A |
|
ABN |
Advanced Beneficiary Notice, document to
be signed by a patient that does not qualify for Medicare
coverage of an item but still wants to proceed with purchase
and pay on their own. Medicare may or may not pay for the
item. |
acquired lymphedema |
Secondary lymphedema |
acute infection |
Severe, serious infection |
adjustable |
Flexible |
allowable |
maximum amount insurance company will pay
for an item |
|
|
B |
|
bilateral |
involving right and left sides of the body |
blood clots |
coagulated blood, thickened blood |
|
|
C |
|
calibrated |
to check and compare with a standard |
cell |
refers to each compartment on the appliance |
cellulitis |
skin infection characterized by redness,
swelling, fever |
CHF |
congestive heart failure |
chronic |
continuously present |
chronic venous insufficiency |
veins that are damaged and do not efficiently
return blood to the heart causing |
circumferential measurement |
refers to measurement around the limb or
other part of the body (circumference) |
clinical |
regarding treatment of patients, observation
of patients |
Clinical study |
a type of research that collects data on
new treatment methods to determine how well they work |
CMN |
Certificate of Medical Necessity, form
required by Medicare and other insurance carriers to substantiate
need of products or services |
compression |
applying pressure |
compression garments |
stockings worn to compress the limbs and
control lymphedema |
compressor |
pump that delivers air pressure |
congenital |
present at birth |
congenital lymphedema |
lymphedema present at birth resulting from
malformation of lymphatic system |
congestive heart failure |
(CHF) heart becomes inefficient and cannot
deliver adequate blood supply to rest of body |
contraindications |
certain conditions that make treatment
inadvisable |
CPT codes |
Current Procedure Terminology |
|
|
D |
|
date of service |
date product was purchased |
decompensated cardiac failure |
heart failure |
deductible |
amount patient pays before insurance will
pay |
deep vein thrombosis |
blood clot typically found deep in the
vein of thigh or calf |
dermatitis |
inflammation of the skin characterized
by dry, flaky, itch |
diagnosis |
identify disease or condition by signs
or symptoms |
distal |
furthest from the trunk of the body |
doppler |
ultrasound that can detect and measure
blood flow |
durable medical equipment |
medical equipment frequently used in the
home, can withstand repeated use |
|
|
E |
|
E0651 |
Medicare code for pneumatic compression
pumps without calibrated gradient pressure |
E0652 |
Medicare code for pneumatic compression
pumps with calibrated gradient pressure |
edema |
swelling caused by excess fluid in tissues |
edematous |
swollen from excess fluid |
EOB |
Explanation of Benefits, referring to insurance
claim – details of payment |
exhausts |
to empty completely, to let out all of
the air |
extremity |
limb on the body – arm or leg |
|
|
F |
|
fibrosis |
excess connective tissue |
fibrotic tissue |
scar tissue, tightening of the skin which
may be disfiguring |
|
|
G |
|
gradient |
progressively increasing or decreasing |
|
|
H |
|
HCPCS |
Health Care Financing Administration’s
Common Procedure Coding System |
hereditary |
tending to run in families |
HIPAA |
Health Information Portability and Accountability
Act |
hose assembly |
tubing that attaches the appliance to the
pump and allows the air to flow through |
|
|
I |
|
ICD-9 codes |
International Classification of Disease
-9th revision |
ideopathic lymphedema |
lymphedema of unknown origin |
indications |
proper treatments of disease |
intermittent |
not continuous, starting and stopping at
intervals |
interstitial fluid |
fluid between tissue cells, outside blood
vessels |
interstitial space |
space between tissue cells, outside blood
vessels |
|
|
J |
|
Joint Commission |
accrediting organization for health care
industry |
|
|
K |
|
Klippel-Tranaunay Syndrome |
a rare, congenital form of lymphedema |
|
|
L |
|
limb |
extremity of the body - arm or leg |
LMN |
Letter of Medical Necessity |
lymph |
fluid found in lymphatic vessels |
lymphatic drainage |
type of massage therapy to stimulate movement
of lymph fluid |
lymph nodes |
masses of lymphatic tissue that filter
fluid and can trap cancer cells and bacteria |
lymphatic |
pertaining to lymph |
lymphedema |
swelling due to blockage in lymphatic system,
causing accumulation of fluid – most commonly in
arms and legs |
lymphedema praecox |
onset of lymphedema at puberty, a form
of primary lymphedema |
lymphedema tarda |
adult onset lymphedema, a form of primary
lymphedema |
|
|
M |
|
malignant tumor |
tumor that becomes progressively worse
and tends to spread to surrounding tissue |
manual lymph drainage |
type of therapy using a massage technique
to help lymph fluid return to circulatory system |
massage |
to rub or knead the body |
Medicare Standards |
rules of conduct all suppliers must follow
in order to provide to Medicare patients |
Meige’s disease |
primary lymphedema usually starting around
puberty |
Milroy's Syndrome |
hereditary lymphedema affecting the legs |
morbid obesity |
weighing more than 100lbs. more than ideal
body weight significantly increasing risk of certain health
conditions |
|
|
N |
|
|
|
O |
|
|
|
P |
|
Park-Weber Syndrome |
congenital form of lymphedema |
Phlebitis |
inflammation of a vein |
Pitting edema |
edema demonstrated by applying pressure
to skin that leaves an indentation |
pneumatic |
powered by compressed air |
post-mastectomy |
following surgical removal of breast |
primary lymphedema |
inherited lymphedema |
protocol |
guidelines for treatment |
proximal |
nearest to the trunk of the body |
|
|
Q |
|
|
|
R |
|
renal failure |
inability of kidneys to function properly
or efficiently |
|
|
S |
|
secondary lymphedema |
caused by injury, trauma, surgical damage |
segmental |
divided into segments |
sequential |
in sequence, consecutive |
skin contractures |
abnormal tightening of skin tissue that
prevents normal movement and may cause deformity |
stage 1 lymphedema |
mild swelling, skin is still soft to the
touch |
stage 2 lymphedema |
lymphedema with edema and fibrosis of tissues – no
longer soft |
stage 3 lymphedema |
severe lymphedema characterized by major
increase in swelling, extensive fibrosis |
|
|
T |
|
thrombophlebitis |
blood clot in vein causing pain and swelling
in area |
thrombosis |
blood clot |
|
|
U |
|
ulcer |
open wound that has trouble healing or
keeps recurring |
Unna's Boot |
treatment modality used for leg ulcers – type
of bandage with a wound dressing |
|
|
V |
|
Vascular |
containing vessels that carry or circulate
fluid through body |
vein |
vessel that carries blood |
venous insufficiency |
valves in veins do not properly return
blood from legs to the heart |
venous stasis ulcers |
open wounds that do not heal that typically
occur below the knee |
|
|
W |
|
Women's Health and Cancer Rights Act |
federal law enacted in 1998 that mandates
all insurance companies to cover physical complications
from a mastectomy |
wounds |
injury |
wraps |
treatment that involves wrapping bandages
around the limb to encourage return of lymph fluid to the
rest of the body |
|
|
X |
|
|
|
Y |
|
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|
Z |
|
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