Surgical Anatomy Training Version 2

Aurora ICD10 Program Communications Committee November 2015

TABLE OF CONTENTS

PAGE

SKIN Face

1

Nose

2

Scalp and Neck

3

Eyelid

4

Ear

5

Mouth

6

Tongue

7

Lip

8

Gum

9

Trunk

10

Breast

11

Upper Limb

12

Lower Limb

13

Anal Skin

14

Female Genitalia

15

Male Genitalia

16

TABLE OF CONTENTS

PAGE

SALIVARY GLANDS Salivary Glands

17

Nose Interior

18

ESOPHAGUS Esophagus Distances

19

DIGESTIVE SYSTEM Lower GI

20

Colon Distances

21

Stomach

22

Urinary Tract

23

Bladder

24

FEMALE REPRODUCTIVE ORGANS Breast

25

Uterus

26 & 27

MALE REPRODUCTIVE ORGANS Male reproductive Tract

28

TABLE OF CONTENTS

PAGE

MUSCLES Front View

29

Back View

30

Lobes & Stem

31

Brain Anatomy

32

BRAIN

CHEST CAVITY Heart

33

Divisions of Mediastinum

34

Lung

35

THYROID & ENDOCRINE SYSTEM Thyroid & Endocrine System

36

PANCREAS Pancreas

37

ANATOMY SITES

38 - 51

ICD10 CONTACTS

52 & 53

1

Face

Nose – Body Site = Face

2

Scalp and Neck

3

Eyelid

4

Ear

5

Retroauricular Crus

Mouth

6

Tongue

7

Lip

8

Gum

9

Trunk

10

11

Upper Limb

12

Lower Limb

13

Anal Skin

14

Female Genitalia

15

Male Genitalia

16

17

Salivary Glands

18

Nose Interior

19

Esophagus Distances

20

Digestive System Anatomical Landmarks that will appear on Lower GI Specimen Requisition Anus Ascending Cecum Descending Distal Colon Hepatic Flexure Ileocecal Valve Ileum Jejunum Mid Colon Proximal Colon Random Colon Rectosigmoid Rectum Sigmoid Splenic Flexure Terminal Ileum Transverse

21

Colon Distances

22

Stomach

23

Urinary Tract

Front View

24

Bladder

25

Female Reproductive Organs Breast

26

Uterus

27

28

Male Reproductive Organs

29

Muscles

30

31

Brain

32

33

Chest Cavity – (Heart, Lungs & Mediastinum)

Heart

34

35

Lungs

36

Thyroid & Endocrine System

37

Pancreas

38

Anatomic Area Trunk Esophagus Muscles Ear Muscles Nose Lungs Female Reproductive Organs Male Reproductive Organs Lower Limb Upper Limb Upper Limb Divisions of Mediastinum Nose (Interior) Upper Limb Upper Limb Ear Ear Stomach Anal Skin Digestive System Male Reproductive Organs Chest Cavity (Heart, Lungs, Mediastinum) Chest Cavity (Heart, Lungs, Mediastinum) Digestive System Breast Female Reproductive Organs (Breast) Digestive System (Lower GI – Colon) Ear Trunk Breast Upper Limb Muscles

Anatomic Specific Sites Abdomen Abdominal esophagus Abdominal external oblique Acoustic Meatus Adductor muscles Alafacial groove Alveoli Ampulla Ampulla Ankle Antebrachium or forearm Antecubitis or front of elbow Anterior mediastinum Anterior naris Anterior region of arm Anterior region of elbow Anti Helix Anti Tragus Antrum Anus Anus Anus Aorta Aortic valve Appendix Areola Areola Ascending colon Auris (Ear) Axilla or armpit (axillary) Axillary tail of spence Biceps Biceps brachii

Slide 10 19 29 5 29 2 35 27 28 13 12 12 34 18 12 12 5 5 22 14 20 28 33 33 20 11 25 20 & 21 5 10 11 12 29

39

Anatomic Area Muscles Pancreas Urinary Tract Bladder Male Genitalia Stomach Female Reproductive Organs Muscles Muscles Muscles Upper Limb Brain Brain Breast Female Reproductive Organs (Breast) Female Reproductive Organs (Breast) Female Reproductive Organs (Breast) Female Reproductive Organs (Breast) Female Reproductive Organs (Breast) Female Reproductive Organs Face Mouth Male Reproductive Organs Trunk Lower Limb Stomach Upper Limb Digestive System (Lower GI – Colon) Brain Brain Brain Female Reproductive Organs Esophagus

