CPT-4 Procedure Terminology

Question 1

Complicated Wound

Answer 1

A wound with: delayed healing, delayed treatment, foreign body or infection

Question 2

Reduction

Answer 2

Correction/repair of a fracture, luxation, or hernia (restoration)

Question 3

Closed Reduction

Answer 3

Correction by manipulation without an incision

Question 4

Open Reduction

Answer 4

Repair of fracture after incision into fracture site

Question 5

Manipulation

Answer 5

Use of hands or adjusting tools to correct alignment, position; return to normal

Question 6

Simple repair of wound closure

Answer 6

Used when the wound is superficial; e.g., involving primarily epidermis or dermis, or subcutaneous tissues without significant involvement of deeper structures and requires simple one layer closure

Question 7

Intermediate wound closure repair

Answer 7

Includes the repair of wounds that, in addition to simple repair, require layered closure of one or more of the deeper layers of subcutaneous tissue and superficial (non-muscle) fascia, in addition to skin closure. Single layer closure of heavily contaminated wounds that have required extensive cleaning or removal of particulate matter also constitutes intermediate repair

Question 8

Complex wound closure repair

Answer 8

Includes the repair of wounds requiring several layers of closure, viz., scar revision debridement (e.g., traumatic lacerations or avulsions), extensive undermining, stents or retention sutures

Question 9

Ablation

Answer 9

Removal or excision, usually carried out surgically

Question 10

Resection

Answer 10

Removal of an organ or lesion by cutting it away from the body or the remainder of the tissue

Question 11

Ligation

Answer 11

Appliation of a ligature (Latin); act of binding, constricting, to tie off

Question 12

Decompression

Answer 12

Removal of pressure by compressing a structure

Question 13

Shunt

Answer 13

To move a body fluid from one place to another

Question 14

Stent

Answer 14

A tube designed to be inserted into a vessel or passageway to keep it opened (named after a dentist in the mid-1800’s, Charles R. Stent)

Question 15

Fistula

Answer 15

Abnormal connection or opening between an organ, vessel, intestine or another structure

Question 16

Debridement

Answer 16

Process of removing nonliving tissue to speed healing

Question 17

Peripheral

Answer 17

Away from the center; external boundary

Question 18

Allograft

Answer 18

Transplant of organ or tissue to an individual from another individual of the same species

Question 19

Autograft

Answer 19

Transplant of an organ or tissue to an individual from their own body; auto- self

Question 20

Xenograft

Answer 20

Transplant of organ or tissue to an individual from a different species (i.e. porcine)

Question 21

Percutaneous

Answer 21

Through the skin

Question 22

Surgical pathology

Answer 22

Specimen removed during a surgical procedure to be examined by a pathologist with gross and/or microscopic evaluation to identify or confirm identification and/or absence of disease

Question 23

Septicemia

Answer 23

Presence of bacterial/toxins in the blood associated with severe infection

Question 24

SIRS

Answer 24

The body’s systemic immune response to infection or trauma (i.e., burn, cancer)

Question 25

Sepsis

Answer 25

SIRS due to infection

Question 26

Severe sepsis

Answer 26

Sepsis with organ dysfunction

Question 27

Septic shock

Answer 27

Sepsis with complete circulatory failure (usually also with other organ dysfunction)

Question 28

Iatrogenic

Answer 28

Introduced inadvertently by medical treatment

Question 29

Idiopathic

Answer 29

Of unknown cause

Question 30

Malignant

Answer 30

Tending to progressively worsen, or having the properties of invasion or metastasis

Question 31

Benign

Answer 31

Non-malignant, having a favorable prognosis for recovery, showing no signs of metastasis

Question 32

Cancer in situ

Answer 32

A malignancy which is confined to the epithelium of the origin, without invasion of the basement membrane

Question 33

Neuropathy

Answer 33

Disease of a nerve

Question 34

Osteomalacia

Answer 34

Softening of the bone

Question 35

Occlusion

Answer 35

An obstruction

Question 36

Ischemic

Answer 36

Pertaining to an inadequate blood supply (circulation) to an organ

Question 37

Claudication (Latin)

Answer 37

limping; impairment, painful, cramping

Question 38

Herpes Zoster

Answer 38

Viral disease, commonly known as “shingles”; usually accompanied by painful skin rash; caused by the Varicella-zoster virus - the virus that causes “chickenpox”

Question 39

Herpes Simplex

Answer 39

Viral infection: two types

Type 1: HSV1 - usually infection involves lips, mouth, face
Type 2: HSV2 - usually sexually transmitted; involves genital
ulcers and sores

Question 40

Infarction

Answer 40

The formation of an infarct - an area of tissue death due to lack of oxygen (Latin - “infarcire” - to plug)