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1 Surgical Anatomy Training Aurora ICD10 Program Communications Committee August 2015 TABLE OF CONTENTS PAGE SKIN Face, Head & Neck Nose Eyelid Ear Mouth Upper Limbs Upper Limbs and Torso Lower Limbs Female Genitalia Male Genitalia 1 2 3 4 5 6 7 8&9 10 11 SALIVARY GLANDS Salivary Glands Nose Interior 12 13 DIGESTIVE SYSTEM Lower GI Stomach Urinary Tract Bladder 14 15 16 17 Illuminating the Path to Better Health TABLE OF CONTENTS FEMALE REPRODUCTIVE ORGANS Breast Uterus PAGE 18 19 & 20 MALE REPRODUCTIVE ORGANS Male Reproductive Tract 21 MUSCLES Front View Back View 22 23 BRAIN Lobes & Stem Brain Anatomy 24 25 CHEST CAVITY Heart Divisions of Mediastinum Lung 26 27 28 Illuminating the Path to Better Health TABLE OF CONTENTS PAGE THYROID & ENDOCRINE SYSTEM Thyroid & Endocrine System 29 PANCREAS Pancreas 30 ANATOMY SITES ICD10 CONTACTS Illuminating the Path to Better Health 31 to 42 43 & 44 1 Skin Face, Head & Neck Illuminating the Path to Better Health 2 The Nose (external) Illuminating the Path to Better Health 3 Eyelid LATERAL CANTHUS MEDIAL CANTHUS Illuminating the Path to Better Health 4 Outer Ear Illuminating the Path to Better Health 5 Mouth (Oral Cavity) Illuminating the Path to Better Health 6 FRONT Illuminating the Path to Better Health Upper Limbs BACK 7 Upper Limbs and Torso Illuminating the Path to Better Health 8 FRONT Illuminating the Path to Better Health Lower Limbs BACK 9 Illuminating the Path to Better Health 10 Female Genitalia Illuminating the Path to Better Health 11 Male Genitalia Illuminating the Path to Better Health 12 Salivary Glands Illuminating the Path to Better Health 13 Nose Interior Illuminating the Path to Better Health 14 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 Illuminating the Path to Better Health 15 Stomach Fundus Cardia GE/EG Junction Body Lesser Curvature Pylorus Greater Curvature Antrum Illuminating the Path to Better Health 16 Urinary Tract Front View Illuminating the Path to Better Health 17 Bladder Illuminating the Path to Better Health 18 Female Reproductive Organs Breast Illuminating the Path to Better Health 19 Uterus Illuminating the Path to Better Health 20 Illuminating the Path to Better Health 21 Male Reproductive Organs Illuminating the Path to Better Health 22 Muscles Illuminating the Path to Better Health 23 Illuminating the Path to Better Health 24 Brain Illuminating the Path to Better Health 25 Illuminating the Path to Better Health 26 Chest Cavity – (Heart, Lungs & Mediastinum) Heart Illuminating the Path to Better Health 27 Illuminating the Path to Better Health 28 Lungs Illuminating the Path to Better Health 29 Thyroid & Endocrine System Illuminating the Path to Better Health 30 Pancreas Illuminating the Path to Better Health 31 Anatomic Area Muscles Outer Ear Muscles Nose (External) Lungs Female Reproductive Organs Male Reproductive Organs Arm (Upper Limbs and Torso) Arm (Upper Limbs and Torso) Divisions of Mediastinum Nose (Interior) Arm (Upper Limbs) Arm (Upper Limbs) Arm (Upper Limbs) Leg (Lower Limbs) Leg (Lower Limbs) Leg (Lower Limbs) Arm (Upper Limbs) Ankle (Lower Limbs) Outer Ear Outer Ear Stomach Female Genitalia Male Genitalia Digestive System Male Reproductive Organs Chest Cavity (Heart, Lungs, Mediastinum) Chest Cavity (Heart, Lungs, Mediastinum) Nose (External) Digestive System Female Reproductive Organs (Breast) Digestive System (Colon) Head Upper Limb (and Torso) Illuminating the Path to Better Health Anatomic Specific Sites Abdominal external oblique Acoustic meatus Adductor muscles Ala Alveoli Ampulla Ampulla Antebrachium (forearm) Antecubitis (front of elbow) Anterior mediastinum Anterior naris Anterior Region of arm Anterior region of elbow Anterior region of forearm Anterior region of