CHAPTER 18<\/p>\n
HEMIC, LYMPHATIC, MEDIASTINUM, AND DIAPHRAGM<\/p>\n
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Copyright \u00a9 2021 by Elsevier Inc.<\/p>\n
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Copyright \u00a9 2021 by Elsevier Inc.<\/p>\n
Hemic and Lymphatic Systems Subsection (Excision, Repair, Introduction)<\/p>\n
Divisions<\/p>\n
Spleen<\/p>\n
General<\/p>\n
Lymph Nodes and Lymphatic Channels (Figure 18.1 in text)<\/p>\n
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Copyright \u00a9 2021 by Elsevier Inc.<\/p>\n
This subsection is divided into subheadings of Spleen, General, and Lymph Nodes\/Lymphatic Channels.<\/p>\n
Further division is based on type of procedure, such as excision, incision, or repair.<\/p>\n
Where are the codes for spleen and lymph nodes located in the CPT manual Index? (Under main terms, spleen, lymph nodes, and bone marrow)<\/p>\n
Spleen (38100-38200) (1 of 2)<\/p>\n
Spleen easily ruptured, causes massive hemorrhage<\/p>\n
May require splenectomy<\/p>\n
Splenectomy: total or partial<\/p>\n
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Copyright \u00a9 2021 by Elsevier Inc.<\/p>\n
Codes for spleen are further divided into excision, repair, laparoscopy, and introduction.<\/p>\n
Why can a person live without a spleen? (The bone marrow, liver, and lymph nodes take over the work of the spleen.)<\/p>\n
Spleen (38100-38200) (2 of 2)<\/p>\n
Often done as part of more major procedure<\/p>\n
Bundled into major procedure<\/p>\n
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Splenectomy carries the designation \u201c(separate procedure)\u201d; if the splenectomy is an integral part of another procedure, it is bundled into the main procedure code and is not reported separately.<\/p>\n
General (38204-38243) (1 of 2)<\/p>\n
Codes divided based on<\/p>\n
Aspiration<\/p>\n
Biopsy<\/p>\n
Harvesting<\/p>\n
Transplantation\/Infusion<\/p>\n
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What is a bone marrow needle aspiration? What is its code? (When a sample of bone marrow is withdrawn by a needle from the marrow cavity, 38220)<\/p>\n
What is involved in a bone marrow biopsy? What is the code for this procedure? (Small pieces of marrow are withdrawn and the lab dissolves these in a solution. Then the substance is analyzed, 38221.)<\/p>\n
What is bone marrow harvesting? What is the code for this procedure? (A larger amount of marrow is aspirated from a donor, 38230)<\/p>\n
How is bone marrow transplanted? What is the code for this procedure? (Taken from donor and injected into the recipient, 38240-38243)<\/p>\n
General (38204-38243) (2 of 2)<\/p>\n
Types of cells:<\/p>\n
Allogenic: Close relative<\/p>\n
Autologous: Patient\u2019s own<\/p>\n
Hematopoietic progenitor cells (HPC)<\/p>\n
Bone marrow<\/p>\n
Peripheral blood apheresis<\/p>\n
Umbilical cord blood<\/p>\n
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Copyright \u00a9 2021 by Elsevier Inc.<\/p>\n
Autologous cells are collected from the patient and reinfused later into the same patient.<\/p>\n
Why would it be advantageous to collect stem cells from a close relative? (Because there is genetic similarity)<\/p>\n
What are the codes for the harvesting and return of blood to the donor? (38205-38206)<\/p>\n
Lymph Nodes and Lymphatic Channels (38300-38999) (1 of 3)<\/p>\n
Two types of lymphadenectomies:<\/p>\n
Limited: Lymph nodes only<\/p>\n
Radical: Lymph nodes, submandibular gland, and surrounding tissue<\/p>\n
Term \u201ccomplete\u201d same as radical neck dissection<\/p>\n
