ‹#›
Copyright © 2021 by Elsevier Inc.

What is a bone marrow needle aspiration? What is its code? (When a sample of bone marrow is withdrawn by a needle from the marrow cavity, 38220)
What is involved in a bone marrow biopsy? What is the code for this procedure? (Small pieces of marrow are withdrawn and the lab dissolves these in a solution. Then the substance is analyzed, 38221.)
What is bone marrow harvesting? What is the code for this procedure? (A larger amount of marrow is aspirated from a donor, 38230)
How is bone marrow transplanted? What is the code for this procedure? (Taken from donor and injected into the recipient, 38240-38243)

General (38204-38243) (2 of 2)
Types of cells:
Allogenic: Close relative
Autologous: Patient’s own
Hematopoietic progenitor cells (HPC)
Bone marrow
Peripheral blood apheresis
Umbilical cord blood

Slide ‹#›
Copyright © 2021 by Elsevier Inc.

Autologous cells are collected from the patient and reinfused later into the same patient.
Why would it be advantageous to collect stem cells from a close relative? (Because there is genetic similarity)
What are the codes for the harvesting and return of blood to the donor? (38205-38206)

Lymph Nodes and Lymphatic Channels (38300-38999) (1 of 3)
Two types of lymphadenectomies:
Limited: Lymph nodes only
Radical: Lymph nodes, submandibular gland, and surrounding tissue
Term “complete” same as radical neck dissection

Slide ‹#›
Copyright © 2021 by Else

CHAPTER 19
DIGESTIVE SYSTEM

Slide ‹#›

Slide ‹#›
Copyright © 2021 by Elsevier Inc.

Digestive System
Divided by anatomic site from mouth to abdomen, peritoneum, and omentum + organs that aid digestive process
Many bundled procedures
Surgical procedures for open and endoscopic:
Mouth and related structures
Pharynx
Adenoids
Tonsils
Esophagus
Stomach
Intestines
Appendix
Colon, rectum, and anus
Liver
Biliary tract
Pancreas

Slide ‹#›
Copyright © 2021 by Elsevier Inc.

2
The Digestive System subsection includes codes 40490-49999.
On what basis are the digestive system codes divided? (According to anatomical site beginning with the lips and ending with the abdomen, peritoneum, and omentum)
What are some of the organs that aid the digestive process and are included in this subsection? (Organs such as the pancreas, liver, and gallbladder)
What else is included in this subsection? (Abdomen, peritoneum, omentum, and hernias)

Lips (40490-40799)
Vermilionectomy (40500) is shaving of lip
Vermilion border: Area between lip and mucosal surface of mouth
Large defects (40510-40527)
Repaired with procedures such as transverse wedge excision (40510)
Cheiloplasty is lip repair
Full thickness repair (40650-40654)
Cleft lip repair (40700-40761)

Slide ‹#›
Copyright © 2021 by Elsevier Inc.

3
This is the first subheading of the Digestive Subsection.
Name a reason why a vermilionectomy with repair would need to be performed. (A patient with cancer of the lip)
What is a cleft lip? (A congenital defect when the muscle and tissue of the lip didn’t close properly)

Tongue and Floor of Mouth
(41000-41599)
Incision and drainage codes based on:
Sublingual (under tongue)
Submandibular (under mandible)
Masticator space (floor of mouth to
hyoid bone)
Extraoral (outside mouth) I&D of abscess, cyst, hematoma on floor of mouth

Slide ‹#›
Copyright © 2021 by Elsevier Inc.

4
Incision and drainages are based on the location of the abscess, cyst, or hematoma.
What other categories fall under the Tongue and Floor of Mouth subheading? (Excision, repair, and other procedures)

Dentoalveolar Structures and Palate/Uvula
Dentoalveolar structures (41800-41899)
Bone (osseous) and soft structures
of mouth
Anchors teeth
Palate/Uvula
(42000-42299)
Palate (roof of mouth)
Uvula (pendulous
structure at back of throat)
Alveolar mucosa. (From Liebgott B: The Anatomical Basis of Dentistry, ed 3, St. Louis, 2011, Mosby.)
Figure 19.6

Slide ‹#›
Copyright © 2021 by Elsevier Inc.