knee Anterior region of leg Anterior region of thigh Anterior region of wrist Anterior talocrural region, Anterior ankle region Anti helix Anti tragus Antrum Anus Anus Anus Anus Aorta Aortic valve Apex Appendix Areola Ascending colon Auris (Ear) Axilla (armpit) Page 22 4 22 2 28 20 21 7 7 27 13 6 6 6 8 8 8 6 8 4 4 15 10 11 14 21 26 26 2 14 18 14 1 7 32 Anatomic Area Muscles Muscles Pancreas Urinary Tract Bladder Male Genitalia Stomach Female Reproductive Organs Muscles Muscles Muscles Arm (Upper Limbs and Torso) Brain Brain Female Reproductive Organs (Breast) Female Reproductive Organs (Breast) Female Reproductive Organs (Breast) Female Reproductive Organs (Breast) Female Reproductive Organs (Breast) Nose (External) Female Reproductive Organs Face Male Reproductive Organs Foot (Lower Limbs) Mouth (Oral Cavity) Stomach Wrist (Upper Limbs and Torso) Nose (External) Digestive System Brain Brain Brain Female Reproductive Organs Neck Illuminating the Path to Better Health Anatomic Specific Sites Biceps brachii Biceps femoris Bile duct (from gall bladder) Bladder Bladder neck Body of penis Body of Stomach Body of Uterus Brachialis Brachioradialis Brachioradialis Brachium (arm) Brain Stem Brain Stem Breast tissue Breast, Lower inner Breast, Lower outer Breast, Upper inner Breast, Upper outer Bridge (from nasal bones) Broad ligament Bucca (Cheek) Bulbourethral gland Calcaneus (heel of foot) Canine Cardia Carpus (wrist) Cartilages Cecum Cerebellum Cerebellum Cerebrum Cervical canal Cervicus (Neck) Page 22 23 30 16 17 11 15 20 22 22 23 7 25 24 18 18 18 18 18 2 20 1 21 9 5 15 7 2 14 24 25 25 20 1 33 Anatomic Area Uterus Female Reproductive Organs Nose (Interior) Brain Female Genitalia Uterus Digestive System Pancreas Thyroid and Endocrine System Male Genitalia Male Reproductive Organs Male Reproductive Organs Head Nose (Interior) Lungs Thyroid and Endocrine System Leg (Lower Limbs) Arm (Upper Limbs) Muscles Shoulder (Upper Limbs) Muscles Nose (External) Digestive System (Colon) Arm (Upper Limbs) Hand (Upper Limbs and Torso) Foot (Lower Limbs) Foot (Lower Limbs) Digestive System (Lower GI) Bladder Back (Upper Limbs and Torso) Foot (Lower Limbs) Hand (Upper Limbs) Male Genitalia Male Reproductive Organs Illuminating the Path to Better Health Anatomic Specific Sites Cervix Cervix Choana Choroid plexus Clitoris Columnar epithelium (endocervix) Common bile duct Common bile duct Common carotid artery Corona of glans Corpora Cavernosa Corpora Spongiosum Cranium (Skull) Cribriform plate of ethmoid bone Cricoid cartilage Cricoid cartilage of larynx Crus (leg) Cubital fossa Deltoid Deltoid Region Deltoid Region Dense fibrous connective tissue Descending colon Digiti manus Digits (phalanges) (fingers) Digits (phalanges) (toes) Digits of foot (toes) Distal colon Dome Dorsum (back) Dorsum of foot, Dorsal region of foot Dorsum of hand Dorsum of penis Ductus deferens Page 19 20 13 25 10 19 14 30 29 11 21 21 1 13 28 29 9 6 23 6 22 2 14 6 7 9 8 14 17 7 8 6 11 21 34 Anatomic Area Digestive System (Small intestine) Pancreas Male Reproductive Organs Female Reproductive Organs Nose (External) Male Reproductive Organs Digestive System Female Reproductive Organs Male Genitalia Eyelid Eyelid Eyelid Eyelid Face Leg (Lower Limbs) Leg (Lower Limbs) Female Reproductive Organs Face Male Genitalia Brain Nose (External) Nose (Interior) Stomach Female Reproductive Organs Digestive System Muscles Stomach Mouth (Oral Cavity) Male Genitalia Male Reproductive Organs Buttocks (Lower Limbs) Buttocks (Lower Limbs) Buttocks (Lower Limbs) Muscles Illuminating the Path to Better Health Anatomic Specific Sites Duodenum Duodenum of small intestine Ejaculatory duct Endometrium Epicranius, frontal belly Epididymis Esophagus External os External urethral meatus Eyebrow Eyelashes Eyelid