DOCSLIB.ORG

Firstcare Assistant Surgeon Reimbursment Policy

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Firstcare Assistant Surgeon Reimbursment Policy 1 Retired: 3/31/2019 Effective Date: 10/01/2015 Reimbursement Clinical Guidelines: Assistant Surgeon Reimbursement Policy Position This reimbursement policy applies to FirstCare Health Plans’ Commercial (HMO, PPO, SF) assistant surgeons. Assures assistant surgeon claims reimburse appropriately according to medical necessity guidelines and the member’s health benefit plan. Marketplace (ACA) and Medicare health plans follow Centers for Medicare & Medicaid (CMS) guidelines. All Firstcare health plans follow the MCG Assistant Surgeon Guidelines 22nd Edition: The tables (below) replicate the Assistant Surgeon Guidelines information include in the Inpatient and Surgical Care guidelines, 22nd edition. Service codes that are not not included are not reimbursable. Surgical assistant services are idenitifed by adding one of the following modifiers: AS Physician assistant, nurse practitioner, or clinical nurse specialist services for assistant 80 Assistant Surgeon 81 Minimum Assistant Surgeon 82 Assistant Surgeon (when qualified resident surgeon not available) Disclaimer FirstCare has developed coding and reimbursement policies (“Reimbursement Policies”) to provide ready access and general guidance on payment methodologies for medical, surgical and behavioral health services. These policies are subject to all terms of the Provider Service Agreement as well as changes, updates and other requirements of Reimbursement Policies. All Reimbursement Policies are also subject to federal HIPAA rules, and in the case of medical code sets (HCPCS, CPT, ICD-10), FirstCare accepts codes valid for the date of service. Additionally, Reimbursement Policies supplement certain standard FirstCare benefit plans and aid in administering benefits. Thus, federal and state law, contract language, etc. take precedence over the Reimbursement Policies (e.g., Centers for Medicare and Medicaid Services [CMS] National Coverage Determinations [NCDs], Local Coverage Determinations [LCDs] or other published documents). Moreover, the terms of a member’s particular Benefit Plan, Evidence of Coverage, Certificate of Coverage, etc., may differ significantly from Reimbursement Policies. For example, a member’s benefit plan may contain specific exclusions related to the topic addressed in Reimbursement Policies. Most importantly, our Reimbursement Policies relate exclusively to the administration of health benefit plans and are not recommendations for treatment or treatment guidelines. Providers are responsible for the treatment and recommendations provided to the member. All Reimbursement Policies are subject to change prior to the annual review date. Lines of business (LOB) are subject to change without notice; individual Reimbursement Policies list the applicable LOBs. Applicable Billing Codes Assistant Surgeon Reimbursable Service Codes CPT Description 0054T Computer‐assisted musculoskeletal surgical navigational orthopedic procedure, with image‐guidance based on fluoroscopic images (List separately in addition to code for primary procedure) 12940 N Hwy 183 Austin, Texas 78750 | 512.257.6000 | FirstCare.com 2 Assistant Surgeon Reimbursable Service Codes CPT Description 0055T Computer‐assisted musculoskeletal surgical navigational orthopedic procedure, with image‐guidance based on CT/MRI images (List separately in addition to code for primary procedure) 0095T Removal of total disc arthroplasty (artificial disc), anterior approach, each additional interspace, cervical (List separately in addition to code for primary procedure) 0098T Revision including replacement of total disc arthroplasty (artificial disc), anterior approach, each additional interspace, cervical (List separately in addition to code for primary procedure) 0163T Total disc arthroplasty (artificial disc), anterior approach, including discectomy to prepare interspace (other than for decompression), each additional interspace, lumbar (List separately in addition to code for primary procedure) 0164T Removal of total disc arthroplasty, (artificial disc), anterior approach, each additional interspace, lumbar (List separately in addition to code for primary procedure) 0165T Revision including replacement of total disc arthroplasty (artificial disc), anterior approach, each additional interspace, lumbar (List separately in addition to code for primary procedure) 0184T Excision of rectal tumor, transanal endoscopic microsurgical approach (ie, TEMS), including muscularis propria (ie, full thickness) 0195T Arthrodesis, pre‐sacral interbody technique, disc space preparation, discectomy, without instrumentation, with