DELINEATION OF PRIVILEGES - OTOLARYNGOLOGY
|
|
- Audra Pope
- 7 years ago
- Views:
Transcription
1 KALEIDA HEALTH Name: Date: DELINEATION OF PRIVILEGES - OTOLARYNGOLOGY GENERAL STATEMENTS Adults and Pediatrics except as specified. Procedures are grouped by anatomic region and may be identified by ICD-9 code. Procedures are also separated into levels of complexity (Level I, Level II, and Level III), which require increasing levels of education and experience. In general, procedures learned during residency are grouped in Level I and are granted upon evidence of successful completion of residency training. Level II procedures may require evidence of additional training or experience beyond residency. Documentation of additional training and/or experience is required for all Level III procedures. LASER privileges are listed separately in a final section and granted according to LASER safety committee standards. LEVEL I PRIVILEGES Procedures which are assumed to have been mastered following satisfactory completion of an approved Otolaryngology training program and can be performed by an Otolaryngologist whose documented training and experience qualify the applicant for the privilege. History and Physical for diagnosis and treatment. Admission and Follow-up Skull (excision, reconstruction, bone graft) Peripheral Nerve (excision, biopsy, graft, anastomosis) Thyroid/Parathyroid (aspiration, biopsy, resection) Thymus (excision) Eyelid (incision, excision, repair, reconstruction) Lacrimal System (biopsy, excision, probing, repair) Orbit (reconstruction, excision) Ear, External (diagnosis, repair biopsy, excision, reconstruction) Middle Ear (exploration, tympanoplasty, stapes, mastoid) Nasal (epistaxis, biopsy, septum, reconstruction, repair, excision) (aspiration, endoscopic, external) Oral cavity (biopsy, excision, repair, reconstruction) Tongue/FOM Salivary Gland (repair, excision) Oropharynx (tonsil) Pharynx Neck (congenital) Access to the Spine Cricopharyngeal Myotomy Larynx (excision, repair, reconstruction, trauma, TEF) Trachea (excision, tracheotomy, repair) Lung (bronchoscopy, biopsy) Vessels (incision, biopsy, excision, repair, ligation) Lymphatic (biopsy, excision, neck dissection) -- thoracic duct Esophagus (incision, biopsy, repair, endoscopy, repair, reconstruction, dilatation) Facial Bones (repair, biopsy, trauma, sequestrotomy) Mandible Integumentary (biopsy, excision, repair, skin graft, pedicle flaps, facial plastic surgery, scar revision, tissue expansion)
2 Otolaryngology Name: Page 2 PLEASE NOTE: Please check the box for each privilege requested. Do not use an arrow or line to make selections. We will return applications that ignore this directive. LEVEL II PRIVILEGES Requires certificate of added qualifications or approved fellowship in one of the following: Head & Neck Oncology, Pediatric Otolaryngology, Otology/Neuro-otology, Facial Plastic Surgery or documentation of surgical experience for three years preceding the request. Volume criteria may be applicable. Glossectomy Tracheal Resection Vessel Resection with Repair Percutaneous Tracheotomy Partial Laryngectomy Stapedectomy Liposuction Laryngo-tracheal separation Medialization Laryngoplasty Arytenoid Adduction Angiofibroma Arytenoidectomy < 8 yrs of age Arytenopexy < 8 yrs of age Endoscopic sinus surgery < 8 yrs of age Endoscopic CSF leak repair Lip-Tongue (Douglas procedure) NICU admission Vascular lesions, lymphangiomas, AVM, hemangiomas, < 8 yrs of age Thoracentesis Thoracostomy Cleft Lip repair Cleft Palate repair Browlift Otoplasty, Unilateral/bilateral Facelift Platysmoplasty Blepharoplasty Suction Lipectomy/lipolysis Chemical peel Tissue expanders (insertion, removal) Facial implants Treat facial paralysis Microtia reconstruction Endoscopic plastic surgery Facial reanimation Midfacelift Rib graft Bone graft Conscious Sedation (Adult/Pediatric) 1. Initial Request: Must have completed a Kaleida Health approved training course (documentation required) or training during ACGME Accredited Residency (verification letter from program director required.) 2. Maintenance of privilege: The course needs to be taken again every 4 years. 3. The course can be found at:
3 Otolaryngology Name: Page 3 LEVEL III PRIVILEGES Those procedures which categorically require documentation of additional training or experience, high risk procedures, new procedures or unlisted procedures will be included in this category. Volume criteria may be applicable. Otologic Procedures Acoustic neuroma Implantable Hearing Aids Cochlear Implants 8th Nerve section Temporal Bone Resection Plastic and Reconstructive Surgery TMJ procedures Micro vascular reconstruction (harvesting of flap, reconstruction) Craniofacial surgery Reconstruction congenital aural atresia, stenosis Sino Nasal Excision Pituitary tumor transphenoid Maxilla (osteoplasty) Mandible (osteoplasty, orthognathic) Excision Cribiform Plate Pediatric Practice Laryngeal Reconstruction < 8 yrs of age Cricoid decompression, Laryngoplasty, Tracheoplasty - < 8 yrs of age Tracheotomy < 2 yrs of age Endoscopy Endoscopy < 2 yrs of age (biopsy, dilation, excision, microscopy, foreign body removal, laser) laryngoscopy esophagoscopy bronchoscopy with f.b. removal < 2 yrs Other PEG Cricohyoidopexy
