Exam 8: Coding Medical and Surgical Procedures

Freeing a body part from an abnormal physical constraint is called ____.

It is a routine part of most surgical procedures to close the operative wound(s), so it is not necessary to code this separately.

Frenulotomy for treatment of ankyloglossia

When a diagnostic procedure is performed for the principal diagnosis and a procedure for definitive treatment is performed for a secondary diagnosis, the procedure for definitive treatment is the principal procedure.

Modifying the natural anatomic structure of a body part without affecting the function of the body part is called ____.

The Uniform Hospital Discharge Data Set (UHDDS) definitions are used by chronic care, long-term hospitals to report inpatient data elements in a standardized manner.

____ identifies procedure codes identified by the Medicare Code Editor as procedures covered under limited circumstances.

Open CABG bypass of two coronary arteries using the saphenous vein (aorta to coronary artery) and one artery with the left internal mammary artery, which was used as a pedicle graft to coronary artery. The left greater saphenous vein was harvested via percutaneous endoscopic approach. Cardiopulmonary bypass machine was used during the procedure.

Moving all or a portion of a body part to its normal location or other suitable location is called ____.

Total right hip replacement with ceramic on polyethylene prosthesis, open approach, without bone cement

If a patient's procedure is canceled before he or she shows up at the hospital, what is the correct Z code to assign?

In some instances, a surgical wound is not closed at the time of a surgical operation and is allowed to heal and will be closed at a later date. This is an example of when a ____ would be coded.

Laparoscopic orchiopexy-right undescended testicle

Match each definition to one of the following items. -Root operation that always involves a device

When a patient shows up to have a procedure performed but the procedure is canceled for whatever reason, the principal diagnosis would be ___________________.

When more than one procedure is performed, the procedure that was performed first is the principal procedure.

Open annuloplasty of the mitral valve with Carpentier-Edwards ring

Closed reduction of right radial fracture

Laparoscopic cholecystectomy converted to open cholecystectomy

If a surgical procedure was canceled because the patient developed atrial fibrillation before the start of the procedure, which Z code would be assigned?