Surgical Training Version 2

Aurora ICD10 Program Communications Committee November 2015 TABLE OF CONTENTS PAGE SKIN Face 1 Nose 2 Scalp and 3 Eyelid 4 Ear 5 Mouth 6 Tongue 7 Lip 8 Gum 9 Trunk 10 Breast 11 Upper Limb 12 Lower Limb 13 Anal Skin 14 Female Genitalia 15 Male Genitalia 16 TABLE OF CONTENTS PAGE SALIVARY GLANDS Salivary Glands 17 Nose Interior 18 ESOPHAGUS Esophagus Distances 19 DIGESTIVE SYSTEM Lower GI 20 Colon Distances 21 Stomach 22 Urinary Tract 23 Bladder 24 FEMALE REPRODUCTIVE ORGANS Breast 25 Uterus 26 & 27 MALE REPRODUCTIVE ORGANS Male reproductive Tract 28 TABLE OF CONTENTS PAGE MUSCLES Front View 29 Back View 30 BRAIN Lobes & Stem 31 Brain Anatomy 32 CHEST CAVITY Heart 33 Divisions of Mediastinum 34 Lung 35 THYROID & ENDOCRINE SYSTEM Thyroid & Endocrine System 36 PANCREAS Pancreas 37 ANATOMY SITES 38 - 51 ICD10 CONTACTS 52 & 53 1 Face Nose – Body Site = Face 2 Scalp and Neck 3 Eyelid 4 Ear 5

Retroauricular Crus Mouth 6 Tongue 7 8 Lip Gum 9 Trunk 10 11 Upper Limb 12 Lower Limb 13 Anal Skin 14 Female Genitalia 15 Male Genitalia 16 17 Salivary Glands 18 Nose Interior 19 Esophagus Distances 20 Digestive System Anatomical Landmarks that will appear on Lower GI Specimen Requisition

Anus Ascending Cecum Descending Distal Colon Hepatic Flexure Ileocecal Valve Ileum Jejunum Mid Colon Proximal Colon Random Colon Rectosigmoid Sigmoid Splenic Flexure Terminal Ileum Transverse 21 Colon Distances 22 Stomach 23 Urinary Tract Front View 24 Bladder 25 Female Reproductive Organs

Breast 26 Uterus 27 28 Male Reproductive Organs 29 Muscles 30 31 Brain 32 33 Chest Cavity – (Heart, Lungs & Mediastinum)

Heart 34 35 Lungs 36 Thyroid & Endocrine System 37 Pancreas 38 Anatomic Area Anatomic Specific Sites Slide Trunk 10 Esophagus Abdominal esophagus 19 Muscles Abdominal external oblique 29 Ear Acoustic Meatus 5 Muscles Adductor muscles 29 Nose Alafacial groove 2 Lungs Alveoli 35 Female Reproductive Organs Ampulla 27 Male Reproductive Organs Ampulla 28 Lower Limb Ankle 13 Upper Limb Antebrachium or forearm 12 Upper Limb Antecubitis or front of elbow 12 Divisions of Mediastinum Anterior mediastinum 34 Nose (Interior) Anterior naris 18 Upper Limb Anterior region of 12 Upper Limb Anterior region of elbow 12 Ear Anti Helix 5 Ear Anti Tragus 5 Stomach Antrum 22 Anal Skin Anus 14 Digestive System Anus 20 Male Reproductive Organs Anus 28 Chest Cavity (Heart, Lungs, Mediastinum) Aorta 33 Chest Cavity (Heart, Lungs, Mediastinum) Aortic valve 33 Digestive System Appendix 20 Breast Areola 11 Female Reproductive Organs (Breast) Areola 25 Digestive System (Lower GI – Colon) Ascending colon 20 & 21 Ear Auris (Ear) 5 Trunk Axilla or armpit (axillary) 10 Breast Axillary tail of spence 11 Upper Limb Biceps 12 Muscles Biceps brachii 29 39

