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Medical Terminology & Anatomy for Coding - E-Book

Medical Terminology & Anatomy for Coding - E-Book

Betsy J. Shiland

(2016)

Additional Information

Book Details

Abstract

Medical Terminology and Anatomy for Coding, 3rd Edition is unlike any other medical terminology textbook on the market. By interspersing ICD-10 and CPT coding guidelines and notes, electronic medical records, and integrated exercises, it combines anatomy and physiology coverage with the latest medical terminology coders — and coding students — need. The ICD-10-CM classification system serves as the structure for organizing diseases and disorders, with carefully drawn, well-labeled illustrations to help you visualize the associated anatomy. A new Basics of Oncology appendix provides the terminology and physiology of neoplasms, and new CPT coding information indicates where physician coding differs from ICD-10 coding. The robust Evolve site includes games, activities, and animations to reinforce learning.

  • UNIQUE! Medical terminology, anatomy and physiology specifically tailored to ICD-10-CM and ICD-10-PCS coding manuals supply you with an excellent foundation for learning the medical terminology related to coding.
  • UNIQUE! A Body Part key provides a complete list of body parts and how they should be coded in ICD-10.
  • UNIQUE! Pathology terms organized by ICD-10 disease and disorder categories let you learn terms in the same order they are presented in the coding manual.
  • UNIQUE! Guideline Alert! and Special Notes boxes highlight relevant ICD-10 information.
  • UNIQUE! Pharmacology in each body system and a Pharmacology Basics appendix help you recognize drugs and medications in medical reports.
  • Procedural terms supply a more complete picture of the number and kind of procedures you will encounter on medical reports.
  • UNIQUE! Normal Lab Values appendix familiarizes you with normal and abnormal lab values so you know when to search a medical record for possible additional diagnoses.
  • UNIQUE! Root operation tables illustrate the root operations in PCS and their associated suffixes.
  • Pathology and procedure terminology tables list the word parts for each term, along with the definition so you become familiar with prefixes, suffixes, and combining forms.
  • Exercises interspersed throughout the text encourage you to practice and learn as you move through the material.
  • Be Careful! boxes warn you about similar and potentially confusing word parts and medical terms.
  • Electronic medical record format illustrates the appearance of electronic records now being used in many healthcare settings.

Table of Contents

Section Title Page Action Price
Front Cover cover
Evolve page IFC1
Half title page i
Table Of Contents ii
Medical Terminology & Anatomy for Coding iii
Copyright Page iv
Contributors v
Reviewers v
Preface vii
New to this Edition vii
Organization of the Book viii
Features ix
Student Resources xviii
Why You Need This Book xx
Acknowledgments xxi
To the Instructor xxi
1 Introduction to Healthcare Terminology xxvi
Chapter Outline xxvi
Objectives xxvi
ICD-10-CM Example from Tabular xxvi
R16 Hepatomegaly and splenomegaly, not elsewhere classified xxvi
ICD-10-PCS Example from Index xxvi
Hepatopancreatic ampulla xxvi
