HIT 132 HOMEWORK 5

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Baltimore City Community College *

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132

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Mechanical Engineering

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Feb 20, 2024

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Ametrius Riggsbee HIT 132 October 14, 2023 Lab Homework 5 Exercise 4.19 1. Index: gastrectomy, sleeve Codes: 43775 2. Index Codes: 43262 3. Index: lesion, anal destruction Codes: 46912 4. Index: excision, stomach, gastrojejunostomy Codes: 43632 5. Index: throat, suture, wound Codes: 42900 6. Index: esophageal gastroduodenoscopy, flexible transoral, removal Codes: 43247 7. Index: laparoscopy, hernia repair Codes: 43281 8. Index: excision, anus, tags Codes: 46230 9. Index: Esophagoscopy, transoral, removal, polyp

Codes: 43216 10. Index: appendectomy, laparoscopic Codes: 44970 Exercise 4.20 1. Was this a diagnostic or surgical colonoscopy? Surgical what technique was used to remove the polyp? Snare index colonoscopy removal tumor Codes: 45385 2. what exactly was visualized during the endoscopic procedure? Besides visualization what else was performed during the endoscopy? Esophagus, stomach, duodenum Index: endoscopy, gastrointestinal, upper exploration Codes: 43248 3. what type of endoscopy was performed? Esophagoscopy What procedure was performed during the endoscopy? Index: endoscopy, esophagus, removal, foreign body Codes: 43215 4. what was performed during this procedure? Biopsy Index: colonoscopy, biopsy

Codes: 45380 5. what method was used to remove the hemorrhoids? Excision were the hemorrhoids internal or external? External how many columns or groups were documented? 3 Index: excision, hemorrhoid, hemorrhoidectomy, external complete Codes: 46250 6. what is a PEG tube percutaneous endoscopic gastrostomy tube how was the PEG tube inserted? Second portion of the duodenum Index: placement gastrectomy tube Codes: 43246 7. locate the right section for colectomy. What additional information is needed from the operative report to assign a correct code? Partial or total and additional procedure in the index what code selection is provided for the liver biopsy? 47000, 47001, 47100 how are the codes differentiated? Percutaneous, performed at times of major procedure, and if wedge biopsy was performed

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Index: 1. Colectomy, Partial with anastomosis 2. Biopsy, liver Codes: 44140, 47001 8. refer to the range of hernia repair codes. What documentation is needed before the code is selected? Age, recurrent or initial did the repair include implantation of mesh? Yes Index: hernia repair, inguinal Codes: 49505 -LT Exercise 4.23 1. Index: cyst, kidney, ablation Codes: 50541 2. Index: Cystourethroscopy Codes: 52330-50, 52332-50 3. Index: Cystourethroscopy, dilation, ureter Codes: 52344 4. Cystourethroscopy, resection, tumor Codes: 52235, 52283 5. Index: kidney, cyst, aspiration Codes: 50390 6. Index: nephrectomy, laparoscopic with ureters Codes: 50546 7. Index: Nephrostolithotomy

Codes: 50080 8. Index: Drainage, Ureter Codes: 50600 9. Index: Fine Needle Aspiration Biopsy, Lesion Code: 10009 10. Index: Cystourethroscopy, Dilation Ureter Codes: 52345 Exercise 4,24 1. What is meant by the urethra was then calibrated? The diameter of the urethra was measured. Index: Cystourethroscopy, dilation, urethra Codes: 52281 2. What is the purpose of injecting the bladder with Botox? Scan the CPT coding option for injecting the bladder during a Cystourethroscopy procedure record your findings? Index: Cystourethroscopy Codes: 52287 3. How was the stones removed? Via shockwave lithotripsy Index: lithotripsy, kidney Codes: 50590 4. During the cystoscopy, from which location were stones removed? Bladder

Index: Cystourethroscopy, removal calculus Codes: 53210 5. What was visualized during the endoscopy procedure? Urethra to bladder Index: Cystourethroscopy Codes: 52000 6. What was the technique the surgeon used to treat the bladder neck contracture? Vaporization Index: Cystourethroscopy, Fulguration Codes: 52214 7. Why were there two different instruments used with this procedure? The first 10-French cystoscope Was used to remove the stent. The 6-French was placed to view the entire ureter. Index: 1. Cystourethroscopy 2. Ureteroscopy Codes: 52310, 52351-RT Exercise 4.27 1. Index: Hypospadias, Urethroplasty, Local skin, Flaps Codes: 54324 2. Index: Orchiectomy, Partial Codes: 54522 3. Index: Biopsy, Testis Codes: 54505-50 4. Index: Laser surgery. Lesion, penis

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Codes: 54057 5. Index: removal, prosthesis, penis Codes: 54411 Exercise 4.32 1. Index: incision and drainage, Abscess, Vulva Codes: 56405 2. Index: Biopsy endometrium Codes: 58100 3. Index: laparoscopy, Lysis of adhesions Codes: 58660 4. Index: Lesion, Vagina, Destruction Codes:57061 5. Index: Cesarean delivery, routine care Codes: 59510 Exercise 4.33 1. Index: Hysterectomy, Vaginal, Removal tubes/ovaries Code: 58552 2. What technique is used to destroy the lining of the uterus? Thermoablation Index: Ablation, endometrial Codes: 58538

3. Refer to the key term in the alphabetical index, what information is needed to assign a CPT code for this procedure? Weather it was performed laparoscopically Or not. Index: tubal ligation Codes: 58600 4. What procedure was performed? Hysteroscopy Refer to the coding textbook. What guidelines pertain to this case? D & C should not be coded separately. Index: Hysteroscopy Ablation, surgical with biopsy Codes: 58558 5. Complete, partial, radical, simple Physician indicates that the vulvectomy was partial. the term undermined implies that it was beyond the superficial subcutaneous tissue. index: Vulvectomy, partial Codes: 56630 6. review the alphabetical index for the section under the term hysterectomy what documentation is needed to locate the coding section? Whether it's vaginal or abdominal Index: hysterectomy, abdominal, total Codes: 58150, 58700 7. What was the endometriotic Implants?

Displaced endometrial tissue throughout the abdominal and pelvic area any endometrial tissue found outside the uterus. Index: fulguration, lesions, pelvis Codes: 58662

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