fold Eyelid margin Facies (Face) Femoral triangle Femur (thigh bone) Fimbriae Forehead (Frons) Frenulum of prepuce Front lobe Frontal bone Frontal sinus Fundus Fundus of uterus Gall bladder Gastrocnemius GE/EG Junction Gingiva Glans of penis Glans penis Gluteal fold Gluteal region (buttocks) Gluteus (buttock) Gluteus maximus Page 14 30 21 20 2 21 14 20 11 3 3 3 3 1 8 9 20 1 11 24 2 13 15 20 14 23 15 5 11 21 8 8 9 23 35 Anatomic Area Stomach Mouth (Oral Cavity) Foot (Lower Limbs) Nose (Interior) Chest Cavity (Heart, Lungs, Mediastinum) Foot (Lower Limbs) Outer Ear Digestive System (Lower GI) Hip (Lower Limbs) Lungs Thyroid and Endocrine System Brain Arm (Upper Limbs) Digestive System (Small intestine) Muscles Digestive System (Lower GI) Mouth (Oral Cavity) Hand (Upper Limbs) Divisions of Mediastinum Thyroid and Endocrine System Thyroid and Endocrine System Nose (Interior) Chest Cavity (Heart, Lungs, Mediastinum) Brain Female Reproductive Organs Leg (Lower Limbs) Buttocks (Lower Limbs) Thyroid and Endocrine System Female Reproductive Organs Outer Ear Female Reproductive Organs Thyroid and Endocrine System Digestive System (Small intestine) Urinary Tract Illuminating the Path to Better Health Anatomic Specific Sites Greater Curvature of Stomach Gums Hallux (great toe, big toe) Hard palate Heart Heel region Helix Hepatic flexure Hip region Horizontal fissure Hyoid bone Hypothalamus Hypothenar eminence Ileum Iliopsoas Ileocecal valve Incisor Index finger Inferior mediastinum Inferior thyroid artery Inferior thyroid veins Inferior turbinate Inferior vena cava Infratentorium Infundibulum Inguen (groin) Intergluteal cleft, Natal cleft Internal jugular vein Internal os Intertragic notch Isthmus Isthmus of thyroid gland Jejunum Kidney Page 15 5 9 13 26 8 4 14 8 28 29 25 6 14 22 14 5 6 27 29 29 13 26 25 20 9 8 29 20 4 20 29 14 16 36 Anatomic Area Female Genitalia Female Genitalia Arm (Upper Limbs) Eyelid Female Reproductive Organs Female Reproductive Organs Ankle (Lower Limbs) Bladder Muscles Chest Cavity (Heart, Lungs, Mediastinum) Lungs Thyroid and Endocrine System Lungs Chest Cavity (Heart, Lungs, Mediastinum) Stomach Muscles Mouth (Oral Cavity) Hand (Upper Limbs) Digestive System Outer Ear Outer Ear Eyelid Lungs Lungs Back (Upper Limbs and Torso) Female Reproductive Organs Hand (Upper Limbs and Torso) Nose (External) Arm (Upper Limbs) Eyelid Leg (Lower Limbs) Brain Face Female Reproductive Organs Illuminating the Path to Better Health Anatomic Specific Sites Labia majora Labia minora Lateral bicipital groove Lateral canthus Lateral cervical (cardinal) ligament Lateral fornix Lateral retromalleolar region Lateral wall Latissimus dorsi Left atrium Left lobe Left lobe of thyroid gland Left primary bronchus Left ventricle Less Curvature of Stomach Levator scapulae Lips Little finger Liver Lobe Lobule Lower eyelid Lower lobe Lower lobe bronchus (secondary) Lumbus (loin) (lumbar) Lumen (cavity) of uterus Manus (hand) Maxillary bone (front process) Medial bicipital groove Medial canthus Medial retromalleolar region Medulla Mentis (Chin) Mesometrium Page 10 10 6 3 20 20 8 17 23 26 28 29 28 26 15 23 5 6 14 4 4 3 28 28 7 20 7 2 6 3 8 25 1 20 37 Anatomic Area Female Reproductive Organs Female Reproductive Organs Digestive System (Lower GI) Hand (Upper Limbs) Lungs Divisions of Mediastinum Thyroid and Endocrine System Nose (Interior) Chest Cavity (Heart, Lungs, Mediastinum) Mouth (Oral Cavity) Female Genitalia Brain Female Reproductive Organs Nose (External) Nose (External) Face Female Reproductive Organs (Breast) Lungs Lungs Face Arm (Upper Limbs and Torso) Brain Nose (Interior) Brain Digestive System Face Thyroid and Endocrine System Thyroid and Endocrine System Female Reproductive Organs Female Reproductive Organs Female Reproductive Organs