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2020 Coding For CPT Prep PHS > Chapter 9 - Respiratory, Hemic, and Lymphatic Systems > Flashcards

Chapter 9 - Respiratory, Hemic, and Lymphatic Systems Flashcards

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1
Q

Mediastinum

A

Portion of the thoracic cavity between the lungs that contains the heart, aorta, esophagus, trachea, and thymus gland

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2
Q

Acute upper respiratory infection

A

Bacterial or viral. Leading cause of acute illness. Separated by anatomy of the respiratory system.

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3
Q

Laryngitis

A

Losing of one’s voice. With (croup) or without obstruction.

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4
Q

Croup

A

Laryngitis with obstruction J05.0. Common, high pitched, barking cough in infants and children with nasal type symptoms. Code for infectious agent

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5
Q

Nasal polyps

A

Sac-like growths inside the nose. Often associated with chronic sinusitis. J33.- for the polyps. J32.- for the sinusitis

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6
Q

Stridulous croup

A

Milder form of croup. Also called laryngismus stridulous or false croup. Sudden onset of spasmodic laryngeal closure with crowing inspiration. No cough or fever. Normal between paroxysms. J38.5

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7
Q

RSV

A

Respiratory syncytial virus. Leading cause of respiratory infection in children. B97.4

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8
Q

Acute bronchitis and acute bronchiolitis

A

Patient presents with severe and productive cough. J21.-

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9
Q

Pansinusitis

A

When all sinuses are affected on one or both sides of the one. Needs to be specified as pansinusitis. Based on acute, chronic, or acute recurrent status.

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10
Q

Pneumonia

A

Can be caused by virus, bacteria, or fungus. Often combination codes that include the infectious agent.

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11
Q

Influenza

A

Viral infection that affects the nose, throat, bronchi, and sometimes the lungs. Combination codes that included related manifestations. Code specific confirmed types (Avian, H1N1, etc)

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12
Q

COPD

A

Umbrella term for multiple chronic lung diseases. Coughing, wheezing, shortness of breath, and difficulty breathing. J44.- Includes asthma, chronic bronchitis, and variations of these.

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13
Q

Asthma

A

J45.- Based on severity of that asthma as well as if uncomplicated, complicated by exacerbation, or status asthmaticus.

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14
Q

Status asthmaticus

A

Patient fails to respond to therapy during an asthma episode. Life threatening.

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15
Q

COPD with asthma

A

Code COPD and type of asthma. Also code exposure to tobacco or smoke.

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16
Q

Bronchitis and COPD

A

If acute bronchitis is reported with COPD code for COPD and the acute bronchitis.

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17
Q

Emphysema

A

J43.- Walls between air sacs are damaged causing loss of shape and elasticity. Most people with COPD have emphysema and chronic obstructive bronchitis.

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18
Q

Pneumoconiosis

A

Restrictive lung disease caused by inhalation of dust. J60-J70. Coded based on exposure type.

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19
Q

Pyothorax

A

Collection of pus between the lung and the lining of the lung. Often caused by infection that spreads from the lung to the pleural space.

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20
Q

Pleurisy

A

Inflammation of the pleura caused by a lung infection. Use an additional code to document the type of infectious agent.

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21
Q

Pneumothorax

A

Lung collapse J93.0 - J93.9

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22
Q

Spontaneous pneumothorax

A

No traumatic cause. Common in thin men who are heavy smokers.

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23
Q

Iatrogenic pneumothorax

A

Post-operative lung collapse.

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24
Q

Interstitial lung disease

A

Also known as Diffuse Parenchymal Lung Disease. Affects the interstitium. Often a result of pulmonary fibrosis from exposure to contaminants like asbestos.

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25
Q

Interstitium

A

Tissue and space around the air sacs of the lungs.

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26
Q

Cystic fibrosis

A

Genetic disease that causes build up of sticky mucus in the pulmonary system and digestive tract. Identify any infectious agent and report

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27
Q

Congenital diaphragmatic hernia

A

Caused by abnormal development during fetus formation.

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28
Q

Bilateral diaphragmatic paralysis

A

Respiratory accessory muscles assume some or all the work of breathing by contracting more intensely. May lead to ventilation failure. If caused by surgery codes for the type of procedure are used.

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29
Q

Thymic hyperplasia

A

Abnormal growth of the thymus gland.

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30
Q

Thymoma

A

Tumor of the thymus. Benign or malignant

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31
Q

Lymphoma

A

Cancer of the lymphatic system. Typically presents as a lump along lymphatic channels or in a lymph node. May spread to the bone marrow.

32
Q

Lymphadenitis

A

Inflammation of a lymph node. Usually bacterial infection.

33
Q

Lymphedema

A

Lymphatic system obstruction which leads to localized fluid retention and tissue swelling. Acquired, post mastectomy, congenital types. Left untreated can cause deformity.

34
Q

Lymphoproliferative disorders

A

Several disorders marked by increased lymphocyte production. Typically in immunosuppressed patients.

35
Q

Hypersplenism

A

Enlarged overactive spleen. Can cause a decrease in cells circulating through the body

36
Q

Leukemia

A

Disease of the blood and bone marrow. Form of cancer characterized by an abnormal increase of blood cells, usually white. Verify remission status.