Anatomic Area Anatomic Specific Sites Slide Muscles Biceps femoris 30 Pancreas Bile duct (from gall bladder) 37 Urinary Tract Bladder 23 Bladder Bladder neck 24 Male Genitalia Body of penis 16 Stomach Body of Stomach 22 Female Reproductive Organs Body of Uterus 27 Muscles Brachialis 29 Muscles Brachioradialis 29 Muscles Brachioradialis 30 Upper Limb Brachium or arm (brachial) 12 Brain Brain Stem 31 Brain Brain Stem 32 Breast Breast tissue 11 Female Reproductive Organs (Breast) Breast tissue 25 Female Reproductive Organs (Breast) Breast, Lower inner 25 Female Reproductive Organs (Breast) Breast, Lower outer 25 Female Reproductive Organs (Breast) Breast, Upper inner 25 Female Reproductive Organs (Breast) Breast, Upper outer 25 Female Reproductive Organs Broad ligament 27 Face Bucca (Cheek) 1 Mouth Buccal mucosa (lip and cheek lining) 6 Male Reproductive Organs Bulbourethral gland 28 Trunk Buttock 10 Lower Limb Calf 13 Stomach Cardia 22 Upper Limb Carpus or wrist 12 Digestive System (Lower GI – Colon) Cecum 20 & 21 Brain Cerebellum 31 Brain Cerebellum 32 Brain Cerebrum 32 Female Reproductive Organs Cervical canal 27 Esophagus Cervical esophagus 19 40 Anatomic Area Anatomic Specific Sites Slide Scalp and Neck Cervicis (cervical) 3 Uterus Cervix 26 Female Reproductive Organs Cervix 27 Trunk Chest 10 Nose (Interior) Choana 18 Brain Choroid plexus 32 Tongue Circumvallate papillae 7 Female Genitalia Clitoris 15 Trunk Collarbone (clavicle) 10 Nose Columella 2 Uterus Columnar epithelium (endocervix) 26 Digestive System Common bile duct 20 Pancreas Common bile duct 37 Thyroid and Endocrine System Common carotid artery 36 Male Genitalia Corona of glans 16 Male Reproductive Organs Corpora Cavernosa 28 Male Reproductive Organs Corpora Spongiosum 28 Nose (Interior) Cribriform plate of ethmoid bone 18 Lungs Cricoid cartilage 35 Thyroid and Endocrine System Cricoid cartilage of larynx 36 Scalp and Neck Crown 3 Ear Crus of Helix 5 Lower Limb Crus or leg (crural) 13 Upper Limb 12 Lip Cupid’s bow 8 Lip Cutaneous upper lip 8 Muscles Deltoid 30 Upper Limb Deltoid region 12 Muscles Deltoid Region 29 Digestive System (Lower GI – Colon) Descending colon 20 & 21 Upper Limb Digiti manus 12 Lower Limb Digits or toes (phalanges) 13 Digestive System Distal Colon 20 41

Anatomic Area Anatomic Specific Sites Slide Bladder Dome 24 Nose Domes 2 Trunk Dorsum of back (dorsal) 10 Lower Limb Dorsum of foot (dorsal) 13 Upper Limb Dorsum of hand 12 Male Genitalia Dorsum of penis 16 Male Reproductive Organs Ductus deferens 28 Digestive System (Small intestine) Duodenum 20 Pancreas Duodenum of small intestine 37 Male Reproductive Organs Ejaculatory duct 28 Female Reproductive Organs Endometrium 27 Male Reproductive Organs Epididymis 28 Digestive System Esophagus 20 Female Reproductive Organs External os 27 Male Genitalia External urethral meatus 16 Face Eyebrow 1 Eyelid Eyelashes 4 Eyelid Eyelid Fold 4 Eyelid Eyelid Margin 4 Face Facies (Face) 1 Lower Limb 13 Lower Limb Femur or thigh (femoral) 13 Tongue Filiform papillae 7 Female Reproductive Organs Fimbriae 27 Upper Limb Finger, index 12 Upper Limb Finger, little 12 Upper Limb Finger, Middle 12 Upper Limb Finger, ring 12 Trunk (Latus) 10 Mouth Floor of mouth 6 Tongue Foliate papillae 7 Face Forehead (Frons) 1 Male Genitalia Frenulum of prepuce 16 42