4 Otolaryngology Name: Page 4 ROBOTIC SURGERY If proctorship is a pre-requisite, contact the Medical Staff Office for instructions & to obtain the required forms. You must be approved with proctoring PRIOR to performing the procedure within Kaleida. 1. Applicant must have unrestricted privileges for open and/or endoscopic surgery procedures for which robot assisted surgeries/procedures will be performed AND must provide documentation of successful completion of an advanced didactic robotic course to include certification of completion of a robot-assisted animal laboratory course. Observation of a minimum of two (2) robotic cases and must complete five (5) *proctored cases with satisfactory outcomes; OR 2. Applicant must provide documentation of unrestricted robotic privileges at another hospital system, with satisfactory outcomes including a case log of the most recent 50 cases; OR 3. Applicant must provide documentation of successful completion of computer assisted surgical training in residency/fellowship including robotic surgery with a case log of 50 cases of all robotic surgery and must complete two (2) *proctored cases with satisfactory outcomes; AND 4. Applicant must have first ten (10) robotic cases retrospectively reviewed by the clinical service chief and/or designee regarding meeting the quality standards established by the clinical department. 5. Applicant must perform twenty five (25) robot-assisted surgeries each year with satisfactory results to maintain privilege. *To qualify to proctor robotic surgery, an applicant must also have completed a minimum of fifty (50) robotic surgery cases with satisfactory outcomes, and must agree to be present in the OR during the entire surgical procedure being proctored. Transoral resections of benign and malignant lesions of the pharynx and larynx and oncologic resections of the supraglottis, tonsil and tongue base.
5 Otolaryngology Name: Page 5 APPLICATION FOR LASER & STERIOTACTIC SURGERY PRIVILEGES 1. Have you completed laser surgery training in an accredited residency program? YES NO State date and name of institution where you completed your training: Institution Date 2. In lieu of number (1) above, have you completed an approved laser surgery training program within eighteen (18) months of making application that included hands on training for each privilege requested? YES NO PLEASE ATTACH DOCUMENTATION TO SUPPORT YOUR APPLICATION 3. I am a member in good standing of my Department. 4. I understand that the need for supervision of an applicant performing new laser surgery procedures will be determined by the Credentials Committee upon the recommendation of the Department Chair. 5. I understand that a Pathology specimen must be obtained prior to laser ablation procedure where clinically appropriate as defined by the Department (see delineation of privilege form attached). 6. I understand that Laser Ablation Surgery may only be performed using the laser machine indicated, e.g., YAG, Krypton, Argon, CO2, etc. (see delineation of privilege form attached). Type of LASER to be used CO2 Argon KTP Nd-Yag Pulse Dye Feather Silk Touch CO2 Alexandrite Ruby Diode Ebrium Yag Stereotactic system use for Otolaryngology applications Fluoroscopic Balloon Sinuplasty Other Documentation/supervision and/or course attendance Documentation of taking Acclarent Sinuplasty Catheter training course or other training required. Must be mentored by a physician who is already trained in this procedure during first case.
6 Otolaryngology Name: Page 6 KEY *NOT GRANTED DUE TO: Provide Details Below **WITH FOLLOWING REQUIREMENTS Provide Details Below 1) Lack of Documentation 1) With Consultation 2) Lack of Required Training/Experience 2) With Assistance 3) Lack of Current Competence (Databank Reportable) 3) With Proctoring 4) Other (Please Define) (i.e., Exclusive Contract) 4) Other (Please Define) DETAILS: National Practitioner Databank Disclaimer Statement: Kaleida Health must report to the National Practitioner Data Bank when any clinical privileges are not granted for reasons related to professional competence or conduct. (Pursuant to the Health Care Quality Improvement Act of 1986 (43 U.S.C et seq.) / Signature of Applicant Date (1) I approve of the procedures requested by the applicant as requested or as amended. (2) I have consulted with Pediatric ENT Site Director on / / who agrees to recommend approval of the requested Level II/III privileges for Pediatric care in Otolaryngology. / Signature of Chief of Service Date APPLICANT: PLEASE RETAIN A COPY OF THIS SIGNED DELINEATION FOR YOUR RECORDS (Otolaryngology 12/2015)
OTOLARYNGOLOGY/FACIAL PLASTIC SURGERY-HEAD AND NECK SURGERY
AMERICAN OSTEOPATHIC ASSOCIATION INSTITUTIONAL SEGREGATED TOTAL LOG FORM OTOLARYNGOLOGY/FACIAL PLASTIC SURGERY-HEAD AND NECK SURGERY Training Institution Mailing Address Daytime Phone ( ) Email Name of
More informationOTOLARYNGOLOGY-HEAD AND NECK SURGERY PROCEDURE BUNDLES / CPT
OTOLARYNGOLOGY-HEAD AND NECK SURGERY PROCEDURE BUNDLES / CPT LEVEL I CORE PRIVILEGES CPT EVALUATION & CLINICAL CARE Admit, Consult, H&P, Orders. Laryngoscopy 31505-31579 Esophagoscopy 43200-43232 Bronchoscopy
More informationUNMH Oral and Maxillofacial Surgery Clinical Privileges
All new applicants must meet the following requirements as approved by the UNMH Board of Trustees effective: 09/26/2014 INSTRUCTIONS Applicant: Check off the "Requested" box for each privilege requested.
