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Coding > Ear Nose Throat and Mouth Disorder > Flashcards

Ear Nose Throat and Mouth Disorder Flashcards

(60 cards)

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1
Q

Tonsils & Adenoids

A

J35.^

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2
Q

Recurrent tonsillitis admit for tonsillectomy

A

J35.^
Typically means pt suffers from chronic tonsillitis

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3
Q

dx recurrent obstructive tonsillitis

A

Code to chronic tonsillitis when admit for tonsillectomy due to recurrent or recurrent obstructive tonsillitis

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4
Q

Enlarged Adenoids/tonsils listed as reason for tonsillectomy

A

Code similar to adenoid/tonsillar hypertrophy followed by code for sleep apnea type 3/op

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5
Q

Admit Post tonsillectomy for monitor sleep apnea

A

Assign Z54.^ ~ Convalescence as mrdx
Code for sleep apnea optionally assigned as type 3/op

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6
Q

Interventions

A

1.FR.59.^ ~ Destruction, tonsils and adenoids
1.FR.89.^ ~ excision total, tonsils and adenoids

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7
Q

Peritonsillar Abscess

A

J36

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8
Q

Ethmoidal

A

1.EU.^^

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9
Q

Maxillary

A

1.EW.^^

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10
Q

Sphenoidal

A

1.EV.^^

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11
Q

Frontal

A

1.EX.^^

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12
Q

Paranasal sinuses (more than one)

A

1.EY.^^

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13
Q

FESS

A

View report carefully to determine exactly what intervention is performed

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14
Q

Drainage with Lavage

A

1.EW.52.HA ~ drainage, maxillary sinus …

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15
Q

BSD - Balloon sinus dilation

A

1.EY.50.BA-BD ~ dilation paranasal sinuses using endoscopic …..

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16
Q

Endoscopic maxilary antrostomy

A

1.EW.52.BA ~ drainage maxillary sinus, endoscopic per orifice approach, no drainage tube let in situ

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17
Q

Endonasal Frontal Sinus Drainage

A

TYPE I, II, II

ethmoidectomy, involves resection of floor of frontal sinus - becomes partial excision

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18
Q

Croup - acute viral laryngotracheitis

A

J05.0 ~ acute obstructive laryngitis (croup)
- Assign additional code when viral agent specified
- - B97.8^ ~other viral agents as the cause of diseases classified to other chapters (3)

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19
Q

Croup when tracheobronchitis present

A

J20.^~ acute bronchitis

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20
Q

Croup in child (0-16) with asthma

A

J45.0^~ predominantly allergic asthma

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21
Q

Sinusitis

A

4th character identifies sinus involved
- >1 but not all = use 4th character .8
- all (pansinusitis) = use 4th character .4

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22
Q

Acute sinusitis

A

J01.^~ acute sinusitis

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23
Q

Chronic Sinusitis

A

J32.^~ chronic sinusitis\

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24
Q

Surgery to correct obstruction

A

J32.4 ~ deviated nasal septum

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25
surgery to improve appearance
Z41.1 ~ other plastic surgery for unacceptable cosmetic procedure may assign J34.2 (3/OP)
26
Trauma related
classify to S03.1 ~ Dislocation of septal cartilage of nose
27
Submucous resection (SMR)
1.ES.87.LA~ excision partial, nasal cartilage using open approach with simple apposition (suturing) for closure
28
Septum repair removing deviated portion, repositioning and rebuilding cartilage
1.ES.80.LA-XX-A~ repair nasal cartilage using autograft
29
procedure involve repositioning/straightening of septum
1.ET.73.^^~ reduction nose
30
Deviated Septum Repair along with repair nasal bones (rhinoseptoplasty)
1,ET,80.^^~ repair, nose - assign dx code M95.0 ~acquired deformity of nose - optional when documented
31
intranasal polypectomy
"1.ET.87.BA^^~ excision partial, nose, endoscopic per orifice approach may require excision partial of ethmoid sinus - 1.EU.87.^^ ~excision, partial, ethmoid sinus"
32
foreign body in repiratory tract
T17.^~ foreign body in respiratory tract - 4th character identifies location
33
Epistaxis
Assign R04.0 ~ as mrdx assign additional code to identify underlying condition dx typing dependent on circumstance of care
34
Epistaxis - pt on anticoagulant therapy - with no documentation as to any other cause - soft correlation
Y44.2 ~adverse effect of anticoagulants in therapeutic use (9)
35
nasal/balloon packing and/or cauterization/embolization
1.ET.13.^~ control bleeding
36
ligation of artery
1.JX.51.^^~ Occlusion, other vessels of head, neck & spine
37
Repair of hard palate alone or along with soft palate
1.FB.86.LA-XX-^^ ~Closure of fistula, hard palate
38
Repair of soft palate only
1.FC.86.LA-XX-^^ ~ Closure of fistula, soft palate
39
Velopharyngeal insufficiency (VPI)
Cassified to Q35. - Cleft palate Repair involves creation of a functional sphincter ~ 1.FC.80.^^~ repair soft palate
40
Obstructive sleep apnea
When admitted for surgical treatment (E.g. T&A) assign a code for underlying condition receiving treatment as MRDX with additional sleep apnea code as G47.30
41
UPPP or U3P (uvulopalatopharyngoplasty)
1.FQ.78.^~ repair by decreasing size, uvula - see note in folio MRDX usually recorded as OSAS - G47.30
42
Admission for sleep study
2.AN.59.ZZ ~other study, brain, using technique NEC
43
Acute otitis media
"usually treated in ED Recurrent acute or chronic treated on day surgery or inpatient basis"
44
OME (Otitis media with effusion)
selection of MRDX dependent on intervention performed chronic -> tympanoplasty
45
Myringotomy w/o insertion of tubes
1.DK.52.^ ~drainage, middle ear (without tubes)
46
Myringotomy with tubes
1.DF.53.JA-TS ~ implantation of internal device, tympanic membrane, of ventilation [grommet] tube using external approach
47
Tympanoplasty/myringoplasty
1.DF.80.^~ repair tympanic membrane - type 2 to type 5 - - describe repair of tympanic membrane with repair of ossicular chain 1.DG.84.^~ reconstruction ossicular chain (when no tympanoplasty performed)
48
Mastoidectomy
canal wall up - 1.DL.89.^ ~ excision total mastoid (process) Canal wall down - 1.DL.91.^ ~ excision radical mastoid (process)
49
Cholesteatoma - Complication of chronic otitis media
removal - 1.DK.87.^~ excision partial middle ear if involving mastoid - 1.DL.^^
50
Dental Extractions
tooth extraction w/o excision - 1.FE.57.JA~ extraction, tooth, using external approach - - typically means tooth impacted Surgical removal os a tooth (excision required) 1.FE.89.^~ excision, total, tooth
51
ENT
Ears, nose, throat
52
EENT
Eyes, ears, nose throat
53
FESS
Functional endoscopic sinus surgery
54
T & A
Tonsillectomy & adenoidectomy
55
SMR
Submucous resection
56
OSA
Obstructive sleep apnea
57
OSAS
Obstructive sleep apnea syndrome
58
UPPP or U3P
Uvulopalatopharyngoplasty
59
VPI
Velopharyngeal Insufficiency
60
OME
Otitis Media with Effusion

Coding (9 decks)

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