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Code with ICD 10 PCS. please help
4. Operative Report PREOPERATIVE DIAGNOSIS: POSTOPERATIVE DIAGNOSIS: OPERATION: Chronic...
Format for each case: 1. Principal Diagnosis (list only do not code) 2. Additional Diagnosis (list...
Format for each case:
1. Principal Diagnosis (list only do not code)
2. Additional Diagnosis (list if applicable, do not code)
3. Principal Procedure: List and code
4. Secondary Procedures: List and code
4. Operative Report PREOPERATIVE DIAGNOSIS: POSTOPERATIVE DIAGNOSIS: OPERATION: Chronic otitis Chronic otitis Ventilation tube placement PROCEDURE DESCRIPTION: The patient was induced under general anesthesia in the supine position via a for mask. Her right tympanic membrane was visualized. There was tympanosclerosis on the entire eardrum ex for...
CODE WITH ICD-10-PCS Operative Report PREOPERATIVE DIAGNOSIS: Chronic Epistaxis POSTOPERATIVE DIAGNOSIS: Chronic Epistaxis NAME OF PROCEDURE:...
CODE WITH ICD-10-PCS Operative Report PREOPERATIVE DIAGNOSIS: Chronic Epistaxis POSTOPERATIVE DIAGNOSIS: Chronic Epistaxis NAME OF PROCEDURE: Cautery of both sides of nose ANESTHESIA: General INDICATIONS: This is a patient with severe chronic epistaxis, which has resulted in his bleeding to the point of a hemoglobin of 6.5, hematocrit of 19. Preoperative coagulation studies revealed a PT 13.9 with normal PTT at bleeding time. Because of the significance of his anemia, we brought him to the operating room for cautery. DESCRIPTION...
Assign the appropriate CPT codes and modifiers. 2. PREOPERATIVE DIAGNOSES: Bilateral chronic otitis media POSTOPERATIVE DIAGNOSES:...
Assign the appropriate CPT codes and modifiers. 2. PREOPERATIVE DIAGNOSES: Bilateral chronic otitis media POSTOPERATIVE DIAGNOSES: Bilateral chronic otitis media ANESTHESIA: General mask NAME OF OPERATION: Bilateral Myringotomy with placement of PE tubes PROCEDURE: The patient was taken to the operating room and placed in the supine position. After adequate general inhalation anesthesia was obtained, the operating microscope with brought in for full use throughout the case. First, the left and then the right tympanic membrane, was approached. An anterior-inferior...
code in ICD pcs 10 14. Operative Report Left ureteral calculus PREOPERATIVE DIAGNOSIS: POSTOPERATIVE DIAGNOSIS: Same...
code in ICD pcs 10
14. Operative Report Left ureteral calculus PREOPERATIVE DIAGNOSIS: POSTOPERATIVE DIAGNOSIS: Same Cystoscopy, bilateral retrograde pyelograms, left ureteroscopy with eltnh draulic lithotripsy, and basket extraction of calculi OPERATION: Cose Studies PROCEDURE: The patient is brought to the cystoscopy suite, where general anesthesia is induced and maied in the usual fashion without difficulty. The patient then is placed in the dorsal lithotomy position, and external genitalia are prepped and draped in a routine fashion. A 21-French ACMI...
Review the report and answer the questions that follow: Preoperative Diagnosis: Bilateral chronic serous otitis media;...
Review the report and answer the questions that follow: Preoperative Diagnosis: Bilateral chronic serous otitis media; tonsillo-adenoiditis Operation: Bilateral myringotomies and ventilation tube insertion; Tonsillectomy and adenoidectomy Procedure: With the patient in the supine position and under general endotracheal anesthesia, inspection was made under the operating microscope. The external canal was clear, tympanic membrane was divided. A purulent discharge appeared to be present. This drainage was suctioned out and the ear thoroughly lavaged. A ventilating tube was put in place...
Please assign the correct ICD-10-PCS codes to the following operative report: PREOPERATIVE DIAGNOSIS: Obstructive sleep apnea...