Hepatopexy xxvi
Hepatorrhaphy xxvi
Hepatotomy xxvi
Introduction to ICD-10 and CPT-4 1
Derivation of Healthcare Terms 1
Types of Healthcare Terms 2
Translatable Terms 2
Nontranslatable Terms 3
Abbreviations and Symbols 5
Translating Terms 7
Check, Assign, Reverse, Define (CARD) Method 7
Building Terms 10
Spelling Rules 10
Suffixes 11
Noun-Ending Suffixes 11
Adjective Suffixes 11
Pathology Suffixes 13
Procedural Suffixes 15
CPT-4 15
ICD-10-PCS 16
Instrument Suffixes 18
Prefixes 20
Singular/Plural Rules 22
Chapter Review 25
2 Body Structure and Directional Terminology 27
Chapter Outline 27
Objectives 27
ICD-10-CM Example from Tabular 27
ICD-10-PCS Example 27
Organization of the Human Body 28
Cells 28
Tissues 29
Organs 29
Parts of Organs 29
Body Systems 32
Anatomical Position and Surface Anatomy 35
Positional and Directional Terms 40
Body Cavities 45
Dorsal Cavities 46
Ventral Cavities 46
Body Regions 47
Abdominopelvic Regions 47
Abdominopelvic Quadrants 47
Planes of the Body 48
Chapter Review 53
3 Musculoskeletal System and Connective Tissue 57
Chapter Outline 57
Objectives 57
ICD-10-CM Example from Tabular 57
M43.1 Spondylolisthesis 57
ICD-10-PCS Example from Index 57
Bursectomy 57
Bursocentesis 57
Bursography 57
Bursotomy 57
Functions of the Musculoskeletal System and Connective Tissue 59
Anatomy and Physiology 59
Skeletal System 59
Cartilage 59
Bone 60
Bone Formation 60
Skeleton 61
Bone Shapes 61
Bone Structure 63
Bone Markings 63
Axial Skeleton 65
Skull 65
Cranium 65
Facial Bones 67
Rib Cage 67
Spine 67
Appendicular Skeleton 69
Upper Appendicular Skeleton 70
Lower Appendicular Skeleton 72
Joints 74
Upper Joints 76
Head Joints 76
Upper Spine Joints 76
Upper Extremity Joints 76
Lower Joints 78
Lower Spine Joints 78
Lower Extremity Joints 78
Ligaments and Bursae 79
Head and Neck Ligaments 80
Shoulder Ligaments and Bursa 80
Elbow Ligaments and Bursa 81
Wrist Ligaments 81
Hand Ligaments 81
Trunk Ligaments 82
Thorax Ligaments 82
Hip Ligaments and Bursa 82
Knee Ligaments and Bursa (Fig. 3-12) 83
Ankle Ligaments 83
Foot Ligaments 84
Muscles 84
Muscle Naming Conventions 89
Head Muscles 90
Neck Muscles 91
Tongue, Palate, and Pharynx Muscles 92
Shoulder Muscles 92
Upper Arm Muscles 93
Lower Arm Muscles 93
Hand Muscles 93
Trunk Muscles 93
Thorax Muscles 94
Abdomen Muscles 94
Perineum Muscles 94
Hip Muscles 95
Upper Leg Muscles 95
Lower Leg Muscles 96
Foot Muscles 96
Tendons 97
Pathology 101
Trauma 108
Fractures 108
Sprain/Strain and Dislocation/Subluxation 108
Procedures 114
Setting Fractures 118
Pharmacology 123
Recognizing Suffixes for PCS 124
Chapter Review 127
4 Skin and Subcutaneous Tissue 131
Chapter Outline 131
Objectives 131
ICD-10-CM Example from Tabular 131
L21 Seborrheic dermatitis 131
ICD-10-PCS Example from Index 131
Onychectomy 131
Onychoplasty 131
Onychotomy 131
Functions of the Skin and Subcutaneous Tissue 132
Anatomy and Physiology 132
Skin 132
Epidermis 133
Dermis 133
Subcutaneous Tissue 133
Accessory Structures 133
Glands 133
Hair 134
Nails 134
Pathology 138
Skin Lesions 138
Burns 154
Procedures 158
Pharmacology 167
Recognizing Suffixes for PCS 168
Chapter Review 170
5 Digestive System 174
Chapter Outline 174
Objectives 174
ICD-10-CM Example from Tabular 174
K21 Gastro-esophageal reflux disease 174
K22 Other diseases of the esophagus 174
