COMUNICACION To: Scott Haddock, Supervising Attorney By: Bob Barker, Super Elderly Paralegal Lso are: Paige Turner Our data file No .: 12095 Public school…...Read
User| Kristin Maze
Course| BC3030X: Billing and Coding Applications with Simulations (5-21-2012) Section 5| Test| Week 1 -- Coding Applications Test
Started| 5/27/12 1: 52 PM HOURS
Submitted| 5/28/12 9: 46 PM
Time Elapsed| 59 minutes out of just one hour.
2. Question one particular
0 away of 5. 5 points
| AREA: | Outpatient, Hospital
AFFECTED PERSON: | Larry Frost
SURGEON: | Mohomad Almaz, MARYLAND
DIAGNOSIS: В В В Localized degenerative arthritis, remaining distal clavicle, with determination of arthritis symptoms
SURGICAL PROCEDURE: Removal of distal one particular cm (centimeter) left clavicle After acceptable level of standard anesthesia was reached and patient was at the supine position, having been further put in a beach front chair position. A longitudinal incision was made over the region of the still left AC joint. At this time, sharpened dissection was conducted down to the fascial plane. The fascial aircraft was in that case further incised, reflecting the two deltoid plus the trapezial ligament and the distal aspect of the clavicle undermining the clavicle; at this time all of us simply proceeded excising the distal you cm of the clavicle with use of a reciprocal saw. With completion of this component of the procedure, the margins from the bone had been otherwise unremarkable in low appearance. It was also significant to note currently the acromial end with the articulation was unremarkable. The wound was irrigated, accompanied by controlling of punctate bleeding with utilization of electrocautery, then the seal of the deltotrapezial fascia. At this point I additional imbricated assemblee for steady repair, accompanied by repair of subcutaneous and dermal aeroplanes. A simple shower was utilized. The patient suffered the procedure very well and was transported for the recovery place in a secure manner.
CPT SERVICE CODE(S): ___________________________________________________ ICD-9-CM DX CODE(S): _______________________________________________Answer| | | | | Chosen Answer: | В
Response Feedback: | В В Professional Companies: 23120-LT (Claviculectomy, Partial) ICD-9-CM DX: 715. 31 (Osteoarthrosis, localized, shoulder)
The key to correctly revealing this services is to be capable of translate removing a portion with the left clavicle into a claviculectomy. Once this is certainly done the code may be located in the index from the CPT manual and reported with 23120 with modifier -LT to point the side. The analysis is stated in the Diagnosis section of the report to be degenerative arthritis and reported with 715. 31 to indicate a local osteoarthrosis with the shoulder.
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2. Question two
4 away of four. 5 points
| SITE: Outpatient, Hospital
PATIENT: Cathy Downs
COSMETIC SURGEON: Mohamad Almaz, MD
PREOPERATIVE DIAGNOSIS: Ripped left medial meniscus, aged
POSTOPERATIVE MEDICAL DIAGNOSIS: Torn still left medial meniscus, old
TREATMENT PERFORMED: Arthroscopy of the still left knee with partial inside meniscectomy.
FINDINGS: The patient was found to possess a horizontal rip involving the trasero one half with the medial meniscus. She a new previous partially meniscectomy in this field, but she seemed to include a side to side tear in this area. This was inside the location of her soreness that the lady had preoperatively. The remainder in the knee appeared very good. The articular surfaces over the knees had been in excellent condition, as well as the anterior cruciate ligament was intact. The lateral meniscus was in one piece.
PROCEDURE: While under a general anesthetic, the patient's remaining knee was examined. Zero effusion was noted. Your woman had 3 well-healed arthroscopy incisions. The collateral ligaments were intact. Lachman evaluation was negative, as was the pivot switch. The McMurray's test was questionably confident medially with some crepitus. All of us then prepped the person's left leg with Betadine and covered in a clean and sterile fashion. An Esmarch bandage was used to exsanguinate the leg, and a tourniquet on the upper leg was inflated to three hundred...