Mouth (Oral Cavity) Arm (Upper Limbs) Hand (Upper Limbs and Torso) Illuminating the Path to Better Health Anatomic Specific Sites Mesosalpinx Mesovarium Mid colon Middle finger Middle lobe Middle mediastinum Middle thyroid vein Middle turbinate Mitral valve Molars Mons pubis Motor strip Myometrium Naris (nostril) Nasal bone Nasus (Nose) Nippla Notch for the heart Oblique fissure Oculus (Eye) Olecranon (back of elbow) Occipital lobe Opening of auditory (Eustachian) tube Optic never Oral cavity Oris (Mouth) Outline of clavicle Outline of sternum Ovarian blood vessels Ovarian ligament Ovary Palatine Tonsil Palm, palmar region Palma (palm) Page 20 20 14 6 28 27 29 13 26 5 10 24 20 2 2 1 18 28 28 1 7 24 13 25 14 1 29 29 20 20 20 5 6 7 38 Anatomic Area Arm (Upper Limbs) Digestive System Pancreas Digestive System Pancreas Pancreas Female Reproductive Organs (Breast) Mouth (Oral Cavity) Brain Salivary Glands Leg (Lower Limbs) Muscles Lower Limbs Male Genitalia Male Reproductive Organs Female Reproductive Organs Male Genitalia Female Genitalia Muscles Muscles Muscles Muscles Leg (Lower Limbs) Nose (Interior) Digestive System Nose (External) Brain Brain Foot (Lower Limbs) Hand (Upper Limbs and Torso) Brain Leg (Lower Limbs) Leg (Lower Limbs) Divisions of Mediastinum Illuminating the Path to Better Health Anatomic Specific Sites Palmar surfaces of fingers Pancreas Pancreas Pancreatic duct Pancreatic duct Pancreatic islets Papilla Papillae of Tongue Parietal lobe Parotid gland Patella (kneecap) Pectoralis major Pelvis Penile raphe Penis Perimetrium Perineal rapha Perineum Peroneus brevis Peroneus brevis Peroneus longus Peroneus longus Pes (foot) Pharyngeal tonsil Pharynx Philtrum Pineal glad Pituitary gland Planta (sole of foot) Pollex (thumb) Pons Popliteal fossa Popliteus (back of knee) Posterior mediastinum Page 6 14 30 14 30 30 18 5 24 12 9 22 9 11 21 20 11 10 22 23 22 23 9 13 14 2 25 25 9 7 25 8 9 27 39 Anatomic Area Arm (Upper Limbs) Arm (Upper Limbs) Arm (Upper Limbs) Leg (Lower Limbs) Leg (Lower Limbs) Leg (Lower Limbs) Wrist (Upper Limbs) Ankle (Lower Limbs) Bladder Mouth (Oral Cavity) Male Reproductive Organs Male Genitalia Muscles Bladder Male Reproductive Organs Digestive System (Lower GI) Lower Limbs Chest Cavity (Heart, Lungs, Mediastinum) Chest Cavity (Heart, Lungs, Mediastinum) Chest Cavity (Heart, Lungs, Mediastinum) Stomach Muscles Arm (Upper Limbs) Digestive System (Lower GI) Digestive System (Lower GI) Digestive System Muscles Muscles Chest Cavity (Heart, Lungs, Mediastinum) Lungs Thyroid and Endocrine System Lungs Chest Cavity (Heart, Lungs, Mediastinum) Hand (Upper Limbs) Illuminating the Path to Better Health Anatomic Specific Sites Posterior region of arm Posterior region of elbow Posterior region of forearm Posterior region of knee Posterior region of leg Posterior region of thigh Posterior region of wrist Posterior talocrural region, Posterior ankle region Posterior wall Premolar Prepuce Prepuce (foreskin) Pronator teres Prostate Prostate gland Proximal colon Pubis Pulmonary artery Pulmonary valve Pulmonary vein Pylorus Quadriceps femoris Radial border, lateral border Random colon Rectosigmoid Rectum Rectus abdominis Rhomboids Right atrium Right lobe Right lobe of thyroid gland Right primary bronchus Right ventricle Ring finger Page 6 6 6 8 8 8 6 8 17 5 21 11 22 17 21 14 9 26 26 26 15 22 6 14 14 14 22 23 26 28 29 28 26 6 40 Anatomic Area Nose (External) Muscles Muscles Female Reproductive Organs Back (Upper Limbs and Torso) Outer Ear Male Genitalia Male Genitalia Male Reproductive Organs Nose (Interior) Muscles Male Reproductive Organs Muscles Brain Shoulder (Upper Limbs and Torso) Digestive System (Lower GI) Mouth (Oral Cavity) Nose (Interior) Foot (Lower Limbs) Muscles Nose (Interior) Urinary Tract Brain Pancreas