37
Q

Rhinotomy

A

Incision into the nose to drain or incise an abscess in the nose. Cavity or septum

38
Q

Rhinectomy

A

Entire or partial removal of the nose. Code also for skin repair if performed.

39
Q

Turbinate

A

Bony structures in the nose that control and maintain airflow. Can be excised or ablated (found under destruction)

40
Q

Epistaxes

A

Nosebleeds. Verify laterality and code if documented. Use modifier 50 if bilateral

41
Q

Antrums

A

Nasal sinuses. “Antr” is the prefix for procedures on the accessory sinuses.

42
Q

Sinusotomy

A

Incision of the sinuses. Can be obliterative or non-obliterative. Choose the correct sinus and approach. Used to open or drain a sinus.

43
Q

Transorbital

A

Through the eye

44
Q

Obliterative sinusotomy

A

Last line of treatment for chronic conditions of the sinuses. Entire mucosa of the sinus is removed and back filled with fat.

45
Q

Surgical endoscopy

A

Endoscope used to treat an already diagnosed condition. Can be used for multiple procedures.

46
Q

Dacryocystorhinostomy

A

Surgical endoscopy procedure to restore flow of tears into the nose from the lacrimal sac when the nasosacrimal ducts does not function. 31239

47
Q

Concha bullosa

A

Surgical endoscopy procedure. Enlargement of the nasal turbinate. May be resected to improve airflow. 31240

48
Q

Maxillary antrostomy

A

Surgical endoscopy procedure to make an opening in the maxillary sinus to improve drainage. 31256

49
Q

Sphenoidotomy

A

Surgical endoscopy procedure to create an opening into the anterior wall of the sphenoid sinus. 31287, 31288

50
Q

Decompression

A

Surgical endoscopy procedure to relieve pressure on an optic nerve or other structure of the eye. Depends on structure(s) treated.

51
Q

Laryngotomy

A

Incision into the larynx to remove a tumor or laryngocele, or cordectomy.

52
Q

Cordectomy

A

Excision of all or part of the vocal cords.

53
Q

Laryngectomy

A

Excision of the larynx. Can be total, subtotal, or partial. Watch for related procedures.

54
Q

Radical neck dissection

A

Removal of the larynx and lymph nodes. May also include surrounding tissues.

55
Q

Partial laryngectomy

A

Surgical approach affects code selection.

56
Q

Pharyngolaryngectomy

A

Removal of the pharynx and larynx. Verify if reconstruction is performed.

57
Q

Arytenoidectomy

A

Excision of laryngeal cartilage. Verify is open or endoscopic.

58
Q

Epiglottidectomy

A

Excision of the epiglottis.

59
Q

Indirect laryngoscopy

A

Use of mirrors and lights to view the larynx. Verify if biopsy, foreign body is removed, lesion is removed, or a vocal cord injection is performed.

60
Q

Direct laryngoscopy

A

Examination of the back of the throat and vocal cords using a laryngoscope. Usually under anesthesia or conscious sedation. Verify if microscope use is included if used and if not add the additional 69990 code.

61
Q

Endoscopic stroboscopy

A

Allows examiner to gain information on the vibratory nature of the vocal cords.

62
Q

Laryngeal web

A

Congenital malformation of the larynx. Surgery is performed to remove the web.

63
Q

Cricoid split

A

Break of the circular cartilage of the larynx. Restored via laryngoplasty.

64
Q

Bronchial Thermoplasty

A

Minimally invasive procedure used on patients with severe asthma. Thermal energy is used to reduce the amount of smooth muscle to clear airways.

65
Q

Decortication

A

Procedure performed to remove fibrous or scarred pleura adhered to the lungs. Commonly performed for patients with tuberculosis or mesothelioma

66
Q

Pleurectomy

A

Excision of the pleura. Separate procedure only reported when it is the only procedure or unrelated to other procedures performed.

67
Q

Pneumonectomy

A

Removal of an entire lung

68
Q

Thoracentesis

A

Inserting a needle or catheter into the pleural space and aspirating liquid.

69
Q

Fibrinolysis

A

Used to break up effusions and facilitate drainage. Report one time per day even if multiple treatments are given per day.

70
Q

Pericardiectomy

A

Excision of the pericardial sac. Usually to remove malignancy

71
Q

Thoracoplasty

A

Treatment for chronic empyema (pus that collects in the chest cavity) After unroofing the empyema space and resecting overlaying ribs and lining of chest cavity the space is filled with gauze.

72
Q

Pneumonolysis

A

Separation of the chest wall from the lungs to permit collapse.

73
Q

Red pulp

A

In the spleen and contains many red blood cells and acts as a blood reservoir. Also supplies the body with phagocytes.

74
Q

White pulp

A

Tissue in the spleen that is composed of lymphatic modules called splenic nodules. This tissue generates protective humoral antibodies.

75
Q

Splenorrhaphy

A

Surgical repair to the spleen.

76
Q

Apheresis

A

Withdrawal of blood from a donor’s body and removal of one or more blood components and transfusion of the remaining blood back to the donor

77
Q

Carina

A

The ridge that separates the opening of the right and left main bronchi at their junction with the trachea

2020 Coding For CPT Prep PHS (16 decks)

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