Question

Answer the following questions after reading the following case study. Emergency Room Note This 78 year...

Answer the following questions after reading the following case study.

Emergency Room Note

This 78 year old patient presents with a nose bleed for the last 4 hours. The patient states that the bleeding has increased over the last hour. He has a platelet disorder for which he is treated by Dr. Young. I packed the nasal area to stop the bleeding. I instructed him to follow up with Dr. Young in 1 day.

What is the root operation for this case?

What is the approach for the procedure?

What is the correct ICD-10-PCS code for this case?

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Answer #1

The patient had a complaint of nose bleed due to platelet disorder. it is managed by applying of the nasal pack to control bleeding.

Root operation: Root operation is specified in the third place of the ICD 10 PCS code. Here, the root operation is the applying of the nasal pack to control bleeding. So the root operation is 4 which denotes packing.

Approach: Approach is specified in the 5th place of ICD 10 PCS code. Here nasal packing is done externally on the skin by direct application. So it would be coded as X.

The correct ICD-10-PCS code for this case 2Y41X5Z.

2 specifies the placement, Y specifies the anatomical orifices, 1 specifies the nasal and 5 specifies the packing material.

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