DIGESTIVE SYSTEM
CHPT 11
HIT206 LESSON 3
,Chapter Outline Introduction Guidelines
Related to the National Correct Coding
Initiative (NCCI) • Learning Objectives At the conclusion of this chap
Abbreviations Related to the Digestive
System Procedures Completed on the you should be able to:
Lips, Mouth, Tongue, Teeth, Palate,
Uvula, and Salivary Glands and Ducts
1. Define key terms related to coding procedures o
(40490–42699) digestive system. 2. Define abbreviations related to
Procedures Completed on the Pharynx, digestive system. 3. Describe the basic anatomy an
Adenoids, and Tonsils (42700–42999)
Procedures Completed on the Esophagus functions of the digestive system. 4. Define commo
(43020–43499) procedures performed on the digestive system. 5. S
Stomach (43500–43999) Intestines,
Except Rectum (44005–44799) Meckel’s CPT codes for procedures completed on the digesti
Diverticulum and the Mesentery (44800– system. 6. Identify and code procedures for the dig
44899)
Appendix (44900–44979) Colon and system from case studies
Rectum (45000–45999) Anus (46020–
46999) Liver (47000–47399) Biliary
Tract (47400–47999) Pancreas (48000–
48999) Abdomen, Peritoneum, and
Omentum (49000–49999 )
, system is referred to as AC
Allotransplantation
Alveolus
Anastomosis
Anoscopy
The terminal end of the digestive
Anus system where waste products are
eliminated
Appendix
The colon is made up of four
specific sessions. The first is the
ascending: which begins at the
Ascending Colon
Leiole junction and the under
surface of the liver. It becomes the
transverse colon
Bariatric Surgery
Biliary Tract
Cheiloplasty Repairs on lips 40650-40654
Colonoscopy
Combined Hemorrhoids
Descending Colon
The system that includes intake of
nourishment breakdown of food
Digestive System during digestion, absorption of
nutrients and elimination of waste
products
Dilation
,nterolysis
nterotomy
ophagogastroduodenoscopy (EGD)
ocedures
Part of the digestive system that moves food
ophagus
from the phonics to the stomach
xternal Hemorrhoids
The connection between the tongue and
enum
floor of mouth
astric Bypass Surgery
astrotomy
Is a procedure and wish there is a partial or
complete removal of the tongue it is
reported using code range 41120–41155.
ossectomy 411
The glom procedures are based on how
much of the tongue is removed and whether
a tracheostomy is performed.
emorrhoid
A protrusion or bulge through the tissue that
ernia
normally contains a structure
,TERM DESCRIPTION CODE
Uvula
Vagotomy
They hernia that protrudes
through the abdominal wall
Ventral Hernia
that was only protected by
scar tissue
term that coders should be
Vermilion familiar with is vermilion, the
pinkish border of the lips.
Vestibule of the Mouth
This range of codes is used to 40510-45027
report excisions of the lip.
The codes are differentiated
by the type of excision and
type of closure or
reconstruction. Coders must
V-Excision read the operative report to
determine the type of closure
,TERM DESCRIPTION CODE
Uvula
A vagotomy is the surgical
cutting of the vagus nerve
Code 43635 is an add-on
with the intent of reducing
so all notes in this section
acid secretions in the stomach.
Vagotomy need to be referenced be
These codes are assigned by
code is assigned.
identifying the additional
procedures completed with the
vagotomy.
Ventral Hernia
term that coders should be
Vermilion familiar with is vermilion, the
pinkish border of the lips.
The mucosal tissue and
submucosal tissue of the lips
and cheeks comprise the
Vestibule of the Mouth vestibule of the mouth. Keep
in mind that the teeth and the
,Abbreviation Term
BE Barium Enema
COL Colonoscopy
EGD Esophagogastroduodenoscopy
GERD Gastroesophageal Reflux Diseas
GI Gastrointestinal
IBD Inflammatory Bowel Disease
IBS Irritable Bowel Syndrome
NG tube Nasogastric Tube
NPO Nothing by Mouth
Percutaneous Endoscopic
PEG tube
Gastrostomy Tube
SBF Small Bowel Follow-through
TPN Total Parenteral Nutrition
UC Ulcerative Colitis
,Procedures
completed on . As in other subsections of the
Surgery section, the
the lips, organization of this subsection
includes incisions, excisions,
mouth, repairs, and other procedures.
tongue, teeth
pallet, uvula, Lips (40490–40799) This
and salivary, section begins with codes for
excision procedures. A term
glands, and that coders should be familiar
with is vermilion, the pinkish
ducts (40490- border of the lips. Codes
40490–40530 reflect the
42699) procedures performed on and
around the lips.
, • Codes 40650 toCodes 40650repairsto 40761
Repair
40761 reports that are
reports
completed on the repairs
lips. The term thatrefers
cheiloplasty aret
• repair of thecompleted
lips. This section on theshould
of codes lips.beTh
s on reviewed carefully before codes are assigned. The co
term cheiloplasty refers t
needs to be aware of the type of deformity being
corrected. Partial, complete, unilateral, the and bilateral
lips repairs are reported using the codes from this range
codes. There are several notes that are present for c
in this code range. Review the notes that are found i
CPT manual to become familiar with the instructiona
repair of the lips. This section of codes should be reviewed ca
notations. Thecodes
before coder also needs
are assigned. to know
The coder needs towhether
be aware of athe
deformity being corrected. Partial, complete, unilateral, and bi
rhinoplastyrepairs
wasare performed
reported usingin theaddition
codes from tothisor separate
range of codes.
are several notes that are present for codes in this code range.
from the the
repair
notes of
thatthe lip. Attention
are found to documentation
in the CPT manual to become familiar
instructional notations. The coder also needs to know wheth
imperative. Table 11-2 summarizes codes in this sec
rhinoplasty was performed in addition to or separate from the r
Code 40799 is theused to report
lip. Attention other unlisted
to documentation procedu
is imperative. Table 11
summarizes codes in this section. Code 40799 is used to repor
that are completed onprocedures
unlisted the lips.that are completed on the lips.
, Vestibule of mouth • This code
range begins with codes used to report incision
procedures, codes 40800–40806. Codes 40800
• and 40801 report the drainage of an abscess, cyst, or hemato
and are differentiated by whether the case is simple or compl
Here, the term complicated is interpreted as treatment of larg
lesions or the completion of multiple incisions. Codes 40804
40805 are used to report the removal of an embedded foreign
from the vestibule of the mouth. Code 40805 should be repo
the foreign body removal is difficult to access or if a large fo
body is removed. Documentation must record either or both
these reasons. Excision and destruction of lesions found in th
vestibule of the mouth are coded using code range
• 40808–40820. Code 40808 reports a biopsy of the mouth.
Excisions in this range are differentiated by the type of repai
completed.
