Assign the ICD-10-CM codes to diagnoses and conditions and assign the CPT surgery code and the...
Assign the ICD-10-CM codes to diagnoses and conditions and assign the CPT surgery code and the appropriate HCPCS level II and CPT modifiers. Do not assign ICD-10-CM external cause codes.
PREOPERATIVE DIAGNOSIS: Respiratory insufficiency due to ALS.
POSTOPERATIVE DIAGNOSIS: Severe respiratory insufficiency due to ALS.
OPERATION PERFORMED: Tracheostomy.
The patient, a 45-year-old male with ALS, has been experiencing severe shortness of breath of a progressive nature over the last several weeks. After discussion of all risks, the decision has been made to perform a tracheostomy on this patient. The patient was brought into the operating suite for this procedure and placed supine on the table. General anesthesia was given, and the patient was prepped and draped in the usual sterile fashion. A 2.5-cm incision was made of the neck over the trachea. The trachea was carefully isolated from the surrounding structures after the tracheal rings were identified. The second ring was identified, and a tube was advanced after incision. The patient's breath sounds were checked and were adequate. The tracheostoma was packed with gauze, and the ties were secured. A chest X-ray will be done postoperatively to check for tube placement, but breath sounds were good when the patient went to recovery room.
Homework Answers
ICD-10-cm
Respiratory insufficiency - R06.89
amyotrophic lateral sclerosis - G12.21
CPT code
Tracheostomy(separate procedure) - 31600
Modifier- 59 we can use because this procedure is not related to
other procedure
HCPCS code
Tracheostomy tube holder - A7526
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Assign the ICD-10-CM codes to diagnoses and conditions and
assign the CPT surgery code and the...
Assign the ICD-10-CM codes to diagnoses and conditions and assign the CPT surgery code and the...
Assign the ICD-10-CM codes to diagnoses and conditions and
assign the CPT surgery code and the appropriate HCPCS level II and
CPT modifiers. Do not assign ICD-10-CM external cause codes.
5. PREOPERATIVE DIAGNOSIS: Mass of lung. POSTOPERATIVE DIAGNOSIS: Carcinoma of the right lung. OPERATION PERFORMED: Bronchoscopy and right upper lobectomy. The patient was brought into the operating room; and after the administration of anesthesia, the patient was prepped and draped in the usual sterile fashion. The patient was placed in...
Assign the ICD-10-CM codes to diagnoses and conditions and assign the CPT surgery codes and the...
Assign the ICD-10-CM codes to diagnoses and conditions and assign the CPT surgery codes and the appropriate HCPCS level II and CPT modifiers. Do not assign ICD-10-CM external cause codes. PREOPERATIVE DIAGNOSIS: left middle trigger finger. POSTOPERATIVE DIAGNOSIS: left middle trigger finger. OPERATION PERFORMED: tenolysis Under satisfactory IV block anesthesia, the patient was prepped and draped in the usual fashion. A traverse incision was made parallel to the distal palmar crease area overlying the middle finger, and the wound was...
Assign the ICD-10-CM codes to diagnoses and conditions and assign the CPT surgery code and the...
Assign the ICD-10-CM codes to diagnoses and conditions and
assign the CPT surgery code and the appropriate HCPCS level II and
CPT modifiers. Do not assign ICD-10-CM external cause codes.
8. PREOPERATIVE DIAGNOSIS: Lesion of vocal cords. POSTOPERATIVE DIAGNOSIS: Tumor of left vocal cord. OPERATION PERFORMED: Laryngoscopy. The patient was a 25-year-old student of opera who presented with a lesion of her left vocal cord seen on office laryngoscopy. Today she was seen in the ambulatory suite for further examination...
Assign the ICD-10-CM code to diagnoses and conditions and assign the CPT surgery codes and the...
Assign the ICD-10-CM code to diagnoses and conditions and assign the CPT surgery codes and the appropriate HCPCS level II and CPT modifiers. Do not assign ICD-10-CM external cause codes. PREOPERATIVE DIAGNOSIS: Arteriosclerotic heart disease. POSTOPERATIVE DIAGNOSIS: Arteriosclerotic heart disease. PROCEDURE: Coronary artery bypass graft x 5. The patient was brought into the operating suite and placed in the supine position. Anesthesia was administered, and monitoring lines were placed. The patient was prepped and draped in the usual sterile fashion....
