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Large Animal Surgical Procedures As-Of December 1, 2020 Abdominal
Large Animal Surgical Procedures as-of December 1, 2020 Core Curriculum Category Surgical Category Surgical Procedure Diaphragmatic herniorrhaphy Exploratory celiotomy - left flank Exploratory celiotomy - right flank Abdominal cavity/wall Exploratory celiotomy - ventral midline Exploratory celiotomy - ventral paramedian Exploratory laparotomy - death / euthanasia on table Peritoneal lavage via celiotomy Cecocolostomy Ileo-/Jejunocolostomy Cecum Jejunocecostomy Typhlectomy, partial Typhlotomy Abomasopexy, laparoscopic Abomasopexy, left flank Abdominal - LA Abomasopexy, paramedian Food animal GI: Abomasum Abomasotomy Omentopexy Pyloropexy, flank Reduction of volvulus Typhlectomy Food animal GI: Cecum Typhlotomy Food animal GI: Descending colon, Rectal prolapse, amputation/anastomosis rectum Rectal prolapse, submucosal reduction Food animal GI: Rumen Rumenotomy Decompression/emptying (no enterotomy) Food animal GI: Small intestine Enterotomy Reduction w/o resection (incarceration, volvulus, etc.) Resection/anastomosis Enterotomy Reduction of displacement Food animal GI: Spiral colon Reduction of volvulus Resection/anastomosis (inc. atresia coli) Side-side anastomosis, no resection Colopexy, hand-sutured Colopexy, laparoscopic Colostomy Large colon Enterotomy Reduction of displacement Reduction of volvulus Resection/anastomosis Biopsy Liver Cholelith removal Liver lobectomy Laceration repair Rectum Rectal prolapse repair Resection/anastomosis Enterotomy Impaction resolution via celiotomy Small colon Resection/anastomosis Taeniotomy Decompression/emptying -
Diagnostic Nasal/Sinus Endoscopy, Functional Endoscopic Sinus Surgery (FESS) and Turbinectomy
Medical Coverage Policy Effective Date ............................................. 7/10/2021 Next Review Date ....................................... 3/15/2022 Coverage Policy Number .................................. 0554 Diagnostic Nasal/Sinus Endoscopy, Functional Endoscopic Sinus Surgery (FESS) and Turbinectomy Table of Contents Related Coverage Resources Overview .............................................................. 1 Balloon Sinus Ostial Dilation for Chronic Sinusitis and Coverage Policy ................................................... 2 Eustachian Tube Dilation General Background ............................................ 3 Drug-Eluting Devices for Use Following Endoscopic Medicare Coverage Determinations .................. 10 Sinus Surgery Coding/Billing Information .................................. 10 Rhinoplasty, Vestibular Stenosis Repair and Septoplasty References ........................................................ 28 INSTRUCTIONS FOR USE The following Coverage Policy applies to health benefit plans administered by Cigna Companies. Certain Cigna Companies and/or lines of business only provide utilization review services to clients and do not make coverage determinations. References to standard benefit plan language and coverage determinations do not apply to those clients. Coverage Policies are intended to provide guidance in interpreting certain standard benefit plans administered by Cigna Companies. Please note, the terms of a customer’s particular benefit plan document [Group Service Agreement, Evidence -
Geisinger Lewistown Hospital Published: March 25, 2019
Geisinger Lewistown Hospital Published: March 25, 2019 DESCRIPTION CHARGE Fine needle aspiration; without imaging guidance $ 607.00 Fine needle aspiration; without imaging guidance $ 286.00 Fine needle aspiration; with imaging guidance $ 2,218.00 Fine needle aspiration; with imaging guidance $ 1,691.00 Placement of soft tissue localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous, including imaging guidance; first lesion $ 1,979.00 Placement of soft tissue localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous, including imaging guidance; each $ 1,385.00 additional lesion (List separately in addition to code for primary procedure) Incision and drainage of abscess (eg, carbuncle, suppurative hidradenitis, cutaneous or subcutaneous