Raven Lipscomb_Mod1 Coding Concer_02_12_24
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Raven Lipscomb
HIM1126c PCS Coding Winter 2024 Term 2
Module 1 PCS Coding Worksheet Concern
2/12/24
Raven,
It is my sincere desire to work with students to help them be successful in learning ICD-10 PCS coding. To do so, students must adhere to the expectations of the course which include using the assigned coding book and resources for the PCS Code Build Process to determine the codes for submission in the assignments.
The expectations for the course were discussed during the live classroom session on Thursday evening 2/8/24. I reviewed your responses to the Academic Integrity video for the Live Classroom Assessment Questions and noted that you value academic integrity and should be aware from listening to the live classroom session that it is not acceptable to seek answers for course assignments from other sources such as “Course Hero” or “Googling”/Using the Internet
to obtain codes.
In reviewing your Module 1 PCS Codes worksheet submitted on 2/11/24 01:00 pm, I noted that you submitted a code for an “Essay” question (below) that is invalid and outdated. The code submitted is not available in the 2024 ICD-10 PCS Codebook that is to be used when building the codes for submission in assignments in this course.
I want to give you an opportunity to respond to me with an explanation of how you arrived at the submitted code 0DNS4ZZ. No response by 11:59 pm on Tuesday 02/13/24 will result in a 0 grade for the Module 1 PCS Codes Worksheet assignment. Upon receipt of your response, however, I will review your explanation and let you know the next steps.
If you have questions or would like to set up a 1:1 to discuss, please let me know.
Sandy Stevens-Berens, Instructor
Module 1 Essay Question
Code the following case study. One code is required.
Procedure: Laparoscopic adhesiolysis (Think about what the objective of this procedure is to determine the root operation)
Indication for Procedure: Previous pelvic surgery and personal history of ovarian cysts
Preoperative Diagnosis: Pelvic pain and a history of previous pelvic surgery and ovarian cysts
Postoperative Diagnosis: Adhesions due to prior surgery of the greater omentum to the anterior abdominal wall. No ovarian cysts were found.
Procedure Notes: A supraumbilical incision (small incision as this is laparoscopic) was made with a scalpel and elevated up with towel clamps. A long Veress needle was placed and CO2 gas was used to insufflate the abdomen and pelvis. A 10-12 trocar and sleeve were then placed and confirmed via the laparoscope. The dense greater omental
adhesions to the anterior abdominal wall were noted immediately. At that time, we were
not able to see into the pelvic region. A second 5mm trocar and sleeve were placed in the left mid quadrant under direct visualization. The ligature device was then placed developing a plane between the omentum and the anterior abdominal wall. The adhesiolysis (What is the objective of a lysis of adhesions?) took place and took approximately 25 minutes to release all of the omental adhesions from the anterior abdominal wall. The ovary was visualized with no evidence of ovarian cyst or pathology and no evidence of pelvic endometriosis. The uterus appeared normal. The procedure was terminated at this time. The ports were removed the CO2 gas allowed to escape. The incisions were closed with Vicryl suture. The patient tolerated the procedure well with no complications.
ICD-10-PCS code:
Answer Submitted 0DNS4ZZ
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