An anesthesiologist provided regional pain block for an arthroscopic anterior cruciate ligament repair of the left knee of a healthy 40 year old male patient. The anesthesiologist also performed a femoral nerve block for postoperative pain management.
Ans) Regional anesthesia refers to the focused delivery of anesthetic agent(s) to a given part of the body. Regional anesthesia is used extensively for various purposes, including as a primary anesthetic technique for surgery, as an analgesic modality to manage pain in the perioperative period, and as an analgesic modality for various other forms of acute and/or chronic pain.
Regional anesthesia can be broadly divided into several categories:
• Neuraxial anesthesia, including intrathecal (aka “spinal”) and
epidural techniques
• Upper and lower extremity blockade for somatic analgesia
• Autonomic plexus blockade for visceral analgesia
• Peripheral nerve blockade for somatic analgesia
• Localized wound infiltration
• Topical anesthetics
An anesthesiologist provided regional pain block for an arthroscopic anterior cruciate ligament repair of the left...
An anesthesiologist provided regional pain block for an arthroscopic anterior cruciate ligament repair of the left knee of a healthy 40-year-old male patient. The anesthesiologist also performed a femoral nerve block for postoperative pain management. CODING IS THE SUBJECT
1. An 18-year-old high school football player suffered a torn anterior cruciate ligament (ACL) in the state playoffs. After undergoing repair, he found it difficult to ambulate with the knee brace. Weighing close to 140 kg (approximately 300 pounds), the athlete found it difficult to stand and balance on one leg. His mother was unable to support him by herself. After 1 week, the young man began to have increased pain and swelling in the calf of his affected leg....
Case Scenario: An 18-year old high school football player suffered a torn anterior cruciate ligament (ACL) in the state playoffs. After undergoing repair, he found it difficult to ambulate with the knee brace. Weighing close to 140 kg (approximately 300 pounds), the athlete found it difficult to stand and balance on one leg. His mother was unable to support him by herself. After one week, the young man began to have increased pain and swelling in the calf of his...
You will need: (1) physical status modifiers, (2) the appropriate HCPCS modifier for person providing the anesthesia , this will denote whether the service was personally performed, medically directed, or medically supervised (3) and in some cases a qualifying circumstance code. 1. A 77-year old healthy male patient with controlled diabetes mellitus underwent intraocular lens transplant surgery for which general anesthesia was administered. _______________________________________________________________________________________________ 2. A healthy 36-year old female underwent tubal ligation under general anesthesia for voluntary sterilization. ________________________________________________________________________________________________...
You will need: (1) physical status modifiers, (2) the appropriate HCPCS modifier for person providing the anesthesia , this will denote whether the service was personally performed, medically directed, or medically supervised (3) and in some cases a qualifying circumstance code. 1. A 77-year old healthy male patient with controlled diabetes mellitus underwent intraocular lens transplant surgery for which general anesthesia was administered. _______________________________________________________________________________________________ 2. A healthy 36-year old female underwent tubal ligation under general anesthesia for voluntary sterilization. ________________________________________________________________________________________________...
Instructions: Review each case and assign the appropriate anesthesia code(s) and physical status modifier(s). Make sure you assign qualifying circumstance code(s) where appropriate. All anesthesia services were provided by the anesthesiologist, which means that modifier -AA is added to each anesthesia code. Some cases require assignment of CPT surgery codes and appropriate modifier(s), per chapter content about anesthesia coding guidelines. 3. A 9-month-old female patient underwent tracheostomy under general anesthesia after having sustained injuries in a motor vehicle accident. The...
Part 1: HPI: A 78-year-old man who is to undergo a left above the knee amputation due to a limb abscess PMH: Peripheral artery disease for 18 years; cardiomyopathy, benign prostatic hypertrophy for 13 years FH: Mother had osteoporosis; father had diabetes SH: Lives with wife; has two grown children Meds: Aspirin 81mg daily; atorvastatin 80 mg at bedtime; multivitamin 1 daily; pantoprazole 40 mg daily; tamsulosin 0.4 mg daily Pain Assessment: Patient rates pain as 8 on a scale...
Operative Report DIAGNOSIS: Open complex dislocation to the left fourth digit involving volar plate collateral ligaments with near total avulsion of the fingertips with involvement of the digital nerves. OPERATION PERFORMED 1.Open irrigation and debridement including removal of foreign material, devitalized soft tissue extending down to tendinous structures involving open complex dislocation. 2.Repair of ulnar collateral ligament. 3.Repair of radial collateral ligament. 4.Repair of radial digital nerve. 5.Repair of ulnar digital nerve. 6.Repair of volar plate of interphalangeal joint. INDICATIONS...
Operative Report DIAGNOSIS: Open complex dislocation to the left fourth digit involving volar plate collateral ligaments with near total avulsion of the fingertips with involvement of the digital nerves. OPERATION PERFORMED Open irrigation and debridement including removal of foreign material, devitalized soft tissue extending down to tendinous structures involving open complex dislocation. Repair of ulnar collateral ligament. Repair of radial collateral ligament. Repair of radial digital nerve. Repair of ulnar digital nerve. Repair of volar plate of interphalangeal joint. INDICATIONS...
A 45-year-old lab technician complains of pain and “electrical shock” sensations in his left hand at night. He also notices increasing clumsiness and weakness of his left hand. On physician exam you note decreased sensation to light touch, pinprick, and temperature, on the palmar surfaces of the thumb and first two fingers on the left hand. The thumb is weak and its muscle is atrophied. Tapping the palmar surface of the left wrist sends “electrical shocks” through the first two...