Medical and Surgical root operation definitions Flashcards
alteration
modifying the anatomic structure of a body part without affecting the function of the body part
alteration explanation
improve apperance
face lift
breast augmentation
bypass
altering the route of passage of the contents of a tubular body part
bypass explanation
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
change
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
change explanation
all change procedures are coded using the approach external
urinary catheter change
gastrostomy tube change
control
stopping, or attempting to stop, postprocedural bleeding
control explanation
site of the bleeding is coded as an anatomical region and not to a specific body part
postprostatectomy hemorrhage
post-tonsillectomy hemorrhage
creation
making a new genital structure that does not physically take the place of a body part
creation explanation
used only for sex change operations
vagina in a male
penis in a female
destruction
physical eradication of all or a portion of a body part by the direct use of energy, force or a destructive agent
destruction explanation
none of the body part is physically taken out
fulguration of rectal polyp
cautery of skin lesion
detachment
cutting off all or a portion of the upper or lower extremities
detachment explanation
below knee amputation
disarticulation of shoulder
dilation
expanding an orifice or the lumen of a tubular body part
dilation explanation
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
division
cutting into a body part, without draining fluids and/or fases from the body part, in order to seperate or transect a body part
division explanation
all or a portion of the obdy part is separated into 2 or more portions
spinal cordotomy
osteotomy
drainage
taking or letting out fluids and/or gasses from a body part
drainage explanation
qualifier diagnostic is used to identify drainage procedures that are biopsies
thoracentesis
incision and drainage
excision
cutting out or off, without replacement, a portion of a body part
excision explanation
qualifier diagnostic is used to identify drainage procedures that are biopsies
partial nephrectomy
liver biopsy
extripation
taking or cutting out solid matter from a body part
extirpation explanation
solid matter may be an abnormal byproduct of a biological function or a foreigh body
thrombectomy
choledocholithotomy
extraction
pulling or stripping out or off all or a portion of a body part by the use of force
extraction explanation
qualifier diagnostic is used to identify drainage procedures that are biopsies
dilation and curettage
vein stripping
fragmentation
breaking solid matter in a body part into pieces
fragmentation explanation
physical force, manual, ultrasonic applied directly or indirectly is used to break the solid matter into pieces
extracorporeal shockwave lithotripsy
transuretral lithotripsy
fusion
joining together portions of an articular body part rendering the articular body part immobile
fusion explanation
body part is joined together by fixation device, bone graft, or other means
spinal fusion
ankle arthrodesis
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
inspection
visually and/or manually exploring a body part
inspection explanation
visual exploration may be performed with or without optical instrumentation
diagnostic arthroscopy
exploratory laparotomy
map
locating the route of passage of electrical impulses and/or locating functional areas in a body part
map explanation
applicable only to the cardiac conduction mechanism and the central nervous system
cardiac mapping
cortical mapping
occlusion
completely closing an orifice or lumen of a tubular body
occlusion explanation
orifice can be a natural orifice or an artificially created orifice
fallopian tube ligation
ligation of inferior vena cava
reattachment
putting back in or on all or a portion of a separated body part to its normal location or other suitable location
reattachment explanation
vascular circulation and nervous pathways may or may not be re-established
reattachment of hand
reattachment of avulsed kidney
release
freeing a body part from an abnormal physical constraint
release explanation
some of the restraining tissue may be taken out but none of the body part is taken out
adhesiolysis
carpal tunnel release
removal of device from
taking out or off a device from a body part
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
repair
restoring, to the extent possible, a body part to its normal anatomic structure and function
repair explanation
used only when the method to accomplish the repair is not one of the other root operation
colostomy takedown
suture of laceration
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
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
reposition
moving to its normal location or other suitable location, all or a portion of a body part
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
resection
cutting out or off without replacement, all of a body part
total nephrectomy
total lobectomy of lung
restriction
partially closing the orifice or lumen of a tubular body part
restriction explanation
orifice can be a natural orifice or an artificially created orifice
esophagogastric fundoplication
cervical cerclage
revision
correcting, to the extent possible, a portion of a malfunctioning or theposition of a displaced device
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
supplement
putting in or on biologic or synthetic material that physically reinforces and or augments the function of a portion of a body part
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
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
transfer explanation
the body part transferred remains connected to its vascular and nervous supply
tendon transfer
skin pedicle flap transfer
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
occlusion
procedure that can be performed only on tubular body parts
completely closing - orifice or lumen of tubular body part
restriction
procedure that can be performed only on tubular body parts
partially closing - orifice or lumen of tubular body part
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
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
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
removal
procedure that always involve devices
taking out or off, device from a body part
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
revision
procedure that always involve devices
correcting, malfunctioning or displaced device inor on a body part, to the extent possible
diviision
procedure involving cutting or separation only
separating, a body part, without taking out any of the body part
release
procedure involving cutting or separation only
freeing, a body part, eliminating abnormal constraint without taking out any of the body part
control
procedures involving other repairs
stopping or attempting to stop, postprocedural bleeding, limited to anatomic regions and extremities
repair
procedure involving other repairs
restoring, a body part to its normal structure, to the extent possible
alteration
procedure with other objectives
modifying, anatomic structure of a body part, without affecting function of body part, performed for cosmetic purposes
creation
procedure with other objectives
making, new genital structure, does not physiically take the place of a body part, used for sex change operations
fusion
procedure with other objectives
joining together, an articular body part, rendering body part immobile