abscess, cyst, furuncle, or paronychia); simple or single $ 657.00 Incision and drainage of abscess (eg, carbuncle, suppurative hidradenitis, cutaneous or subcutaneous abscess, cyst, furuncle, or paronychia); complicated or $ 986.00 multiple Incision and drainage of pilonidal cyst; simple $ 657.00 Incision and drainage of pilonidal cyst; complicated $ 3,726.00 Incision and removal of foreign body, subcutaneous tissues; simple $ 1,694.00 Incision and removal of foreign body, subcutaneous tissues; complicated $ 4,710.00 Incision and drainage of hematoma, seroma or fluid collection $ 3,470.00 Puncture aspiration of abscess, hematoma, bulla, or cyst $ 1,272.00 Puncture aspiration of abscess, hematoma, bulla, or cyst $ 657.00 Incision -
Answer Key Chapter 1
Instructor's Guide AC210610: Basic CPT/HCPCS Exercises Page 1 of 101 Answer Key Chapter 1 Introduction to Clinical Coding 1.1: Self-Assessment Exercise 1. The patient is seen as an outpatient for a bilateral mammogram. CPT Code: 77055-50 Note that the description for code 77055 is for a unilateral (one side) mammogram. 77056 is the correct code for a bilateral mammogram. Use of modifier -50 for bilateral is not appropriate when CPT code descriptions differentiate between unilateral and bilateral. 2. Physician performs a closed manipulation of a medial malleolus fracture—left ankle. CPT Code: 27766-LT The code represents an open treatment of the fracture, but the physician performed a closed manipulation. Correct code: 27762-LT 3. Surgeon performs a cystourethroscopy with dilation of a urethral stricture. CPT Code: 52341 The documentation states that it was a urethral stricture, but the CPT code identifies treatment of ureteral stricture. Correct code: 52281 4. The operative report states that the physician performed Strabismus surgery, requiring resection of the medial rectus muscle. CPT Code: 67314 The CPT code selection is for resection of one vertical muscle, but the medial rectus muscle is horizontal. Correct code: 67311 5. The chiropractor documents that he performed osteopathic manipulation on the neck and back (lumbar/thoracic). CPT Code: 98925 Note in the paragraph before code 98925, the body regions are identified. The neck would be the cervical region; the thoracic and lumbar regions are identified separately. Therefore, three body regions are identified. Correct code: 98926 Instructor's Guide AC210610: Basic CPT/HCPCS Exercises Page 2 of 101 6. -
Respiratory System
Respiratory System Course Rationale Anatomy & To pursue a career in health care, proficiency in anatomy and physiology is Physiology vital. Unit XIII Objectives Respiratory Upon completion of this lesson, the student will be able to: System • Describe biological and chemical processes that maintain homeostasis • Analyze forces and the effects of movement, torque, tension, and Essential elasticity on the human body Question • Define and decipher terms pertaining to the respiratory system How long can • Distinguish between the major organs of the respiratory system the body be • Analyze diseases and disorders of the respiratory system without • Label a diagram of the respiratory system oxygen? Engage TEKS Perform the following in front of the class using a paper towel and a hand 130.206 (c) mirror: 1 (A)(B) • Use the paper towel to clean and dry the mirror. 2(A)(D) • Hold the mirror near, but not touching, your mouth. 3 (A)(B)(E) • Exhale onto the mirror two or three times. 5 (B)(C)(D) • Examine the surface of the mirror. 6 (B) What happens to the mirror? 8 (A)(B)(C) Why does the mirror become fogged? 9 (A)(B) 10 (A)(B)(C) Or Prior Student Of all the substances the body must have to survive, oxygen is by far the most Learning critical. Think about the following: Cardiovascular system – • Without food - live a few weeks Pulmonary • Without water - live a few days Circulation • Without oxygen - live 4 – 6 minutes Estimated time 4 - 6 hours Key Points 1. Introduction – Respiratory System A. General Functions *Teacher note: 1. Brings oxygenated air to the alveoli invite a 2. -
Anesthetic Considerations for the Parturient with Idiopathic Intracranial Hypertension Levi G