Anatomic Area Anatomic Specific Sites Slide Brain Front lobe 31 Nose (Interior) Frontal sinus 18 Stomach Fundus 22 Female Reproductive Organs Fundus of uterus 27 Tongue Fungiform papillae 7 Digestive System Gall bladder 20 Muscles Gastrocnemius 30 Stomach GE/EG Junction 22 Gum Gingiva 9 Face Glabella 1 Male Genitalia Glans of penis 16 Male Reproductive Organs Glans penis 28 Trunk Gluteal fold 10 Trunk Gluteal region () 10 Trunk Gluteus (buttock) 10 Muscles 30 Stomach Greater Curvature of Stomach 22 Trunk 10 Gum Gums 9 Lower Limb Hallux or great toe 13 Mouth Hard palate 6 Nose (Interior) Hard palate 18 Chest Cavity (Heart, Lungs, Mediastinum) Heart 33 Lower Limb Heel 13 Ear Helix 5 Digestive System (Lower GI) Hepatic flexure 21 Lower Limb Hip 13 Lungs Horizontal fissure 35 Thyroid and Endocrine System Hyoid bone 36 Brain Hypothalamus 32 Upper Limb Hypothenar eminence 12 Digestive System (Lower GI) Ileocecal valve 21 Digestive System (Small intestine) Ileum 20 43

Anatomic Area Anatomic Specific Sites Slide Muscles Iliopsoas 29 Lip Inferior Lip 8 Divisions of Mediastinum Inferior mediastinum 34 Face Inferior Orbital 1 Thyroid and Endocrine System Inferior thyroid artery 36 Thyroid and Endocrine System Inferior thyroid veins 36 Nose (Interior) Inferior turbinate 18 Chest Cavity (Heart, Lungs, Mediastinum) Inferior vena cava 33 Trunk Inframammary 10 Brain Infratentorium 32 Nose Infratip 2 Female Reproductive Organs Infundibulum 27 Trunk Inguinal crease 10 Trunk Intergluteal cleft, Natal cleft 10 Thyroid and Endocrine System Internal jugular vein 36 Female Reproductive Organs Internal os 27 Ear Intertragic Notch 5 Female Reproductive Organs Isthmus 27 Thyroid and Endocrine System Isthmus of thyroid gland 36 Digestive System (Small intestine) Jejunum 20 Urinary Tract Kidney 23 Lower Limb Knee 13 Female Genitalia Labia majora 15 Female Genitalia Labia minora 15 Upper Limb Lateral bicipital groove 12 Eyelid Lateral Canthus 4 Female Reproductive Organs Lateral cervical (cardinal) ligament 27 Female Reproductive Organs Lateral fornix 27 Face Lateral Orbital 1 Lower Limb Lateral retromalleolar 13 Bladder Lateral wall 24 Muscles Latissimus dorsi 30 Trunk Latus (flank) 10 44

Anatomic Area Anatomic Specific Sites Slide Chest Cavity (Heart, Lungs, Mediastinum) Left atrium 33 Lungs Left lobe 35 Thyroid and Endocrine System Left lobe of thyroid gland 36 Lungs Left primary bronchus 35 Chest Cavity (Heart, Lungs, Mediastinum) Left ventricle 33 Lower Limb Leg 13 Stomach Less Curvature of Stomach 22 Muscles Levator scapulae 30 Tongue Lingual tonsil 7 Lip Lips 8 Digestive System Liver 20 Ear Lobe 5 Ear Lobule 5 Eyelid Lower Eyelid 4 Breast Lower inner quadrant 11 Lungs Lower lobe 35 Lungs Lower lobe bronchus (secondary) 35 Breast Lower outer quadrant 11 Esophagus Lower thoracic esophagus/esophagogastric junction (EGJ) 19 Trunk Lumbus or Loin (lumbar) 10 Female Reproductive Organs Lumen (cavity) of uterus 27 Face Maxilla 1 Upper Limb Medial bicipital groove 12 Eyelid Medial Canthus 4 Lower Limb Medial retromalleolar 13 Brain Medulla 32 Face Mentis (Chin) 1 Female Reproductive Organs Mesometrium 27 Female Reproductive Organs Mesosalpinx 27 Female Reproductive Organs Mesovarium 27 Upper Limb Metacarpal 12 Digestive System Mid Colon 20 Lungs Middle lobe 35 45

