Medical Coding Ch. 20 Review ~Theory, Practical, Quick Check, & Exercises – Flashcards

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The Respiratory System subsection is arranged by_________site.
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Anatomic
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The procedure in which a scope is placed through a small incision and into a body cavity is called a/an?
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endoscopy
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When coding endoscopic procedures you must be certain to code to the fullest ________ of the procedure and to code the correct approach for the procedure.
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extent
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If more than one distinct procedure was performed during an endoscopic procedure, what modifier would you add to the lesser-priced service?
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-51
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What type of endoscopy is always bundled into a surgical endoscopy?
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diagnostic
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A(n) _________ laryngoscopy is performed when a physician uses a tongue depressor to hold the tongue down and view the epiglottis with a mirror.
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Indirect
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A(n) ___________laryngoscopy is performed when the endoscrope is passed into the larynx and the physician can look at the larynx through a scope.
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direct
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An otorhinolaryngologist is a physician who specializes in treating condtions of the __________, _____________, and _________
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Ear, Nose, Throat
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When coding a nasal abscess or a nasal biopsy of the skin using the external approach, you use codes from the _____________System subsection.
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integumentary
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When coding a nasal abscess or a nasal biopsy using the internal approach, you use codes from the __________System subsection
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Respiratory
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What are the three sections of turbinates? ____________, ______________, and _____________
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Superior, Middle, Inferior
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What is the name of the therapy in which the physician flushes saline solution into the sinuses to remove mucus or pus?
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Displacement
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a unilateral, total lung lavage following smoke inhalation
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CPT: 32997 ICD10: J70.5 ICD9: 508.2
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performed as a separate procedure, a parietal pleurectomy for pleurisy with bacterial, nontuberculous effusion.
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CPT: 32310 ICD10: M43.00 ICD9: 738.4
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resection of apical lung tumor, secondary site malignant neoplasm, with chest wall resection and reconstruction, unknown primary site.
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CPT: 32504 ICD10: C78.0, D49.9 ICD9: 197.0, 239.9
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removal of a crayon lodged inside nasal passage, office procedure
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CPT: 30300 ICD10: T17.0XXA ICD9: 932
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surgical right nasal cavity endoscopy with polypectomy for nasal polyps
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CPT: 31237 ICD10: J33.0 ICD9: 471.0
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direct, operative laryngoscopy for removal of button lodged in 2 year old child's larynx
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CPT: 31530 ICD10: J38.7 ICD9: 478.79
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indirect laryngoscopy with biopsy of nodule
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cpt: 31510 icd10: j18.9 icd9:486
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internal approach used to drain nasal septum hematoma
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cpt: 30020 icd10: j39.8 icd9: 478.9
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external, simple, left frontal sinusotomy for chronic frontal sinusitis
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cpt: 31070-LT icd10: d31.60 icd9: 22.41
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surgical sinus endoscopy with sphenoidotomy for acute sphenoidal sinusitis
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cpt 31287 icd10 j01.30 icd9 461.3
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submucous resection of nose with scoring of cartilage and contouring for an overdevelopment of nasal bones, acquired
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cpt 30520 icd10 m95.0 idc9 738.0
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Jack rogers developed chest pain and difficulty breathing. he has also been coughing up thick blood-tinged sputum. a chest radiograph shows an ill-defined mass. a diagnostic bronchoscopy of one lung is performed and a specimen of the endobronchial mass is taken. while the patient remains hospitalized, the pathology report comes back 2 days later positive for primary cancer of upper lobe and a lobectomy is performed.
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cpt: 31625 icd10: r07.9 icd9: 786.50
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James Wilson has been having difficult breathing and has had continual chronic ethmoidal sinusitis. Dr. Adams takes James to the operating room to perform a sinus endoscopy with right anterior and posterior ethmoidectomy and removal of polyps.
