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32 Cards in this Set

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  • Back
All of the bones, cartilage, muscles, joints, tendons and ligaments in a person's body compose what is known as the
musculoskeletal system
This type of fractured bone is surgically opened and the bone ends are visualized. Internal fixation may be used.
Open treatment
An attempted reduction or restoration of a fracture or joint dislocation to its normal anatomical alignment by the application of manually applied forces.
Manipulation
This type of fracture site is never surgically opened. Some of the typical terms used with this type of fracture are with or without traction, with or without manipulation.
Closed treatment
Describes neither an opened or closed fracture treatment in which an x-ray imaging device is used to place pins or wires across the fracture site
Percutaneous skeletal fixation
A blank involves setting the bone without cutting into the skin
A closed fracture reduction
Blank means that the fracture site is not surgically opened
Closed treatment
Blank describes fracture treatment which is neither opened nor closed.
Percutaneous skeletal fixation
The stabilization of fractured bony parts by direct fixation to one another with surgical wires, screws, pins, or plates
Internal Fixation
Blank immobilization of fractured bones by internal appliances as distinct from casts or external fixation. Includes intramedullary pins which run the length of the medullary cavity, transfixing pins that penetrate across the medullary cavity and are maintained in position by external bars or casts, and compression plating based on the use of special screws and plates
Internal Fixation
Blank is a method of holding together the fragments of a fractured bone by using transfixing metal pins through the fragments and a compression device attached to the pins outside the skin surface. Nursing care includes regular cleansing of the skin around the pins and, in certain cases, application of antibiotic solutions or ointments. The pins are removed in a later procedure when the fracture is healed
External Fixation
The correction of a fracture, luxation, or hernia
Reduction
a surgical procedure for reducing a fracture or dislocation by exposing the skeletal parts involved
open reduction
A gradual pull is exerted on the distal (lower) fragment of the bone until it is in alignment with the proximal fragment.
Reduction of a fractured bone.
the manipulative reduction of a fracture or dislocation without incision
Closed reduction
A blank reduction of a fracture or dislocation after incision into the fracture site
Open reduction
A method of holding together the fragments of a fractured bone by means of pins that are attached to the bone and that protrude from the skin.
External pin fixation
A blank involves setting the bone without cutting into the skin.
A closed fracture reduction
This type of fracture usually occurs in the bones of the spine. Blank. An blank blank is a fracture that has broken the skin. These are also called compound fractures.
Open. Open fracture
Open treatment with reduction of fractures of left index finger, left middle finger, and left ring finger
Fracture, Phalanges, Shaft, Open Treatment, 26735-F1, 26735-51-F2, and 26735-51-F3
Open treatment with internal fixation of articular fractures involving metacarpophalangeal joints left index finger, left middle finger, and left ring finger.
Fracture, Phalanges, Articular, Open, 26746
Open treatment of phalangeal shaft fractures of left index finger, left middle finger, and left ring finger.
26735-F1, 26735-51-F2, 26735-51-F3
Fracture, Phalanges, Shaft, Open Treatment (26735)
Open treatment of the articular fractures involving the metacarpophalangeal joint with internal fixation on the left index finger, left middle finger, and left ring finger
26746-F1, 26746-51-F2, 26746-51-F3
The initial cast application and removal are included in the open or closed treatment code
True
Coding separately for external fixation may be done even when external fixation is part of the main code description
False
When a fracture is re-reduced by the same physician the procedure is reported with what modifier?
76
A 37-year-old male patient went to the ambulatory surgery center to have an arthroscopic left ACL repair. _____ (Anterior Cruciate Ligament)
Arthroscopy, Surgical, Knee, 29871-29889/Left side (LT)
Correct Answer:29888-LT
An 18-year-old male patient was in a snowboarding accident. He was diagnosed with a closed fracture of the right tibia and fibula. He was taken to the operating room for a percutaneous skeletal fixation of the fibula and tibia shaft fractures. _____
Fracture, Tibia, Percutaneous Fixation, 27756/Right Side (RT)
A 36-year-old female patient was taken to the operating room for radical resection of a tumor from the left fibula
Alphabetical Index → main term excision → sub-term tumor tibia 27635-27638, 27645-27646
2.Numeric Section → code 27646 radical resection of tumor; fibula
3.Remember to locate the modifier LT
A 77-year-old male patient went to the operating room to have a revision on his right total hip arthroplasty. The femoral component only needed replacement due to component failure
Alphabetical Index → main term replacement → sub-term hip revision 27134-27138
2.Tabular Index → code 27138 revision of total hip arthroplasty; femoral component only, with or without autograft
Correct Answer:27138-RT
Patient had a fracture of the right radius four months ago which has not healed appropriately (nonunion). Patient is being taken to the operating room to repair the radius (nonunion) with an autograft graft
Repair, Radius, Malunion, with Graft, 25405/Right Side (RT)
Correct Answer:25405-RT
1. A 37-year-old male patient was taken to the operating room for an open repair of an acute rotator cuff rupture on the left shoulder. The patient had been reaching for a box on a high shelf when his arm-twisted and the box fell
Alphabetical Index → main term rotator cuff → sub-term repair 23410-23420
2.Numeric Section → code 23410 repair of ruptured musculotendinous cuff (eg, rotator cuff open; acute)
3.Appendix A → level II (HCPCS/National) Modifiers → LT
4. Modifier → LT left side (used to identify procedures performed on the left side of the body)
23410-LT