Assign the CPT surgery code(s) and the appropriate HCPCS level II and CPT modifier(s).
With the patient under general anesthesia, an upper midline incision was made and dissected around the spleen. The ruptured segment of the spleen was identified at the distal portion, and this was resected. The wound was irrigated, and the incision was closed using sutures and a sterile dressing. Three-fourths of the spleen was left intact. DIAGNOSIS: Ruptured spleen due to Plasmodium vivax malaria.
CPT is called as current procedural Terminology and these codes are used as a tracking data for the performance measurement .
Preferred name : Splenectomy :Partial ( separate procedure )
Synonyms : PARTIAL SPLENECTOMY
Notation :38101
Assign the CPT surgery code(s) and the appropriate HCPCS level II and CPT modifier(s). With the...
Assign the CPT surgery code(s) and the appropriate HCPCS level II and CPT modifier(s). The patient, a 25-year old female with a diagnosis of portal hypertension, presented to the surgical suite for a splenectomy. After informed consent was obtained, the patient was given a preoperative anesthesia injection. Then the patient was prepped and draped in the usual sterile fashion. With the patient under general anesthesia, a midline incision was made. After the spleen was identified, surrounding tissue was dissected free....
Assign the CPT surgery code(s) and the appropriate HCPCS level II and CPT modifier(s). PREOPERATIVE DIAGNOSIS: Cervical lymph node abscess. POSTOPERATIVE DIAGNOSIS: Same. PROCEDURE: Lymph node drainage ANESTHESIA: Local After the administration of adequate local anesthesia, the patient was prepped and draped in the usual sterile fashion. The enlarged left cervical lymph node was palpated. An incision was made over the node, and a whitish gray fluid was drained. A sample of the fluid from abscess was sent to the...
Assign the CPT surgery code(s) and the appropriate HCPCS level II and CPT modifier(s). A patient presented with a diagnosis of tricuspid valve regurgitation. With the patient under general anesthesia, cardiopulmonary bypass was initiated, the right atrium was incised. and the tricuspid valve was identified, An annuloplasty ring was placed. The right atrium was closed with sutures. The patient was removed from cardiopulmonary bypass.
Assign the CPT surgery code(s) and the appropriate HCPCS level II and CPT modifier(s). PREOPERATIVE DIAGNOSIS: Rule out lymphoma. Enlarged lymph node of axillary area on the left. POSTOPERATIVE DIAGNOSIS: Same. ANESTHESIA: Local, using 0.5% Marcaine without epinephrine The patient was brought to the operating room, and after adequate prepping and draping of the left axillary area, a large several-centimeters-in-diameter lymph node was palpated medially and superiorly. The skin overlying this node was infiltrated with 0.5% Marcaine without epinephrine, and...
Assign the CPT surgery code(s) and the appropriate HCPCS level II and CPT modifier(s). The patient is on a respirator and needs a percutaneous arterial line for repeated blood sampling. For this reason, under sterile technique, an arterial line was inserted at the patient's bedside. The left wrist was prepped and dressed. With the surgeon using an arterial line catheter, the left radial artery was accessed without difficulty, and it was fixed to the skin with two 3-0 nylon sutures.
Assign the CPT surgery code(s) and the appropriate HCPCS level II and CPT modifier(s). The patient has a third-degree heart-bloc. She presents for the insertion of a temporary transvenous pacemaker. This was done in the fluoroscopy suite. After the administration of adequate anesthesia, a 5-French introducer was placed and introduced into the right subclavian vein. The fluoroscope was used to guide the wire into the right atrium. The pacemaker lead wire was threaded through the introducer and placed in the...
Assign the CPT surgery code(s) and the appropriate HCPCS level II and CPT modifier(s). PREOPERATIVE DIAGNOSIS: Carcinoma of the left breast POSTOPERATIVE DIAGNOSIS: Carcinoma of the left breast PROCEDURE: Insertion of Groshong catheter ANESTHESIA: Local MAC ESTIMATED BLOOD LOSS: Minimal OPERATIVE INDICATIONS: The patient is a 55 year old female diagnosed with carcinoma of the breast. She requires a catheter for chemotherapy. The patient was prepped and draped with the right neck and chest in operative field, in deep Trendelenburg,...
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 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 appropriate HCPCS level II and CPT modifier(s). Do not assign ICD-10-CM external cause codes. flexure status post-multiple endoscopic polypectomies PREOPERATIVE DIAGNOSIS: Polyp of hepatic flexure, status posthurupit on POSTOPERATIVE DIAGNOSIS: Polyp of hepatic flexure, status post-multiple endoscopic polypectomies OPERATION PERFORMED: Right hemicolectomy. INDICATIONS FOR PROCEDURE: The patient is a 67-year-old white female with a history of a sessile polyp in the hepatic flexure. Despite...