Medical and Surgical root operation definitions Flashcards

1
Q

alteration

A

modifying the anatomic structure of a body part without affecting the function of the body part

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2
Q

alteration explanation

A

improve apperance

face lift
breast augmentation

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3
Q

bypass

A

altering the route of passage of the contents of a tubular body part

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4
Q

bypass explanation

A

rerouting contents of a body part to a downsstream area of the normal route, includes one or more anastomosis, with or without the use of a device

coronary artery bypass
colostomy formation

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5
Q

change

A

taking out or off a device from a body part and putting back an identical or similar device in or on the same body part without cutting or puncturing the skin or a mucous membrane

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6
Q

change explanation

A

all change procedures are coded using the approach external

urinary catheter change
gastrostomy tube change

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7
Q

control

A

stopping, or attempting to stop, postprocedural bleeding

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8
Q

control explanation

A

site of the bleeding is coded as an anatomical region and not to a specific body part

postprostatectomy hemorrhage
post-tonsillectomy hemorrhage

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9
Q

creation

A

making a new genital structure that does not physically take the place of a body part

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10
Q

creation explanation

A

used only for sex change operations

vagina in a male
penis in a female

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11
Q

destruction

A

physical eradication of all or a portion of a body part by the direct use of energy, force or a destructive agent

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12
Q

destruction explanation

A

none of the body part is physically taken out

fulguration of rectal polyp
cautery of skin lesion

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13
Q

detachment

A

cutting off all or a portion of the upper or lower extremities

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14
Q

detachment explanation

A

below knee amputation

disarticulation of shoulder

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15
Q

dilation

A

expanding an orifice or the lumen of a tubular body part

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16
Q

dilation explanation

A

orifice can be a natural orifice or an artificially created orifice, by stretching a tubular body part using intraluminal pressure or by cutting part of the orifice or wall

percutaneous transluminal angioplasty
pyloromyotomy

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17
Q

division

A

cutting into a body part, without draining fluids and/or fases from the body part, in order to seperate or transect a body part

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18
Q

division explanation

A

all or a portion of the obdy part is separated into 2 or more portions

spinal cordotomy
osteotomy

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19
Q

drainage

A

taking or letting out fluids and/or gasses from a body part

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20
Q

drainage explanation

A

qualifier diagnostic is used to identify drainage procedures that are biopsies

thoracentesis
incision and drainage

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21
Q

excision

A

cutting out or off, without replacement, a portion of a body part

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22
Q

excision explanation

A

qualifier diagnostic is used to identify drainage procedures that are biopsies

partial nephrectomy
liver biopsy

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23
Q

extripation

A

taking or cutting out solid matter from a body part

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24
Q

extirpation explanation

A

solid matter may be an abnormal byproduct of a biological function or a foreigh body

