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AMERICANMEDICALASSOCIATION
Summer 2015,Vol. 1
31
An invaluable resource forCPT® surgical codingwith in-context
anatomical knowledgeand illustrations! Thisnewpublication
from theAMAcombinesCPT surgerycodesanddescriptionswith
clinicallyandanatomically significantdrawings from renowned
medical illustrator FrankH.Netter,MD.
Netter’sAtlasof Surgical
Anatomy forCPT®Coding
isan ideal supplement to theCPT
codebook.Gainanadditional boostof anatomical knowledge in
thecontextofCPTcodesasyouabstract codes fromphysician
notesandoperative reports.
Softbound, 8½" x11", approx. 516pages
Item#:OP495015FTG
ISBN: 978-1-62202-030-0
Price: $119.95
AMAMEMBERPRICE:$89.95
E-book
Item#: EB495015FTG
ISBN: 978-1-62202-031-7
Price: $119.95
AMAMEMBERPRICE:$89.95
Sella turcica
Frontal sinus
Sphenoidal sinus
Nasal septum
Nasopharynx
Soft palate
Palatine glands
Hard palate
Oral cavity
Incisive canal
Palatine tonsil
Body of tongue
Oropharynx
Foramen cecum
Lingual tonsil
Genioglossus
muscle
Root of tongue
Epiglottis
Mandible
Geniohyoidmuscle
Hyoid bone
Hyoepiglottic ligament
Thyrohyoidmembrane
Laryngopharynx
Laryngeal inlet (aditus)
Thyroid cartilage
Vocal fold
Transverse arytenoidmuscle
Cricoid cartilage
Trachea
Esophagus
Esophagealmuscles
Thyroid gland
Superficial (investing) layer of deep cervical fascia
Pretracheal fascia
Suprasternal space (ofBurns)
Manubrium of sternum
Pharyngeal opening of auditory
(pharyngotympanic, eustachian (tube)
Sphenooccipital synchondrosis
Pharyngeal tonsil
Pharyngeal tubercle of occipital bone
Pharyngeal raphe
Anterior longitudinal ligament
Anterior atlantooccipitalmembrane
Apical ligament of dens
Pharyngeal
constrictor
muscles
Bucco-
pharyngeal
fascia
Retro-
pharyngeal
space
Prevertebral
fascia and
anterior
longitudinal
ligament
Vertebral
bodies
Anterior
arch of
atlas (C1
vertebra)
Densof
axis (C2
vertebra)
C1
C1
C2
C3
C4
C5
C6
C7
T1
FIGURE3-7.
TheTracheaandPharynx
Thepharynx communicateswith the esophagus,nasal cavity,middle ear, and larynx. It isdivided into
three anatomical sites:nasopharynx, oropharynx, and laryngopharynx.The trachea, orwindpipe, is
composed of about20 rings of tough
cartilage
and is lined in
mucosa
.At its base, itdivides into the
right and leftbronchus.A
posterior
view of thepharynx can be seen inFigure 5-6.
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Superior vena cava
Pericardium (
cut edge
)
Ascending aorta
Left auricle (atrial appendage)
Left ventricle
Coronary sinus
Posterior
interventricular sulcus
Right ventricle
Diaphragmatic part
of pericardium
Sternocostal part of
pericardium (
cut edge
)
Left phrenic nerve and
pericardiacophrenic vessels
Arch of aorta
Pulmonary trunk
Transverse pericardial sinus
Left pulmonary veins
Oblique vein of left atrium
(Marshall’s)
Oblique pericardial sinus
Left atrium
Right pulmonary vein
Esophageal prominence
Right atrium
Inferior vena cava
Right phrenic nerve and
pericardiacophrenic vessels
Superior vena cava
Transverse pericardial sinus
Superior vena cava
Right pulmonary veins
Mediastinal part of
parietal pleura (
cut edge
)
Pericardium (
cut edge
)
Inferior vena cava
Line of fusion
of fibrous pericardium
to diaphragm
Arch of aorta
Pericardial sacwith
heart removed:Anterior view
Heart drawn out of opened
pericardial sac: Left lateral view
Ascending aorta
Mediastinal part of
parietal pleura (
cut edge
)
Pulmonary trunk (bifurcation)
Left lung
Left pulmonary veins
Pericardium (
cut edge
)
Oblique pericardial sinus
Esophageal prominence
Diaphragmatic part
of pericardium
FIGURE4-1.
