Chapter 9- Respiratory, Hemic, And Lymphatic Systems

Front 1

pneumoconiosis

Back 1

restrictive lung disease caused by the inhalation of dust. Typically referred to as occupational lung disease. Often found in those that work in mining, steel, production, and those occupations that deal with shipping stone. Dust causes scarring of lungs that can't be reversed.

Front 2

Empyema

Back 2

Collection of pus between the lung and the lining of the lung. Often caused by a lung infection that spreads outside the lung to the pleural space.

Front 3

Pneumothorax

Back 3

collapse of the lung. Iatrogenic pneumothorax is in response to surgical treatment

Front 4

Interstitial lung disease

Back 4

aka deffuse parenchymal lung disease (DPLD) refers toa group of lung diseases affecting interstitial (the tissue and space around the air sacs of the lungs.)

Often is the result of pulmonary fibrosis from exposure to contaminants like asbestos, and is chronic debilitating condition.

Front 5

Cystic Fibrosis

Back 5

genetic disease that causes sticky mucus to build up in the pulmonary system and digestive tract.

Front 6

lymphoproliferative disorders

Back 6

pertain to several disorders marked by increased lymphocyte production. Typically these disorders occur in patients with suppressed immune systems; examples include ALPS and Wiskott-Aldrich syndrome.

Front 7

nose bleeds can be bilateral be sure to

Back 7

add the modifier 50 if the CPT code is unilateral

Front 8

the sinuses are also referred to as

Back 8

antrums. Procedures on the accessory sinuses often use the prefix "antr" such as antrotomy (incision into the sinus)

Front 9

diagnostic endoscopies are always included

Back 9

in a surgical endoscopy

Front 10

dacryocystorhinostomy

Back 10

restores the flow of tears from the lacrimal sac when the nasolacrimal duct does not function.

Front 11

Concha Bullosa

Back 11

enlargement of the nasal turbinate

Front 12

maxillary antrostomy

Back 12

making an opening into the maxillary sinus to improve drainage

Front 13

decompression

Back 13

depending on the structure(s) treated relieves pressure on the optic nerve or other structures of the eye, to treat various optic neuropathies

Front 14

endoscopic stroboscopy

Back 14

allows the examiner to gather information on the vibratory nature of the vocal cords. Using the stroboscope the examiner may determine the depth of cancer invasion, the presence of scar tissue or stiffness in a vocal cord, or the relative tone of the vocal cords.

Front 15

laryngeal web

Back 15

congenital malformation of the larynx- report codes within the repair section of the CPT codebook

Front 16

throracotomy

Back 16

an inherent part of other open lung procedures (incision between ribs 5-7)

Front 17

open decortication

Back 17

performed to remove fibrous or scarred pleura adhered to the lungs. These diseased pleura restrict lung expansion and are most commonly found in patients with tuberculosis and mesothelioma.

Front 18

pneumonectomy

Back 18

is the removal of the entire lung

Front 19

VATS

Back 19

Video-Assisted Thoracoscopic Surgery is a minimally invasive procedure for lung disorders. VATS cpt always include same day same-session diagnostic VATS.

BUT if the diagnostic VATS prompts and open procedure the diagnostic VATS can be reported. (might require mod 59)

Front 20

Lung transplant

Back 20

codes include three separate areas of work:
1. donar pneumonectomy
2. backbench work to prepare the donar lung
3. recipient lung transplant.

Front 21

thoracoplasty

Back 21

treatment for chronic empyema (pus that collects in the chest) It is a staged procedure that takes place over many days. All stages are included in code 32905 (surgical collapse therapy)

Front 22

PFT

Back 22

Pulmonary Function test

Front 23

FVC

Back 23

Forced Vital Capacity- measures the amount of air exhaled from full inspiration to full expiration

Front 24

HAST

Back 24

High Altitude Simulation Test- a test pulmonologists use to determine the patient's liter flow of oxygen or if the patient may require supplemental oxygen

Front 25

en-bloc removal

Back 25

means the spleen was removed in whole or in total

Front 26

allogenic

Back 26

genetically different but obtained from the same species. Infusion of allogenic lymphocyte cells is a procedure found to be effective in treating chronic myelogenous leukemia (CML)

Front 27

HPC

Back 27

hematopoietic progenitor cells

Front 28

code for sectioning (or cutting) the recurrent laryngeal nerve

Back 28

This is sometimes performed for laryngeal nerve palsy or spastic dysphonia.

Front 29

Bronchial thermoplasty

Back 29

non-drug procedure for patients over age 18, with severe persistent asthma.

Front 30

Pneumonostomy

Back 30

codes report incising into the lung to drain an abscess or cyst.

Front 31

Decortication

Back 31

removal of a constricting layer of tissue (like scar tissue) from the surface of the lungs to allow for full lung expansion.

Front 32

tube thoracostomy

Back 32

Following lung surgery, often a chest tube is placed with a water seal to drain fluid and blood out of the chest cavity. It also helps to maintain a negative pressure so the lung can expand. The chest tube helps the lung refill with air and can be left in for several days.

this is a separate procedure and is often included in other surgeries.