thrombectomy
choledocholithotomy

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25
extraction
pulling or stripping out or off all or a portion of a body part by the use of force
26
extraction explanation
qualifier diagnostic is used to identify drainage procedures that are biopsies dilation and curettage vein stripping
27
fragmentation
breaking solid matter in a body part into pieces
28
fragmentation explanation
physical force, manual, ultrasonic applied directly or indirectly is used to break the solid matter into pieces extracorporeal shockwave lithotripsy transuretral lithotripsy
29
fusion
joining together portions of an articular body part rendering the articular body part immobile
30
fusion explanation
body part is joined together by fixation device, bone graft, or other means spinal fusion ankle arthrodesis
31
insertion
putting in a nonbiological appliance that monitors, assists, performs, or prevents a physiological funtion but does not physically take the place of a body part insertion of radioactive implant insertion of central venous catheter
32
inspection
visually and/or manually exploring a body part
33
inspection explanation
visual exploration may be performed with or without optical instrumentation diagnostic arthroscopy exploratory laparotomy
34
map
locating the route of passage of electrical impulses and/or locating functional areas in a body part
35
map explanation
applicable only to the cardiac conduction mechanism and the central nervous system cardiac mapping cortical mapping
36
occlusion
completely closing an orifice or lumen of a tubular body
37
occlusion explanation
orifice can be a natural orifice or an artificially created orifice fallopian tube ligation ligation of inferior vena cava
38
reattachment
putting back in or on all or a portion of a separated body part to its normal location or other suitable location
39
reattachment explanation
vascular circulation and nervous pathways may or may not be re-established reattachment of hand reattachment of avulsed kidney
40
release
freeing a body part from an abnormal physical constraint
41
release explanation
some of the restraining tissue may be taken out but none of the body part is taken out adhesiolysis carpal tunnel release
42
removal of device from
taking out or off a device from a body part
43
removal of device form explanation
if the device is taken out and a similar device is put in without cutting or puncturing the skin or mucous membrane, the procedure is coded ot the root operation change. otherwise, the procedure for taking out the device is coded to the root operation removal drainage tube removal cardiac pacemaker removal
44
repair
restoring, to the extent possible, a body part to its normal anatomic structure and function
45
repair explanation
used only when the method to accomplish the repair is not one of the other root operation colostomy takedown suture of laceration
46
replacement
putting in or on biological or synthetic material that physically takes the place and/or function of all or a portion of a body part
47
replacement explanation
body part may have been taken out or replaced, or may be taken out, physically eradicated, or rendered nnonfunctional during the replacement procedure total hip replacement bone graft free skin graft
48
reposition
moving to its normal location or other suitable location, all or a portion of a body part
49
reposition explanation
body part is moved to a new location from an abnormal location, or from a normal location where it is not functioning correctly. the body part may or may not be cut out or off to be moved tothe new location reposition of undescended testicle fracture reduction
50
resection
cutting out or off without replacement, all of a body part total nephrectomy total lobectomy of lung
51
restriction
partially closing the orifice or lumen of a tubular body part
52
restriction explanation
orifice can be a natural orifice or an artificially created orifice esophagogastric fundoplication cervical cerclage
53
revision
correcting, to the extent possible, a portion of a malfunctioning or theposition of a displaced device
54
revision explanation
can include correcting a malfunctioning or displaced device by taking out and/or putting in a part of the device adjustment of position of pacemaker lead recementing of hip prosthesis
55
supplement
putting in or on biologic or synthetic material that physically reinforces and or augments the function of a portion of a body part
56
supplement explanation
biological material is non-living, or is living and from the same individual. body part may have been previously replaced and the supplement procedure is performed to physically reinforce and or augment the function of the replaced body part herniorrhaphy using mesh free nerve graft mitral valve ring annuloplasty put a new acetabular liner in a previous hip replacement
57
transfer
moving, without taking out, all or a portion of a bod part to another location to take over the function of all or a portion of a body part
58
transfer explanation
the body part transferred remains connected to its vascular and nervous supply tendon transfer skin pedicle flap transfer
59
transplantation
putting in or on all or a portion of a living body part taken from another individual or animal to physically take the place and or function of all or a portion of a similar body part
60
transplantation explanation
native body part may or may not be taken out and the transplanted body part may take over all or a portion of its function kidney transplant heart transplant
61
excision procedure that take out or eliminate all or a portion of a body part
cutting out or off - portion of a body part without replacing body part
62
resection procedure that take out or eliminate all or a portion of a body part
cutting out or off - all of a body part, without replacing body part
63
extraction procedure that take out or eliminate all or a portion of a body part
pulling out or off by physical force - all oro a portion of a body part, without replacing body part
64
destruction procedure that take out or eliminate all or a portion of a body part
eradicating - all or a portion of a body part, without taking out or replacing body part
65
detachment procedure that take out or eliminate all or a portion of a body part
cutting off - all or a portion of an extremity, without replaceing extremity
66
transplantation procedure that involve putting in or on, putting back, or moving living body parts
putting in or on - all or a portion of a living body part from other individual or animal, physically takes the place and or function of all or a portion of a body part
67
reattachment procedure that involve putting in or on, putting back, or moving living body parts
putting back in or on - all or a portion of a separated body part, put in its normal or other suitable location
68
reposition procedure that involve putting in or on, putting back, or moving living body parts
moving - all or a portion of a body part, put in its normal or other suitable location, body part may or may not be cut out or off
69
transfer procedure that involve putting in or on, putting back, or moving living body parts
moving - all or a portion of a body part, without taking out body part, assumes function of similar body part and remains connected to its vascular and nervous supply
70
drainage procedure that take out or eliminate solid matter, fluids, or gases from a body part
taking or leting out - fluids and or gases from a body part, without taking out any of the body part
71
extripation procedure that take out or eliminate solid matter, fluids, or gases from a body part
taking or cutting out - solid matter in a body part, without taking out any of the body part
72
fragmentation procedure that take out or eliminate solid matter, fluids, or gases from a body part
breaking down - solid matter in a body part, without taking out any of the body part or any solid matter
73
inspection procedure that only involve examination of body parts and regions
visual and or manual exploration - a body part, performed with or without optical instrumentation, directly or throgh body layers
74
map procedure that only involve examination of body parts and regions
locating - route of passage of electrical impulses or functional areas n a body part, applicable only to cardiac conduction mechanism and central nervous system
75
bypass procedure that can be performed only on tubular body parts
altering the route of passage - contents of tubular body part, may include use of living tissue, non liuving biological material or synthetic material which does not take the place of the body part
76
dilation procedure that can be performed only on tubular body parts
expanding - orifice or lumen of tubular body part, by application of intraluminal pressure or by cutting the wall or orifice
77
occlusion procedure that can be performed only on tubular body parts
completely closing - orifice or lumen of tubular body part
78
restriction procedure that can be performed only on tubular body parts
partially closing - orifice or lumen of tubular body part
79
insertion procedure that always involve devices
putting in - device in or on a body part, does not physically take the place of a body part
80
replacement procedure that always involve devices
putting in or on - biological or synthetic material living tissue taken from same individual, physically takes the place of all or a portion of a body part
81
supplement procedure that always involve devices
puttin in or on - biological or synthetic material, living tissue taken from same individual, physically reinforces or augments a portion of a body part
82
removal procedure that always involve devices
taking out or off, device from a body part
83
change procedure that always involve devices
taking out or off and putting back, identical or similar device in or on a body part, without cutting or puncturing the skin or mucous membrane
84
revision | procedure that always involve devices
correcting, malfunctioning or displaced device inor on a body part, to the extent possible
85
diviision procedure involving cutting or separation only
separating, a body part, without taking out any of the body part
86
release | procedure involving cutting or separation only
freeing, a body part, eliminating abnormal constraint without taking out any of the body part
87
control | procedures involving other repairs
stopping or attempting to stop, postprocedural bleeding, limited to anatomic regions and extremities
88
repair procedure involving other repairs
restoring, a body part to its normal structure, to the extent possible
89
alteration procedure with other objectives
modifying, anatomic structure of a body part, without affecting function of body part, performed for cosmetic purposes
90
creation procedure with other objectives
making, new genital structure, does not physiically take the place of a body part, used for sex change operations
91
fusion procedure with other objectives
joining together, an articular body part, rendering body part immobile