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34 Cards in this Set
- Front
- Back
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The urinary subsection includes surgical procedures involving |
the kidney, ureter, bladder, and urethra |
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Procedures performed on urinary system |
cystourethroscopy, percutaneous renal biopsy, transurethral resection of the prostate, and urethroplasty |
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What is urodynamics |
investigation of the function of the lower urinary tract (the bladder and urethra) using physical measurements, such as urine pressure and flow rate, as well as clinical assessment. |
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What modifier should be used for the physician doing multiple procedures |
51 |
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What services or supplies are considered part of the procedure and should not be reported separately? |
instruments, equipment, fluids, gases, probes, catheters, technicians, fees, medications, gloves, trays, tubing, and other sterile supplies |
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What modifier should be used if the physician is only providing the professional component such as supervising and interpretation? |
modifier 26 |
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Cystometrogram |
an examination performed to determine the capacity of the urinary bladder |
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A simple cystometrogram |
the measurement of the bladder's capacity, sensation of filling, and intravesical pressure |
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A complex cystometrogram |
involves the measurement of the bladder's capacity, sensation of filling, and intravesical pressure using a rectal probe to distinguish between intra abdominal pressure and bladder pressure. |
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Uroflowmetry |
an exam performed to determine the functional capacity of the urinary bladder |
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Simple uroflowmetry |
the measurement of voiding time and peak flow |
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Complex uroflowmetry |
involves the measurement and recording the mean and peak flow and the time taken to reach peak flow during continuous urination. |
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Urethral pressure profile (UPP) |
an exam that involves the recording of pressures along the urethra as a special catheter is slowly withdrawn |
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Electromyography |
studies performed to record muscle activity during voiding and to simultaneously record urine flow rate |
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Cystourethroscopy also known as cystoscopy |
an exam with a narrow flexible tube like instrument passed through the urethra to examne the bladder and urinary tract for structural abnormalities or obstructions, such as tumors or stones |
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Removal of lesions of the penis is located in what section? |
male genital system subsection and is determined by the method of removal |
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Where is the prostate gland located? |
lies under the bladder and surrounds the first part of the urethra, which carries urine to the penis. |
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What are the three common methods of prostatectomy? |
transurethral retropubic perineal |
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What is the most common method of prostatectomy? |
transurethral |
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What is the transurethral method of removing the prostate? |
uses a scope inserted through the urethra to remove the prostate tissue piece by piece |
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What is the perineal prostatectomy method? |
requires an incision between the back of the scrotum and the anus. |
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What is the retropubic prostatectomy method? |
requires the surgeon to make an incision in the front wall of the abdomen, just above the pubic bone to directly reach the prostate |
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The codes in the male genital subsection are used to report procedures on |
the penis, testis, epididymis, tunica vaginalis, scrotum, vas deferens, spermatic cord, seminal vesicle, and prostate gland |
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The female genital subsection includes codes for what? |
various surgical repairs, dilation and curettage and hysterectomies and hysteroscopies.
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What is a colposcopy? |
a visual examination of the women's genital area, including the cervix, vagina, and vulva. |
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What happens in the laparoscopic procedure for a women? |
surgeon first inserts a neddle through the navel and the abdomen is filled with carbon dioxide gas. The gas pushes the internal organs away from the abdomen wall to decrease the risk of injury to surrounding organs. Small incision is made to insert a tube with a tiny video camera to visualize the inside of the pelvis and abdomen. |
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What is a hysteroscopy? |
usually just used to look at the uterus |
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How is a hysteroscopy performed? |
A thin telescope like instrutment allows the physician to look inside the uterus. |
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How is a D & C performed? |
with a hysterscopic biospy or polypectomy. |
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What is a laparoscopic supracervical hysterectomy? |
removes the uterus but preserves the cervix. |
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T/F CPT codes differentiate between the weight of the uterus and whether or not the tubes and overies were removed. |
True |
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What is Laparoscopic Vaginal Hysterectomy? |
is a surgical procedure using a laparoscope to remove the uterus and/or fallopian tubes and ovaries through the vagina |
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What is a total hysterectomy? |
the uterus and cervix both are removed entirely through the scope. Codes are selected according to weight of the uterus. |
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What is the excisional approach to hysterectomy? |
can be performed though the vagina or through a conventional incision in the front wall of the abdomen |