Assign the ICD-10-CM code to diagnoses and conditions and assign the CPT surgery codes and the...
Assign the ICD-10-CM code to
diagnoses and conditions and assign the CPT surgery codes and the
appropriate HCPCS level II and CPT modifiers. Do not assign
ICD-10-CM external cause codes.
4. PREOPERATIVE DIAGNOSIS: Arteriosclerotic heart disease. ton POSTOPERATIVE DIAGNOSIS: Arteriosclerotic heart disease. PROCEDURE: Coronary artery bypass graft x 5. The patient was brought into the operating suite and placed in the supine position. Anesthesia was administered, and monitoring lines were placed. The patient was prepped and draped in the usual...
Assign the ICD-10-CM code(s) to diagnoses and conditions and assign the CPT surgery code(s) and the...
Assign the ICD-10-CM code(s) to diagnoses and conditions and
assign the CPT surgery code(s) and the appropriate HCPCS level II
and CPT modifier(s). Do not assign ICD-10-CM external cause
codes.
wall was closeu un of multiple miscarriages. PREOPERATIVE DIAGNOSIS: Multiple miscarriages and hemorrhaging. POSTOPERATIVE DIAGNOSIS: Metrorrhagia. Acute salpingitis, bilaterally. History of multiple PROCEDURE: Dilation and curettage. Laparoscopic salpingectomy, bilateral. GROSS FINDINGS: Cervix dilated easily with dilator. The internal measurement of the uterus won and no adnexal masses were noted. Moderate...
Assign the ICD-10-CM code(s) to diagnoses and conditions and assign the CPT surgery code(s) and the...
Assign the ICD-10-CM code(s) to diagnoses and conditions and assign the CPT surgery code(s) and the appropriate HCPCS level 11 and CPT modifier(s). Do not assign ICD-10-CM external cause codes. With the patient under general anesthesia, a vertical midline scrotal incision was made, carried down through the skin and subcutaneous tissues. With use of the cautery, the hemiscrotum was entered. The left testicle was delivered into the wound. There was no active bleeding, and the testicle was sent for analysis....
Assign the ICD-10-CM code(s) to diagnoses and conditions and assign the CPT surgery code(s) and the...
Assign the ICD-10-CM code(s) to diagnoses and conditions and assign the CPT surgery code(s) and the appropriate HCPCS level II and CPT modifier(s). Do not assign ICD-10-CM external cause codes. PREOPERATIVE DIAGNOSIS: Displaced medial epicondyle fracture, left elbow. POSTOPERATIVE DIAGNOSIS: Displaced medial epicondyle fracture, left elbow. OPERATION PERFORMED: ORIF, left medial epicondyle fracture. (Initial encounter) After IV sedation was started, the patient was brought into the operating room and placed supine on the table. Once an adequate level of anesthesia...
Instructions Assign the ICD-10-CM code(s) to diagnoses and conditions and assign the CPT surgery code(s) and...
Instructions Assign the ICD-10-CM code(s) to diagnoses and conditions and assign the CPT surgery code(s) and the appropriate HCPCS level II and CPT modifier(s). Do not assign ICD-10-CM external cause codes. 1. PREOPERATIVE DIAGNOSIS: Third-degree heart block with bradycardia and recent inferior myocardial infarction. POSTOPERATIVE DIAGNOSIS: Same. OPERATION PERFORMED: Insertion of a transvenous temporary pacemaker. The patient was brought to the fluoroscopy suite in the radiology department. He was placed prone on the fluoroscopy table. The right subclavicular area was...
Assign the ICD-10-CM code(s) to diagnoses and conditions and assign the CPT surgery code(s) and the...
Assign the ICD-10-CM code(s) to diagnoses and conditions and
assign the CPT surgery code(s) and the appropriate HCPCS level II
and CPT modifier(s). Do not assign ICD-10-CM external cause
codes.