Please assign the correct ICD-10-PCS codes to the following operative report: PREOPERATIVE DIAGNOSIS: Obstructive sleep apnea with upper airway obstruction POSTOPERATIVE DIAGNOSIS: Obstructive sleep apnea with upper airway obstruction PROCEDURE: Adenoidectomy, lingual tonsillectomy INDICATION FOR PROCEDURE: The patient is a 9-year-old male with a history of obstructive sleep apnea. He is currently maintained on BiPAP. He also has some lingual tonsillary hypertrophy as well as a large adenoid pad. He presents today for surgical management of the above PROCEDURE DESCRIPTION:...
code in ICD 10 pcs 42. Operative Report Left femoral neck fracture PREOPERATIVE DIAGNOSIS: POSTOPERATIVE DIAGNOSIS:...
code in ICD 10 pcs
42. Operative Report Left femoral neck fracture PREOPERATIVE DIAGNOSIS: POSTOPERATIVE DIAGNOSIS: Left femoral neck fracture Internal fixation of left femoral neck fracture OPERATION: Synthes 7.3 cannulated screw x3 IMPLANTS: INDICATIONS: The patient is a 63-year-old male who had a fall, sustaining a left femoral neck fracture. He ws admitted to the medicine service and after a lengthy, extensive discussion regarding different treatment opions including surgical and nonsurgical management, he wished to proceed to the operating...
Code in ICD 10 pcs 32. Operative Report PREOPERATIVE DIAGNOSIS: Displaced left femoral neck fracture POSTOPERATIVE...
Code in ICD 10 pcs
32. Operative Report PREOPERATIVE DIAGNOSIS: Displaced left femoral neck fracture POSTOPERATIVE DIAGNOSIS: Displaced left femoral neck fracture PROCEDURE PERFORMED: Left hip hemiarthroplasty Case Studies INDICATIONS: This 525 had a mechanical fall. He had de TIONS: This 96-year-old male sustained a fall earlier today. He was ical fall. He had demonstrated a fracture and a hemiarthroplast d the expectations, the risk of infection, dislocation, tissue injury. anest atient and family wished to proceed. The potential for...
Please assign the correct ICD-10-PCS codes to the following operative report: PREOPERATIVE DIAGNOSIS: POSTOPERATIVE DIAGNOSIS: PROCEDURES:...
Please assign the correct ICD-10-PCS codes to the following operative report: PREOPERATIVE DIAGNOSIS: POSTOPERATIVE DIAGNOSIS: PROCEDURES: Status post transurethral resection of bladder tumor with clot retention Status post transurethral resection of bladder tumor with clot retention 1. Cystoscopy 2. Clot evacuation 3. Fulguration of bleeders DESCRIPTION OF OPERATION: Following induction of an adequate level of general anesthesia, the patient was placed in the lithotomy position. His penis and surrounding areas were prepared with Betadine and he was draped in a...
Please assign the correct ICD-10-PCS codes to the following operative report: PREOPERATIVE DIAGNOSIS: Left-sided tympanic perforation,...
Please assign the correct ICD-10-PCS codes to the following operative report: PREOPERATIVE DIAGNOSIS: Left-sided tympanic perforation, secondary conductive hearing loss POSTOPERATIVE DIAGNOSIS: Left-sided tympanic perforation, secondary conductive hearing loss PROCEDURE PERFORMED: Left tympanoplasty with canaloplasty FINDINGS: Stenotic ear canal, significant narrowing of both the cartilaginous and bony segments. The bony segment underwent a canaloplasty. Large inferior perforation extending from the anterior annulus back to within 2 mm of the posterior annulus. INDICATIONS: The patient is a 6-year-old with a history...