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Copyright \u00a9 2021 by Elsevier Inc.<\/p>\n
What is the purpose of the lymphatic system? (To transport fluids, proteins, and fats through the lymphatic channels back to the blood stream)<\/p>\n
A limited lymphadenectomy, reported with codes 38562-38564, consists of removal of only the lymph nodes.<\/p>\n
A radical lymphadenectomy, reported with codes 38700-38780, involves removal of the lymph nodes, glands, and surrounding tissue.<\/p>\n
Submental and submandibular nodes, chin area and below mandible<\/p>\n
Upper jugular nodes, at mandibular angle in front of sternocleidomastoid muscle<\/p>\n
Middle jugular nodes, between hyoid bone and cricoid cartilage<\/p>\n
Lower jugular nodes, between cricoid cartilage and clavicle<\/p>\n
Posterior triangle nodes divided into groups<\/p>\n
Upper visceral nodes, by the hyoid bone<\/p>\n
Superior mediastinal nodes, between common carotid arteries<\/p>\n
38700, 38720\u2014are unilateral codes<\/p>\n
Lymph Nodes and Lymphatic Channels (38300-38999) (2 of 3)<\/p>\n
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Copyright \u00a9 2021 by Elsevier Inc.<\/p>\n
\u201cModified\u201d radical neck: removal of all lymph nodes routinely removed by radical neck dissection, while preserving the internal jugular vein, the spinal accessory nerve, and the sternocleidomastoid muscles (38724)<\/p>\n
This is a unilateral procedure<\/p>\n
Lymph Nodes and Lymphatic Channels (38300-38999) (3 of 3)<\/p>\n
Slide \u2039#\u203a<\/p>\n
Copyright \u00a9 2021 by Elsevier Inc.<\/p>\n
Lymphadenectomies<\/p>\n
Often bundled into more major procedure (e.g., prostatectomy)<\/p>\n
Do not unbundle and report lymphadenectomy separately<\/p>\n
Slide \u2039#\u203a<\/p>\n
Copyright \u00a9 2021 by Elsevier Inc.<\/p>\n
A limited lymphadenectomy may be bundled into a more major procedure; when this occurs, only the major procedure is reported.<\/p>\n
What codes reflect whether the procedure was superficial or deep? (Superficial code is 38500 and deep codes are 38510-38525, and internal mammary code is 38530.)<\/p>\n
Mediastinum (39000-39499) (1 of 2)<\/p>\n
Area between lungs<\/p>\n
Figure 18.3<\/p>\n
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Copyright \u00a9 2021 by Elsevier Inc.<\/p>\n
11<\/p>\n
What is the mediastinum? (The area between the lungs)<\/p>\n
Where does the Mediastinum and Diaphragm subsection fall in the CPT book? (Directly after the cardiology subsection)<\/p>\n
Mediastinum (39000-39499) (2 of 2)<\/p>\n
Assigned by approach<\/p>\n
Incision codes for foreign body removal or biopsy<\/p>\n
Excision codes for removal of cyst or tumor<\/p>\n
Endoscopy<\/p>\n
Repair<\/p>\n
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12<\/p>\n
The Mediastinum subheading is divided by procedures and includes incision, excision, and endoscopy categories.<\/p>\n
Procedures are reported with use of the codes 39000-39499.<\/p>\n
Codes are based on the surgical approach taken to perform the mediastinotomy\u2014either cervical (neck area) or across the thoracic area or sternum.<\/p>\n
What primary distinction is made in the excision codes that are listed under the Mediastinum subheading? (The excision codes vary according to whether a tumor or a cyst was excised.)<\/p>\n
Diaphragm (39501-39561)<\/p>\n
Only category: Repair<\/p>\n
Most codes for hernia or laceration repairs<\/p>\n
Codes indexed in CPT manual under \u201cDiaphragm\u201d<\/p>\n
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Copyright \u00a9 2021 by Elsevier Inc.<\/p>\n
13<\/p>\n