Anatomic Specific Sites Biceps femoris Bile duct (from gall bladder) Bladder Bladder neck Body of penis Body of Stomach Body of Uterus Brachialis Brachioradialis Brachioradialis Brachium or arm (brachial) Brain Stem Brain Stem Breast tissue Breast tissue Breast, Lower inner Breast, Lower outer Breast, Upper inner Breast, Upper outer Broad ligament Bucca (Cheek) Buccal mucosa (lip and cheek lining) Bulbourethral gland Buttock Calf Cardia Carpus or wrist Cecum Cerebellum Cerebellum Cerebrum Cervical canal Cervical esophagus

Slide 30 37 23 24 16 22 27 29 29 30 12 31 32 11 25 25 25 25 25 27 1 6 28 10 13 22 12 20 & 21 31 32 32 27 19

40

Anatomic Area Scalp and Neck Uterus Female Reproductive Organs Trunk Nose (Interior) Brain Tongue Female Genitalia Trunk Nose Uterus Digestive System Pancreas Thyroid and Endocrine System Male Genitalia Male Reproductive Organs Male Reproductive Organs Nose (Interior) Lungs Thyroid and Endocrine System Scalp and Neck Ear Lower Limb Upper Limb Lip Lip Muscles Upper Limb Muscles Digestive System (Lower GI – Colon) Upper Limb Lower Limb Digestive System

Anatomic Specific Sites Cervicis (cervical) Cervix Cervix Chest Choana Choroid plexus Circumvallate papillae Clitoris Collarbone (clavicle) Columella Columnar epithelium (endocervix) Common bile duct Common bile duct Common carotid artery Corona of glans Corpora Cavernosa Corpora Spongiosum Cribriform plate of ethmoid bone Cricoid cartilage Cricoid cartilage of larynx Crown Crus of Helix Crus or leg (crural) Cubital fossa Cupid’s bow Cutaneous upper lip Deltoid Deltoid region Deltoid Region Descending colon Digiti manus Digits or toes (phalanges) Distal Colon

Slide 3 26 27 10 18 32 7 15 10 2 26 20 37 36 16 28 28 18 35 36 3 5 13 12 8 8 30 12 29 20 & 21 12 13 20

41

Anatomic Area Bladder Nose Trunk Lower Limb Upper Limb Male Genitalia Male Reproductive Organs Digestive System (Small intestine) Pancreas Male Reproductive Organs Female Reproductive Organs Male Reproductive Organs Digestive System Female Reproductive Organs Male Genitalia Face Eyelid Eyelid Eyelid Face Lower Limb Lower Limb Tongue Female Reproductive Organs Upper Limb Upper Limb Upper Limb Upper Limb Trunk Mouth Tongue Face Male Genitalia

Anatomic Specific Sites Dome Domes Dorsum of back (dorsal) Dorsum of foot (dorsal) Dorsum of hand Dorsum of penis Ductus deferens Duodenum Duodenum of small intestine Ejaculatory duct Endometrium Epididymis Esophagus External os External urethral meatus Eyebrow Eyelashes Eyelid Fold Eyelid Margin Facies (Face) Femoral triangle Femur or thigh (femoral) Filiform papillae Fimbriae Finger, index Finger, little Finger, Middle Finger, ring Flank (Latus) Floor of mouth Foliate papillae Forehead (Frons) Frenulum of prepuce

Slide 24 2 10 13 12 16 28 20 37 28 27 28 20 27 16 1 4 4 4 1 13 13 7 27 12 12 12 12 10 6 7 1 16

42

Anatomic Area Brain Nose (Interior) Stomach Female Reproductive Organs Tongue Digestive System Muscles Stomach Gum Face Male Genitalia Male Reproductive Organs Trunk Trunk Trunk Muscles Stomach Trunk Gum Lower Limb Mouth Nose (Interior) Chest Cavity (Heart, Lungs, Mediastinum) Lower Limb Ear Digestive System (Lower GI) Lower Limb Lungs Thyroid and Endocrine System Brain Upper Limb Digestive System (Lower GI) Digestive System (Small intestine)

Anatomic Specific Sites Front lobe Frontal sinus Fundus Fundus of uterus Fungiform papillae Gall bladder Gastrocnemius GE/EG Junction Gingiva Glabella Glans of penis Glans penis Gluteal fold Gluteal region (buttocks) Gluteus (buttock) Gluteus maximus Greater Curvature of Stomach Groin Gums Hallux or great toe Hard palate Hard palate Heart Heel Helix Hepatic flexure Hip Horizontal fissure Hyoid bone Hypothalamus Hypothenar eminence Ileocecal valve Ileum