ThePericardiumand theHeart
Thepericardium surrounds theheart and attaches to the sternum,diaphragm, and
anterior
mediastinum.Thepericardium also encloses the roots of the great vessels and venae cavae, anchoring
theheart in the thorax.
Cardiac tamponade
occurswhen fluid (effusion) accumulates in the
inelastic
pericardial sac to thepointwhere it exertspressure against the exterior of theheart, limiting
cardiac filling.
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Neurostimulators (Intracranial)
CodingAtlas
An
intracranial
neurostimulator is an electrode array
implanted at apredetermined site to suppress tremors,
seizures, or other
functionaldisorders
.
Bilateral
symptoms and findingsmay require treatmentwith
bilateral electrode arrays.One electrode arraymay be
connected to onepulse generator or receiver, or two
electrode arrays (one on each side of thebrain)maybe
required andbe connected to one generator or receiver.
The
neurostimulator
insertion/removal codesdonot
include evaluation, testing,programming, or
reprogramming.These services are reportedwith codes
from theMedicine section of theCPT code set.
61850
Twistdrill or
burrhole
(s) for implantationof
neurostimulator
electrodes, cortical
61860
Craniectomy
or
craniotomy
for implantationof
neurostimulator electrodes, cerebral, cortical
61863
Twistdrill, burrhole, craniotomy, or craniectomywith
stereotactic implantationofneurostimulator electrode
array in subcortical site (eg, thalamus, globus pallidus,
subthalamic nucleus,periventricular,periaqueductal
gray),withoutuse of intraoperativemicroelectrode
recording; first array
✚
61864
eachadditionalarray (List separately inaddition to
primary procedure)
61867
Twist drill, burr hole, craniotomy, or craniectomywith
stereotactic
implantationofneurostimulator electrode
array in subcortical site (eg, thalamus,globuspallidus,
subthalamicnucleus, periventricular, periaqueductal
gray),withuse of
intraoperativemicroelectrode
recording
; first array
✚
61868
eachadditionalarray (List separately inaddition to
primary procedure)
61870
Craniectomy for implantation ofneurostimulator
electrodes, cerebellar, cortical
61880
Revisionor removalof intracranialneurostimulator
electrodes
61885
Insertion or replacementof cranialneurostimulator pulse
generator or receiver,director inductive coupling;with
connection to a single electrode array
61886
with connection to 2ormore electrode arrays
61888
Revision or removal of cranial neurostimulator pulse
generator or receiver
FIGURE 9-14.
FunctionalAreas forNeurostimulation
Intracranial
neurostimulation
describes surgicalplacement of an electrical impulseprobe for
therapeutic reasons.For example, a
deep brain stimulator
(DBS)placed in the globuspallidus
interni (GPi) or subthalamicnucleus (STN)may reduce symptoms ofParkinsondisease, essential
tremor, andmultiple sclerosis. Stimulation of the vagalnerve coming from themedulla oblongata
maybeprescribed forpatientswith epilepsywho are intolerant of antiepilepticdrug therapy or
whose seizure activity cannotbe adequately controlled.
Limbic cingulate
cortex
Thalamus
Pituitary gland
Pons
Supplemental
motor cortex
Medulla oblongata
Frontal
Limbic
Primarymotor cortex
Parietal
Occipital
Precentral sulcus
Paracentral lobule
Somatosensory association cortex
Corpus callosum
Visual association cortex
Calcarine
fissure
Primary visual cortex
Cerebellum
61850—61888
NervousSystem
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