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SBS Chapter 19 Urinary and Male Genital Systems Set 1
2010 Step by Step Medical Coding, Carol J. Buck
30
Medical
Professional
08/07/2010

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Cards

Term
renal exploration
Definition
procedure performed if the cause of a patient's condition is unknown
Term
flank
Definition
another word for side
Term
retroperitoneal
Definition
term that refers to the area locate behind the peritoneum
Term
peritoneum
Definition
lines the abdominal walls and covers most of the organs
Term
b
Definition

A procedure begins as an exploratory procedure to determine the cause of suspected renal blood loss.  It becomes a corrective procedure to repair a lacerated kidney.  What is coded?

a) exploratory only

b) repair procedure only

c) both exploratory and repair procedures

d) exploratory coded with ICD-9-CM and repair coded with CPT

Term

False

 

The moderate sedation symbol next to the code indicates that it is bundled into the procedure

Definition
T or F:  Code 50021 does not include moderate sedation in the procedure and it must be coded separately
Term
50021, 75989
Definition
Code a percutaneous renal abscess drainage that is performed with CT guidance
Term
nephrostomy
Definition
procedure used to decompress the renal system by means of the insertion of a catheter into the kidney while leaving the other end of the catheter outside the body to temporarily drain the kidney.
Term
pyelotomy
Definition
 incision into the renal pelvis
Term
nephrotomy
Definition
exploration of the inside of the kidney
Term
nephrolithotomy
Definition
kidney stone removal procedure
Term
staghorn calculus
Definition
a kidney stone that is composed of magnesium ammonium phosphate that can become large and fill the renal pelvis and calyces--name derives to its shape like a deer antler
Term
staghorn
Definition
If a calculus involves the renal pelvis and at least two calyces, it is classified as a ___________ calculi
Term
extracorporeal shock wave lithotripsy
Definition
What does ESWL stand for?
Term
ESWL
Definition
Machine that uses shock waves to pulverize kidney stones so they can pass through the urinary tract
Term
Percutaneous nephrolithotomy
Definition
an invasive method where an incision is made over the kidney, where a probe is inserted, and shock waves from it pulverize the stone
Term
percutaneous nephrolithotripsy
Definition
another name for percutaneous nephrolithotomy
Term
cystoscopy
Definition
exploration of the urinary bladder
Term
cystourethroscopy
Definition
another name for cystoscopy
Term
c
Definition

A patient had a staghorn calculus.  The fragments had to be removed with a percutaneous procedure after a lithotripsy.  You code:

a) the removal only

b) the lithotripsy only

c) both removal and lithotripsy

d) code both if lithotripsy doesn't bundle it

Term
Percutaneous nephrostolithotomy
Definition
What does PCNL stand for?
Term
pyelostolithotomy
Definition
another name for percutaneous nephrostolithotomy
Term
PCNL
Definition
a procedure to remove kidney stones, where entry is through the patient's back
Term
1. yes
2. no
3. -51
4. 76000
5. 76001
Definition
A PCNL is performed
1. Is an internal lithotripsy included in codes 50080-50081?
2. Is external lithotripsy included in codes 50080-50081?
3. What modifier would you use to report a procedure that was done that isn't bundled into the codes 50080-50081?
4. What code would be used for a radiologist that performed the procedure with fluoroscopic guidance?
5. What code would be used for a radiologist that assists and nonradiological physician during the procedure?
Term
nephrectomy
Definition
removal of the kidney, partial or total
Term

False

 

A radical nephrectomy is the total removal of a kidney

 

Definition
T or F: A radical nephrectomy is the partial removal of a kidney
Term
radical nephrectomy
Definition
total removal of a kidney--including the fascia and surrounding fatty tissue, regional lymph nodes, and the adrenal gland
Term
ureterectomy
Definition
removal of the ureter
Term
ablation
Definition
cutting away or erosion of tissue
Term
allotransplantation
Definition
transfer of tissue or an organ between two people who are not related
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