image guidance, includes bone graft when performed; L5‐S1 interspace 0196T Arthrodesis, pre‐sacral interbody technique, disc space preparation, discectomy, without instrumentation, with image guidance, includes bone graft when performed; L4‐L5 interspace (List separately in addition to code for primary procedure) 0202T Posterior vertebral joint(s) arthroplasty (eg, facet joint[s] replacement), including facetectomy, laminectomy, foraminotomy, and vertebral column fixation, injection of bone cement, when performed, including fluoroscopy, single level, lumbar spine 0274T Percutaneous laminotomy/laminectomy (interlaminar approach) for decompression of neural elements, (with or without ligamentous resection, discectomy, facetectomy and/or foraminotomy), any method, under indirect image guidance (eg, fluoroscopic, CT), single or multiple levels, unilateral or bilateral; cervical or thoracic 0275T Percutaneous laminotomy/laminectomy (interlaminar approach) for decompression of neural elements, (with or without ligamentous resection, discectomy, facetectomy and/or foraminotomy), any method, under indirect image guidance (eg, fluoroscopic, CT), single or multiple levels, unilateral or bilateral; lumbar 0312T Vagus nerve blocking therapy (morbid obesity); laparoscopic implantation of neurostimulator electrode array, anterior and posterior vagal trunks adjacent to esophagogastric junction (EGJ), with implantation of pulse generator, includes programming 0313T Vagus nerve blocking therapy (morbid obesity); laparoscopic revision or replacement of vagal trunk neurostimulator electrode array, including connection to existing pulse generator 0314T Vagus nerve blocking therapy (morbid obesity); laparoscopic removal of vagal trunk neurostimulator electrode array and pulse generator 0335T Extra‐osseous subtalar joint implant for talotarsal stabilization 0375T Total disc arthroplasty (artificial disc), anterior approach, including discectomy with end plate preparation (includes osteophytectomy for nerve root or spinal cord decompression and microdissection), cervical, three or more levels 0396T Intra‐operative use of kinetic balance sensor for implant stability during knee replacement arthroplasty (List separately in addition to code for primary procedure) 0420T Destruction of neurofibroma, extensive (cutaneous, dermal extending into subcutaneous); trunk and extremities, extensive, greater than 100 neurofibromas 0437T Implantation of non‐biologic or synthetic implant (eg, polypropylene) for fascial reinforcement of the abdominal wall (List separately in addition to code for primary procedure) 0451T Insertion or replacement of a permanently implantable aortic counterpulsation ventricular assist system, endovascular approach, and programming of sensing and therapeutic parameters; complete system (counterpulsation device, vascular graft, implantable vascular hemostatic seal, mechano‐electrical skin interface and subcutaneous electrodes) 12940 N Hwy 183 Austin, Texas 78750 | 512.257.6000 | FirstCare.com 3 Assistant Surgeon Reimbursable Service Codes CPT Description 0452T Insertion or replacement of a permanently implantable aortic counterpulsation ventricular assist system, endovascular approach, and programming of sensing and therapeutic parameters; aortic counterpulsation device and vascular hemostatic seal 0453T Insertion or replacement of a permanently implantable aortic counterpulsation ventricular assist system, endovascular approach, and programming of sensing and therapeutic parameters; mechano‐electrical skin interface 0454T Insertion or replacement of a permanently implantable aortic counterpulsation ventricular assist system, endovascular approach, and programming of sensing and therapeutic parameters; subcutaneous electrode 0455T Removal of permanently implantable aortic counterpulsation ventricular assist system; complete system (aortic counterpulsation device, vascular hemostatic seal, mechano‐electrical skin interface and electrodes) 0456T Removal of permanently implantable aortic counterpulsation ventricular assist system; aortic counterpulsation device and vascular hemostatic seal 0457T Removal of permanently implantable aortic counterpulsation ventricular assist system; mechano‐electrical skin interface 0458T Removal of permanently implantable aortic counterpulsation ventricular assist system; subcutaneous electrode 0459T Relocation of skin pocket with replacement of implanted aortic counterpulsation ventricular assist device, mechano‐ electrical skin interface and electrodes 0460T Repositioning of previously implanted aortic counterpulsation ventricular assist device; subcutaneous electrode 0461T Repositioning of previously implanted aortic counterpulsation ventricular assist device; aortic counterpulsation device 0483T Transcatheter mitral valve implantation/replacement (TMVI) with prosthetic valve; percutaneous approach, including transseptal puncture, when performed 0484T Transcatheter mitral valve