ICD-10-PCS Example from Index 174
Duodenal ampulla 174
Duodenectomy 174
Duodenocholedochotomy 174
Duodenocystostomy 174
Duodenoenterostomy 174
Functions of the Digestive System 175
Anatomy and Physiology 175
Overview 176
Oral Cavity 177
Throat 180
Esophagus 180
Peritoneum 182
Stomach 183
Small Intestine 183
Large Intestine 184
Accessory Organs (Adnexa) 186
Pathology 190
Procedures 204
Pharmacology 213
Recognizing Suffixes for PCS 214
Chapter Review 217
6 Genitourinary System 221
Chapter Outline 221
Objectives 221
ICD-10-CM Example from Tabular 221
N30 Cystitis 221
N30.0 Acute cystitis 221
ICD-10-PCS Example from Index 221
Pyelography 221
Pyeloileostomy, urinary diversion 221
Pyeloplasty 221
Pyelorrhaphy 221
Pyeloscopy 221
Pyelostomy 221
Pyelotomy 221
Urinary System 222
Functions of the Urinary System 222
Anatomy and Physiology 222
The Kidney 223
The Nephron 224
Pathology 226
Procedures 233
Pharmacology 237
Recognizing Suffixes for PCS 238
Male Reproductive System 240
Functions of the Male Reproductive System 240
Anatomy and Physiology 240
Pathology 243
Procedures 248
Recognizing Suffixes for PCS 252
Pharmacology 251
Female Reproductive System 254
Functions of the Female Reproductive System 254
Anatomy and Physiology 254
Internal Anatomy 254
Ova and Ovaries 254
Fallopian Tubes 254
Uterus 255
Rectouterine Pouch 256
Vagina 256
Mesentery 256
External Genitalia 257
The Breast 258
Pathology 260
Procedures 267
Pharmacology 271
Hormone Replacements 271
Recognizing Suffixes for PCS 272
Chapter Review 275
7 Obstetric, Perinatal and Congenital Conditions 283
Chapter Outline 283
Objectives 283
ICD-10-CM Example From Tabular 283
O44 placenta previa 283
ICD-10-PCS Example From Index 283
Delivery 283
Childbirth and the Puerperium 284
Anatomy and Physiology of Pregnancy 284
Pathology 291
Procedures 297
Pharmacology 301
Contraceptive Management 301
Fertility Drugs 303
Drugs to Manage Delivery 303
Perinatal Conditions 306
Congenital Conditions 313
Recognizing Suffixes for PCS 324
Chapter Review 325
8 Blood, Blood-Forming Organs, and the Immune Mechanism 333
Chapter Outline 333
Objectives 333
ICD-10-CM Examples from Tabular 333
D72.82 Elevated white blood cell count 333
ICD-10-PCS Example from Index 333
Functions of the Blood and Immune Systems 334
Anatomy and Physiology 334
Hematic System 335
Components of Blood 337
Erythrocytes (Red Blood Cells) 337
Leukocytes (White Blood Cells) 337
Granulocytes (Polymorphonucleocytes) 338
Agranulocytes (Mononuclear Leukocytes) 338
Thrombocytes (Platelets) 339
Plasma 339
Blood Groups 341
Immune System 342
Nonspecific Immunity 342
Specific Immunity 343
Types of Acquired Immunity 343
Pathology 345
Procedures 357
Pharmacology 363
Blood Drugs 363
Immune Drugs 363
Recognizing Suffixes for PCS 364
Chapter Review 368
9 Circulatory System 372
Chapter Outline 372
Objectives 372
ICD-10-CM Example from Tabular 372
I21.0 ST elevation (STEMI) myocardial infarction of anterior wall 372
ICD-10-PCS Example from Index 372
Phlebectomy 372
Phlebography 372
Phleborrhaphy 372
Phlebotomy 372
The Cardiovascular System 374
Functions of the Cardiovascular System 374
Pulmonary and Systemic Circulation 375
Pulmonary Circulation 375
Systemic Circulation 375
Anatomy and Physiology of the Cardiovascular System 377
Heart and Great Vessels 377