More informationRegions Hospital Delineation of Privileges Oral & Maxillofacial Surgery
Regions Hospital Delineation of Privileges al & Maxillofacial Surgery Applicant s Name: Last First M. Instructions: Place a check-mark where indicated for each core group you are requesting. Review education
More informationGENERAL OTOLARYNGOLOGY HEAD and NECK SURGICAL ONCOLOGY. MEE General ORL/Head and Neck Rotation - PGY 2,3,4,5 Longwood Rotation - PGY 2,3,4,5
GENERAL OTOLARYNGOLOGY HEAD and NECK SURGICAL ONCOLOGY 1. BRIEF DESCRIPTION Training in general otolaryngology, upper aerodigestive tract endoscopy and head and neck oncologic surgery begins and continues
More informationClinical Privileges Profile Plastic Surgery. Indu & Raj Soin Medical Center
Printed Name Clinical Privileges Profile Plastic Surgery Indu & Raj Soin Medical Center Applicant: Check off the Requested box for each privilege requested. Applicants have the burden of producing information
More informationDelineation of Privileges Department of Otolaryngology
Delineation of Privileges Department of Otolaryngology Name: Please Print or Type LEVEL I CORE PRIVILEGES Demonstrated training and knowledge in Anatomy, Physiology, Pharmacology, Microbiology, Biochemistry,
More informationPLASTIC SURGERY RESIDENTS HANDBOOK
PLASTIC SURGERY RESIDENTS HANDBOOK I. PLASTIC SURGERY REQUIREMENTS a. AACPS Post Interview Communication Guidelines b. General Competencies c. Plastic Surgery Goals & Objectives d. ACGME Required Index
More informationDEPARTMENT OF SURGERY GENERAL SURGERY SECTION
Privilege Request Form DIRECTIONS: This Privilege Request Form must accompany all initial applications for appointment to the General Surgery Section, Department of Surgery. Please indicate those privileges
More informationDELINEATION OF PRIVILEGES - EMERGENCY MEDICINE
KALEIDA HEALTH Name: Date DELINEATION OF PRIVILEGES - EMERGENCY MEDICINE LEVEL I (CORE) PRIVILEGES Physicians with these privileges are expected to have training and/or experience and competence on a level
More informationORAL AND MAXILLOFACIAL SURGERY CLINICAL PRIVILEGES
Name: Page 1 Initial Appointment Reappointment All new applicants must meet the following requirements as approved by the governing body effective: 10/2/13. Applicant: Check off the Requested box for each
More informationCoding for Oral and Maxillofacial Pathology
saving faces changing lives Coding for Oral and Maxillofacial Pathology I. INTRODUCTION Detailed discussion of evaluation and management (E/M) codes is not within the scope of this paper. However, this
More informationRENOWN REGIONAL MEDICAL CENTER DEPARTMENT OF ORTHOPAEDICS DELINEATION OF PRIVILEGES
RENOWN REGIONAL MEDICAL CENTER DEPARTMENT OF THOPAEDICS DELINEATION OF PRIVILEGES BASIC EDUCATION: M.D. or D.O. MINIMAL FMAL TRAINING: ABMS Board certification or eligibility, or be able to document equivalent
More informationNEW JERSEY STATE BOARD OF MEDICAL EXAMINERS Application for Privileges N.J.A.C. 13:35-4A.12 PLASTIC AND RECONSTRUCTIVE SURGERY
NEW JERSEY STATE BOARD OF MEDICAL EXAMINERS Application for Privileges N.J.A.C. 13:35-4A.12 PLASTIC AND RECONSTRUCTIVE SURGERY Plastic Surgery Procedures: PRIVILEGE CRITERIA 1. Attestation (Attachment
More informationIntroduction There are two approved residency training models for plastic surgery, the Independent Model and the Integrated Model.