Load more

Recommended publications
  • Clinical Update
    Summer 2016 Clinical Update We are pleased to offer this archive of our award-winning newsletter Clinical Update. There are 75 issues in this document. Each issue has a feature article, summaries of articles in the nursing literature, and Web sites of interest. By downloading and using this archive, you agree that older medical articles may no longer describe appropriate practice. The issues are organized in date order from most recent to oldest. The following pages offer tips on how to navigate the issues and search the archive in Adobe Acrobat Reader. In 2006, we were honored to receive the Will Solimine Award of Excellence in Medical Writing from the American Medical Writers Association, New England Chapter. Issues that received the most positive response over the years include: • Nurses Removing Chest Tubes, a discussion of state boards of nursing’s approaches to this extended practice for registered nurses • Medical Adhesive Safety, a review of guidelines published by the Wound, Ostomy and Continence Nurses Society, complete with original tables identifying characteristics of each type of medical tape and how tape components contribute to medical adhesive- related skin injury (MARSI) • Autotransfusion for Jehovah’s Witness Patients, an explanation of the Biblical origins of the reasons for refusing blood transfusion and how continuous autotransfusion may offer an option that is acceptable to members of the faith • Air Transport for Patients with Chest Tubes and Pneumothorax and Chest Drainage and Hyperbaric Medicine, in which each issue provides a thorough analysis of how pressure changes with altitude and with increased atmospheric pressure affect chest drainage and untreated pneumothorax • Age Appropriate Competencies: Caring for Children that describes developmental stages and strategies to deal with a child’s fears at each stage Creative Commons License This work is licensed under a Creative Author: Patricia Carroll RN-BC, RRT, MS Commons Attribution-NonCommercial- ShareAlike 4.0 International License.
    [Show full text]
  • Annex 2. List of Procedure Case Rates (Revision 2.0)
    ANNEX 2. LIST OF PROCEDURE CASE RATES (REVISION 2.0) FIRST CASE RATE RVS CODE DESCRIPTION Health Care Case Rate Professional Fee Institution Fee Integumentary System Skin, Subcutaneous and Accessory Structures Incision and Drainage Incision and drainage of abscess (e.g., carbuncle, suppurative hidradenitis, 10060 3,640 840 2,800 cutaneous or subcutaneous abscess, cyst, furuncle, or paronychia) 10080 Incision and drainage of pilonidal cyst 3,640 840 2,800 10120 Incision and removal of foreign body, subcutaneous tissues 3,640 840 2,800 10140 Incision and drainage of hematoma, seroma, or fluid collection 3,640 840 2,800 10160 Puncture aspiration of abscess, hematoma, bulla, or cyst 3,640 840 2,800 10180 Incision and drainage, complex, postoperative wound infection 5,560 1,260 4,300 Excision - Debridement 11000 Debridement of extensive eczematous or infected skin 10,540 5,040 5,500 Debridement including removal of foreign material associated w/ open 11010 10,540 5,040 5,500 fracture(s) and/or dislocation(s); skin and subcutaneous tissues Debridement including removal of foreign material associated w/ open 11011 fracture(s) and/or dislocation(s); skin, subcutaneous tissue, muscle fascia, 11,980 5,880 6,100 and muscle Debridement including removal of foreign material associated w/ open 11012 fracture(s) and/or dislocation(s); skin, subcutaneous tissue, muscle fascia, 12,120 6,720 5,400 muscle, and bone 11040 Debridement; skin, partial thickness 3,640 840 2,800 11041 Debridement; skin, full thickness 3,640 840 2,800 11042 Debridement; skin, and
    [Show full text]
  • Trinity Ems System Skills Procedures