Slide 31 18 22 27 7 20 30 22 9 1 16 28 10 10 10 30 22 10 9 13 6 18 33 13 5 21 13 35 36 32 12 21 20

43

Anatomic Area Muscles Lip Divisions of Mediastinum Face Thyroid and Endocrine System Thyroid and Endocrine System Nose (Interior) Chest Cavity (Heart, Lungs, Mediastinum) Trunk Brain Nose Female Reproductive Organs Trunk Trunk Thyroid and Endocrine System Female Reproductive Organs Ear Female Reproductive Organs Thyroid and Endocrine System Digestive System (Small intestine) Urinary Tract Lower Limb Female Genitalia Female Genitalia Upper Limb Eyelid Female Reproductive Organs Female Reproductive Organs Face Lower Limb Bladder Muscles Trunk

Anatomic Specific Sites Iliopsoas Inferior Lip Inferior mediastinum Inferior Orbital Inferior thyroid artery Inferior thyroid veins Inferior turbinate Inferior vena cava Inframammary Infratentorium Infratip Infundibulum Inguinal crease Intergluteal cleft, Natal cleft Internal jugular vein Internal os Intertragic Notch Isthmus Isthmus of thyroid gland Jejunum Kidney Knee Labia majora Labia minora Lateral bicipital groove Lateral Canthus Lateral cervical (cardinal) ligament Lateral fornix Lateral Orbital Lateral retromalleolar Lateral wall Latissimus dorsi Latus (flank)

Slide 29 8 34 1 36 36 18 33 10 32 2 27 10 10 36 27 5 27 36 20 23 13 15 15 12 4 27 27 1 13 24 30 10

44

Anatomic Area Chest Cavity (Heart, Lungs, Mediastinum) Lungs Thyroid and Endocrine System Lungs Chest Cavity (Heart, Lungs, Mediastinum) Lower Limb Stomach Muscles Tongue Lip Digestive System Ear Ear Eyelid Breast Lungs Lungs Breast Esophagus Trunk Female Reproductive Organs Face Upper Limb Eyelid Lower Limb Brain Face Female Reproductive Organs Female Reproductive Organs Female Reproductive Organs Upper Limb Digestive System Lungs

Anatomic Specific Sites Left atrium Left lobe Left lobe of thyroid gland Left primary bronchus Left ventricle Leg Less Curvature of Stomach Levator scapulae Lingual tonsil Lips Liver Lobe Lobule Lower Eyelid Lower inner quadrant Lower lobe Lower lobe bronchus (secondary) Lower outer quadrant Lower thoracic esophagus/esophagogastric junction (EGJ) Lumbus or Loin (lumbar) Lumen (cavity) of uterus Maxilla Medial bicipital groove Medial Canthus Medial retromalleolar Medulla Mentis (Chin) Mesometrium Mesosalpinx Mesovarium Metacarpal Mid Colon Middle lobe

Slide 33 35 36 35 33 13 22 30 7 8 20 5 5 4 11 35 35 11 19 10 27 1 12 4 13 32 1 27 27 27 12 20 35

45

Anatomic Area Divisions of Mediastinum Esophagus Thyroid and Endocrine System Nose (Interior) Chest Cavity (Heart, Lungs, Mediastinum) Female Genitalia Brain Female Reproductive Organs Scalp and Neck Nose Nose Face Nose Face Female Reproductive Organs (Breast) Breast Nose Nose Lungs Lungs Scalp and Neck Brain Upper Limb Nose (Interior) Brain Digestive System Lip Mouth Thyroid and Endocrine System Thyroid and Endocrine System Female Reproductive Organs Female Reproductive Organs Female Reproductive Organs

Anatomic Specific Sites Middle mediastinum Middle thoracic esophagus Middle thyroid vein Middle turbinate Mitral valve Mons pubis Motor strip Myometrium Nape Nasal bridge Nasolabial angle Nasolabial Sulcus (Folds) Naston Nasus (Nose) Nippla Nipple Nostril Nostril Sili Notch for the heart Oblique fissure Occipital Occipital lobe Olecranon or back of elbow Opening of auditory (Eustachian) tube Optic never Oral cavity Oral commissure Oris (Mouth) Outline of clavicle Outline of sternum Ovarian blood vessels Ovarian ligament Ovary

Slide 34 19 36 18 33 15 31 27 3 2 2 1 2 1 25 11 2 2 35 35 3 31 12 18 32 20 8 6 36 36 27 27 27

46

Anatomic Area Tongue Upper Limb Upper Limb Digestive System Pancreas Digestive System Pancreas Pancreas Female Reproductive Organs (Breast) Brain Scalp and Neck Salivary Glands Lower Limb Muscles Trunk Male Genitalia Male Reproductive Organs Female Reproductive Organs Male Genitalia Anal Skin Female Genitalia Muscles Muscles Muscles Muscles Nose (Interior) Digestive System Lip Brain Brain Brain Lower Limb Scalp and Neck