University of North Dakota UND Scholarly Commons Nursing Capstones Department of Nursing 7-12-2018 Anesthetic Considerations for the Parturient with Idiopathic Intracranial Hypertension Levi G. La Porte Follow this and additional works at: https://commons.und.edu/nurs-capstones Recommended Citation La Porte, Levi G., "Anesthetic Considerations for the Parturient with Idiopathic Intracranial Hypertension" (2018). Nursing Capstones. 187. https://commons.und.edu/nurs-capstones/187 This Independent Study is brought to you for free and open access by the Department of Nursing at UND Scholarly Commons. It has been accepted for inclusion in Nursing Capstones by an authorized administrator of UND Scholarly Commons. For more information, please contact [email protected]. Running head: SAFETY OF SUGAMMADEX AND NEOSTIGMINE 1 The Safety and Efficacy in Reversal of Neuromuscular Blockades with Sugammadex versus Neostigmine by Nicole L. Landen Bachelor of Science in Nursing, University of Minnesota, 2014 An Independent Study Submitted to the Graduate Faculty of the University of North Dakota in partial fulfillment of the requirements for the degree of Master of Science Grand Forks, North Dakota December 2019 SAFETY OF SUGAMMADEX AND NEOSTIGMINE 2 PERMISSION Title The Safety and Efficacy in Reversal of Neuromuscular Blockades with Sugammadex versus Neostigmine Department Nursing Degree Master of Science In presenting this independent study in partial fulfillment of the requirements for a graduate degree from the University of North Dakota, I agree that the College of Nursing and Professional Disciplines of this University shall make it freely available for inspection. I further agree that permission for extensive copying or electronic access for scholarly purposes may be granted by the professor who supervised my independent study work or, in her absence, by the chairperson of the department or the dean of the School of Graduate Studies. -
Estonian Statistics on Medicines 2016 1/41
Estonian Statistics on Medicines 2016 ATC code ATC group / Active substance (rout of admin.) Quantity sold Unit DDD Unit DDD/1000/ day A ALIMENTARY TRACT AND METABOLISM 167,8985 A01 STOMATOLOGICAL PREPARATIONS 0,0738 A01A STOMATOLOGICAL PREPARATIONS 0,0738 A01AB Antiinfectives and antiseptics for local oral treatment 0,0738 A01AB09 Miconazole (O) 7088 g 0,2 g 0,0738 A01AB12 Hexetidine (O) 1951200 ml A01AB81 Neomycin+ Benzocaine (dental) 30200 pieces A01AB82 Demeclocycline+ Triamcinolone (dental) 680 g A01AC Corticosteroids for local oral treatment A01AC81 Dexamethasone+ Thymol (dental) 3094 ml A01AD Other agents for local oral treatment A01AD80 Lidocaine+ Cetylpyridinium chloride (gingival) 227150 g A01AD81 Lidocaine+ Cetrimide (O) 30900 g A01AD82 Choline salicylate (O) 864720 pieces A01AD83 Lidocaine+ Chamomille extract (O) 370080 g A01AD90 Lidocaine+ Paraformaldehyde (dental) 405 g A02 DRUGS FOR ACID RELATED DISORDERS 47,1312 A02A ANTACIDS 1,0133 Combinations and complexes of aluminium, calcium and A02AD 1,0133 magnesium compounds A02AD81 Aluminium hydroxide+ Magnesium hydroxide (O) 811120 pieces 10 pieces 0,1689 A02AD81 Aluminium hydroxide+ Magnesium hydroxide (O) 3101974 ml 50 ml 0,1292 A02AD83 Calcium carbonate+ Magnesium carbonate (O) 3434232 pieces 10 pieces 0,7152 DRUGS FOR PEPTIC ULCER AND GASTRO- A02B 46,1179 OESOPHAGEAL REFLUX DISEASE (GORD) A02BA H2-receptor antagonists 2,3855 A02BA02 Ranitidine (O) 340327,5 g 0,3 g 2,3624 A02BA02 Ranitidine (P) 3318,25 g 0,3 g 0,0230 A02BC Proton pump inhibitors 43,7324 A02BC01 Omeprazole -
Outcomes of Endoscopic Sinus Surgery in Adult Lung Transplant Patients with Cystic Fibrosis