    Procedures 12 Lead EKG Procedure 01 Cardioversion Procedure 28 Airway: BPAP Procedure 02 Chest Decompression Needle Procedure 29 Airway: CPAP Procedure 03 Chest Tube Maintenance Procedure 30 Airway: End-Tidal CO2 Procedure 04 Childbirth Procedure 31 Airway: ETT Introducer (Bougie) Procedure 05 Decontamination Procedure 32 Airway: Foreign Body Obstruction Procedure 06 Airway: Intubation Nasotracheal Procedure 07 Defibrillation: Automated Airway: Intubation Orotracheal Procedure 08 External Defibrillator (AED) Procedure 33 Defibrillation: Manual Procedure 34 Airway: King LTD Procedure 09 Airway: Nebulizer Inhalation EKG Monitoring Procedure 35 Therapy Procedure 10 Impedance Threshold Device (ITD) Procedure 36 Airway: Rapid Sequence Intubation Procedure 11 Injections: Subcutaneous Airway: Respirator Operation Procedure 12 and intramuscular Procedure 37 Airway: Suctioning – Advanced Procedure 13 Intranasal Medication Airway: Suctioning – Basic Procedure 14 Airway: Surgical Cricothyrotomy Procedure 15 Administration Procedure 38 Airway: Tracheostomy Tube Change Procedure 16 Pulse Oximetry Procedure 39 Airway: Ventilator Operation Procedure 17 Restraints: Physical/Chemical Procedure 40 Arterial Line Maintenance Procedure 18 Spinal Examination Procedure 41 Assessment: Adult Procedure 19 Spinal Immobilization Procedure 42 Assessment: Pain Procedure 20 Splinting Procedure 43 Assessment Pediatric Procedure 21 Stroke Screen: (Cincinnati Blood Glucose Analysis Procedure 22 Pre-hospital) Procedure 44 Capnography Procedure 23 Cardiac: External Pacing
    [Show full text]
  • Conversion of Emergent Cricothyrotomy to Tracheotomy in Trauma Patients
    REVIEW ARTICLE Conversion of Emergent Cricothyrotomy to Tracheotomy in Trauma Patients Peep Talving, MD, PhD; Joseph DuBose, MD; Kenji Inaba, MD; Demetrios Demetriades, MD, PhD Objectives: To review the literature to determine the patients for whom cricothyrotomy was performed, in- rates of airway stenosis after cricothyrotomy, particu- cluding 368 trauma patients who underwent emergent larly as they compare with previously documented rates cricothyrotomy. The rate of chronic subglottic stenosis of this complication after tracheotomy, and to examine among survivors after cricothyrotomy was 2.2% (11/ the complications associated with conversion. 511) overall and 1.1% (4/368) among trauma patients for follow-up periods with a range from 2 to 60 months. Only Data Sources: We conducted a review of the medical 1 (0.27%) of the 368 trauma patients in whom an emer- literature by the use of PubMed and OVID MEDLINE da- gent cricothyrotomy was performed required surgical tabases. treatment for chronic subglottic stenosis. Although the literature that documents complications of surgical air- Study Selection: We identified all published series that way conversion is scarce, rates of severe complications describe the use of cricothyrotomy, with the inclusion of up to 43% were reported. of the subset of patients who require an emergency air- way after trauma, from January 1, 1978, to January 1, Conclusions: Cricothyrotomy after trauma is safe for ini- 2008. tial airway access among patients who require the estab- lishment of an emergent airway. The prolonged use of a Data Extraction: Only 20 published series of crico- cricothyrotomy tube, however, remains controversial. Al- thyrotomy were identified: 17 retrospective reports and though no study to date has demonstrated any benefit 3 prospective, observational series.
    [Show full text]
  • Surgical Management of Laryngotracheal Stenosis in Adults
    View metadata, citation and similar papers at core.ac.uk brought to you by CORE provided by Serveur académique lausannois Eur Arch Otorhinolaryngol (2005) 262: 609–615 DOI 10.1007/s00405-004-0887-9 LARYNGOLOGY Mercy George Æ Florian Lang Æ Philippe Pasche Philippe Monnier Surgical management of laryngotracheal stenosis in adults Received: 22 July 2004 / Accepted: 18 October 2004 / Published online: 25 January 2005 Ó Springer-Verlag 2005 Abstract The purpose was to evaluate the outcome fol- the efficacy and reliability of this approach towards the lowing the surgical management of a consecutive series management of laryngotracheal stenosis of varied eti- of 26 adult patients with laryngotracheal stenosis of ologies. Similar to data in the literature, post-intubation varied etiologies in a tertiary care center. Of the 83 pa- injury was the leading cause of stenosis in our series. A tients who underwent surgery for laryngotracheal ste- resection length of up to 6 cm with laryngeal release nosis in the Department of Otorhinolaryngology and procedures (when necessary) was found to be technically Head and Neck Surgery, University Hospital of Lau- feasible. sanne, Switzerland, between 1995 and 2003, 26 patients were adults (‡16 years) and formed the group that was Keywords Laryngotracheal stenosis Æ Laryngotracheal the focus of this study. The stenosis involved the trachea resection Æ Anastomosis (20), subglottis (1), subglottis and trachea (2), glottis and subglottis (1) and glottis, subglottis and trachea (2). The etiology of the stenosis was post-intubation injury (n =20), infiltration of the trachea by thyroid tumor (n Introduction =3), seeding from a laryngeal tumor at the site of the tracheostoma (n =1), idiopathic progressive subglottic In the majority of patients, acquired stenosis of the sub- stenosis (n =1) and external laryngeal trauma (n =1).