TRAINING REQUIREMENTS Introduction There are two approved residency training models for plastic surgery, the Independent Model and the Integrated Model. A plastic surgery program director may choose to
More informationPlastic surgery. Practice area 157. Background
Practice area 157 Clinical PRIVILEGE WHITE PAPER Plastic surgery Background According to the American College of Surgeons (ACS), plastic surgery encompasses the repair, reconstruction, or replacement of
More informationAPPLICATION FOR APPOINTMENT TO MEDICAL STAFF BAFFIN REGIONAL HOSPITAL IQALUIT, NU
APPLICATION FOR APPOINTMENT TO MEDICAL STAFF BAFFIN REGIONAL HOSPITAL IQALUIT, NU Name: Your completed application MUST include COPIES of the following documents, otherwise it will not go forward to the
More informationDelineation of Privileges Department of Surgery/Section of Vascular Surgery. Name: Please print or type
University of Michigan Hospitals and Health Centers Delineation of Privileges Department of Surgery/Section of Vascular Surgery Name: Please print or type CORE PRIVILEGES VASCULAR SURGEON Vascular Surgery
More informationBasic Standards for Residency Training in Otolaryngology / Facial Plastic Surgery
RES. NO. 0 COPT 0/ For Public Comment Page Basic Standards for Residency Training in Otolaryngology / Facial Plastic Surgery American Osteopathic Association and American Osteopathic Colleges of Ophthalmology
More informationBasic Standards for Residency Training in Otolaryngology / Facial Plastic Surgery
Basic Standards for Residency Training in Otolaryngology / Facial Plastic Surgery American Osteopathic Association and American Osteopathic Colleges of Ophthalmology and Otolaryngology Head and Neck Surgery
More informationLAC+USC MEDICAL CENTER & HEALTHCARE NETWORK ATTENDING STAFF ASSOCIATION DELINEATION OF PRIVILEGES FOR THE DEPARTMENT OF DERMATOLOGY
LAC+USC MEDICAL CENTER & HEALTHCARE NETWORK ATTENDING STAFF ASSOCIATION FOR THE DEPARTMENT OF DERMATOLOGY NAME OF APPLICANT DATE Initial Appointment and/or Additional Privileges Reappointment Applicant:
More informationInternational Guidelines for Specialty Training and Education in Oral and Maxillofacial Surgery
International Guidelines for Specialty Training and Education in Oral and Maxillofacial Surgery International Guidelines for Specialty Training and Education in Oral and Maxillofacial Surgery International
More informationTuition and Fees Dentists - Full time (per annum): 20,000
Diploma of Oral Surgery Residency Training Program in preparation for the Fachzahnarzt in Oral Surgery Specialty Examination in the Republic of Germany Degree awarded: - Diploma of Oral Surgery - Fachzahnarzt
More information21140 Closed treatment of reimplantation. mandibular or maxillary and/or stabilization. alveolar ridge fracture of accidentally
Medical in Nature Oral Surgery CDT Code Description (CDT code) CPT Code Description (CPT Code) D7270 Tooth 21140 Closed treatment of reimplantation mandibular or maxillary and/or stabilization alveolar
More informationSECTION 2. Oral Maxillofacial Surgeon Services. Table of Contents
SECTION 2 Table of Contents Table of Contents 1. GENERAL POLICY (Updated 4/1/12)... 3 1-1 Credentials... 3 1-2 Clients Enrolled in a Managed Care Plan... 3 1-3 Clients NOT Enrolled in a Managed Care Plan...
More informationOtolaryngology/ Facial Plastic Surgery Residency Handbook
Otolaryngology/ Facial Plastic Surgery Residency Handbook The Most Comprehensive Care Campus in Our Community Otolaryngology/Facial Plastic Surgery Residency Handbook I. MISSION The Otolaryngology/Facial
More informationAPPENDIX D. April 1, 2015 AD1 Amd 12 Draft 1. Appendix DApril 1, 2015 PREAMBLE
Appendix DApril 1, 2015 PREAMBLE 1. Surgery to alleviate significant physical symptoms, which have not responded to a minimum of six months active treatment, or to restore or improve function to any area
More informationName: Date: UNIVERSITY OF MARYLAND MEDICAL CENTER Specified Services for Nurse Practitioners
UNIVERSITY OF MARYLAND MEDICAL CENTER Specified Services for Nurse Practitioners *This form should accompany your State Approved Nurse Practitioner Attestation and must coincide with what has been approved
More informationSurgery for Conductive Hearing Loss
Surgery for Conductive Hearing Loss What is conductive hearing loss Conductive hearing loss is a form of hearing loss due to abnormalities in mobile portions of the ear. Theses are the movable parts (including
More informationUNMH Cardiothoracic Surgery Clinical Privileges
All new applicants must meet the following requirements as approved by the UNMH Board of Trustees effective: 02/20/2015 INSTRUCTIONS Applicant: Check off the "Requested" box for each privilege requested.
More informationACCREDITATION FORM SCHEDULE 5
ACCREDITATION FORM SCHEDULE 5 APPLICATION FOR APPOINTMENT AS AN ACCREDITED PRACTITIONER Please submit completed application form to the General Manager at your Healthscope Limited Hospital. Application
More informationBANNER HEALTH BANNER BAYWOOD MEDICAL CENTER Mesa, AZ DEPARTMENT OF SURGERY RULES AND REGULATIONS
BANNER HEALTH BANNER BAYWOOD MEDICAL CENTER Mesa, AZ DEPARTMENT OF SURGERY RULES AND REGULATIONS ARTICLE I AUTHORITY The Banner Baywood Medical Center Department of Surgery ("Department") is organized
More informationDelineation Of Privileges Diagnostic Radiology Privileges
DIAGNOSTIC RADIOLOGY - CORE PRIVILEGES Criteria: a) Board certification or qualified for certification by the American Board of Radiology; OR, b) Successful completion of an ACGME or AOA approved Radiology
More informationDEPARTMENT OF FAMILY MEDICINE Delineation of Privileges. Name: Date:
Page 1 of 5 DEPARTMENT OF FAMILY MEDICINE Delineation of Name: Date: Types of Category I in this category include those procedures and cognitive skills involving serious medical problems that are normally
More informationTMJ. Problems. Certain headaches and pain in. the ear, jaw, neck, tooth, and. sinus can be the result of a. temporomandibular joint (TMJ)
DIVISION OF ORAL AND MAXILLOFACIAL SURGERY TMJ Problems Certain headaches and pain in the ear, jaw, neck, tooth, and sinus can be the result of a temporomandibular joint (TMJ) problem. People with TMJ
More informationRegions Hospital Delineation of Privileges Internal Medicine
Regions Hospital Delineation of Internal Medicine Applicant s Name: Last First M. Instructions: Place a check-mark where indicated for each core group you are requesting. Review education and basic formal
More informationCracking CPT Codes: An Interactive Discussion Presented by Tom Loughrey, CCS-P. Jumping Right In!