Pancreas Digestive System (Lower GI) Male Genitalia Uterus Divisions of Mediastinum Digestive System Salivary Glands Salivary Glands Divisions of Mediastinum Thyroid and Endocrine System Illuminating the Path to Better Health Anatomic Specific Sites Root (from frontal bone) Rotator cuff Rotator cuff Round ligament of Uterus Sacrum (sacral) Scaphoid fossa Scrotal raphe Scrotum Scrotum Sella turcica Semimembranosus Seminal vesicle Semitendinosus Sensory strip Shoulder (acromial) Sigmoid Soft Palate Soft palate Sole, Plantar region Soleus Sphenoid sinus Sphincter Spinal cord Spleen Splenic artery Splenic Flexure Spongy urethra Squamous epithelium (ectocervix) Sternal angle Stomach Sublingual gland Submandibular gland Superior mediastinum Superior thyroid artery Page 2 22 23 20 7 4 11 11 21 13 23 21 23 24 7 14 5 13 8 23 13 16 25 30 30 14 11 19 27 14 12 12 27 29 41 Anatomic Area Thyroid and Endocrine System Nose (Interior) Chest Cavity (Heart, Lungs, Mediastinum) Brain Leg (Lower Limbs) Leg (Lower Limbs) Female Reproductive Organs Male Reproductive Organs Ankle (Lower Limbs) Brain Digestive System (Lower GI) Lungs Male Reproductive Organs Arm (Upper Limbs) Lungs Hand (Upper Limbs) Thyroid and Endocrine System Thyroid and Endocrine System Muscles Muscles Female Reproductive Organs (Breast) Mouth (Oral Cavity) Digestive System Lungs Thyroid and Endocrine System Outer Ear Uterus Digestive System (Colon) Muscles Outer Ear Muscles Chest Cavity (Heart, Lungs, Mediastinum) Bladder Arm (Upper Limbs) Illuminating the Path to Better Health Anatomic Specific Sites Superior thyroid vein Superior turbinate Superior vena cava Supratentorium Sura (calf) Sural region Suspensory ligament of ovary Symphysis pubis Tarsus (ankle) Temporal lobe Terminal Ileum Tertiary bronchi Testis Thenar eminence Thyroid cartilage Thumb Thyrocervical trunk Thyroid cartilage of larynx Tibialis anterior Tibialis posterior Toil of spence Tongue Tongue Trachea Trachea Tragus Transformation zone Transverse colon Trapezius Triangular fossa Triceps brachii Tricuspid valve Trigone Ulnar border; medial border Page 29 13 26 25 9 8 20 21 9 24 14 28 21 6 28 6 29 29 22 23 18 5 14 28 29 4 19 14 23 4 23 26 17 6 42 Anatomic Area Eyelid Lungs Lungs Bladder Urinary Tract Female Reproductive Organs Bladder Male Reproductive Organs Urinary Tract Female Genitalia Male Reproductive Organs Female Reproductive Organs Female Reproductive Organs Female Reproductive Organs Female Reproductive Organs Uterus Mouth (Oral Cavity) Nose (Interior) Digestive System Female Reproductive Organs Uterus Female Genitalia Brain Nose (Interior) Female Genitalia Illuminating the Path to Better Health Anatomic Specific Sites Upper eyelid platform Upper lobe bronchus (secondary) Upper lobe Urachus Ureter Ureter Ureteral orifice Urethra Urethra Urethral meatus Urinary bladder Uterine (fallopian) tube Uterine blood vessels Uterine tube Uterosacral ligament Uterus Uvula Uvula Uvula Vagina Vagina Vaginal intoitus (entrance) Ventricles (fluid-filled spaces) Vestibule Vulva Page 3 28 28 17 16 20 17 21 16 10 21 20 20 20 20 19 5 13 14 20 19 10 25 13 10 43 Focus Area Representatives Rebecca Roberts Billing Manager, Central Region CPC IntelliPath main ICD-10 POC. [email protected] Coding and Billing Questions Carolyn Lange 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 Intellipath main ICD-10 POC. [email protected] Illuminating the Path to Better Health 44 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 Tiger TC/PC Product Questions Other Questions Illuminating the Path to Better Health 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] Jim Matrisciano Laboratory Manager at ADX Pathology Solutions, TC/PC Product ICD10 Remediation Manager [email protected] Pam Washburne Project Manager [email protected]