    [Show full text]
  • Aeromedical Evacuation Springer New York Berlin Heidelberg Hong Kong London Milan Paris Tokyo William W
    Aeromedical Evacuation Springer New York Berlin Heidelberg Hong Kong London Milan Paris Tokyo William W. Hurd, MD, MS, FACOG Nicholas J. Thompson Professor and Chair, Department of Obstetrics and Gynecology, Wright State University School of Medicine, Dayton, Ohio; Col, USAFR, MC, FS, Commander, 445th Aeromedical Staging Squadron, Wright-Patterson AFB, Dayton, Ohio John G. Jernigan, MD Brig Gen, USAF, CFS (ret), Formerly Commander, Human Systems Center, Brooks AFB, San Antonio, Texas Editors Aeromedical Evacuation Management of Acute and Stabilized Patients Foreword by Paul K. Carlton, Jr., MD Lt Gen, USAF, MC, CFS USAF Surgeon General With 122 Illustrations 1 3 William W. Hurd, MD, MS John G. Jernigan, MD Nicholas J. Thompson Professor and Chair Brig Gen, USAF, CFS (ret) Department of Obstetrics and Gynecology Formerly Commander Wright State University School of Medicine Human Systems Center Dayton, OH, USA Brooks AFB Col, USAFR, MC, FS San Antonio, TX, USA Commander 445th Aeromedical Staging Squadron Wright-Patterson AFB Dayton, OH, USA Cover illustration: Litter bearers carry a patient up the ramp of a C-9 Nightingale medical transport aircraft. (US Air Force photo by Staff Sgt. Gary R. Coppage). (Figure 7.4 in text) Library of Congress Cataloging-in-Publication Data Aeromedical evacuation : management of acute and stabilized patients / [edited by] William W. Hurd, John G. Jernigan. p. ; cm Includes bibliographical references and index. ISBN 0-387-98604-9 (h/c : alk. paper) 1. Airplane ambulances. 2. Emergency medical services. I. Hurd, William W. II. Jernigan, John J. [DNLM: 1. Air Ambulances. 2. Emergency Medical Services. 3. Rescue Work. WX 215 A252 2002] RA996.5 .A325 2002 616.02¢5—dc21 2002021045 ISBN 0-387-98604-9 Printed on acid-free paper.
    [Show full text]
  • Introduction
    Introduction Pursuant to Mississippi Code Annotated (MCA), section 71-3-15(3)(Rev. 2000), the following Fee Schedule, including Cost Containment and Utilization Management rules and guidelines, is hereby established in order to implement a medical cost containment program. This Fee Schedule, and accompanying rules and guidelines, applies to medical services rendered after the effective date of August 1, 2008, July 1, 2010, and, in the case of inpatient treatment, to services where the discharge date is on or after August 1, 2008 July 1, 2010. This Fee Schedule establishes the maximum level of medical and surgical reimbursement for the treatment of work-related injuries and/or illnesses, which the Mississippi Workers’ Compensation Commission deems to be fair and reasonable. This Fee Schedule shall be used by the Workers’ Compensation Commission, insurance payers, and self- insurers for approving and paying medical charges of physicians, surgeons, and other health care providers for services rendered under the Mississippi Workers’ Compensation Law. This Fee Schedule applies to all medical services provided to injured workers by physicians, and also covers other medical services arranged for by a physician. In practical terms, this means professional services provided by hospital-employed physicians, as well as those physicians practicing independently, are reimbursed under this Fee Schedule. The Commission will require the use of the most current version of the CPT book and HCPCS codes and modifiers in effect at the time services are rendered. All coding, billing and other issues, including disputes, associated with a claim, shall be determined in accordance with the CPT rules and guidelines in effect at the time service is rendered, unless otherwise provided in this Fee Schedule or by the Commission.