European Archives of Oto-Rhino-Laryngology (2019) 276:1341–1347 https://doi.org/10.1007/s00405-019-05308-9 RHINOLOGY Outcomes of endoscopic sinus surgery in adult lung transplant patients with cystic fibrosis Paolo Luparello1 · Maria S. Lazio1 · Luca Voltolini2 · Beatrice Borchi3 · Giovanni Taccetti4 · Giandomenico Maggiore1 Received: 2 January 2019 / Accepted: 18 January 2019 / Published online: 28 January 2019 © Springer-Verlag GmbH Germany, part of Springer Nature 2019 Abstract Purpose Cystic Fibrosis (CF) is the most common autosomal recessive disease in Caucasian population. Due to its patho- logical mechanism, chronic rhino sinusitis (CRS) associated or not with nasal polyposis usually occurs in adults and affects close to one-half of all CF patients. The goal of our work was to evaluate the impact of Endoscopic Sinus Surgery (ESS) in the quality of life (QoL) of the CF patients and demonstrate an improvement of the functional outcomes in the patients underwent the surgical procedure rather than in the not treated ones, particulary in lung transplant patients. Methods We studied 54 adult patients affected by CF. Lund–Kennedy, Lund–Mackay scores, and SNOT-22 were analysed. 14 had lung transplant and 9 had both lung tranplant and ESS procedures. Results 22 (40.7%) out of 54 CF patients underwent ESS. This group presented more likely complaints consistent with CRS. Lund–Kennedy and Lund–Mackay scores appeared higher in the ESS group: 10 (range of 6–12) and 15 (range of 12–20), respectively. SNOT-22 showed median values for non-ESS and ESS group of 20 (range of 3–68) and 40 (range of 10–73), respectively. -
Sugammadex Reversal of Rocuronium-Induced Neuromuscular Blockade: a Comparison with Neostigmine–Glycopyrrolate and Edrophonium–Atropine
Sugammadex Reversal of Rocuronium-Induced Neuromuscular Blockade: A Comparison with Neostigmine–Glycopyrrolate and Edrophonium–Atropine Ozlem Sacan, MD BACKGROUND: Sugammadex is a modified ␥ cyclodextrin compound, which encap- sulates rocuronium to provide for a rapid reversal of residual neuromuscular Paul F. White, MD, PhD blockade. We tested the hypothesis that sugammadex would provide for a more rapid reversal of a moderately profound residual rocuronium-induced blockade Burcu Tufanogullari, MD than the commonly used cholinesterase inhibitors, edrophonium and neostigmine. METHODS: Sixty patients undergoing elective surgery procedures with a standard- ized desflurane–remifentanil–rocuronium anesthetic technique received either Kevin Klein, MD sugammadex, 4 mg/kg IV (n ϭ 20), edrophonium, 1 mg/kg IV and atropine, 10 g/kg IV (n ϭ 20), or neostigmine, 70 g/kg IV and glycopyrrolate, 14 g/kg IV (n ϭ 20) for reversal of neuromuscular blockade at 15 min or longer after the last dose of rocuronium using acceleromyography to record the train-of-four (TOF) responses. Mean arterial blood pressure and heart rate values were recorded immediately before and for 30 min after reversal drug administration. Side effects were noted at discharge from the postanesthesia care unit. RESULTS: The three groups were similar with respect to their demographic character- istics and total dosages of rocuronium prior to administering the study medication. Although the initial twitch heights (T1) at the time of reversal were similar in all three groups, the time to achieve TOF ratios of 0.7 and 0.9 were significantly shorter with sugammadex (71 Ϯ 25 and 107 Ϯ 61 s) than edrophonium (202 Ϯ 171 and 331 Ϯ 27 s) or neostigmine (625 Ϯ 341 and 1044 Ϯ 590 s). -
Current Awareness in Clinical Toxicology Editors: Damian Ballam Msc and Allister Vale MD
Current Awareness in Clinical Toxicology Editors: Damian Ballam MSc and Allister Vale MD May 2016 CONTENTS General Toxicology 8 Metals 33 Management 16 Pesticides 35 Drugs 19 Chemical Warfare 37 Chemical Incidents & 28 Plants 37 Pollution Chemicals 29 Animals 38 CURRENT AWARENESS PAPERS OF THE MONTH Efficacy and effectiveness of anti-digoxin antibodies in chronic digoxin poisonings from the DORA study (ATOM-1) Chan BS, Isbister GK, O'Leary M, Chiew A, Buckley NA. Clin Toxicol 2016; online early: doi: 10.1080/15563650.2016.1175620: Context We hypothesized that in chronic digoxin toxicity, anti-digoxin antibodies (Fab) would be efficacious in binding digoxin, but this may not translate into improved clinical outcomes. Objective This study aims to investigate changes in free digoxin concentrations and clinical effects on heart rate and potassium concentrations in chronic digoxin poisoning when anti-digoxin Fab are given. Materials and methods This is a prospective observational study. Patients were recruited if they have been treated with anti-digoxin Fab for chronic digoxin