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cpt: 31255 icd10: r68.89 icd9: 796.4
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Mary Bronson has a nosebleed that wont stop. she goes to the emergency department, where anterior packing is done to control the anterior nasal hemorrhage. she also has documented benign hypertension
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cpt: 30901 icd10: r04.0 icd9: 784.7
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Rhinoplasty can be performed either_____, through external skin incisions, or closed, through _____ incisions.
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open intranasal
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Endoscopic maxillary antrostomy
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CPT code: 31256
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Direct laryngoscopy for removal of fish bone
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CPT code: 31530
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After the airway is sufficiently anestheized, a flexible bronchoscope is inserted through the mouth and advanced to the bronchus, where a transbronchial biopsy of one lobe is obtained
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CPT code: 31628
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Diagnostic thoroscopy of the mediastinal space is accomplished with the use of a flexible endoscope is inserted through a small inicision on the chest (no biopsy was performed)
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CPT code: 32601
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Segmental resection o the right single lung lobe using a flexible endoscope (surgical thoracoscopy)
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CPT code: 32663
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Biopsy of an intranasal lesion
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CPT code 30100 ICD-10: J34.89 ICD-9:478.19
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Primary rhinoplasty including major septal repair due to deviated nasal septum, acquired
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CPT code:30420 ICD-10: J34.2 ICD-9:470
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Anterior control of nasal hemorrhage by means of limited chemical cauterizeation and simple packing.
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CPT code: 30901 ICD-10: R04.0 ICD-9:784.7
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Septoplasty with contouring and grafting
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CPT code:30520
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Removal of crayon from nose of 5-year-old boy, conducted as an office procedure
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CPT code: 30300
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Lavage of maxillary sinus, bilateral
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CPT Code:31000
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Simple left frontal sinusotomy using an external approach
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CPT code: 31070-LT
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Unilateral sinusotomy of frontal, ethmoid, and sphenoid
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CPT code:31090
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Right radical maxillary sinusotomy
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CPT code:31030-RT
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Pterygomaxillary fossa surgery, transfacial approach, due to chronic antritis of maxillary sinus
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CPT code: 31040 ICD-10:J01.01 ICD-9:473.0
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Diagnostic larynostomy
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CPT code:31320
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Laryngotoplasty, two stages, for repair of congenital laryngeal web, removal of spacer
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CPT code:31580
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Emergency establishment of positive airway by means of endoctracheal intubation
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CPT code:31500
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Subtotal supraglottic laryngectomy with removal of adjacent lymph nodes and tissue due to a primary malignant neoplasm of glossoespiglottic folds
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CPT code:31368 ICD-10:C10.1 ICD-9:146.4
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Pharyngolaryngectomy with radical neck dissection for a primary malignant neoplasm of the pharyngeal region.
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CPT code:31390 ICD-10:C14.0 ICD-9:149.0
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Emergency tracheostomy, cricothyroid approach
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CPT code:31605
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Excision of a tumor of the trachea, cervical
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CPT code:31785
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Transtracheal injection for bronchography (code only the injection procedure)
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CPT Code:31715
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Planned tracheostomy in 47 year old patient with acute respiratory failure
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CPT code:31600 ICD-10:J96.00 ICD-0:518.81
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Catheterization with bronchial brush biopsy for bronchiolitis, acute.
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CPT code:31717 ICD-10:J21.9 ICD-9:466.19
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Catheterization with bronchial brush biopsy (code only the biopsy).
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CPT code:31717
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Thoracotomy for exploration
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CPT code:32100
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Percutaneous needle lung biopsy
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CPT code: 32405
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Lobectomy and bronchoplasty performed at same surgical session
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CPT code:32480
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Resection of an apical malignant lung neoplasm
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CPT code:32503 ICD-10:C34.10 ICD-9:162.3
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Pneumonostomy with open drainage of absess (pulmonary necrosis)
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CPT code:32200 ICD-10:J85.2 ICD-9:513.0
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