Applying Level II HCPCS Modifiers

 

Apply the appropriate Level II Health Care Common Procedure Coding System (HCPCS) code modifier, and
explain your rationale, for each of the following examples:
Injection on the left hand thumb
Emergency ambulance transport and extended life support arranged for by the provider
Diagnostic mammogram, left breast
Cortisone 10-mg injection, right shoulder
Non-electric wheelchair
Intravenous catheter line, right arm
Laboratory certification, cytology specimens
Chest x-ray
Prosthetic hip replacement, left side
Electric hospital bed
Write a 150 word response discussing the purpose the HCPCS codes set and its modifiers

This writing audit will talk about the history and essential science of gold nanoparticles, different strategies for integrating gold nanostructures with NIR ingestion, and the manners by which they have been applied (or can possibly be applied) in concentrates so as to distinguish and treat disease and tumors, just as investigating the moral contemplations of this part of science and proposing zones in which further research ought to be embraced.

The soonest known utilization of gold nanoparticles (and maybe the most celebrated) is the Lycurgus cup, a Roman cup from generally the fourth Century which seems green when lit up from the front, and red when lit up from within. In 1980, the cup was affirmed to contain nanoparticles of silver and gold, with distances across extending from 50nm to 100nm. The green shading is because of the dispersion of light all things considered, and the red shading is because of the silver-gold amalgam that is available and assimilates at 515nm.13

Albeit gold nanoparticles are another part of medication, gold itself has been utilized for restorative applications as right on time as 2500BC in Ancient Egypt, and records show gold being utilized to treat fevers in the seventeenth Century and later syphilis in the nineteenth Century

The least difficult and most basic technique for gold nanoparticle union is the Turkevich strategy, including the decrease of gold. This response is completed at 100°C, and chloroauric corrosive is diminished by sodium citrate with consistent blending. It is conceivable to have variety in the measurements of the gold nanoparticles by fluctuating the grouping of citrate used.17 This strategy was first proposed in 1951 by Turkevich, and during the 1970s was improved by Frens. Different techniques which incorporate the decrease of gold are the Brust-Schriffin strategy, utilizing sodium borohydride as the diminishing specialist; the Murphy strategy, which utilizes ascorbic corrosive as the lessening operator; the Perrault technique, where hydroquinone is the lessening specialist, and the Polyol procedure, with different diols diminishing the gold. Every one of these techniques will deliver “colloidal gold”, for example gold nanoparticles in the fluid phase.13

This segment will talk about the different strategies proposed of incorporating gold nanostructures which are biocompatible and have NIR retention, perfect for application in malignancy determination and treatment. The expense of materials will likewise be assessed for every strategy, just as the time devoured and simplicity of setting up the nanostructures.

Gao et al (2014) proposed a strategy for the amalgamation of multilayered gold nanoshells, which comprise of a gold nanoparticle center, a silicon covering, and a gold external shell.18 In this technique, gold nanoparticles are first blended by strategies recommended by Bastus et al, 2011, and afterward an organosilica layer included. Bastus’ technique includes planning gold seeds, by warming 150mL of 2.2mM sodium citrate arrangement with mixing, before the expansion of 1mL of 25mM chloroauric corrosive. Strategies for development for nanoparticles of both 30nm and 180nm distances across were recommended, and given that Gao’s strategy utilizes 50nm gold nanoparticles, it very well may be expected the last was picked. So as to develop the seeds to widths of up to 180nm, the response blend was cooled before the expansion of a further two 1mL aliquots of 25mM chloroauric corrosive. 55mL of the arrangement was evacuated and supplanted with 53mL of water and 2mL of 60mM sodium citrate, so as to weaken the solution.19

So as to shape the organosilica layer, 16mL of 50nm colloidal gold was blended in with 100µl of a 100mM mercaptopropyltriethoxysilane (MPTES) arrangement, and left to mix for 10 minutes, before including 150µL of 150mM PEG arrangement, and leaving this to mix for 15 minutes

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