poisoning. Data was entered into a standardised prospective form, supplemented with medical records. Their serum or plasma was collected, analysed for free and bound digoxin and free anti-digoxin Fab concentrations. Results From September 2013 to February 2015, 36 patients (median age, 78 years; 22 females) Current Awareness in Clinical Toxicology is produced monthly for the American Academy of Clinical Toxicology by the Birmingham Unit of the UK National Poisons Information Service, with contributions from the Cardiff, Edinburgh, and Newcastle Units. The NPIS is commissioned by Public Health England 2 were recruited from 18 hospitals. -
Chapter 7 Body Systems
Respiratory System Body Systems and Disorders 1 Introduction to the Respiratory System Respiratory System Organs and Anatomic Structures 2 Introduction to the Respiratory System (cont’d.) Function • Moves air in and out of lungs • Provides for intake of oxygen and release of carbon dioxide • Provides air flow for speech • Enables sense of smell 3 Define, build, pronounce, and spell medical terms built from word parts related to the respiratory system. Word Parts Word Roots bronch pneum capn pneumon laryng pulmon py muc rhin nas sinus ox thorac pharyng trache 4 Word Parts (cont’d.) Suffixes -rrhagia -ary -rrhea -centesis -scope -eal -scopic -ectomy -scopy -ia -stomy -meter -thorax -pnea 5 Word Parts (cont’d.) Prefixes a-, an- dys- endo- hyper- 6 Instruments Used to Measure Carbon Dioxide and Oxygen 7 Medical Terms Built from Word Parts capnometer mucous hypercapnia nasal hyperoxia oximeter hypocapnia pharyngeal hypoxia pharyngitis laryngeal rhinitis laryngectomy rhinomycosis laryngitis rhinorrhagia laryngoscope rhinorrhea laryngoscopy sinusitis mucoid sinusotomy 8 Thoracocentesis 9 Tracheostomy 10 Medical Terms Built from Word Parts (cont’d.) apnea pneumonia bronchitis pneumothorax bronchopneumonia pulmonary bronchoscope pyogenic bronchoscopy pyorrhea dyspnea thoracocentesis endoscope thoracoscope endoscopic thoracoscopic endoscopy thoracoscopy endotracheal thoracotomy hyperpnea tracheostomy hypopnea tracheotomy pneumonectomy 11 Define, pronounce, and spell medical terms not built from word parts related to the respiratory system. asthma chest radiograph (also called chest x-ray) chest computed tomography (CT) scan chronic obstructive pulmonary disease emphysema influenza sputum tuberculosis upper respiratory infection 12 Interpret the meaning of abbreviations related to the respiratory system. Abbreviations – what do these abbreviations stand for? Use your textbook to figure out. -
CPT-Codes-Short-Sweet.Pdf
CPT Quick Reference for Commonly Used Codes by headmirror.com Sinus Surgery CPT Resection of palate, extensive resection of lesion 42120 Nasal endoscopy, diagnostic (uni- or bilateral) 31231 Limited pharyngectomy 42890 Nasal/sinus endoscopy, surgical, debridement 31237 Nasal/sinus endoscopy, diagnostic with maxillary sinus 31233 Larynx CPT Nasal/sinus endoscopy, diagnostic with sphenoid sinus 31235 Laryngotomy, with removal of laryngocele, cordectomy 31300 Nasal/sinus endoscopy, surgical - diagnostic 31320 - with biopsy/polypectomy/debridement 31237 Laryngectomy, total, without neck dissection 31360 - with epistaxis control 31238 - total, with neck dissection 31365 - with DCR 31239 - supraglottic without neck dissection 31367 - with concha bullosa resection 31240 - supraglottic with neck dissection 31368 Nasal/sinus endoscopy, surgical, anterior ethmoidectomy 31254 Partial laryngectomy, horizontal 31370 Nasal/sinus endoscopy, surgical, total ethmoidectomy 31255 - laterovertical 31375 Nasal/sinus endoscopy, surgical, maxillary antrostomy 31256 - anterovertical 31380 - with removal of tissue 31267 - antero-latero-vertical 31382 Nasal/sinus endoscopy, surgical, frontal sinusotomy 31276 Pharyngolaryngectomy, with neck, without reconstruction 31390 Nasal/sinus endoscopy, surgical, sphenoidotomy 31287 - with reconstruction 31395 - with removal of tissue 31288 Arytenoidectomy or arytenoidopexy, external approach 31400 Epiglottidectomy 31420 Turbinates CPT Intubation, endotracheal, emergent (-51 exempt) 31500 Excision turbinate, any method, partial