Cracking CPT Codes: An Interactive Discussion Presented by Tom Loughrey, CCS-P Jumping Right In! Code the following: 38 year old female for right breast biopsy with percutaneous needle core using image
More informationTraumatic Primary Eyelid and Facial Laceration Repair. Riva Lee Asbell Philadelphia, PA
Traumatic Primary Eyelid and Facial Laceration Repair Riva Lee Asbell Philadelphia, PA I INTRODUCTION I always have to work a little harder when coding for traumatic eyelid and facial repairs. There is
More informationSUTTER MEDICAL CENTER, SACRAMENTO Department of Cardiovascular Disease Cardiology - Delineation of Privileges
INITIAL: [ ] RENEWED: [ ] DATE: ADDITIONAL: [ ] Privileges are granted for Sutter General Hospital, Sutter Memorial Hospital, Sutter Center for Psychiatry, Sutter Oaks Midtown and the Capitol Pavilion
More informationLip Cancer: Treatment & Reconstruction
Lip Cancer: Treatment & Reconstruction GBMC - Head & Neck Cancer Grand Rounds Elizabeth E. Redd, M.D. With the assistance of Ira Papel, M.D. Patrick Byrne, M.D. Lip Cancer: Treatment & Reconstruction Anatomic
More informationIntegumentary System Individual Exercises
Integumentary System Individual Exercises 1. A physician performs an incision and drainage of a subcutaneous abscess in his office for a particularly uncooperative established patient. How should this
More informationORTHOPEDIC SURGERY CLINICAL PRIVILEGES
Name: Page 1 Initial Appointment Reappointment All new applicants must meet the following requirements as approved by the governing body effective: 01/06/2016 Applicant: Check off the Requested box for
More informationCrosswalk of CPT Codes to CDT Codes
Crosswalk of CPT Codes to CDT Codes Note: Given the sheer number of codes from which to draw, this CPT-CDT crosswalk should be viewed as a tool to assist states in reporting CPT codes on the dental lines
More informationExcision of Lesions. Brenda Chidester-Palmer CPC, CPC-I, CEMC, CASCC, CCS-P. All Rights Reserved. Objectives
Excision of Lesions Surgical Approach Brenda Chidester-Palmer CPC, CPC-I, CEMC, CASCC, CCS-P 1 Objectives In this session we will discuss Lesion categories Removal versus biopsy Different lesion removal
More informationPlastic Surgery. Statistics Report. ASPS National Clearinghouse of. Plastic Surgery. Procedural Statistics
ASPS National Clearinghouse of Procedural Statistics All figures are projected. * Data unavailable in prior year. **77% of total breast implants were silicone; 23% were saline. ***Botulinum Toxin Type
More informationOculofacial plastic and reconstructive surgery
Practice area 419 Clinical PRIVILEGE WHITE PAPER Oculofacial plastic and reconstructive surgery Background Oculofacial plastic and reconstructive surgery, also called ophthalmic plastic and reconstructive
More informationEndoscopic Pituitary Sugery
For decades, the skull base has represented a virtual noman s land in terms of surgical treatment. The area is extremely difficult to navigate -- due to the numerous vital blood vessels and critical cranial
More informationCHOOSE YOUR COSMETIC SURGEON AS YOU WOULD CHOOSE ANY OTHER HEALTHCARE PROVIDER
CHOOSE YOUR COSMETIC SURGEON AS YOU WOULD CHOOSE ANY OTHER HEALTHCARE PROVIDER 2 Criteria for Determining a Doctor s Qualifications Individual Character, Education, Training, Experience and Proven Competence
More informationST. DAVID S MEDICAL CENTER CARDIOLOGY - Special, Invasive, Diagnostic, or High-Risk Procedure Requirements
ST. DAVID S MEDICAL CENTER CARDIOLOGY - Special, Invasive, Diagnostic, or High-Risk Procedure Requirements Cardiac Catheterization & Peripheral Angiography Completion of a fellowship in Cardiovascular
More informationCancer Income Protection Policy
Cancer Income Protection Policy The Insurance Company of Scott & White offers peace of mind when the financial burden associated with cancer arises. Cancer Income Protection Policy Fighting cancer takes
More informationPLASTIC & RECONSTRUCTIVE SURGERY REFERRAL AND CONSULTATION GUIDE 2011-2012
PLASTIC & RECONSTRUCTIVE SURGERY REFERRAL AND CONSULTATION GUIDE 2011-2012 Table of Contents Services & Resources... 1 Specialties Breast Reconstruction Surgery... 2 Burn and Complex Wound Care... 3 Craniofacial
More informationRecurrent & Persistent Papillary Thyroid Cancer Central Nodal Dissection vs. Node-Picking Patterns of Nodal Metastases Recurrent Laryngeal Nerve,
Recurrent & Persistent Papillary Thyroid Cancer Central Nodal Dissection vs. Node-Picking Patterns of Nodal Metastases Recurrent Laryngeal Nerve, Larynx, Trachea, & Esophageal Management Robert C. Wang,
More information2013 CPT Codes - Surgery
Category Code Range New Deleted Revised Total Page SURGERY 10021-69990 47 11 22 80 Integumentary System 10021-19499 0 0 1 1 1 Musculoskeletal System 20000-29999 5 1 3 9 1 Respiratory Systen 30000-32999
