Week 7 Exercises

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Valencia College *

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2253

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Mechanical Engineering

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Dec 6, 2023

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Marlyn Ortiz Gonzalez Week 7 Exercises Exercise 4.26 Digestive System - Endoscopy 2. Proctosigmoidoscopy with the removal of two polyps with the use of hot biopsy forceps Code(s): 45315 4. ERCP with the removal of biliary stent Code(s): 43275 6. Laparoscopic pyloroplasty Code(s): 43659 8. Flexible sigmoidoscopy with argon plasma coagulation Code(s): 45334 Exercise 4.27 Digestive System Operative Reports Operative Report #2 Procedure: Colonoscopy Instrument Used: Olympus CF100L Indications: The patient has a family history of carcinoma of the colon and colonic polyps. The digital and anal examinations were normal. The colonoscope was inserted into the cecum. Preparation was good. Eight to 10 very sessile and diminutive polyps were identified, all but one located in the rectum. The other polyp was located in the proximal transverse colon. All were coagulated and removed with the hot biopsy forceps. No other mucosal lesions were identified. Pathology Report Results of Gross Examination: 1. The specimen labeled “biopsy of polyp, transverse colon,” consists of a pale tan, slightly firm tissue measuring 0.2 cm in greatest diameter; completely submitted.
2. The specimen labeled “biopsy of polyp, rectum,” consists of six pieces of slightly firm pinkish-tan tissue ranging from 0.2 to 0.3 cm in greatest diameter; completely submitted. Results of Microscopic Examination: No high-grade dysplasia or malignant change is seen in the colorectal polyps. Pathological Diagnosis: 1. Biopsy of polyp, transverse colon: Hyperplastic polyp 2. Biopsy of polyp, rectum: Hyperplastic polyp Assign only CPT surgical codes (no E/M codes) and append any applicable modifiers. Code(s): 45380 Exercise 4.28 Digestive System Hernia Repairs Assign appropriate CPT code(s) for the following procedures. Assign only CPT surgical codes (no E/M codes) and append any applicable modifiers. 2. Laparoscopic repair of recurrent incisional hernia Code(s): 49656 4. Recurrent incarcerated inguinal hernia repair with implantation of mesh (56-year-old patient) Code(s): 49521 6. Initial repair of strangulated ventral hernia requiring mesh (49-year-old patient) Code(s): 49561, 49568 Exercise 4.30 Digestive System Review Assign appropriate CPT code(s) for the following procedures and indicate the index entries that were used to identify the codes. Assign only CPT surgical codes (no E/M codes) and append any applicable modifiers. 2. Laparoscopic gastric bypass and Roux-en-Y gastroenterostomy performed for obesity Code(s): 43644 4. Under fluoroscopy, the physician percutaneously placed an external biliary catheter into the bile duct for drainage.
Code(s): 47533 6. Laparoscopic aspiration of ovarian cyst Code(s): 49322 8. Percutaneous replacement of gastrostomy tube requiring debridement of granulation tissue to insert the new tube Code(s): 43763 10. Laparoscopic removal of a portion of the jejunum with anastomosis Code(s): 49320 12. Biopsy of tonsil Code(s): 31535
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