7. PREOPERATIVE DIAGNOSIS: Bladder stone with hydronephrosis. POSTOPERATIVE DIAGNOSIS: Same. PROCEDURES: Cystoscopy with laser lithotripsy of bladder calculus and placement of stent. ANETHESIA: Local. The patient was placed in the relaxed dorsal lithotomy position, Betadine prepped, and sterilely draped. With use of a 21- French panendoscope, a bladder stone measured...
Assign the ICD-10-CM codes to diagnoses and conditions and
assign the CPT surgery code and the appropriate HCPCS level II and
CPT modifiers. Do not assign ICD-10-CM external cause codes.
5. PREOPERATIVE DIAGNOSIS: Mass of lung. POSTOPERATIVE DIAGNOSIS: Carcinoma of the right lung. OPERATION PERFORMED: Bronchoscopy and right upper lobectomy. The patient was brought into the operating room; and after the administration of anesthesia, the patient was prepped and draped in the usual sterile fashion. The patient was placed in...
Assign the ICD-10-CM codes to diagnoses and conditions and
assign the CPT surgery code and the appropriate HCPCS level II and
CPT modifiers. Do not assign ICD-10-CM external cause codes.
8. PREOPERATIVE DIAGNOSIS: Lesion of vocal cords. POSTOPERATIVE DIAGNOSIS: Tumor of left vocal cord. OPERATION PERFORMED: Laryngoscopy. The patient was a 25-year-old student of opera who presented with a lesion of her left vocal cord seen on office laryngoscopy. Today she was seen in the ambulatory suite for further examination...
Assign the ICD-10-CM code to
diagnoses and conditions and assign the CPT surgery codes and the
appropriate HCPCS level II and CPT modifiers. Do not assign
ICD-10-CM external cause codes.
4. PREOPERATIVE DIAGNOSIS: Arteriosclerotic heart disease. ton POSTOPERATIVE DIAGNOSIS: Arteriosclerotic heart disease. PROCEDURE: Coronary artery bypass graft x 5. The patient was brought into the operating suite and placed in the supine position. Anesthesia was administered, and monitoring lines were placed. The patient was prepped and draped in the usual...
Assign the ICD-10-CM code(s) to diagnoses and conditions and
assign the CPT surgery code(s) and the appropriate HCPCS level II
and CPT modifier(s). Do not assign ICD-10-CM external cause
codes.
wall was closeu un of multiple miscarriages. PREOPERATIVE DIAGNOSIS: Multiple miscarriages and hemorrhaging. POSTOPERATIVE DIAGNOSIS: Metrorrhagia. Acute salpingitis, bilaterally. History of multiple PROCEDURE: Dilation and curettage. Laparoscopic salpingectomy, bilateral. GROSS FINDINGS: Cervix dilated easily with dilator. The internal measurement of the uterus won and no adnexal masses were noted. Moderate...
Instructions Assign the ICD-10-CM code(s) to diagnoses and conditions and assign the CPT surgery code(s) and the appropriate HCPCS level II and CPT modifier(s). Do not assign ICD-10-CM external cause codes. 1. PREOPERATIVE DIAGNOSIS: Third-degree heart block with bradycardia and recent inferior myocardial infarction. POSTOPERATIVE DIAGNOSIS: Same. OPERATION PERFORMED: Insertion of a transvenous temporary pacemaker. The patient was brought to the fluoroscopy suite in the radiology department. He was placed prone on the fluoroscopy table. The right subclavicular area was...
Assign the ICD-10-CM code(s) to diagnoses and conditions and
assign the CPT surgery code(s) and the appropriate HCPCS level II
and CPT modifier(s). Do not assign ICD-10-CM external cause
codes.
7. PREOPERATIVE DIAGNOSIS: Bladder stone with hydronephrosis. POSTOPERATIVE DIAGNOSIS: Same. PROCEDURES: Cystoscopy with laser lithotripsy of bladder calculus and placement of stent. ANETHESIA: Local. The patient was placed in the relaxed dorsal lithotomy position, Betadine prepped, and sterilely draped. With use of a 21- French panendoscope, a bladder stone measured...
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