Coronary Circulation and Blood Flow Through the Heart 378
Conductive Mechanism System 381
Arteries 386
Upper Arteries 386
Lower Arteries 389
Veins 392
Upper Veins 392
Lower Veins 395
Fetal Circulation 398
The Lymphatic System 399
Functions of the Lymphatic System 399
Anatomy and Physiology of the Lymphatic System 399
Lymph Nodes 402
Pathology 406
Procedures 424
Procedures Related to the Cardiovascular System 424
Pharmacology 431
Recognizing Suffixes for PCS 433
Chapter Review 437
10 Respiratory System 441
Chapter Outline 441
Objectives 441
ICD-10-CM Example from Tabular 441
J31 Chronic rhinitis, nasopharyngitis and pharyngitis 441
ICD-10-PCS Example from Index 441
Rhinoplasty 441
Rhinorrhaphy—see Repair, Nose 09QK 441
Rhinoscopy 09JKXZZ 441
Functions of the Respiratory System 442
Anatomy and Physiology 443
Upper Respiratory Tract 443
Lower Respiratory Tract 446
Pathology 449
Respiratory Neoplasms 464
Procedures 468
Pharmacology 475
Recognizing Suffixes for PCS 476
Chapter Review 479
11 Nervous System 483
Chapter Outline 483
Objectives 483
ICD-1Ø-CM Example from Tabular 483
G82 Paraplegia (paraparesis) and quadriplegia (quadriparesis) 483
G82.2 Paraplegia 483
G82.5 Quadriplegia 483
ICD-1Ø-PCS Example from Index 483
Ventriculocisternostomy 483
Ventriculopuncture, through previously implanted catheter 8CØ1X6J 483
Ventriculovenostomy 483
Functions of the Nervous System 484
Anatomy and Physiology 485
Organization of the Nervous System 485
Cells of the Nervous System 486
Neurons 486
Glia 487
The Central Nervous System 488
Brain (Encephalon) 488
Cerebrum 488
Diencephalon 489
Brainstem 490
Cerebellum 490
Spinal Cord 490
Meninges 490
The Peripheral Nervous System 492
Cranial Nerves 493
Spinal Nerves 496
Pathology 499
Procedures 514
Recognizing Suffixes for PCS 519
Pharmacology 520
Chapter Review 524
12 Mental and Behavioral Disorders 528
Chapter Outline 528
Objectives 528
ICD-10-CM Example from Tabular 528
F40 Phobic anxiety disorders 528
ICD-10-PCS Example from Index 528
Counseling 528
Introduction to Mental and Behavioral Health 529
Pathology 530
Procedures 543
Diagnostic Procedures 543
Diagnostic Criteria 543
Mental Status Examination (MSE) 543
Laboratory Tests 543
Imaging 543
Psychological Testing and Treatment 544
Pharmacology 548
Chapter Review 551
13 Eye and Adnexa 554
Chapter Outline 554
Objectives 554
CM Example from Tabular 554
H20.1 Chronic iridocyclitis 554
PCS Example from Index 554
Keratectomy, kerectomy 554
Keratocentesis 554
Keratoplasty 554
Keratotomy 554
Function of the Eye 555
Anatomy and Physiology 555
Ocular Adnexa 555
The Eyeball 558
The Outer/Fibrous Layer (Sclera) 558
Cornea 559
The Middle/Vascular Layer (Uvea) 559
Iris 559
Pupil 559
The Inner/Nervous Layer (Retina) 560
Vision 561
Pathology 563
Procedures 572
Pharmacology 577
Recognizing Suffixes for PCS 578
Chapter Review 582
14 Ear and Mastoid Process 586
Chapter Outline 586
Objectives 586
ICD-10-CM Example from Tabular 586
H92.0 Otalgia 586
ICD-10-PCS Example from Index 586
Myringectomy 586
Myringoplasty 586
Myringostomy 586
Myringotomy 586
Functions of the Ear 587
Anatomy and Physiology 587
Outer (External) Ear 587
Middle Ear 589
Inner Ear 589
Pathology 591
Procedures 596
Pharmacology 599
Recognizing Suffixes for PCS 600
Chapter Review 602
15 Endocrine System and Nutritional and Metabolic Diseases 606