Anatomic Area Anatomic Specific Sites Slide Divisions of Mediastinum Middle mediastinum 34 Esophagus Middle thoracic esophagus 19 Thyroid and Endocrine System Middle thyroid vein 36 Nose (Interior) Middle turbinate 18 Chest Cavity (Heart, Lungs, Mediastinum) Mitral valve 33 Female Genitalia Mons pubis 15 Brain Motor strip 31 Female Reproductive Organs Myometrium 27 Scalp and Neck Nape 3 Nose Nasal bridge 2 Nose Nasolabial angle 2 Face Nasolabial Sulcus (Folds) 1 Nose Naston 2 Face Nasus (Nose) 1 Female Reproductive Organs (Breast) Nippla 25 Breast Nipple 11 Nose Nostril 2 Nose Nostril Sili 2 Lungs Notch for the heart 35 Lungs Oblique fissure 35 Scalp and Neck Occipital 3 Brain Occipital lobe 31 Upper Limb Olecranon or back of elbow 12 Nose (Interior) Opening of auditory (Eustachian) tube 18 Brain Optic never 32 Digestive System Oral cavity 20 Lip Oral commissure 8 Mouth Oris (Mouth) 6 Thyroid and Endocrine System Outline of clavicle 36 Thyroid and Endocrine System Outline of sternum 36 Female Reproductive Organs Ovarian blood vessels 27 Female Reproductive Organs Ovarian ligament 27 Female Reproductive Organs Ovary 27 46

Anatomic Area Anatomic Specific Sites Slide Tongue Palatine tonsil 7 Upper Limb Palm, palmar region 12 Upper Limb Palmar surfaces of fingers 12 Digestive System Pancreas 20 Pancreas Pancreas 37 Digestive System Pancreatic duct 20 Pancreas Pancreatic duct 37 Pancreas Pancreatic islets 37 Female Reproductive Organs (Breast) Papilla 25 Brain Parietal lobe 31 Scalp and Neck Parietal Ridge 3 Salivary Glands Parotid gland 17 Lower Limb Patella or kneecap (patellar) 13 Muscles Pectoralis major 29 Trunk 10 Male Genitalia Penile raphe 16 Male Reproductive Organs Penis 28 Female Reproductive Organs Perimetrium 27 Male Genitalia Perineal raphe 16 Anal Skin 14 Female Genitalia Perineum 15 Muscles Peroneus brevis 29 Muscles Peroneus brevis 30 Muscles Peroneus longus 29 Muscles Peroneus longus 30 Nose (Interior) Pharyngeal tonsil 18 Digestive System Pharynx 20 Lip 8 Brain Pineal glad 32 Brain Pituitary gland 32 Brain Pons 32 Lower Limb 13 Scalp and Neck Postauricular 3 47