Anatomic Specific Sites Palatine tonsil Palm, palmar region Palmar surfaces of fingers Pancreas Pancreas Pancreatic duct Pancreatic duct Pancreatic islets Papilla Parietal lobe Parietal Ridge Parotid gland Patella or kneecap (patellar) Pectoralis major Pelvis Penile raphe Penis Perimetrium Perineal raphe Perineum Perineum Peroneus brevis Peroneus brevis Peroneus longus Peroneus longus Pharyngeal tonsil Pharynx Philtrum Pineal glad Pituitary gland Pons Popliteal fossa Postauricular

Slide 7 12 12 20 37 20 37 37 25 31 3 17 13 29 10 16 28 27 16 14 15 29 30 29 30 18 20 8 32 32 32 13 3

47

Anatomic Area Lower Limb Lower Limb Divisions of Mediastinum Upper Limb Upper Limb Lower Limb Lower Limb Bladder Male Reproductive Organs Male Genitalia Lower Limb Muscles Bladder Male Reproductive Organs Digestive System Trunk Chest Cavity (Heart, Lungs, Mediastinum) Chest Cavity (Heart, Lungs, Mediastinum) Chest Cavity (Heart, Lungs, Mediastinum) Stomach Muscles Upper Limb Digestive System Digestive System (Lower GI – Colon) Digestive System Muscles Ear Mouth Muscles Trunk Chest Cavity (Heart, Lungs, Mediastinum) Lungs Thyroid and Endocrine System

Anatomic Specific Sites Posterior knee Posterior leg Posterior mediastinum Posterior region of forearm Posterior region of wrist Posterior talocrural Posterior thigh Posterior wall Prepuce Prepuce (foreskin) Pretibial (In front of Tibia) Pronator teres Prostate Prostate gland Proximal Colon Pubic or Pubis Pulmonary artery Pulmonary valve Pulmonary vein Pylorus Quadriceps femoris Radial border, lateral border Random Colon Rectosigmoid Rectum Rectus abdominis Retroauricular Retromolar trigone Rhomboids Rib Cage Right atrium Right lobe Right lobe of thyroid gland

Slide 13 13 34 12 12 13 13 24 28 16 13 29 24 28 20 10 33 33 33 22 29 12 20 20 & 21 20 29 5 6 30 10 33 35 36

48

Anatomic Area Lungs Chest Cavity (Heart, Lungs, Mediastinum) Muscles Muscles Female Reproductive Organs Trunk Ear Upper Limb Male Genitalia Male Genitalia Male Reproductive Organs Nose (Interior) Muscles Male Reproductive Organs Muscles Brain Digestive System (Lower GI – Colon) Mouth Nose (Interior) Nose Lower Limb Muscles Nose (Interior) Urinary Tract Brain Pancreas Pancreas Digestive System (Lower GI – Colon) Male Genitalia Uterus Divisions of Mediastinum Trunk Digestive System

Anatomic Specific Sites Right primary bronchus Right ventricle Rotator cuff Rotator cuff Round ligament of Uterus Sacrum (sacral) Scaphoids Fossa Scapula Scrotal raphe Scrotum Scrotum Sella turcica Semimembranosus Seminal vesicle Semitendinosus Sensory strip Sigmoid Soft Palate Soft palate Soft tissue triangle Sole, plantar region Soleus Sphenoid sinus Sphincter Spinal cord Spleen Splenic artery Splenic Flexure Spongy urethra Squamous epithelium (ectocervix) Sternal angle Sternum (sternal) Stomach

Slide 35 33 29 30 27 10 5 12 16 16 28 18 30 28 30 31 20 & 21 6 18 2 13 30 18 23 32 37 37 20 & 21 16 26 34 10 20

49

Anatomic Area Salivary Glands Salivary Glands Face Lip Divisions of Mediastinum Face Thyroid and Endocrine System Thyroid and Endocrine System Nose (Interior) Chest Cavity (Heart, Lungs, Mediastinum) Nose Nose Trunk Brain Lower Limb Female Reproductive Organs Male Reproductive Organs Lower Limb Nose Face Brain Digestive System (Lower GI) Lungs Male Reproductive Organs Upper Limb Upper Limb Thyroid and Endocrine System Lungs Thyroid and Endocrine System Lower Limb Muscles Muscles Nose

