CPT ch. 4: Musculoskeletal System
Terms
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- the mus/system is formatter by
- anatomic site
- list 5 tips for coding this section
-
~ identify if procedure is soft tissue or bone
~treatment for traumatic injury or med condition
~ identify most specific site
~ determine if description includeds grafting or fixation
~single or multiple site - fractures are coded by
- treatment
- 3 repair methods
-
~open
~closed
~percutaneous - all fractures and dislocations are coded based on what?
- reason for treatment
- manipulation
- words used interchangeably to mean attempted restoration to normal anatomic site
- skeletal traction
-
use of internal devices
(pins, screws, wires) - skin traction
- involves strapping or tape
- traction
- application of force to a limb
- incision codes in this section are for incisions of what
- absecess involving both skin and bone
- what are wound exploration codes used for
- repairs requiring enlargement of exsisting wounds
- under excision section, biopsies are divided based on what
-
~type
~depth
~method of obtaining - under excision the codes that are not used for the excistion of what
- tumors of muscles
- biopsy codes do not include
- pathology workup
- removal codes
- used to report removal of foreign bodies that are lodged in muscle
- injection codes
- used for injections made into a tendon, ligament, or cystic tumor
- arthrocentesis
- injection into or aspiration of a joint
- if more the one injection is given, you need to use what
- modifier -51
- how are above codes devided
- whether joint is small, intermediate, or major
- implant removal codes are available for what
- reporting the services of removal of buried, wires, pins, rods
- how are external fixation codes devided
- whether device or system is placed on one surface or several surfaces
- what are the graft codes used for
- to report the harvesting of a bone, cartilage, or tissue
- codes for obtaining a fascia lata graft ate based on what
- whether stripper was used
- spine surgery codes are used for what
- obtaining and shaping of tissue (patient or donor)
- codes for monitering muscles, microvascular bone grafts etc...
- other procedures
- regarding bone grafts, codes are devided based on what
- where bone is taken from
- under application of casts and strapping, the codes may also be used to report what
- initial stablization of on injury until definitive restoration treatment can be provided
- cast, strapping, or splint is applied as a part of a fracture repair, can you code services separately
- no
- can you bill separately for an office visit if the patient recieves some other separate and significant service in addtion to cast or strapping
- yes
- what constitutes an upper extremity
- arms, neck, hands
- what constitutes a lower extremity
- legs, ankles, foot, toes
- in regards to endoscopy/arthroscopy, can procedures such as shaving, removing evacuating be unbundled
- no
- what are these codes divided on
- body
- most expensive procedure
- surgery