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CCA > Procedures > Flashcards

Procedures Flashcards

0
Q

Why is a coronary artery bypass performed?

A

To bypass blood around the clogged arteries in the heart

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1
Q

During a procedure, when might it be appropriate to code adhesions?

A

When they are dense and strong or create a problem during the procedure.

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2
Q

How is an internal mammary bypass graft performed.?

A

By loosening the mammary artery from the normal position and using it to bring blood to the heart

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3
Q

What is the coding axis for internal mammary bypass graft?

A

Whether one or both internal mammary arteries are used

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4
Q

What is excisional debridement?

A

The surgical removal or cutting away of tissue

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5
Q

What is non-excisional debridement?

A

The mechanical nonsurgical brushing irrigating scrubbing or washing of tissue

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6
Q

What is the most common treatment for a fracture?

A

Reduction

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7
Q

What is the first axis for coding a reduction?

A

Whether the reduction is open or closed

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8
Q

What is the second axis of a fracture reduction?

A

The use of internal fixation

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9
Q

What is an internal fixation device?

A

Screws pins rods Staples and plates

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10
Q

What is an example of an external fixational device?

A

Cast, splint, traction device Kirshner wire Steinman pin

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11
Q

When would you code and aftercare code ?

A

When the patient is receiving routine care during the healing phase. For example cast change removal of device and medication adjustment.

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12
Q

True or faults false, it is acceptable to code a G.I. hemorrhage even if there is no hemorrhage noted on the current encounter?

A

True. Patient may be admitted for an endoscopy after a history of G.I. bleeding

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13
Q

When would you use codes from 365.7?

A

As additional codes to identify the stage of glaucoma

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14
Q

Do UHDDS requires what type of inpatient procedures be coded?

A

All significant procedures including those that are surgically nature carries an anesthetic or surgical risk or require specialized training.

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15
Q

What is the procedure that was performed for a definitive?

A

The principal procedure.

16
Q

When a definitive procedure has been performed which approach is not coded separately?

A

The operative approach

17
Q

When laparoscopic,thorascopic, or arthroscopic procedure is converted into an open one what is coded?

A

Code only the open procedure

18
Q

What code describes when a laparoscopic, thorascopic, or arthroscopic procedure is converted into an open one?

A

V6 4.4 X

19
Q

What type of biopsies are performed percutaneously by needle brush aspiration or endoscopy?

A

Closed biopsies

20
Q

What type of biopsy involves an incision into the body part?

A

open biopsy

21
Q

What code should be used for procedure that is canceled after admission?

A

Category V64

Dxs is still reason for admission

22
Q

How would you code for a procedure that it started but cannot be completed? What is an example?

A

Go to the extent that the procedure was performed for example if a leave the incision was made to the incision site. If it endoscopic approaches used to the endoscopy.

23
Q

What are the two types of pulmonary edema?

A

Cardiogenic or noncardiogenic

24
Q

What is pulmonary edema a manifestation of?

A

heart failure

25
Q

Give three examples of conditions in which pulmonary edema is included (therefore not separately codable)

A

hypertension, heart failure, rheumatic heart disease.

26
Q

When does noncardiogenic acute pulmonary Edema occur?

A

In the absence of heart failure or other heart disease

27
Q

What should be the primary code when a patient is admitted for rehabilitation?

A

code from category V57

Then code the condition

28
Q

What code would be used for a patient being treated for more than one type of rehabilitation?

A

The v57.89

29
Q

When a patient is admitted for acute respiratory failure and another condition what will be the primary diagnosis?

A

It will depend on the patient’s condition and the chief reason that cause admission

30
Q

Who can report the initial hospital care codes? E/M

A

the admitting physician

31
Q

With what frequency can the initial hospital care codes be reported?

A

Only once per hospitalization

32
Q

What is the term for a woman who has given birth to one child?

A

Primipara

33
Q

On inpatient procedure coding, how would you code the same procedure on two sites?

A

Code both procedures (eg 86.22,86.22) use icd9 for location

34
Q

What is BPH?

A

Benign prostatic hyperplasia

CCA (13 decks)

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