Anatomic Specific Sites Sublingual gland Submandibular gland Superciliary Arch Superior Lip Superior mediastinum Superior Orbital Superior thyroid artery Superior thyroid vein Superior turbinate Superior vena cava Supra alar crease Supra tip Suprapubic Supratentorium Sural region Suspensory ligament of ovary Symphysis pubis Tarsus or ankle (tarsal) Tear trough Temple Temporal lobe Terminal Ileum Tertiary bronchi Testis Thenar eminence Thumb Thyrocervical trunk Thyroid cartilage Thyroid cartilage of larynx Tibia (Shinbone) Tibialis anterior Tibialis posterior Tip

Slide 17 17 1 8 34 1 36 36 18 33 2 2 10 32 13 27 28 13 2 1 31 20 35 28 12 12 36 35 36 13 29 30 2

50

Anatomic Area Female Reproductive Organs (Breast) Tongue Digestive System Mouth Lungs Thyroid and Endocrine System Ear Uterus Digestive System (Lower GI – Colon) Muscles Scalp and Neck Ear Upper Limb Muscles Chest Cavity (Heart, Lungs, Mediastinum) Bladder Upper Limb Trunk Esophagus Eyelid Breast Lungs Lungs Breast Esophagus Bladder Urinary Tract Female Reproductive Organs Bladder Urinary Tract Male Reproductive Organs Female Genitalia Male Reproductive Organs

Anatomic Specific Sites Toil of spence Tongue Tongue Tonsil Trachea Trachea Tragus Transformation zone Transverse colon Trapezius Trapezius (Upper/Superior) Triangular Fossa Triceps Triceps brachii Tricuspid valve Trigone Ulnar border Umbilicus or navel Upper esophageal sphincter Upper Eyelid Platform Upper inner quadrant Upper lobe Upper lobe bronchus (secondary) Upper outer quadrant Upper thoracic esophagus Urachus Ureter Ureter Ureteral orifice Urethra Urethra Urethral meatus Urinary bladder

Slide 25 7 20 6 35 36 5 26 20 & 21 30 3 5 12 30 33 24 12 10 19 4 11 35 35 11 19 24 23 27 24 23 28 15 28

51

Anatomic Area Female Reproductive Organs Female Reproductive Organs Female Reproductive Organs Female Reproductive Organs Uterus Mouth Nose (Interior) Digestive System Uterus Female Reproductive Organs Female Genitalia Brain Lip Scalp and Neck Nose (Interior) Female Genitalia Trunk Face

Anatomic Specific Sites Uterine (fallopian) tube Uterine blood vessels Uterine tube Uterosacral ligament Uterus Uvula Uvula Uvula Vagina Vagina Vaginal intoitus (entrance) Ventricles (fluid-filled spaces) Vermillion border Vertex Vestibule Vulva Xiphoid Zygoma

Slide 27 27 27 27 26 6 18 20 26 27 15 32 8 3 18 15 10 1

52

Focus Area

Representatives

Rebecca Roberts Billing Manager, Central Region, CPC, ICD10 certified, IntelliPath main ICD-10 POC

[email protected] Carolyn Lange Coding and Billing Questions

Billing Manager Western Region

[email protected] Nena Forsman Billing Manager, Eastern Region, CPC, ICD-10 certified 2+years,

Subject Matter Expert [email protected]

doc2MD Questions

Patrick Pinnock Developer [email protected]

Revenue Team Carolyn Lange Billing Manager Western Region [email protected]

ICD-10 Program Changes/Questions

Nena Forsman Billing Manager, Eastern Region, CPC, ICD-10 certified 2+years, Subject Matter Expert [email protected] Rebecca Roberts Billing Manager, Central Region, CPC, ICD10 certified, IntelliPath main ICD-10 POC

[email protected]

53

Focus Area

Representatives

Interface Questions

Jon Anger Interface Manager [email protected]

Information Technology

Anthony Bobos Chief Information Officer [email protected]

Pathologist Impact

Requisition Change and Accessioning Questions

Sales and Marketing Questions

Dr. Ana Viciana Pathologist at ADX Mark & Kambour Pathology [email protected] Dr. Randy Eckert Pathologist at ADX Austin Pathology [email protected]

Anne Horstmann HT-ASCP, PhD, QIHC, VP of Laboratory Operations [email protected]

Kimberly Simms Dermatopathology Services Product Manager [email protected] Jamie McCloskey Regional Sales Director, Southern Region [email protected]

Tiger TC/PC Product Questions

Jim Matrisciano Laboratory Manager at ADX Pathology Solutions, TC/PC Product ICD-10 Remediation Manager [email protected]

Other Questions

Pam Washburne Project Manager [email protected]