    [Show full text]
  • Physician Fee Schedule 2021 Note
    Physician Fee Schedule 2021 Note: 2021 Codes in Red; Refer to CPT book for descriptions R" in PA column indicates Prior Auth is required Codes listed as '$0.00" pay 45% of billed amount not to exceed provider’s usual and customary charge for the service The Anesthesia Base Rate is $15.20. Each 15 minute increment=1 time unit. Please use lab fee schedule for covered codes not listed below in the 80000-89249 range. Codes listed on the lab fee schedule that begin with a P or Q are currently non-covered for physicians Proc Inpat. Rate Outpat. Rate Tech. Prof. Base Unit Code Procedure Description PA Ind (Facility) (NonFacility) Comp. Comp. Value Notes See Billing See Billing Manual Manual 00100 ANES FOR PROCEDURES ON SALIVARY GLANDS, INCLUDING BIOPSY Instructions Instructions 5 See Billing See Billing Manual Manual 00102 ANES FOR PROCEDURES INVOLVING PLASTIC REPAIR OF CLEFT LIP Instructions Instructions 6 See Billing See Billing Manual Manual 00103 ANES FOR RECONSTRUCTIVE PROCED OF EYELID Instructions Instructions 5 See Billing See Billing Manual Manual 00104 ANES FOR ELECTROCONVULSIVE THERAPY Instructions Instructions 4 See Billing See Billing ANES FOR PROC ON EXTERNAL, MIDDLE, AND INNER EAR ,INC Manual Manual 00120 BIOPSY Instructions Instructions 5 See Billing See Billing ANES FOR PROC ON EXTERNAL, MIDDLE, AND INNER Manual Manual 00124 EAR,OTOSCOPY Instructions Instructions 4 See Billing See Billing ANES FOR PROC ON EXTERNAL, MIDDLE, AND INNER EAR, Manual Manual 00126 TYMPANOTOMY Instructions Instructions 4 See Billing See Billing Manual
    [Show full text]
  • 1 Chapter 111: Chronic Aspiration David W. Eisele the Three Major Functions of the Larynx
    Chapter 111: Chronic Aspiration David W. Eisele The three major functions of the larynx - respiration, phonation, and airway production - are all intimately related. Impaired laryngeal protective function can result in aspiration. Aspiration is defined as the laryngeal penetration of secretions, such as saliva, ingested liquids or solids, or reflux of gastric contents, below the level of the true vocal cords. A certain amount of aspiration is known to occur normally. Evaluation of normal humans during sleep by scintigraphy reveals aspiration in nearly one half of those evaluated (Huxley et al, 1978). A certain amount of aspiration may be tolerated without complications provided clearance is normal and defense mechanisms are intact. The contamination of the respiratory tract associated with aspiration can result in a spectrum of bronchopulmonary complications. The severity of complications depends on the volume and the character, such as the pH, of the aspirated material. Respiratory complications of aspiration include bronchospasm, airway obstruction, tracheitis, bronchitis, pneumonia, pulmonary abscess, sepsis, and death (Awe et al, 1966; Bartlett and Gorbach, 1975; Cameron and Zuidema, 1972). Significant aspiration results in a high rate of mortality (Cameron et al, 1973a). Aspiration may be an isolated event related to temporary impairment of normal swallowing mechanisms and airway protection, which may secondary to temporary neurologic dysfunction such as with a depressed state of consciousness related to drugs, alcohol, or metabolic derangement. In addition, seizure, injury, or infection may cause isolated aspiration. Elderly patients are more likely to experience aspiration, presumably related to physiologic and neurologic changes associated with age (Blitzer, 1990). Patients with dentures experience impairment of the oral phase of swallowing with decreased oral sensation and oral control, which may contribute to aspiration.
