Question

PRE CASE 9-12 Operative Report, Tracheostomy 1. S 2 H 3. incise in a horiznntal fashion through the skin. Cautery dissmction WRS USed to Cauterize between the strapmuscles down to the ievaid the thyroid isthmus. The patient had a very thin neck but surprisinol wide and thick thyroid isthmus, approximately 1 inch wide Bu dissection was used to dissect between 1he thyroid isthmus, and it was divided and tied off. Bleeders were all well controlled baku proceeding further The cricoid cartilage was identified. A cricoid hook was placed ite t The inner space between the second and third thyroid cartilage was ther incised with a nn 15 blade scalpel. Metzenbaum scissors were then used This patient is 58 years old LOCATION: Inpatient, Hospital POS PATIENT. Saly Grass PHYSICIAN Gregory Dawson, MD PREOPERATIVE DIAGNOSIS: Failure to extubate, prolonged intubaticn 1 S 2. POSTOPERATIVE DIAGNOSIS Chronic respiratory failure PRO PROCEDURE PERFORMED. Trache0stomy, planned ANESTHESIA General endotracheal 2 to enlargs this incision. A size no. 8 cufled Shiey trach tube wa t placad into the trachea following partial removal of the endotrachal tube. The cuff was then infiated. A good CO, (carbon dicaidal retum was then appreciated on the monitor. The Shiley trach tube was the sutured in position. A piece of Xeroform gaure was then placed beneath the flange of the Shiley. The patient tolerated the orocedure wel Se was transferred to recovery in good condition Estimated blood less sa less than 5 c 3 PROCEDURE IN DETAIL: Following informed consent from the patient's 4 daughtet Charlene, the patient was takan to the operating room and placed supine an the aperating roam table. The appropriate monitoring devices were placed on the patient, and general anesthesia was induced. She was already orelly intubeted with a size B endotracheal tube The nack was prepped and draped in the usual sterie fashion. The patient had a shoulder rall placed beneath her shoulders, and her neck was gcanded Great care was takan so that there was not t00 much tension gn the neck, and there was not OPF seer over rem was SERVICE CODEIS The neck was mnarked. It was then injected with approsimately 3 cc of 1% Xylacaine with 1.100,000 epinephrine. A scalpel was used to ICO-10-CM DX CODEIS the by is pat

services codes and icd 10 codes?

Answer 1

ICD 10 CODE FOR : failure to extubate, prolonged intubation is T88.4XXD.

ICD 10 CODE FOR; chronic respiratory failure- J96.10

ICD 10 CODE for; tracheostomy - Z93.0 there is no specific service code.