What is the professional code and the cpt Icd10- cm codes for this case? Presenting Complaint:...
What is the professional code and the cpt Icd10- cm codes for this case? Presenting Complaint: Motorcycle accident with laceration, left leg T 37 P 72 R 18 History: Patient was involved in a motorcycle accident one hour prior to this ER visit, falling on his left leg and sustaining a laceration to the pretibial area. He experienced no loss of consciousness or head trauma. This was the patient’s first time on a motorcycle, and he was unsure of how to manipulate it. Physical Exam: HEENT: Normal Neck: No adenopathy, supple Lungs: Clear Abdomen: Soft Cardio: Normal sinus rhythm Extremities reveal a well-demarcated pinpoint 5-cm laceration over the mid-pretibial area. The wound is well marginated and discrete with a small amount of grassy debris inside. The depth is penetrating down to the periosteum of the tibia. There is no arterial bleeding, but there is small venous capillary bleeding. Vascular Exam: Bilateral venous pulses in the posterior tibial and dorsalis pedis. Capillary refill time is normal. Neurologic Exam: Normal. Motor and sensory is exam normal, without any paresthesia to the left leg or numbness. Treatment: Irrigated wound copiously with normal saline. Wound infiltrated with 1% Xylocaine. Patient prepped/draped in a sterile fashion. Skin and deeper tissues closed in layers. Skin edges reapproximated with 12 3-0 prolene sutures and alternating vertical mattress interrupted. Skin reapproximated with slight difficulty. Sterile dressing. Bacitracin ointment. Compression dressing. Diagnosis: Acute laceration to the left pretibia, with extension down to the periosteum Disposition and Condition of the Patient at Discharge: Patient instructed in wound care precautions. To return tomorrow between 1:00 p.m. and 11:00 p.m. for recheck. Patient given prescriptions for Tylenol #3, 1 to 2 tablets prn every 4 to 6 hours for pain; Keflex 250 mg, 1 per mouth, 4 times daily.
Homework Answers
S 81.812A is the CPT icd 10 cm code used in this case. It is used to indicate diagnosis for reimbruisement purposes.
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What is the professional code and the cpt Icd10- cm codes for
this case? Presenting Complaint:...
cpt code Surgical Case #64 Operative Report Preoperative Diagnosis: Multiple lacerations to both ears Multiple lacerations...
cpt code
Surgical Case #64 Operative Report Preoperative Diagnosis: Multiple lacerations to both ears Multiple lacerations to both ears, a laceration to the left ear and a series of four lacerations to the right ear Anesthetic: Local anesthetic was used, 1% carbocaïne plain Indications: The patient sustained the above-named lacerations when she was involved in a hay wagon accident. Procedure: The patient was treated in the emergency department. The right ear was treated first. The two smaller, more superficial lacerations,...
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...
fond service code and icd-10 cm code Buck's The CASE 5-4A Operative Report, Lesions LOCATION: Outpartient,...
fond service code and icd-10 cm code
Buck's The CASE 5-4A Operative Report, Lesions LOCATION: Outpartient, Hospital PATIENT Tom Boll the superomedial aspect with a silk suture. Dissection was carried down to the deep layer of fascia, and bleeding was electrocoagulated One 2-0 Monocryl suture was used subcuticularly to take tension off the wound, and then the skin was closed with interrupted vertical mattress sutures of 3-0 Prolene. We submimed the specimen for SURGEON Gary Sanchez, MD PREOPERATIVE DIAGNOSIS. Lesions,...
What is the professional code and the cpt ICD-cm- codes for this case Presenting Complaint: Head...
What is the professional code and the cpt ICD-cm- codes for this case Presenting Complaint: Head congestion T 38 P 68 R 22 BP 110/72 History: This 33-year-old female established patient comes into the office with congestion, sinus discomfort, and headache. Her ears have been popping. The throat is somewhat sore but she has not been coughing, She is currently on no medication. Physical Examination: She is alert and in no acute distress. HEENT: Ears are clear. TMs pearly bilaterally....
What is the professional code and the cpt ICD-10-cm codes for this case? HPI: The patient...
What is the professional code and the cpt ICD-10-cm codes for this case? HPI: The patient is an 11-year-old child who was admitted for abdominal pain. Today I am completing the initial H & P. He was sent over from his primary care physician’s office because of this pain. Mom states that the pain started today at about 1400 in the afternoon when it just suddenly hit him. He started to bend over and writhe in pain. It seems to...
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. 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...
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: Acute appendicitis. POSTOPERATIVE DIAGNOSIS: Acute suppurative appendicitis. PROCEDURE: Appendectomy. OPERATIVE FINDINGS: The patient was found to have an acute appendicitis, very high, going up under the cecum. No adenopathy was noted, and because we did run into infecting material, we did not look for a Meckel's diverticulum or...
What is the professional code and ICD-10-CM codes for this case? The patient is a 34-year-old...
What is the professional code and ICD-10-CM codes for this case? The patient is a 34-year-old woman seen in the office last week because of breast discomfort. Her breasts are very uncomfortable because she was immediately premenstrual, so I suggested that she return to the office this week. Her last period began last Sunday. She states that all the breast discomfort has resolved and none is present today. PHYSICAL EXAMINATION: GENERAL: She is a well-developed, well-nourished woman of stated age...
What is the professional code and the cpt icd-10-cm codes for this case? History Subsequent nursing...
What is the professional code and the cpt icd-10-cm codes for this case? History Subsequent nursing home visit for a 72 yr old patient well known to me, male history of coronary artery disease, renal stones, arthritis. Skin cancer status post resection came for follow, no complaints, denied any chest pain or SOB. No problem with urination regular bowel movements. MEDICATION DILTIZAM LOVASTATIN 20 MG QD PE: VITALS: Temp: 97.9 F [36.6 C] (03/24/2004 10:15) Pulse: 74 (03/24/2004 10:15) Respirations:...
cpt code
Surgical Case #64 Operative Report Preoperative Diagnosis: Multiple lacerations to both ears Multiple lacerations to both ears, a laceration to the left ear and a series of four lacerations to the right ear Anesthetic: Local anesthetic was used, 1% carbocaïne plain Indications: The patient sustained the above-named lacerations when she was involved in a hay wagon accident. Procedure: The patient was treated in the emergency department. The right ear was treated first. The two smaller, more superficial lacerations,...
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...
fond service code and icd-10 cm code
Buck's The CASE 5-4A Operative Report, Lesions LOCATION: Outpartient, Hospital PATIENT Tom Boll the superomedial aspect with a silk suture. Dissection was carried down to the deep layer of fascia, and bleeding was electrocoagulated One 2-0 Monocryl suture was used subcuticularly to take tension off the wound, and then the skin was closed with interrupted vertical mattress sutures of 3-0 Prolene. We submimed the specimen for SURGEON Gary Sanchez, MD PREOPERATIVE DIAGNOSIS. Lesions,...
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: Acute appendicitis. POSTOPERATIVE DIAGNOSIS: Acute suppurative appendicitis. PROCEDURE: Appendectomy. OPERATIVE FINDINGS: The patient was found to have an acute appendicitis, very high, going up under the cecum. No adenopathy was noted, and because we did run into infecting material, we did not look for a Meckel's diverticulum or...
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