    [Show full text]
  • Resident Manual of Trauma to the Face, Head, and Neck
    Resident Manual of Trauma to the Face, Head, and Neck First Edition ©2012 All materials in this eBook are copyrighted by the American Academy of Otolaryngology—Head and Neck Surgery Foundation, 1650 Diagonal Road, Alexandria, VA 22314-2857, and are strictly prohibited to be used for any purpose without prior express written authorizations from the American Academy of Otolaryngology— Head and Neck Surgery Foundation. All rights reserved. For more information, visit our website at www.entnet.org. eBook Format: First Edition 2012. ISBN: 978-0-615-64912-2 Contents Preface ..................................................................................................................16 Acknowledgments .............................................................................................18 Resident Trauma Manual Authors ...............................................................19 Chapter 1: Patient Assessment ......................................................................21 I. Diagnostic Evaluations ........................................................................21 A. Full-Body Trauma Assessment ....................................................21 B. History ...............................................................................................22 C. Head and Neck Examination........................................................24 1. Upper Third ................................................................................24 2. Middle Third ...............................................................................24
    [Show full text]
  • 2020 Compilation of Inpatient Only Lists by Specialty
    2020 Compilation of Inpatient Only Lists by Specialty Designed for CPT Searching 2020 Bariatric Surgery: Is the Surgery Medicare Inpatient Only or not? Disclaimer: This is not the CMS Inpatient Only Procedure List (Annual OPPS Addendum E). No guarantee can be made of the accuracy of this information which was compiled from public sources. CPT Codes are property of the AMA and are made available to the public only for non-commercial usage. Gastric Bypass or Partial Gastrectomy Procedures Inpatient Only Procedure Not an Inpatient Only Procedure 43644 Laparoscopy, surgical, gastric restrictive 43659 Unlisted laparoscopy procedure, stomach procedure; with gastric bypass and Roux-en-Y gastroenterostomy (roux limb 150 cm or less) 43645 Laparoscopy, surgical, gastric restrictive procedure; with gastric bypass and small intestine reconstruction to limit absorption 43775 Laparoscopy, surgical, gastric restrictive procedure; longitudinal gastrectomy (ie, sleeve gastrectomy) 43843 Gastric restrictive procedure, without gastric bypass, for morbid obesity; other than vertical- banded gastroplasty 43845 Gastric restrictive procedure with partial gastrectomy, pylorus-preserving duodenoileostomy and ileoileostomy (50 to 100 cm common channel) to limit absorption (biliopancreatic diversion with duodenal switch) 43846 Gastric restrictive procedure, with gastric bypass for morbid obesity; with short limb (150 cm or less) Roux-en-Y gastroenterostomy 43847 Gastric restrictive procedure, with gastric bypass for morbid obesity; with small intestine reconstruction
    [Show full text]
  • Management of Laryngeal Trauma
    Management of Laryngeal Trauma Nadir Elias, DMDa, James Thomas, MDb, Allen Cheng, MD, DDSc,* KEYWORDS Laryngeal trauma Laryngotracheal injury Laryngofissure KEY POINTS The key step in treatment of any laryngeal injury is the establishment of a secure airway. Early intervention (within 24–48 hours) is an important factor for improved patient outcomes (func- tional speech, swallowing, and airway patency). An awake tracheostomy is the airway of choice with grade II or higher laryngeal injuries. INTRODUCTION Whereas blunt injuries have been described as be- ing associated with greater length of hospitaliza- The larynx is a complex anatomic structure and a tion,5 our experience has been that penetrating properly functioning larynx is essential for breath- airway injuries, often associated with ballistic ing, voice, and swallowing. Injuries to the larynx wounds, are much more likely to be associated and trachea can result in significant and potentially with greater endolaryngeal disruption. The types fatal consequences. Laryngeal trauma is often of tissues involved have been divided into hard associated with other injuries, including intracra- and soft tissue injuries. Locations of injuries have nial injuries (17%), penetrating neck injuries been classified as injuries that affect the supraglot- (18%), cervical spine fractures (13%), and facial 1 tic larynx, the glottis, and subglottic larynx. fractures (9%). Laryngeal injuries are rare, occur- Lynch5 was the first to classify traumatic injuries ring in only 1 of 5000 to 137,000 emergency room based on location. In 1969, Nahum6 described visits1–3 and among only 1 in 445 patients with se- 4 laryngeal injuries based on injury location and likeli- vere injuries.
    [Show full text]