More informationINSURANCE COMPANY OF SCOTT AND WHITE FIXED INDEMNITY BASIC MEDICAL-SURGICAL EXPENSE POLICY REQUIRED OUTLINE OF COVERAGE
INSURANCE COMPANY OF SCOTT AND WHITE FIXED INDEMNITY BASIC MEDICAL-SURGICAL EXPENSE POLICY REQUIRED OUTLINE OF COVERAGE (1) READ YOUR POLICY CAREFULLY. This outline of coverage provides a very brief description
More informationGUIDELINES ON AESTHETIC FACIAL PROCEDURES FOR DENTAL PRACTITIONERS
GUIDELINES ON AESTHETIC FACIAL PROCEDURES FOR DENTAL PRACTITIONERS INTRODUCTION 1. This document serves as a guideline on aesthetic facial procedures for dental practitioners. It does not include aesthetic
More informationGeneral Information About Non-Small Cell Lung Cancer
General Information About Non-Small Cell Lung Cancer Non-small cell lung cancer is a disease in which malignant (cancer) cells form in the tissues of the lung. The lungs are a pair of cone-shaped breathing
More informationBASIC QUALIFICATIONS
DEPAMEN OF SUGEY GENEAL/VASCULA SUGEY PIVILEGES page 1 of 5 PACIIONE NAME LAS/FIS/MIDDLE INIIAL ELEPHONE BASIC QUALIFICAIONS Basic Education MD or DO Minimal Formal raining Completion of an ACGME-approved
More information2013 Plastic Surgery Statistics Report
All figures are projected. * Data unavailable in prior year. **72% of total breast implants were silicone; 28% were saline. ***Botulinum toxin type A numbers are of anatomic sites injected. ASPS National
More informationPlastic and Reconstructive Surgery
Plastic and Reconstructive Surgery General Description Office for Clinical Affairs (515) 271-1629 FAX (515) 271-1727 Elective Rotation This elective rotation in Plastic and Reconstructive Surgery (PRS)
More informationNEW YORK UNIVERSITY SCHOOL OF MEDICINE DEPARTMENT OF OPHTHALMOLOGY SUPERVISION OF RESIDENTS POLICY
NEW YORK UNIVERSITY SCHOOL OF MEDICINE DEPARTMENT OF OPHTHALMOLOGY SUPERVISION OF RESIDENTS POLICY Applies to: All Ophthalmology Residents, including those in ACGME- and non-acgme-accredited specialty
More informationCERVICAL PROCEDURES PHYSICIAN CODING
CERVICAL PROCEDURES PHYSICIAN CODING Anterior Cervical Discectomy with Interbody Fusion (ACDF) Anterior interbody fusion, with discectomy and decompression; cervical below C2 22551 first interspace 22552
More informationInterventional Radiology
Nationwide Children s Hospital Department of Radiology is recognized as a pioneering center for research and innovation, and a renowned leader in diagnostic and interventional pediatric radiology. Our
More informationSURGICAL SERVICES. Touching Lives
SURGICAL SERVICES Touching Lives with MODERN TOOLS of EXPERT PHYSICIANS in the Hands and Staff FROM DISCOVERY TO RECOVERY St. Mary s Health System offers a full range of surgical services in almost every
More informationPediatric Otolaryngology Fellowship News & Events
Pediatric Otolaryngology Fellowship News & Events Holinger Symposium October 18, 2014 The educational symposium featured presentations from physicians who were trained by Dr. Lauren D. Holinger and who
More informationObjectives AXIAL SKELETON. 1. Frontal Bone. 2. Parietal Bones. 3. Temporal Bones. CRANIAL BONES (8 total flat bones w/ 2 paired)
Objectives AXIAL SKELETON SKULL 1. On a skull or diagram, identify and name the bones of the skull 2. Identify the structure and function of the bones of the skull 3. Describe how a fetal skull differs
More informationSurgery of the Frontal Sinus
Surgery of the Frontal Sinus Steven D. Pletcher MD Assistant Professor Department of Otolaryngology Head and Neck Surgery University of California, San Francisco Disclosures Co-author patent application
More informationNew Cardiothoracic Surgery CPT Codes for 2013
New Cardiothoracic Surgery CPT Codes for 2013 There were several changes to the cardiothoracic surgery CPT codes for 2013. There are five new codes in the general thoracic surgery section, with one revised
More informationRotation Specific Goals & Objectives: University Health Network-Princess Margaret Hospital/ Sunnybrook Breast/Melanoma
Rotation Specific Goals & Objectives: University Health Network-Princess Margaret Hospital/ Sunnybrook Breast/Melanoma Medical Expert: Breast Rotation Specific Competencies/Objectives 1.0 Medical History
More informationINFORMATION ON COSMETIC AND RECONSTRUCTIVE SURGERY(S) SUR716.001
INFORMATION ON COSMETIC AND RECONSTRUCTIVE SURGERY(S) SUR716.001 NOTE: The members contract should be reviewed. Contract language may vary regarding the definition of reconstructive services for different
More informationCurriculum Vitae. Peter Gregory Vickers
Curriculum Vitae Peter Gregory Vickers BM BS ( Flinders University ) BDS (Sydney University) FDS RCS (England) FRCS (Edinburgh) FRACDS FACCS Personal Born : 26-9-1953. Sydney, New South Wales, Australia.
