When a multiple-word modifier follows the noun, sm
Posted By: nm on 2005-10-10
In Reply to: The doctor dictates - NMN
Subject: When a multiple-word modifier follows the noun, sm
it is not hyphenated. When it precedes the noun, hyphenate.
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Also when used as a compound modifier describing a noun or pronoun, it is follow-up - sm
Subject: Also when used as a compound modifier describing a noun or pronoun, it is follow-up - sm
For example, follow-up MRI or follow-up examination. I hope this helps you!
Multiple internal s/l syneckyi are present within this popliteal cyst. I know this word....grr!
Subject: Multiple internal s/l syneckyi are present within this popliteal cyst. I know this word....grr!
AAMT BOS2 says no hyphen unless it is a proper noun, capitalized word, number or abbreviation
Subject: AAMT BOS2 says no hyphen unless it is a proper noun, capitalized word, number or abbreviation
follow-up is okay for noun but usual for noun...nm
Subject: follow-up is okay for noun but usual for noun...nm
Modifier 22?
Subject: Modifier 22?
I am typing an OP note for a doctor that I type for often, and he just said "Modifier 22" I did some looking on Google and saw some entries that have to do with insurance. Can anyone tell me more on this, and how to type this in? Here is how I have it right now
Modifier 22: This patient is quite obese with prior posterior lumbar surgery and extensive scar.
Sorry if this seems like a silly question, I have not heard this thank you 
compound modifier.....sm
Subject: compound modifier.....sm
Not all words that are placed in front of a noun are compound adjectives or compound modifier and need a hyphen.
This would be too easy!
You hyphenate when it is a compound modifier sm
Subject: You hyphenate when it is a compound modifier sm
I know that MT50 says when it is an adjective and she is right, but I think it is better to give you the compound modifier rule instead.
You hyphenate before the noun in the sentence, but not after.
So...I used an 18-gauge needle.
But no hyphen after the noun...The needle I used was 18 gauge.
Well-preserved left ventricular function.
Left ventricular function was well preserved.
Well, gauge, appearing and there are others that you will frequently see as part of a compound modifiers, so that is a clue too for whether you are seeing one or not.
To be honest, hyphens do not actually change the meaning of the sentence, or at least very rarely do they change the meaning. It is just that right is right and we have to be right. Knowing how to use them properly makes you look good.
Modifier -22 is used in conjunction with a surgery code, that explains that it was complex or more d
Subject: Modifier -22 is used in conjunction with a surgery code, that explains that it was complex or more difficult.
I am a MT and a medical biller. Say for instance we use a regular surgery code 29880 (arthroscopy of the knee) and we might add a -22 if this procedure was more difficult than usual. We increase our fees for the surgery due to the difficulty, thus the -22 indicates why we upped our fees. Hope this helps and was not too confusing.
Very true, the adverb/modifier explains if there is more than one, for example, decubitus ulcer, etc
Subject: Very true, the adverb/modifier explains if there is more than one, for example, decubitus ulcer, etc
nm
thanks, I think it is being used as a noun
Subject: thanks, I think it is being used as a noun
in this case, so will use followup. On this particular account, they don't like follow up hyphenated, so we have to use followup or follow up. Sometimes at the end of the day this gets very confusing to me and I can't think anymore. Thanks for your help!
huh? Man is the noun....
Subject: huh? Man is the noun....
huh? non-ST MI (MI is the noun) or
Subject: huh? non-ST MI (MI is the noun) or
No, it's not a proper noun or name.
Subject: No, it's not a proper noun or name.
it depends...is it before or after the noun? sm
Subject: it depends...is it before or after the noun? sm
It could be "a 2-3-mm lesion," or "The lesion was 2-3 mm in size." Generally, cardinal numbers plus unit-of-measurement adjectives are hyphenated before the noun.
hyphens before noun and not after...sm
Subject: hyphens before noun and not after...sm
I think, "A chip-in-the-tip camera was used..." is correct, but I would type "A camera with a chip in the tip was used...." if dictated that way...so it depends on how they say it...hope that helps.
It really depends on whether the noun being
Subject: It really depends on whether the noun being
follows:
Austin-Moore-type prosthesis
prosthese is an Austin-Moore type
Effect (noun)
Subject: Effect (noun)
verb/noun
Subject: verb/noun
Follow up = verb
Followup = noun.
CK Book of style.
decubitus is not a noun
Subject: decubitus is not a noun
it's an adjective. So it doesn't have a plural form.
In terms of pleural vs plural, it's easy for an MT to make this mistake. Like, the abdominal snowman...It's an occupational hazard.
d.
Regardless of noun and verbs..
Subject: Regardless of noun and verbs..
Affect/Affective/Affectively is used where no physical activity involved.
Effect/Effective/Effectively is used where some physical activity has taken place.
-> The psychotherapy was affective. (No physical outcome)
-> The drug was effective (Physical outcome).
If mucus is the noun and
Subject: If mucus is the noun and
mucous is the adjective, then it has to be
mucous plugging
and
mucous impaction
Right?