Format for each case:
1. Principal Diagnosis (list only do not code)
2. Additional Diagnosis (list if applicable, do not code)
3. Principal Procedure: List and code
4. Secondary Procedures: List and code
4. Operative Report PREOPERATIVE DIAGNOSIS: POSTOPERATIVE DIAGNOSIS: OPERATION: Chronic otitis Chronic otitis Ventilation tube placement PROCEDURE DESCRIPTION: The patient was induced under general anesthesia in the supine position via a for mask. Her right tympanic membrane was visualized. There was tympanosclerosis on the entire eardrum ex for...
code in ICD pcs 10
14. Operative Report Left ureteral calculus PREOPERATIVE DIAGNOSIS: POSTOPERATIVE DIAGNOSIS: Same Cystoscopy, bilateral retrograde pyelograms, left ureteroscopy with eltnh draulic lithotripsy, and basket extraction of calculi OPERATION: Cose Studies PROCEDURE: The patient is brought to the cystoscopy suite, where general anesthesia is induced and maied in the usual fashion without difficulty. The patient then is placed in the dorsal lithotomy position, and external genitalia are prepped and draped in a routine fashion. A 21-French ACMI...
Please assign the correct ICD-10-PCS codes to the following operative report: PREOPERATIVE DIAGNOSIS: Obstructive sleep apnea with upper airway obstruction POSTOPERATIVE DIAGNOSIS: Obstructive sleep apnea with upper airway obstruction PROCEDURE: Adenoidectomy, lingual tonsillectomy INDICATION FOR PROCEDURE: The patient is a 9-year-old male with a history of obstructive sleep apnea. He is currently maintained on BiPAP. He also has some lingual tonsillary hypertrophy as well as a large adenoid pad. He presents today for surgical management of the above PROCEDURE DESCRIPTION:...
code in ICD 10 pcs
42. Operative Report Left femoral neck fracture PREOPERATIVE DIAGNOSIS: POSTOPERATIVE DIAGNOSIS: Left femoral neck fracture Internal fixation of left femoral neck fracture OPERATION: Synthes 7.3 cannulated screw x3 IMPLANTS: INDICATIONS: The patient is a 63-year-old male who had a fall, sustaining a left femoral neck fracture. He ws admitted to the medicine service and after a lengthy, extensive discussion regarding different treatment opions including surgical and nonsurgical management, he wished to proceed to the operating...
Code in ICD 10 pcs
32. Operative Report PREOPERATIVE DIAGNOSIS: Displaced left femoral neck fracture POSTOPERATIVE DIAGNOSIS: Displaced left femoral neck fracture PROCEDURE PERFORMED: Left hip hemiarthroplasty Case Studies INDICATIONS: This 525 had a mechanical fall. He had de TIONS: This 96-year-old male sustained a fall earlier today. He was ical fall. He had demonstrated a fracture and a hemiarthroplast d the expectations, the risk of infection, dislocation, tissue injury. anest atient and family wished to proceed. The potential for...
Please assign the correct ICD-10-PCS codes to the following operative report: PREOPERATIVE DIAGNOSIS: POSTOPERATIVE DIAGNOSIS: PROCEDURES: Status post transurethral resection of bladder tumor with clot retention Status post transurethral resection of bladder tumor with clot retention 1. Cystoscopy 2. Clot evacuation 3. Fulguration of bleeders DESCRIPTION OF OPERATION: Following induction of an adequate level of general anesthesia, the patient was placed in the lithotomy position. His penis and surrounding areas were prepared with Betadine and he was draped in a...
Please assign the correct ICD-10-PCS codes to the following operative report: PREOPERATIVE DIAGNOSIS: Left-sided tympanic perforation, secondary conductive hearing loss POSTOPERATIVE DIAGNOSIS: Left-sided tympanic perforation, secondary conductive hearing loss PROCEDURE PERFORMED: Left tympanoplasty with canaloplasty FINDINGS: Stenotic ear canal, significant narrowing of both the cartilaginous and bony segments. The bony segment underwent a canaloplasty. Large inferior perforation extending from the anterior annulus back to within 2 mm of the posterior annulus. INDICATIONS: The patient is a 6-year-old with a history...
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