More informationCoding Endoscopic Sinus Surgery
Coding Endoscopic Sinus Surgery Audio Seminar/Webinar July 31, 2008 Practical Tools for Seminar Learning Copyright 2008 American Health Information Management Association. All rights reserved. Disclaimer
More informationPediatric Oncology for Otolaryngologists
Pediatric Oncology for Otolaryngologists Frederick S. Huang, M.D. Division of Hematology/Oncology Department of Pediatrics The University of Texas Medical Branch Grand Rounds Presentation to Department
More information(970) 663-6878 WWW. REYNOLDSORALFACIAL. COM
(970) 663-6878 WWW. REYNOLDSORALFACIAL. COM Glossary Anterior-Posterior - Front-back Class I - Normal relationship of teeth Class II - Distal (posterior) relationship of mandibular teeth to maxillary teeth.
More informationSurgical Technician (ORT) Skills Checklist
_ XXX-XX- Print Name Last 4 of SS # Date Completed Directions Please circle a value for each question to provide us and the interested facilities with an assessment of your clinical experience. These values
More informationRegions Hospital Delineation of Privileges Internal Medicine - Endocrinology
Regions Hospital Delineation of Privileges Internal Medicine - Endocrinology Applicant s Name: Last First M. Instructions: Place a check-mark where indicated for each core group you are requesting. Review
More informationDETROIT MEDICAL CENTER DEPARTMENT OF EMERGENCY MEDICINE DELINEATION OF PRIVILEGES
DETROIT MEDICAL CENTER DEPARTMENT OF EMERGENCY MEDICINE DELINEATION OF PRIVILEGES Applicant Name: INSTRUCTIONS FOR ALL APPLICANTS 1. ALL applicants for appointment requesting ANY clinical privileges must
More informationCPT Code Changes for 2013
CPT Code Changes for 2013 RADIOLOGY Cathy Woodall, CHC, CPC Nicholas Parish, CHC Compliance-Radiology McKesson Revenue Management Solutions This commentary is a summary prepared by McKesson s Revenue Management
More informationRespiratory System. Chapter 21
Respiratory System Chapter 21 Structural Anatomy Upper respiratory system Lower respiratory system throat windpipe voice box Function of Respiratory System Gas exchange Contains receptors for sense of
More informationOklahoma Facts CPT. Definitions. Mohs Micrographic Surgery. What Does That Mean? Billing and Coding for Mohs Surgery
Billing and Coding for Mohs Surgery Cindy L. Wilson Dermatology Associates of Tulsa Oklahoma Facts Per square mile, Oklahoma has more tornadoes than any other place in the world. The highest wind speed
More informationDENTISTRY CLINICAL PRIVILEGES
Name: Page 1 Initial Appointment Reappointment All new applicants must meet the following requirements as approved by the governing body effective: 4/3/2013. Applicant: Check off the Requested box for
More informationPlastic Surgery - Exceptional Referrals Patient Pathway April 2005
Patient Presentation Patient seeks exceptional procedure Clinical assessment: Psychology criteria (see Appendix 1) Exceptional physical criteria (see Appendix 2) Patient meets criteria Patient does not
More informationSURGICAL PREAMBLE SPECIFIC ELEMENTS SURGICAL SERVICES WHICH ARE NOT LISTED AS A "Z" CODE
Surgical PreambleApril 1, 2015 PREAMBLE SPECIFIC ELEMENTS In addition to the common elements, all surgical services include the following specific elements. A. Supervising the preparation of and/or preparing
More informationINTERNATIONAL MEDICAL COLLEGE
INTERNATIONAL MEDICAL COLLEGE Joint Degree Master Program: Implantology and Dental Surgery (M.Sc.) Basic modules: List of individual modules Basic Module 1 Basic principles of general and dental medicine
More informationOregon CPT Preapproval Grid
* The following grid only identifies items that require preapproval from. Breast Pumps Notes: No preapproval required for 1st month rental; beyond one month rental requires preapproval Genetic Testing
More information2016 DEADLINE DATES FOR DELEGATION AGREEMENTS WITH ADVANCED DUTIES
2016 DEADLINE DATES FOR DELEGATION AGREEMENTS WITH ADVANCED DUTIES These deadline dates pertain to PAs submitting delegation agreement addendums for advanced duties who are either: Employed by an accredited
More informationAMERICAN SOCIETY OF PLASTIC SURGEONS YOUNG PLASTIC SURGEONS STEERING COMMITTEE. Lynn Jeffers, MD, Chair C. Bob Basu, MD, Vice Chair
AMERICAN SOCIETY OF PLASTIC SURGEONS YOUNG PLASTIC SURGEONS STEERING COMMITTEE Eighth Edition 2012 Lynn Jeffers, MD, Chair C. Bob Basu, MD, Vice Chair Essentials for Students Workgroup Lynn Jeffers, MD
More informationComment prendre en charge une épistaxis sévère en médecine ambulatoire?!