Anatomic Area Anatomic Specific Sites Slide Lower Limb Posterior knee 13 Lower Limb Posterior leg 13 Divisions of Mediastinum Posterior mediastinum 34 Upper Limb Posterior region of forearm 12 Upper Limb Posterior region of wrist 12 Lower Limb Posterior talocrural 13 Lower Limb Posterior thigh 13 Bladder Posterior wall 24 Male Reproductive Organs Prepuce 28 Male Genitalia Prepuce (foreskin) 16 Lower Limb Pretibial (In front of Tibia) 13 Muscles Pronator teres 29 Bladder Prostate 24 Male Reproductive Organs Prostate gland 28 Digestive System Proximal Colon 20 Trunk Pubic or Pubis 10 Chest Cavity (Heart, Lungs, Mediastinum) Pulmonary artery 33 Chest Cavity (Heart, Lungs, Mediastinum) Pulmonary valve 33 Chest Cavity (Heart, Lungs, Mediastinum) Pulmonary vein 33 Stomach Pylorus 22 Muscles Quadriceps femoris 29 Upper Limb Radial border, lateral border 12 Digestive System Random Colon 20 Digestive System (Lower GI – Colon) Rectosigmoid 20 & 21 Digestive System Rectum 20 Muscles Rectus abdominis 29 Ear Retroauricular 5 Mouth Retromolar trigone 6 Muscles Rhomboids 30 Trunk Rib Cage 10 Chest Cavity (Heart, Lungs, Mediastinum) Right atrium 33 Lungs Right lobe 35 Thyroid and Endocrine System Right lobe of thyroid gland 36 48

Anatomic Area Anatomic Specific Sites Slide Lungs Right primary bronchus 35 Chest Cavity (Heart, Lungs, Mediastinum) Right ventricle 33 Muscles Rotator cuff 29 Muscles Rotator cuff 30 Female Reproductive Organs Round ligament of Uterus 27 Trunk (sacral) 10 Ear Scaphoids Fossa 5 Upper Limb Scapula 12 Male Genitalia Scrotal raphe 16 Male Genitalia Scrotum 16 Male Reproductive Organs Scrotum 28 Nose (Interior) Sella turcica 18 Muscles Semimembranosus 30 Male Reproductive Organs Seminal vesicle 28 Muscles Semitendinosus 30 Brain Sensory strip 31 Digestive System (Lower GI – Colon) Sigmoid 20 & 21 Mouth Soft Palate 6 Nose (Interior) Soft palate 18 Nose Soft tissue triangle 2 Lower Limb Sole, plantar region 13 Muscles Soleus 30 Nose (Interior) Sphenoid sinus 18 Urinary Tract Sphincter 23 Brain Spinal cord 32 Pancreas Spleen 37 Pancreas Splenic artery 37 Digestive System (Lower GI – Colon) Splenic Flexure 20 & 21 Male Genitalia Spongy urethra 16 Uterus Squamous epithelium (ectocervix) 26 Divisions of Mediastinum Sternal angle 34 Trunk Sternum (sternal) 10 Digestive System Stomach 20 49

Anatomic Area Anatomic Specific Sites Slide Salivary Glands Sublingual gland 17 Salivary Glands Submandibular gland 17 Face Superciliary Arch 1 Lip Superior Lip 8 Divisions of Mediastinum Superior mediastinum 34 Face Superior Orbital 1 Thyroid and Endocrine System Superior thyroid artery 36 Thyroid and Endocrine System Superior thyroid vein 36 Nose (Interior) Superior turbinate 18 Chest Cavity (Heart, Lungs, Mediastinum) Superior vena cava 33 Nose Supra alar crease 2 Nose Supra tip 2 Trunk Suprapubic 10 Brain Supratentorium 32 Lower Limb Sural region 13 Female Reproductive Organs Suspensory ligament of ovary 27 Male Reproductive Organs Symphysis pubis 28 Lower Limb Tarsus or ankle (tarsal) 13 Nose Tear trough 2 Face Temple 1 Brain Temporal lobe 31 Digestive System (Lower GI) Terminal Ileum 20 Lungs Tertiary bronchi 35 Male Reproductive Organs Testis 28 Upper Limb Thenar eminence 12 Upper Limb Thumb 12 Thyroid and Endocrine System Thyrocervical trunk 36 Lungs Thyroid cartilage 35 Thyroid and Endocrine System Thyroid cartilage of larynx 36 Lower Limb Tibia (Shinbone) 13 Muscles Tibialis anterior 29 Muscles Tibialis posterior 30 Nose Tip 2 50

