A colostomy was performed from the sigmoid colon all the way to the abdominal wall.” Fill in the blank with the written description of the character value, not the letter or number.
1. Use the following documentation to fill in the blanks given below: “A colostomy was performed from the sigmoid colon all the way to the abdominal wall.” Fill in the blank with the written description of the character value, not the letter or number.
A. The section is ___________________
B. The body system is _______________
C. The root operation is ______________
D. The body part is __________________
E. The approach is __________________
F. The device is _____________________
G. The qualifier is ___________________
2. Locate the table 0WU in your code book and finish building the code for the following documentation: “A laparoscopic ventral hernia repair with Paritex mesh.”
Complete the last four characters of the code. 0WU_____________
Code the following nervous system procedure statements using ICD 10 PCS codes.
One code is required for each statement. Each code is worth one point.
3. Carpal tunnel release, right, percutaneous endoscopic approach
4. Neurorrhaphy of tibial nerve, left, open approach
5. Mapping of the cerebellum , open approach
6. Suture ulnar nerve, left, open approach
7. Diagnostic excisional biopsy of a facial nerve tumor, open approach
8. Removal of bullet fragment from facial nerve, open
9. Spinal cordotomy, thoracic, open approach
10. Replacement of drainage tube of burr hole (into brain)
11. Percutaneous rhizotomy, ulnar nerve, left
Code the following anatomical regions procedure statements using ICD 10 PCS codes.
One code is required for each statement. Each code is worth one point.
12. Chest tube insertion into right pleural cavity, percutaneous approach
13. Complete amputation of left ring finger
14. Amputation 1st toe, left, through the distal interphalangeal joint
15. Episiotomy
16. Right and left inguinal hernia repair, laparoscopic approach
17. Percutaneous insertion of dialysis catheter into peritoneal cavity
18. Tendon transfer left index finger to left thumb
19. Exploratory laparotomy
20. Removal of drain from chest wall (without incision)
Code the following 2 case studies using ICD 10 PCS codes.
Case studies are worth 5 points each, regardless of the number of codes required.
Hints and tips are in parenthesis.
21. PREOPERATIVE DIAGNOSIS: Rule out meningitis
POSTOPERATIVE DIAGNOSIS:Rule out meningitis
PROCEDURE:Diagnostic lumbar puncture(Determine the intent of this procedure to choose the root operation)
PROCEDURE NOTE: The risks, benefits and alternatives were discussed with the patient. There were no contraindications. Consent was obtained from the patient. Sterile technique was used. The area was thoroughly cleansed with Betadine. Local lidocaine anesthesia was administered. The patient was positioned left side down with knees drawn toward the chest. Lumbar puncture was performed at the L3-4 interspace. A 20 gauge needle was used. Sufficient sample of clear spinal fluid was obtained. This sample was sent to the laboratory for evaluation. The patient tolerated the procedure well and no complications were noted.
The ICD 10 PCS Code is:
22. OPERATIVE DIAGNOSIS: Left chest wall mass and ovarian cancer
POSTOPERATIVE DIAGNOSIS: Left chest wall mass of unknown behavior and ovarian cancer
PROCEDURES: Diagnostic bronchoscopy with evaluation of the bronchial tree tube, a left video assisted thoracoscopy, and a resection of the anterior chest wall mass with some resection of the pleura. (Determine if the word resection really meets the definition of the root operation resection. Remember that “resection” in documentation just means removal and you have to determine was a whole or partial body part was removed.)
PROCEDURE NOTE: General sedation was administered by oral endotracheal tube. The bronchoscope was inserted. The right upper lobe, middle lob, and lower lobe were normal. No endobronchial lesions were seen. The scope was inserted in the left upper lingual lobe and segments were normal.
The left chest was prepped and draped in normal sterile fashion. An incision was made and the thoracoscope was inserted. Under direct vision, additional lateral port was placed. Dissection was then carried down. The mass was identified within the chest wall.It was confined to the pleura. This appeared to be a large plaque, approximately 10x4cm. A separate satellite mass was present. Using the Bovie electrocautery, the pleura was then dissected from the chest wall. The entire chest wall mass was resected including the pleural lesion.
It was then placed in the EndoCath and removed and sent to pathology for evaluation. No other areas were seen in the pleura. Hemostasis was obtained. A chest tube was placed to the apex and anchored with heavy silk. The lung was re-expanded with no significant air leak. The wound was then closed in layers with absorbable sutures. The patient tolerated the procedure well with no complications.
The 3 ICD 10 PCS Codes are:
Collepals.com Plagiarism Free Papers
Are you looking for custom essay writing service or even dissertation writing services? Just request for our write my paper service, and we'll match you with the best essay writer in your subject! With an exceptional team of professional academic experts in a wide range of subjects, we can guarantee you an unrivaled quality of custom-written papers.
Get ZERO PLAGIARISM, HUMAN WRITTEN ESSAYS
Why Hire Collepals.com writers to do your paper?
Quality- We are experienced and have access to ample research materials.
We write plagiarism Free Content
Confidential- We never share or sell your personal information to third parties.
Support-Chat with us today! We are always waiting to answer all your questions.