Chapter Outline 606
Objectives 606
ICD-10-CM Example from Tabular 606
E20 Hypoparathyroidism 606
ICD-10-PCS Example from Index 606
Adrenalectomy 606
Adrenalorrhaphy 606
Adrenalotomy 606
Functions of the Endocrine System 607
Anatomy and Physiology 607
Pituitary Gland 608
Thyroid Gland 610
Parathyroid Glands 610
Adrenal Glands (Suprarenals) 610
Pancreas 611
Thymus Gland 613
Ovaries and Testes 613
Pineal Body 613
Pathology 616
Procedures 627
Pharmacology 630
Recognizing Suffixes for PCS 631
Chapter Review 633
Illustration Credits 637
Appendix A Pharmacology Basics 639
Drug Names 639
Drug Sources 639
Drug Resources and Regulation 640
Pharmacodynamics 640
Pharmacokinetics 640
Pharmacotherapeutics 640
Drug Forms 642
Routes of Administration 643
Drug Classifications 644
Prescriptions 644
Appendix B Oncology Basics 648
Naming Malignant Tumors 648
Carcinogenesis 649
Staging and Grading 652
Pathology 654
Signs and Symptoms 654
Diagnostic Procedures 655
Patient History 655
Tumor Markers 655
Biopsy (Bx) 656
Imaging 656
Therapeutic Interventions 657
Surgery 657
Radiation Therapy 658
Systemic Therapy 658
Preventive Measures 660
Pharmacology 660
Appendix C 662
Appendix D 675
Appendix E 687
Appendix F Normal Lab Values 695
Appendix G 699
Answers to Exercises and Review Questions 735
Chapter 1 735
Exercise 1 735
Exercise 2 735
Exercise 3 735
Exercise 4 735
Exercise 5 735
Exercise 6 735
Exercise 7 735
Exercise 8 735
Chapter 1 Review 735
Word Part Definitions: 735
Wordshop: 736
Chapter 2 736
Exercise 1 736
Exercise 2 736
Exercise 3 736
Exercise 4 736
Exercise 5 736
Exercise 6 736
Exercise 7 736
Exercise 8 736
Exercise 9 736
Exercise 10 736
Exercise 11 736
Exercise 12 736
Exercise 13 736
Exercise 14 736
Exercise 15 737
Exercise 16 737
Chapter 2 Review 737
Word Part Definitions: 737
Wordshop: 737
Term Sorting: 737
Translations: 737
Chapter 3 737
Exercise 1 737
Exercise 2 738
Exercise 3 738
Exercise 4 738
Exercise 5 738
Exercise 6 738
Exercise 7 738
Exercise 8 738
Exercise 9 738
Exercise 10 738
Exercise 11 739
Exercise 12 739
Exercise 13 739
Exercise 14 739
Exercise 15 739
Exercise 16 739
Exercise 17 739
Exercise 18 739
Exercise 19 739
Chapter 3 Review 739
Word Part Definitions: 739
Wordshop: 740
Term Sorting: 740
Translations: 740
Chapter 4 740
Exercise 1 740
Exercise 2 740
Exercise 3 740
Exercise 4 740
Exercise 5 741
Exercise 6 741
Exercise 7 741
Exercise 8 741
Exercise 9 741
Exercise 10 741
Exercise 11 741
Exercise 12 741
Exercise 13 741
Exercise 14 741
Chapter 4 Review 742
Word Part Definitions: 742
Wordshop: 742
Term Sorting: 742
Translations: 742
Chapter 5 742
Exercise 1 742
Exercise 2 742
Exercise 3 742
Exercise 4 742
Exercise 5 743
Exercise 6 743
Exercise 7 743
Exercise 8 743
Exercise 9 743
Exercise 10 743
Exercise 11 743
Exercise 12 743
Exercise 13 743
Exercise 14 743
Exercise 15 743
Exercise 16 744
Exercise 17 744
Exercise 18 744
Exercise 19 744
Exercise 20 744
Chapter 5 Review 744
Word Part Definitions: 744
Wordshop: 744
Term Sorting: 745
Translations: 745
Chapter 6 745
Exercise 1 745
Exercise 2 745
Exercise 3 745
Exercise 4 745
Exercise 5 745
Exercise 6 745
Exercise 7 746
Exercise 8 746
Exercise 9 746
Exercise 10 746
Exercise 11 746
Exercise 12 746
Exercise 13 746
Exercise 14 746
Exercise 15 746
Exercise 16 746
Exercise 17 747
Exercise 18 747
Exercise 19 747
Exercise 20 747
