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39 Cards in this Set
- Front
- Back
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? is the investigation of the function of the lower urinary tract (bladder and urethra) using physical measurements, such as urine pressure and flow rate, as well as clinical assessments
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Urodynamics
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Modifier ? should be reported when multiple procedures are performed, physician use only.
Don't use modifier ? with urinary |
-51
-59 |
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The following services/supplies are considered part of the procedure and ? be reported separately: instruments, equipment, fluids, gases, probes, catheters, technician's fees, medications, gloves, trays, tubing and other sterile supplies.
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should not
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If the physician provides only the professional component (supervision and interpretation) modifier ? should be used for physician services
If the physician provides only the technical component, modifier ? should be used for the physician services |
-26
-TC |
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? (abb?) is an exam performed to determine the capacity of the urinary bladder
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Cystometrogram (CMG)
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CMG has two types:
-? is the measurement of the bladder's capacity, sensation of filling, and intravesical pressure -? is 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 |
-simple
-complex |
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? (abb?) is an exam performed to determine the functional capacity of the urinary bladder
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Uroflowmetry (UFR)
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UFR has two types:
-? is the measurement of voiding time and peak flow -? involves the measurement and recording of mean and peak flow and the time taken to reach peak flow during continuous urination |
-simple
-complex |
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? (abb?) is an exam that involves the recording of pressures along the urethra as a special catheter is slowly withdrawn
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Urethral Pressure Profile (UPP)
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? (abb?) studies performed to record muscle activity during voiding and to simultaneously record urine flow rate
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Electromyography (EMG)
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? are categorized by:
-body part involved (urethra, prostate, ureter) -specific procedure performed: cystourethroscopy with biopsy of the bladder or urethra, transurethral incision of prostate, cystourethroscopy of ureteral meatotomy, and cystourethroscopy with insertion of indwelling ureteral stent |
Genitourinary Endoscopies
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?, also known as ?, is an exam with a narrow, flexible tube-like instrument passed through the urethra to examine the bladder and urinary tract for structural abnormalities or obstructions, such as tumors or stones
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Cystourethroscopy
cystoscopy |
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Removal of lesions of the ? are not located in the integumentary system but rather in the male genital system. Code selection is based on method of removal
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penis
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the ? lies under the bladder and surrounds the first part of the urethra, which carries urine to the penis. When the __ becomes enlarged, it tends to obstruct the urethra and makes urination difficult
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Prostate Gland
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Three common methods of Prostatectomy: ? (*most common), ?, and ?
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transurethral, retropubic, and perineal
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? (abb?) uses a scope inserted through the urethra to remove the prostate tissue piece by piece. Codes are differentiated by the use of thermotherapy or not
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Transurethral Resection of the Prostate (TURP)
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A ? requires an incision between the back of the scrotum and the anus
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perineal prostatectomy
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A ? requires the surgeon to make an incision in the front wall of the abdomen, just above the pubic bone, to directly reach the prostate. There are also codes for laparoscopic ____
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Retropubic Prostatectomy
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? is the visual exam of the woman's genital area, including the cervix, vagina, and vulva. Codes are differentiated by the area visualized, and additional procedures performed (biopsy) during the endoscopy
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Colposcopy
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? (abb?)
? describes a procedure whereas the physician removes tissue (specimen) for exam by the pathologist It does not include removal of a portion of the endocervix, and does not typically include removal of the transformation zone (area at risk for cervical cancer). ? identifies the removal of a portion of the endocervix or transformation zone |
Loop Electrosurgical Excision Procedure (LEEP)
Colposcopy with Loop Electrode Biopsy of cerivix Loop Electrode Conization of Cervix |
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A ? is a thin, telescope-like instrument that allows the physician to look inside the uterus. After insufflation of the uterine cavity with CO2, the __ is inserted through the cervical canal and into the uterus. This direct visualization improves the accuracy of diagnoses and treatment.
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Hysteroscope
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Accessory instruments that may be used with a hysteroscope procedure include: ? (4)
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scissors, forceps, lasers, and electrodes
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A ? (abb?) is commonly performed with a hysteroscopic biopsy or polypectomy, therefore no additional code is assigned to identify the ___
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Dilation and Curettage (D&C)
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CPT bases the codes for hysterectomies on the ?. Codes for the laparoscopic removal of the uterus differentiate between procedures that include removal of the uterus only, and removal of the fallopian tubes and ovaries in addition to the uterus
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surgical approach
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Type of Hysterectomy:
? = removes the uterus but preserves the cervix. Codes differentiate between the weight of the uterus and whether or not the tubes and ovaries were removed |
Laparoscopic Supracervical Hysterectomy
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Type of Hysterectomy:
? (abb?) = a surgical procedure using a laparoscope to remove the uterus and/or fallopian tubes and ovaries through the vagina |
laparoscopically-assisted vaginal hysterectomy (LAVH)
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Type of Hysterectomy:
? = the uterus and cervix are both removed entirely through the scope. Codes selection provides for the weight of the uterus and whether or not tubes and ovaries were removed |
Laparoscopic Total Hysterectomy
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Type of Hysterectomy:
? = may be performed through the vagina or through a conventional incision in the front wall of the abdomen |
Excisional Approach
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? includes initial and subsequent history, exam, recording of clinical information, and monthly visits up to 28 week gestation (7 visits), biweekly visits up to 36 week gestation (8 weeks = 4 visits), and weekly visits until the time of delivery. Additional visits are to be coded separately using E&M codes.
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Antepartum Care
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? include both hospital and office visit codes following vaginal and cesarean delivery
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Postpartum Care
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Patients who attempt or who successfully delivery ? (abb?) have specific CPT codes assigned. These codes should always be used when applicable
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Vaginal Birth After Cesarean (VBAC)
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Orchiectomy (3 types):
-? includes testicles and part of the spermatic cord -? entire gland is not removed -? includes testicles and entire spermatic cord |
-simple
-partial -radical |
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uterine tube aka ? or ?
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fallopian tube or ovi duct
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body of uterus aka ?
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corpus uteri
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external genitalia aka ?
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vulva
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fibroids aka
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leiomyomata
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In a laparoscopic procedure, the surgeon first inserts a needle through the navel and the abdomen is filled with carbon dioxide gas. The gas pushes the internal organs away from the abdominal wall to decrease the risk of injury to surrounding organs. Next, the surgeon makes a small incision in the abdominal area (navel) and inserts a tube with a tiny video camera (laparoscope) to visualize the inside of the pelvis and abdomen.
If defects or abnormalities are discovered, a ? can become an ? |
diagnostic laparoscopy
operative laparoscopy |
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global care includes: ?
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antepartum care, cesarean delivery, and postpartum care
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conization =
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removal of endocervix and/or transformation zone
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