Anatomic Area Anatomic Specific Sites Slide Female Reproductive Organs (Breast) Toil of spence 25 Tongue Tongue 7 Digestive System Tongue 20 Mouth Tonsil 6 Lungs Trachea 35 Thyroid and Endocrine System Trachea 36 Ear Tragus 5 Uterus Transformation zone 26 Digestive System (Lower GI – Colon) Transverse colon 20 & 21 Muscles Trapezius 30 Scalp and Neck Trapezius (Upper/Superior) 3 Ear Triangular Fossa 5 Upper Limb Triceps 12 Muscles Triceps brachii 30 Chest Cavity (Heart, Lungs, Mediastinum) Tricuspid valve 33 Bladder Trigone 24 Upper Limb Ulnar border 12 Trunk Umbilicus or navel 10 Esophagus Upper esophageal sphincter 19 Eyelid Upper Eyelid Platform 4 Breast Upper inner quadrant 11 Lungs Upper lobe 35 Lungs Upper lobe bronchus (secondary) 35 Breast Upper outer quadrant 11 Esophagus Upper thoracic esophagus 19 Bladder Urachus 24 Urinary Tract Ureter 23 Female Reproductive Organs Ureter 27 Bladder Ureteral orifice 24 Urinary Tract Urethra 23 Male Reproductive Organs Urethra 28 Female Genitalia Urethral meatus 15 Male Reproductive Organs Urinary bladder 28 51

Anatomic Area Anatomic Specific Sites Slide Female Reproductive Organs Uterine (fallopian) tube 27 Female Reproductive Organs Uterine blood vessels 27 Female Reproductive Organs Uterine tube 27 Female Reproductive Organs Uterosacral ligament 27 Uterus Uterus 26 Mouth Uvula 6 Nose (Interior) Uvula 18 Digestive System Uvula 20 Uterus Vagina 26 Female Reproductive Organs Vagina 27 Female Genitalia Vaginal intoitus (entrance) 15 Brain Ventricles (fluid-filled spaces) 32 Lip Vermillion border 8 Scalp and Neck Vertex 3 Nose (Interior) Vestibule 18 Female Genitalia Vulva 15 Trunk Xiphoid 10 Face Zygoma 1 52

Focus Area Representatives

Rebecca Roberts Billing Manager, Central Region, CPC, ICD10 certified, IntelliPath main ICD-10 POC [email protected]

Carolyn Lange Billing Manager Western Region Coding and Billing Questions [email protected]

Nena Forsman Billing Manager, Eastern Region, CPC, ICD-10 certified 2+years, Subject Matter Expert [email protected]

Patrick Pinnock Developer doc2MD Questions [email protected]

Revenue Team Carolyn Lange Billing Manager Western Region [email protected]

Nena Forsman ICD-10 Program Changes/Questions Billing Manager, Eastern Region, CPC, ICD-10 certified 2+years, Subject Matter Expert [email protected]

Rebecca Roberts Billing Manager, Central Region, CPC, ICD10 certified, IntelliPath main ICD-10 POC [email protected] 53

Focus Area Representatives

Jon Anger Interface Questions Interface Manager [email protected]

Anthony Bobos Information Technology Chief Information Officer [email protected]

Dr. Ana Viciana Pathologist at ADX Mark & Kambour Pathology [email protected] Pathologist Impact Dr. Randy Eckert Pathologist at ADX Austin Pathology [email protected]

Requisition Change and Anne Horstmann Accessioning Questions HT-ASCP, PhD, QIHC, VP of Laboratory Operations [email protected]

Kimberly Simms Sales and Marketing Dermatopathology Services Product Manager [email protected] Questions Jamie McCloskey Regional Sales Director, Southern Region [email protected]

Jim Matrisciano Tiger TC/PC Product Laboratory Manager at ADX Pathology Solutions, TC/PC Product ICD-10 Remediation Questions Manager [email protected]

Pam Washburne Other Questions Project Manager [email protected]