Ch. 19 Musculoskeletal Sys Theory & Practical – Flashcards
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Closed treatment
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Fracture treatment when site is not surgically opened and visualized or reduction
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Open treatment
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Fracture site that is surgically opened and vusualized
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Percutaneous
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Reshaping or reconstructing a jiont
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Fracture
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Break in a bone
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Dislocation
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Displacement of a bone from its normal location in a joint
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Manipulation
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Word used interchangeably with reduction to mean the attempted restoration of a fracture or joint dislocation to its normal anatomic position
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Fixation
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The application of pins, wires, screws, and so on to immobilize; these can be placed externally or internally
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Skeletal traction
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Application of force to a limb with the used of a pin, screw, wire, or clamp attached to the bone
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Soft tissue
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Tissues (fascia, connective tissue, muscle, etc..)surrounding organs and other structures
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Arthroplasty
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Reshaping or reconstructing a joint
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Arthrodesis
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Surgical immobilization of a joint
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Would a biopsy code usually include the administration of any necessary local anesthesia?
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Yes
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What is arthrocentesis?
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Aspiration of a joint
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What is a uniplane fixation device?
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Device that has 2 or more pins inserted above a fracture & 2 or more pins below a fracture on only 1 surface & is used to stabilize the fracture
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What is the name of the graft that is taken from the lower thigh area where the fascia is the thickest?
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Fascia lata graft
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What type of stimulation often is used to promote healing of a slow healing fracture?
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Electrical or ultrasound
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What is fast becoming the surgical method of choice for many musculoskeletal procedures today?
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Arthroscopy
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What is the term that describes the use of tape applied to the body to provide support or limit motion?
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Strapping
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Do you bill for the removal of a cast that your physician applied?
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No-removal is part of cast service
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What 2 words describe when elastic wrap or take is fastened to the skin or wrapped around a limb and weights are then attached to the wraps or tape?
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Skin traction
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What is the primary difference between the excision codes found in the musculoskeletal system subsection and the excision codes found in the integumentary system subsection?
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Musculoskeletal applies to muscle and Integumentary applies to skin & subcutaneous tissue. The primary difference is extent.
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John is returning to the physician's office 2 weeks post-surgery for an application of a new long leg cast. The patient required surgery due to a traumatic fracture of the lower leg.
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29345-58 A modifier -58 should be appended to this because the patient is still within his post-operative (90-day) period. ICD-9: ICD-10:
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Julie Mason, age 5 years, is coming in today to have her long-arm cast removed and replaced with a short-arm cast for 3 weeks. The patient sustained a Torus fracture of the radius and is 1 week post-op.
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29075 (Cast, Short Arm) ICD-9: V53.7 (Admission [Encounter], for, fitting of, orthopedic [cast]) ; V54.12 (Aftercare, fracture, traumatic, arm lower) ICD-10:Z46.89 (Admission, for, orthopedic [cast] ; S52.119D (Fracture, forearm)
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Jamie Larson slipped on the ice and twisted her knee when she fell. during diagnostic arthroscopy, a buckle handle tear of the medial and lateral meniscus was seen and repaired.
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29883 ICD-9: ICD-10:
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Closed treatment of metacarpophalangeal dislocation, single, with manipulation; without anesthesia.
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CPT: 26700 ICD-9: 834.01 ICD-10:S63.269A
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Open treatment of a closed traumatic anterior hip dislocation without fixation
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CPT: 27253 ICD-9: ICD-10:
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Closed treatment of a patellar fracture; no manipulation.
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CPT: 27520 ICD-10: S82.009A ICD-9: 822.0
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Manipulation of knee joint under general anesthesia with application of traction device. Patient had an anterior dislocation of the tibia, proximal end.
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CPT: 27570 ICD-10: S83.116A ICD-9: 836.61
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myos/o-
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muscle
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volunt/o-
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ones own will
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burs/o-
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bursa
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fasci/o-
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fascia
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insert/o-
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to put in
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ten/o-
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tendon
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duct/o-
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bring; move; duct
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extens/o-
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straight
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flex/o-
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bending
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rotat/o-
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rotate
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supinat/o-
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lying on back
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buccinat/o-
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cheek
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front/o-
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front
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masset/o-
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chew
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orbicul/o-
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small circle
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stern/o-
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sternum
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cleid/o-
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clavicle
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mast/o-
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breast
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tempor/o-
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temple
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cost/o-
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rib
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delt/o-
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triangle
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pector/o-
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chest
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brachi/o-
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arm
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radi/o-
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radius
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extern/o-
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outside
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abdomin/o-
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abdomen
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intern/o-
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inside
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perone/o-
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fibula
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tibi/o-
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tibia
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anter/o-
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front
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contract/o-
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pull together
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troph/o-
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development
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neur/o-
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nerve
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trasmitt/o-
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to send across or through
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gastr/o-
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stomach
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pronat/o-
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face down
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then/o-
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thumb
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vert/o-
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to travel; to turn
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fibr/o-
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fiber
