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Coders Dictionary4.qxp 2/1/05 2:53 PM Page 13 Coders’ Dictionary basiliximab Babinski sign Deep tendon reflex elicited by taking the handle of the reflex hammer and running it up the bottom of the foot. The big toe will dorsiflex or extend up as a normal reaction in infants. This is considered an abnormal finding in older patients, indicating a lesion in the central nervous system, usually in the pyramidal tract. Synonym(s): Babinski’s phenomenon or toe sign or toe phenomenon baclofen Muscle relaxant to reduce painful muscle spasms from multiple sclerosis or injury. Intrathecal injection is given for patients who can’t tolerate oral dosing. This medication is also frequently delivered through an implantable pump. Pharmacologic Class: Chlorophenyl derivative (GABA derivative). Synonym(s): skeletal muscle relaxant Clofen, Kemstro, Lioresal, Lioresal intrathecal Bactocill See oxacillin sodium. Bactrim IV See sulfamethoxazole-trimethoprim. Pharmacologic Class: Sulfonamide and folate antagonist antibiotic. Synonym(s): Apo-Sulfatrim, Apo-Sulfatrim DS, Bactrim DS, Cotrim, Cotrim DS, Novo-Trimel, Novo-Trimel DS, Resprim, Roubac, Septra, Septra DS, Septra IV, Septrin, SMZ-TMP Baker’s cyst Sac filled with clear synovial fluid in adults, usually secondary to disease inside the joint, located on the back of the knee in the popliteal fossa area. In children, the cyst usually represents a ganglion of one of the tendons in the knee. Diagnosis of Baker’s cyst is reported with ICD-9-CM code 727.51. Removal of Baker’s cyst is reported with CPT code 27345. Baker’s Cyst BAL in oil See dimercaprol. balanitis Inflammation of the glans penis, most often affecting uncircumcised males. The most common underlying condition is diabetes, although balanitis is also associated with poor hygiene, CHF, chemical irritation, cirrhosis and allergies to drugs. This condition is reported with ICD-9-CM code 605. Ballotment test Test for joint stability between the lunate and triquetrum bones of the wrist. The lunate is stabilized with one hand and the triquetrum with the other, then one is pushed down while the other is lifted up. If there is pain and crepitus this test is positive for instability. BALT Bronchial associated lymphoid tissue. Banflex A muscle relaxant used for stiff and sore muscles secondary to injury or trauma. Bankart deformity or lesion Osteochondral fracture or detachment of the inferior glenoid labrum, the ring of fibrocartilage attached to the rim of the glenoid cavity of the scapula, occurring with anterior shoulder dislocation. A Bankart procedure is done to repair the labrum with capsulorrhaphy and is reported with CPT code 23455. bariatric Pertaining to supplies, services, or diagnoses assigned to the treatment of obesity, bariatric surgery seeks to reduce the patient’s weight by restricting the amount of food that can be held in the stomach and/or by reducing the body’s ability to absorb nutrients. There are specific CPT and ICD-9-CM procedure codes to describe these surgeries, and also specific HCPCS Level II codes to describe supplies required to accommodate bariatric patients. The diagnosis associated with these supplies and procedures is morbid obesity, reported with ICD-9-CM code 278.01. barium Contrast agent ingested before x-rays of the digestive tract. It can also be used as an enema to study the large bowel. Synonym(s): Synthetic baryta, blanc fixe Bartter’s Syndrome Inability of the kidney to reabsorb potassium. Also known as urinary potassium wasting or juxtaglomerular cell hyperplasia, common symptoms include weakness, muscle cramps, urinary frequency and constipation and is reported with ICD-9-CM code 255.13. Baker’s cyst connected to knee joint synovial cavity ©2005 Ingenix, Inc. A-C aztreonam Bacteriocidal agent to kill susceptible bacteria systemically, such as in cases of septicemia and skin infections. It is also used against bacteria commonly infecting the urinary tract and lower respiratory tract and for gynecological and postsurgical infections. Supply is reported with HCPCS Level II code S0073. Pharmacologic Class: Monobactam basiliximab Drug used as one part of an immunosuppressive medication regimen specifically to prevent organ rejection in kidney transplant patients. Supply is reported with HCPCS Level II code Q2019. Pharmacologic Class: Recombinant chimeric human monoclonal antibody IgG 1k. Synonym(s): Simulect 13 «fields te «descr