Where is the diaphragm located? (The diaphragm is the wall of muscle that separates the thoracic and abdominal cavities.)<\/p>\n
Only 1 category under Diaphragm subheading, Repair.<\/p>\n
Repairs consist of lacerations and hernias.<\/p>\n
How are the hernias of the diaphragm divided out? (Type of hernia, age of patient [neonate or other than neonate], and approach [transthoracic or combined thoracoabdominal])<\/p>\n
Conclusion CHAPTER 18<\/p>\n
HEMIC, LYMPHATIC, MEDIASTINUM, AND DIAPHRAGM<\/p>\n
Slide \u2039#\u203a<\/p>\n
Copyright \u00a9 2021 by Elsevier Inc.<\/p>\n
Slide \u2039#\u203a<\/p>\n
Copyright \u00a9 2021 by Elsevier Inc.<\/p>\n
——<\/p>\n
18TH CHAPTER<\/p>\n
HEMIC, LYMPHATIC, MEDIASTINUM, AND DIAPHRAGM HEMIC, LYMPHATIC, MEDIASTINUM, AND DIAPHRAGM<\/p>\n
# of slides<\/p>\n
Elsevier Inc. owns the copyright until 2021.<\/p>\n
# of slides<\/p>\n
Elsevier Inc. owns the copyright until 2021.<\/p>\n
Subsection of the Hemic and Lymphatic Systems (Excision, Repair, Introduction)<\/p>\n
Divisions<\/p>\n
Spleen<\/p>\n
General<\/p>\n
Lymph Nodes and Lymphatic Channels are two types of lymph nodes (Figure 18.1 in text)<\/p>\n
# of slides<\/p>\n
Elsevier Inc. owns the copyright until 2021.<\/p>\n
Spleen, General, and Lymph Nodes\/Lymphatic Channels are the subheadings for this section.<\/p>\n
Further division is based on type of procedure, such as excision, incision, or repair.<\/p>\n
Where are the codes for spleen and lymph nodes located in the CPT manual Index? (Under main terms, spleen, lymph nodes, and bone marrow)<\/p>\n
Spleen (38100-38200) (1 of 2)<\/p>\n
Spleen easily ruptured, causes massive hemorrhage<\/p>\n
May require splenectomy<\/p>\n
Splenectomy: total or partial<\/p>\n
Slide \u2039#\u203a<\/p>\n
Copyright \u00a9 2021 by Elsevier Inc.<\/p>\n
Codes for spleen are further<\/p>\n","protected":false},"excerpt":{"rendered":"
CHAPTER 18 HEMIC, LYMPHATIC, MEDIASTINUM, AND DIAPHRAGM Slide \u2039#\u203a Copyright \u00a9 2021 by Elsevier Inc. Slide \u2039#\u203a Copyright \u00a9 2021 by Elsevier Inc. Hemic and\u2026<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[479,537,172,478],"tags":[543,539,541,549,545,542,548,550,558,551,538,555,540,560,552,557,559,554,561,556,553,546,547,544],"class_list":["post-13119","post","type-post","status-publish","format-standard","hentry","category-nursing-course-hero","category-nursing-essay-pro","category-nursing-study-bay","category-nursing-study-pool","tag-ama","tag-apa-citation-generator","tag-apa-essay-writer-free","tag-apa-format-7th-edition","tag-apa-format-example","tag-apa-in-text-citation","tag-buy-custom-college-essays-online","tag-buy-mla-paper-online","tag-chicago","tag-custom-academic-writing-services","tag-custom-mla-style-papers","tag-harvard","tag-ieee","tag-is-mla-format-double-spaced","tag-mla-citation-generator","tag-mla-format-font","tag-mla-format-font-size","tag-mla-format-purdue-owl","tag-mla-format-spacing","tag-mla-header-format","tag-mla-in-text-citation","tag-purdue-owl-apa","tag-purdue-owl-apa-citation","tag-write-my-paper-in-apa-format"],"_links":{"self":[{"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/posts\/13119","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/comments?post=13119"}],"version-history":[{"count":0,"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/posts\/13119\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/media?parent=13119"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/categories?post=13119"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/tags?post=13119"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}