5
Dentoalveolar procedures consist of drainage of abscesses or cysts and excisions of lesions.
Palate/Uvula subheading contains codes for incisions, excisions, and repairs.
Grafts are reported separately.

Salivary Gland and Ducts
(42300-42699)
Three salivary glands
Parotid
Submandibular
Sublingual
Codes divided initially by gland

Slide ‹#›
Copyright © 2021 by Elsevier Inc.

6
Codes are divided based on the gland the procedure is performed on or the number

CHAPTER 20
URINARY AND MALE GENITAL SYSTEMS

Slide ‹#›

Slide ‹#›
Copyright © 2021 by Elsevier Inc.

Urinary System (1 of 2)
Anatomic divisions
Kidney
Ureters
Bladder
Urethra
Procedures on prostate
in either Urinary or
Male Genital System

Figure 20.1

2
Procedures involving the urinary system are reported using codes 50010-53899.
What are the four subheadings for the urinary system codes? (The codes are arranged anatomically by four subheadings: kidney, ureters, bladder, and urethra.)

Urinary System (2 of 2)
Further divided by procedure
Incision
Excision

3
On what basis are the category codes organized? (Arranged by procedure—incision, excision, introduction, and repair.)

Kidney (50010-50593)
Endoscopy codes for procedures done through
Previously established stoma
Incision
Most cystoscopy procedures have zero global days
A cystoscopy is a visual examination of urinary bladder by means of cystoscope
Figure 20.6

4
The Kidney subheading includes codes 50010-50593.
Endoscopy codes are assigned according to approach—either a previously established stoma is used as an entry point (which is created by placing a catheter through the skin and into the kidney), or an incision is used.
When coding endoscopy procedures, the coder must identify the entry method in order to assign the right code.

Incision (50010-50135)
Caution:
Kidney located in retroperitoneal area
Each has codes for procedures
Renal exploration
Kidney diagnostic procedure (50010), no further procedures performed
Retroperitoneal area diagnostic procedure (49010)
Renal abscess
Kidney abscess (50020)
If radiological supervision and interpretation were performed see 75989
Retroperitoneal abscess (49060)

5
What is the reason for renal exploration? (When the cause of the patient’s condition is unknown)
If something is found on the exploratory procedure and a corrective procedure ensues, do not bill for the exploratory procedure.
Exploratory = Diagnostic.

Procedures (1 of 2)
Nephrostomy (50040): Insertion of catheter into kidney with one end in kidney and one end outside body
Nephrotomy (50045): Exploration of inside of kidney
No definitive procedure
Verify all CCI code edits to prevent unbundling
Nephrolithotomy (50060-50075): Removal of calculus

6
It is important to know the difference in these terms and understand that the surgeon may start out performing a nephrotomy to explore the kidney and find a reason for the patient’s urinary obstruction, and the procedure then becomes a nephrolithotomy when a calculus is found.

Procedures (2 of 2)
ESWL: Use of shock waves
to fragment calculus
Percutaneous lithotripsy:
Insertion of probe to
pulverize calculus
Basket attached to probe and pulverized calcu

Why Choose Us

100% non-plagiarized Papers
24/7 /365 Service Available
Affordable Prices
Any Paper, Urgency, and Subject
Will complete your papers in 6 hours
On-time Delivery
Money-back and Privacy guarantees
Unlimited Amendments upon request
Satisfaction guarantee

How it Works

Click on the “Place Order” tab at the top menu or “Order Now” icon at the bottom and a new page will appear with an order form to be filled.
Fill in your paper’s requirements in the "PAPER DETAILS" section.
Fill in your paper’s academic level, deadline, and the required number of pages from the drop-down menus.
Click “CREATE ACCOUNT & SIGN IN” to enter your registration details and get an account with us for record-keeping and then, click on “PROCEED TO CHECKOUT” at the bottom of the page.
From there, the payment sections will show, follow the guided payment process and your order will be available for our writing team to work on it.

[SOLVED] Discussion week 3 CPT – Education

Why Choose Us

How it Works

Recent Posts

Recent Comments