Comment prendre en charge une épistaxis sévère en médecine ambulatoire? Prof. dr. Thibaut. Van Zele Prof. dr. Jean-Baptiste Watelet dienst neus-, keel- en oorheelkunde Universitair Ziekenhuis Gent 2013
More informationAuditory System. Chaos Healthcare
Medical Coding Auditory System Chaos Healthcare AUDITORY SYSTEM: Anatomy AUDITORY SYSTEM: Physiology AUDITORY SYSTEM MYRINGOPLASTY: Myringoplasty is an operative procedure used in the reconstruction of
More informationClinical Privileges Profile Diagnostic Radiology. Greene Memorial Hospital
Printed Name Clinical Privileges Profile Diagnostic Radiology Greene Memorial Hospital Privileges are covered by an exclusive contract. Practitioners who are not a party to the contract are not eligible
More informationANTERIOR CERVICAL DISCECTOMY AND FUSION. Basic Anatomical Landmarks: Anterior Cervical Spine
Anterior In the human anatomy, referring to the front surface of the body or position of one structure relative to another Cervical Relating to the neck, in the spine relating to the first seven vertebrae
More informationHEALTHCARE PROVIDERS INSURANCE EXCHANGE APPLICATION FOR HPIX MEMBERSHIP AND INSURANCE
Name (First, Middle Initial, Last) Home Address (Include City, State, Zip) HEALTHCARE PROVIDERS INSURANCE EXCHANGE APPLICATION FOR HPIX MEMBERSHIP AND INSURANCE MD DO Social Security Number: Gender: M
More informationIntroduction. 31 million Americans suffer from chronic sinusitis Surgical treatment for chronic sinusitis has evolved tremendously since its inception
Balloon Sinuplasty Ki-Hong Kevin Ho, MD Faculty Advisor: Patricia Maeso, MD Department of Otolaryngology The University of Texas Medical Branch Grand Rounds Presentation December 16, 2009 Introduction
More informationENT Emergencies. Injuries of the Neck. Registrar Dept Trauma and emergency Medicine Tygerberg Hospital
ENT Emergencies Injuries of the Neck Registrar Dept Trauma and emergency Medicine Tygerberg Hospital Neck Injuries Blunt and Penetrating Trauma Blunt Injuries Blunt trauma direct/indirect Trauma to larynx
More informationContents. 1. What is Medical coding? (page 1) 2. Medical coding as a career (page 2) 3. Certification exams in Medical coding (page 3-5)
Thank you for subscribing. This ebook is not too long but I am sure you love the content of every page. If for people who are passionate towards learning medical codes and make a beautiful career in medical
More informationDETROIT MEDICAL CENTER DELINEATION OF PRIVILEGES CLINICAL PRIVILEGES IN ORTHOPAEDIC SURGERY. Name:
DETROIT MEDICAL CENTER DELINEATION OF PRIVILEGES CLINICAL PRIVILEGES IN ORTHOPAEDIC SURGERY Name: Qualifications: Current certification or active participation in the examination process leading to certification
More informationMedical Review Criteria Gender Reassignment Services
Medical Review Criteria Gender Reassignment Services Effective Date: May 12, 2016 Subject: Gender Reassignment Services for Fully-Insured Transgender Subscribers and Dependents Policy: HPHC covers specific
More informationOPEN ACCESS ATLAS OF OTOLARYNGOLOGY, HEAD & NECK OPERATIVE SURGERY
OPEN ACCESS ATLAS OF OTOLARYNGOLOGY, HEAD & NECK OPERATIVE SURGERY NASOLABIAL FLAP FOR ORAL CAVITY RECONSTRUCTION Harry Wright, Scott Stephan, James Netterville Designed as a true myocutaneous flap pedicled
More informationFAMILY NURSE PRACTITIONER EMERGENCY MEDICINE
Name: Page 1 Initial Appointment Reappointment Department Specialty Area All new applicants must meet the following requirements as approved by the governing body effective: 08/05/2015 Applicant: Check
More informationProvider Reimbursement for Women's Cancer Screening Program
Reimbursement Schedule July 1, 2015 June 30, 2016 Office Visits - Established Patients Office Visit / Minimal / no physician 99211 $ 16.70 Office Visit / Problem focused History / exam 99212 $ 36.46 Preventive
More information