By Gail I. Smith
ISBN-10: 1435427785
ISBN-13: 9781435427785
Coding surgeries: past the fundamentals allows you to boost the mandatory coding talents required past the fundamental point. Surgical coding is the main tricky element of technique coding. every one bankruptcy specializes in the medical point of surgeries and its software to approach coding. surgeries are mapped to legitimate coding directions for an in-depth figuring out of right coding perform, and every bankruptcy contains case reviews, routines, and assets to augment your wisdom of surgery coding. A partial resolution key seems within the appendix so that you can fee your growth during the routines and case reviews. encompasses a unfastened trial of EncoderPro.
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Additional resources for Coding Surgical Procedures: Beyond the Basics
Example text
After monitored anesthesia care with sedation was begun, the patient was prepped and draped in the usual sterile manner. 0 cm lipoma, which was deep in the subfascia. Bipolar electrocautery was used to obtain hemostasis; a twolayer closure was performed using 3-0 Vicryl for the deep layer and a running Monocryl on the skin. Dermabond was then applied. The patient tolerated the procedure well with no complications. He was discharged to the recovery room awake and in good condition. Code(s) Case Study 2-4: Operative Report Preoperative Diagnosis: Neoplasm of left facial region/upper lip, 6 mm in length Postoperative Diagnosis: Dermal lesion of upper lip Procedure: Excision of lesion of upper lip with intermediate layered closure Indications: This 62-year-old female has a history of a residual neoplasm that has been refractory to two prior surgical interventions.
Code(s) 2. 0 cm laceration on the left side of the cheek. The patient was prepped and draped in the usual manner, and local anesthesia of 1% lidocaine was administered. The wound was closed with multiple layers and required extensive cleansing and debridement. Code(s) 3. A 58-year-old female accidentally stuck her arm through a glass door and suffered several lacerations. 5 cm superficial repair of the wrist. Code(s) 4. 3 cm) Procedure: After the patient’s right hand was prepped and draped in the usual manner, and after obtaining satisfactory analgesia with infiltration of local anesthesia, an elliptical skin incision was made surrounding the skin lesion.
4 cm. Lesion was excised in full-thickness fashion and closed in layers at the non-muscle fascial level and #4-0 black nylon interrupted on the skin. Code(s) Case Study 2-10: Operative Report Preoperative Diagnosis: Right breast mass Postoperative Diagnosis: Same Operation: Excisional biopsy Indications: The patient on routine mammogram was noted to have a right mass of concern. The mass was not palpable. Therefore, the patient was scheduled for needle localization biopsy. Procedure: The patient was brought to the surgery center and then taken to the main operating room.