Medical and Surgical root operation definitions Flashcards

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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
Q

extraction

A

pulling or stripping out or off all or a portion of a body part by the use of force

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26
Q

extraction explanation

A

qualifier diagnostic is used to identify drainage procedures that are biopsies

dilation and curettage
vein stripping

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27
Q

fragmentation

A

breaking solid matter in a body part into pieces

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28
Q

fragmentation explanation

A

physical force, manual, ultrasonic applied directly or indirectly is used to break the solid matter into pieces

extracorporeal shockwave lithotripsy
transuretral lithotripsy

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29
Q

fusion

A

joining together portions of an articular body part rendering the articular body part immobile

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30
Q

fusion explanation

A

body part is joined together by fixation device, bone graft, or other means

spinal fusion
ankle arthrodesis

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31
Q

insertion

A

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

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32
Q

inspection

A

visually and/or manually exploring a body part

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33
Q

inspection explanation

A

visual exploration may be performed with or without optical instrumentation

diagnostic arthroscopy
exploratory laparotomy

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34
Q

map

A

locating the route of passage of electrical impulses and/or locating functional areas in a body part

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35
Q

map explanation

A

applicable only to the cardiac conduction mechanism and the central nervous system

cardiac mapping
cortical mapping

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36
Q

occlusion

A

completely closing an orifice or lumen of a tubular body

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37
Q

occlusion explanation

A

orifice can be a natural orifice or an artificially created orifice

fallopian tube ligation
ligation of inferior vena cava

38
Q

reattachment

A

putting back in or on all or a portion of a separated body part to its normal location or other suitable location

39
Q

reattachment explanation

A

vascular circulation and nervous pathways may or may not be re-established

reattachment of hand
reattachment of avulsed kidney

40
Q

release

A

freeing a body part from an abnormal physical constraint

41
Q

release explanation

A

some of the restraining tissue may be taken out but none of the body part is taken out

adhesiolysis
carpal tunnel release

42
Q

removal of device from

A

taking out or off a device from a body part

43
Q

removal of device form explanation

A

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
Q

repair

A

restoring, to the extent possible, a body part to its normal anatomic structure and function

45
Q

repair explanation

A

used only when the method to accomplish the repair is not one of the other root operation

colostomy takedown
suture of laceration

46
Q

replacement

A

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
Q

replacement explanation

A

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
Q

reposition

A

moving to its normal location or other suitable location, all or a portion of a body part

49
Q

reposition explanation

A

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
Q

resection

A

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

total nephrectomy
total lobectomy of lung

51
Q

restriction

A

partially closing the orifice or lumen of a tubular body part

52
Q

restriction explanation

A

orifice can be a natural orifice or an artificially created orifice

esophagogastric fundoplication
cervical cerclage

53
Q

revision

A

correcting, to the extent possible, a portion of a malfunctioning or theposition of a displaced device

54
Q

revision explanation

A

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
Q

supplement

A

putting in or on biologic or synthetic material that physically reinforces and or augments the function of a portion of a body part

56
Q

supplement explanation

A

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
Q

transfer

A

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
Q

transfer explanation

A

the body part transferred remains connected to its vascular and nervous supply

tendon transfer
skin pedicle flap transfer

59
Q

transplantation

A

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
Q

transplantation explanation

A

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
Q

excision

procedure that take out or eliminate all or a portion of a body part

A

cutting out or off - portion of a body part without replacing body part

62
Q

resection

procedure that take out or eliminate all or a portion of a body part

A

cutting out or off - all of a body part, without replacing body part

63
Q

extraction

procedure that take out or eliminate all or a portion of a body part

A

pulling out or off by physical force - all oro a portion of a body part, without replacing body part

64
Q

destruction

procedure that take out or eliminate all or a portion of a body part

A

eradicating - all or a portion of a body part, without taking out or replacing body part

65
Q

detachment

procedure that take out or eliminate all or a portion of a body part

A

cutting off - all or a portion of an extremity, without replaceing extremity

66
Q

transplantation

procedure that involve putting in or on, putting back, or moving living body parts

A

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
Q

reattachment

procedure that involve putting in or on, putting back, or moving living body parts

A

putting back in or on - all or a portion of a separated body part, put in its normal or other suitable location

68
Q

reposition

procedure that involve putting in or on, putting back, or moving living body parts

A

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
Q

transfer

procedure that involve putting in or on, putting back, or moving living body parts

A

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
Q

drainage

procedure that take out or eliminate solid matter, fluids, or gases from a body part

A

taking or leting out - fluids and or gases from a body part, without taking out any of the body part

71
Q

extripation

procedure that take out or eliminate solid matter, fluids, or gases from a body part

A

taking or cutting out - solid matter in a body part, without taking out any of the body part

72
Q

fragmentation

procedure that take out or eliminate solid matter, fluids, or gases from a body part

A

breaking down - solid matter in a body part, without taking out any of the body part or any solid matter

73
Q

inspection

procedure that only involve examination of body parts and regions

A

visual and or manual exploration - a body part, performed with or without optical instrumentation, directly or throgh body layers

74
Q

map

procedure that only involve examination of body parts and regions

A

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
Q

bypass

procedure that can be performed only on tubular body parts

A

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
Q

dilation

procedure that can be performed only on tubular body parts

A

expanding - orifice or lumen of tubular body part, by application of intraluminal pressure or by cutting the wall or orifice

77
Q

occlusion

procedure that can be performed only on tubular body parts

A

completely closing - orifice or lumen of tubular body part

78
Q

restriction

procedure that can be performed only on tubular body parts

A

partially closing - orifice or lumen of tubular body part

79
Q

insertion

procedure that always involve devices

A

putting in - device in or on a body part, does not physically take the place of a body part

80
Q

replacement

procedure that always involve devices

A

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
Q

supplement

procedure that always involve devices

A

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
Q

removal

procedure that always involve devices

A

taking out or off, device from a body part

83
Q

change

procedure that always involve devices

A

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
Q

revision

procedure that always involve devices

A

correcting, malfunctioning or displaced device inor on a body part, to the extent possible

85
Q

diviision

procedure involving cutting or separation only

A

separating, a body part, without taking out any of the body part

86
Q

release

procedure involving cutting or separation only

A

freeing, a body part, eliminating abnormal constraint without taking out any of the body part

87
Q

control

procedures involving other repairs

A

stopping or attempting to stop, postprocedural bleeding, limited to anatomic regions and extremities

88
Q

repair

procedure involving other repairs

A

restoring, a body part to its normal structure, to the extent possible

89
Q

alteration

procedure with other objectives

A

modifying, anatomic structure of a body part, without affecting function of body part, performed for cosmetic purposes

90
Q

creation

procedure with other objectives

A

making, new genital structure, does not physiically take the place of a body part, used for sex change operations

91
Q

fusion

procedure with other objectives

A

joining together, an articular body part, rendering body part immobile