Medical Coding Chapter Ten

Front 1

Myocardium

Back 1

Contracting muscle of the heart

Front 2

Atrioventricular (AV) valves

Back 2

Right - Tricuspid

Left - Mitral (Bicuspid)

Both are inlet valves

Front 3

Pulmonary Valve

Back 3

Between right ventrical & pulmonary artery

Front 4

Chordae Tendineae

Back 4

String-like tendons linking the papillary muscles of the inferior wall of the ventricles to the trisuspid valve in the left ventricle; heart strings

Front 5

Ventricular Contraction

Back 5

Systole

Front 6

Artricular Contraction

Back 6

Diastole

Front 7

Left Coronary Artery branches into

Back 7

Left anterior decending (LAD) coronary & Left Cirumflex (LCX) coronary

Front 8

Systemic Circulation

Back 8

Supplies nourishment to tissue located throughout the body, with the exception of the heart & lungs

Front 9

Coronary Circulation

Back 9

Movement of blood via coronary arteries & veins to & from tissues of the heart

Front 10

angi/o, vas/o, vascul/o

Back 10

vessel

Front 11

arteriol/o

Back 11

arteriole

Front 12

ech/o

Back 12

sound

Front 13

phleb/o

Back 13

vein

Front 14

pulmon/o

Back 14

lung

Front 15

scer/o

Back 15

hard

Front 16

sept/o

Back 16

septum

Front 17

steth/o

Back 17

chest

Front 18

venul/o

Back 18

venule

Front 19

-ary

Back 19

pertaining to

Front 20

-graph

Back 20

instrument used to record

Front 21

-graphy

Back 21

process of recording

Front 22

-gram

Back 22

recording, writing

Front 23

-ium

Back 23

membrane

Front 24

-ole

Back 24

small

Front 25

-sclerosis

Back 25

hardening, hardness

Front 26

-tome

Back 26

cutting instrument

Front 27

Primary Hypertension

Back 27

High blood pressure for which no medical cause can be found; about 90-95 percent of cases

Front 28

Secondary Hypertension

Back 28

High blood pressure caused by a condition effecting the kidneys, arteries, heart, or edocrine system; Code for underlying cause first & then for hypertension

Front 29

Hypertension with Heart Disease

Back 29

Code separately unless there is documentation states there is a relationship

Front 30

Hypertension with Chronic Kidney Disease

Back 30

There is a presumed cause-and-effect relationship; Code Hypertensive CKD, then code for stage of kidney disease & specific type of heart failure (if applicible)

Front 31

Hypertensive Cerbrovascular Disease

Back 31

Code for cerebrovascular condition first, then hypertension

Front 32

Uncontrolled hypertension

Back 32

May refer to untreated or not responding to current treatment

Front 33

Myocardial Infarction (MI)

Back 33

Sudden decrease in coronary artery blood flow resulting in death of heart muscle; heart attack

- If patient presents with symptoms less than 4 weeks post-MI, it is considered acute.

- If patient requires continued care or is symptomatic after 4 weeks, code for appropriate aftercare is used

Front 34

Old MI

Back 34

Patient is asymptomatic & does not require any further treatment

Front 35

Pericardiocentesis

Back 35

Drawing off collected fluid (via specialized needle) bulit up inside the pericardial sac

Front 36

Cardiac Tamponade

Back 36

Compression of the heart caused by fluid collecting in the pericardial sac.

Front 37

Removing an old implant/pacemaker and inserting a new implant/pacemaker

Back 37

The removal & insertion will be two separate codes.

Front 38

Multiple valve replacement

Back 38

Report separate codes for each procedure

Front 39

Annulus

Back 39

Ring of tissue where the valve leaflets attach to the aorta

Front 40

Conduits

Back 40

Grafts

Front 41

Antegrade

Back 41

Moving or extending anteriorly, moving with the flow

Front 42

Bifurcation

Back 42

Division into two branches

Front 43

Contralateral

Back 43

Situated on, pertaining to, or affecting the opposite side

Front 44

Ipsilateral

Back 44

Situated on, pertaining to, or affecting the same side

Front 45

Main Trunk of the Arterial System

Back 45

Aorta

Front 46

Main Trunk of the Venous System

Back 46

Vena Cava

Front 47

Roadmapping

Back 47

Overlaying of two images

Front 48

Trifurcation

Back 48

Division into three branches or parts

Front 49

Nonselective Catherization

Back 49

Placement of a catheter into desired blood vessel; no manipulation is needed & catheter is not advanced into other branches of the vascular family or is only negotiated into a vessel such as the thoracic or abdominal aorta

Front 50

Selective Catherization

Back 50

Needle or catheter must be manipulated into other branches of the vascular family; usually performed under fluoroscopic guidance & involves more work & risk