Tag Archives: operative note
Posted on 27. Mar, 2009 by .
“Proximal” describes where an appendage joins the body. Think of the word “proximity,” which means “nearness in place.”
“Distal” means a point on the appendage that’s furthest from the point of attachment to the body. Think “distance.”
Posted on 20. Mar, 2009 by .
For “supine,” picture the similar-sounding “soup in the navel.” (Yes, said navel is an “innie.”) If the soup can stay in the navel without spilling, the patient is supine, or face up. If not, the patient is prone, or face down.
Posted on 23. Feb, 2009 by .
Many times, surgeons perform more procedures than what they dictate in that line. Read through the report and look for tell-tale phrases that indicate procedures you may be able to code separately, such as:
- “attention was then turned to”
- “at a separate site”
- “through a separate incision”
- “now entered”
Posted on 16. Feb, 2009 by .
The super-scary fin that comes out of the water is the “dorsal fin” or the fin on the shark’s back. ‘Dorsal’ means “being at the back.”
Posted on 26. Jan, 2009 by .
No, it’s not the new hot spot on Desperate Housewives, ob-gyn coders. It’s the area behind the uterus made up by the peritoneum between the rectum and the uterus. In your ob-gyns’s op notes, you’ll often see the cul-de-sac referred to it as the “rectouterine pouch.”
Posted on 09. Jan, 2009 by .
31 terms that help you decipher coding scenarios, op notes with ease
Every medical coder realizes the importance of knowing Greek and Latin roots to understand the medical prefixes and suffixes that make up many medical terms.
But in addition to those roots, there are several words that will prove important to your coding efforts. Once you have these mastered, you’ll have a clearer picture of exactly what your physician is doing, and you’ll be able to code it correctly.
These words include:
• Anterior or ventral — At or near the front … More …