Chapter 6 Review 747
Word Part Definitions—Urinary: 747
Wordshop—Urinary: 747
Term Sorting—Urinary: 748
Translations—Urinary: 748
Word Part Definitions—Reproductive: 748
Wordshop—Reproductive: 748
Term Sorting—Reproductive: 748
Translations—Reproductive: 749
Chapter 7 749
Exercise 1 749
Exercise 2 749
Exercise 3 749
Exercise 4 749
Exercise 5 749
Exercise 6 749
Exercise 7 749
Exercise 8 749
Exercise 9 749
Exercise 10 750
Exercise 11 750
Chapter 7 Review 750
Word Part Definitions–Pregnancy and the Perinatal Period: 750
Wordshop–Pregnancy and the Perinatal Period: 750
Term Sorting–Pregnancy and the Perinatal Period: 751
Translations–Pregnancy and the Perinatal Period: 751
Word Part Definitions–Congenital Conditions: 751
Wordshop–Congenital Conditions: 751
Term Sorting–Congenital Conditions: 751
Translations–Congenital Conditions: 751
Chapter 8 751
Exercise 1 751
Exercise 2 752
Exercise 3 752
Exercise 4 752
Exercise 5 752
Exercise 6 752
Exercise 7 752
Exercise 8 752
Exercise 9 752
Exercise 10 752
Exercise 11 753
Exercise 12 753
Exercise 13 753
Chapter 8 Review 753
Word Part Definitions: 753
Wordshop: 753
Term Sorting: 753
Translations: 753
Chapter 9 753
Exercise 1 753
Exercise 2 754
Exercise 3 754
Exercise 4 754
Exercise 5 754
Exercise 6 754
Exercise 7 754
Exercise 8 754
Exercise 9 754
Exercise 10 754
Exercise 11 754
Exercise 12 755
Exercise 13 755
Exercise 14 755
Exercise 15 755
Exercise 16 755
Exercise 17 755
Exercise 18 755
Chapter 9 Review 755
Word Part Definitions: 755
Wordshop: 756
Term Sorting: 756
Translations: 756
Chapter 10 756
Exercise 1 756
Exercise 2 756
Exercise 3 756
Exercise 4 757
Exercise 5 757
Exercise 6 757
Exercise 7 757
Exercise 8 757
Exercise 9 757
Exercise 10 757
Exercise 11 757
Chapter 10 Review 757
Word Part Definitions: 757
Wordshop: 758
Term Sorting: 758
Translations: 758
Chapter 11 758
Exercise 1 758
Exercise 2 758
Exercise 3 758
Exercise 4 758
Exercise 5 759
Exercise 6 759
Exercise 7 759
Exercise 8 759
Exercise 9 759
Exercise 10 759
Exercise 11 759
Chapter 11 Review 759
Word Part Definitions: 759
Wordshop: 760
Term Sorting: 760
Translations: 760
Chapter 12 760
Exercise 1 760
Exercise 2 760
Exercise 3 760
Exercise 4 760
Exercise 5 761
Exercise 6 761
Exercise 7 761
Exercise 8 761
Exercise 9 761
Chapter 12 Review 761
Word Part Definitions: 761
Wordshop: 761
Translations: 761
Chapter 13 762
Exercise 1 762
Exercise 2 762
Exercise 3 762
Exercise 4 762
Exercise 5 762
Exercise 6 762
Exercise 7 762
Exercise 8 762
Exercise 9 762
Exercise 10 762
Chapter 13 Review 763
Word Part Definition: 763
Wordshop: 763
Term Sorting: 763
Translations: 763
Chapter 14 763
Exercise 1 763
Exercise 2 763
Exercise 3 764
Exercise 4 764
Exercise 5 764
Exercise 6 764
Chapter 14 Review 764
Word Part Definitions: 764
Wordshop: 764
Term Sorting: 764
Translations: 764
Chapter 15 764
Exercise 1 764
Exercise 2 765
Exercise 3 765
Exercise 4 765
Exercise 5 765
Exercise 6 765
Exercise 7 765
Exercise 8 765
Exercise 9 765
Exercise 10 765
Exercise 11 765
Chapter 15 Review 765
Word Part Definitions: 765
Wordshop: 766
Term Sorting: 766
Translations: 766
Index 767
A 767
B 769
C 771
D 774
E 775
F 777
G 778
H 778
I 780
J 781
K 781
L 782
M 783
N 785
O 786
P 787
Q 790
R 790
S 791
T 793
U 794
V 795
W 795
X 796
Z 796
Root Operations That Have Common Suffixes 798
Inside Back Cover ibc1