THIS MUST BE HYPHENATED, AS IT IS USED AS A NOUN..nm
Subject: THIS MUST BE HYPHENATED, AS IT IS USED AS A NOUN..nm
nm
collective noun
Subject: collective noun
More info for you in addition to what I posted below--for this type of situation, units of measure are considered collective nouns.
I have to run but if you look that up under a grammar site, it will show you why the correct answer is WAS. You did not post the entire sentence, but I am assuming it was just that 1 med.
multiple?
Subject: multiple?
Hyphenate both if they precede a noun. No if they don't. nm
Subject: Hyphenate both if they precede a noun. No if they don't. nm
x
I never hyphenate after the verb or noun....
Subject: I never hyphenate after the verb or noun....
The patient has a well-healed hematoma.
The patient's hematoma is well healed.
The patient is a well-developed, well-nourished, well-appearing female in no acute distress.
The patient is female, well developed, well nourished, and well appearing, in no acute distress.
This is just my way, but I have seen MT work where they hyphenate no matter where it fits in the sentence, and I think that is wrong.
if no noun after appearing, then do not hyphen
Subject: if no noun after appearing, then do not hyphen
nm
I agree but she doesn't say if there is a noun after or not. nm
Subject: I agree but she doesn't say if there is a noun after or not. nm
x
but, your sample does not show a noun, so...
Subject: but, your sample does not show a noun, so...
nm
First of all, decubitus is not a noun it is an adjective. sm
Subject: First of all, decubitus is not a noun it is an adjective. sm
as in decubitus position, decubitus ulcer (which is what you are talking about). the definition of decubitus is "lying down". So decubitus ulcer means an ulcer from lying down in one position causing ischemia to the area.
oops. that's noun & adjecdtive above. NM
Subject: oops. that's noun & adjecdtive above. NM
Yes - Capitalized. It is a proper noun. nm.
Subject: Yes - Capitalized. It is a proper noun. nm.
.
hyphen only when year old is followed by a noun
Subject: hyphen only when year old is followed by a noun
nm
Incorrect, the 14-year-old by itself isi the noun.
Subject: Incorrect, the 14-year-old by itself isi the noun.
x
Followup is noun; follow up is
Subject: Followup is noun; follow up is
xxxxxxx
multiple criteria for LVH?
Subject: multiple criteria for LVH?
Pt with multiple sclerosis. sm
Subject: Pt with multiple sclerosis. sm
Motor strength - right over left - Deltoid 5/4, biceps 5/4, triceps 5/4, grip 5/4, s/l "AOSL" 5/4
multiple vitamin D?
Subject: multiple vitamin D?
Is there such a thing as a multiple vitamin D? I'm not sure if he is saying just multiple vitamin, which would make sense...but then it sounds like he sticks in the word "D" Has anyone ever had that dictated?
Thanks.....
in regards to multiple sclerosis
Subject: in regards to multiple sclerosis
s
Rhymes with multiple
Subject: Rhymes with multiple
No, it rhymes with multiple. But thanks for the suggestion.
multiple cystomatrophy?
Subject: multiple cystomatrophy?
This is in regards to a neurologic assessment and sounds like multiple cystomatrophy. Any ideas?
Pt with multiple myeloma - sm
Subject: Pt with multiple myeloma - sm
Will have chemo and then will be on prednisone and prochlorperazine as well as s/l alkana.
Thanks for helping!
for multiple myeloma
Subject: for multiple myeloma
sounds like "melfim", any clues? Tx!
maybe multiple "bone" ...??
Subject: maybe multiple "bone" ...??
Followup when a noun, follow up when a verb, and
Subject: Followup when a noun, follow up when a verb, and
urticaric? as in itchy? noun is urticaria. nm
Subject: urticaric? as in itchy? noun is urticaria. nm
x
Follow up is a verb. Followup is a noun.
Subject: Follow up is a verb. Followup is a noun.
A followup is suggested in one week.
He is going to follow up with his primary care physician.
Yes, there is a difference. If QA is so-called nagging about it, it's probably important.
Please learn from your experience. Good feedback is worth quite a bit!
gullain-beret - Proper noun ? sp
Subject: gullain-beret - Proper noun ? sp
nm
If both sets of words modify the same noun, sm
Subject: If both sets of words modify the same noun, sm
then, yes, they would be hyphenated.
Example,
He wore a tight-fitting short-sleeved shirt.
mucous is adjective, mucus is noun
Subject: mucous is adjective, mucus is noun
mucous plug: a mass of mucus and cells filling the cervical canal between periods or during pregnancy
mu·cous (myū'kəs) pronunciation
adj.
1. Containing, producing, or secreting mucus: a mucous tissue.
2. Relating to, consisting of, or resembling mucus: a mucous substance.
mu·cus (myū'kəs) pronunciation
n.
The viscous, slippery substance that consists chiefly of mucin, water, cells, and inorganic salts and is secreted as a protective lubricant coating by cells and glands of the mucous membranes.
noun versus adjective .. see inside
Subject: noun versus adjective .. see inside
mucus = noun
mucous = adjective
Mucus is stuff that is secreted by the mucous membranes.
For example: Bronchoscopy revealed thick mucus. We used suction irrigation to lavage out 2 or 3 large mucous plugs from the left bronchial tree.
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