HIM126C _ Module 03 Assignmeny Body Systems Worksheet
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Rasmussen College, Florida *
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Course
1126C
Subject
Medicine
Date
Dec 6, 2023
Type
docx
Pages
6
Uploaded by DrNeutron10657
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Submitted 10/22/23, 8:42 PM (CDT)
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Assignment Content
Assignment Content
1.
This coding worksheet contains 23 questions. You can re-enter the worksheet unlimited times but submit only once.
Please use coding resources to complete the following worksheet.
2.
Question 1
Percutaneous drainage of left axillary lymph node. The PCS code for this procedure is
07963ZZ
3.
Question 2
A patient had an open colostomy performed from the descending colon to the abdominal wall. The PCS code for this procedure is:
0D1M0Z4
4.
Question 3
Percutaneous drainage of a cyst of the right auricle of the ear. The PCS code for this procedure is: 09903ZZ
5.
Question 4
A mitral valve replacement is done using a porcine valve via a sternotomy. The PCS code for this procedure is:
02RG08Z
6.
Question 5
Code the following case study. One code is required.
Preoperative Diagnosis: Sensorineural hearing loss
Postoperative Diagnosis: Sensorineural hearing loss
Procedure: Right cochlear implant that is a nucleus contour advance multi-channel device
Procedure Notes: A general endotracheal anesthetic was administered. The right ear was examined and there was no evidence of ear infection. The right ear and face were prepped and draped in the
standard sterile fashion. An extended postauriclar incision (small incision made in the right inner ear) was created and brought down to the subgaleal level. Flaps were elevated and periosteal incisions were designed. The mastoid was widely exposed. A recess was created to accommodate the receiver/stimulator case. Mastoidotomy was then performed. The area of the aditus was identified and the short process of the incus exposed. The facial recess was opened. The promontory was identified. The stapes and the area of the oval window was exposed as was the round window niche. A cochleostomy was performed. Holes were created at the lateral aspect of the receiver/stimulator recess and the mastoidotomy. The wound was irrigated copiously with sterile saline. The device was then introduced into the field and secured in the recess. The ground electrode was placed deep to the temporalis fascia. The electrode array was inserted,
and a complete insertion was obtained with an advance off stylet technique. The cochleostomy was packed with soft tissue from the lateral incision. The stylet was removed, and the wound was closed. (There are multiple steps to a cochlear implant but only 1 code is needed as these steps are all considered part of the procedure.)
ICD-10-PCS code:
Your Answer
F0BZ09Z
7.
Question 6
A patient had a portion of the pancreas removed for biopsy via FNA (fine needle aspiration). The PCS code for this procedure is:
0FDG3ZX
8.
Question 7
Total thymectomy performed via open approach. The PCS code for this procedure is
07TM0ZZ
9.
Question 8
Harvesting of the right internal mammary artery (to be used for a graft), open approach. The PCS code for this procedure is: 03B00ZZ
10.
Question 9
Repair of laceration sclera of right eye. The PCS code for this procedure is:
08Q6XZZ
11.
Question 10
Insertion of pacemaker lead into right ventricle. The PCS code for this procedure is:
02HK3JZ
12.
Question 11
Laparoscopic right adrenalectomy. The PCS code for this procedure is
0GT34ZZ
13.
Question 12
Bone marrow aspiration biopsy obtained via needle from posterior iliac crest, left side. The PCS code for this procedure is: 07DR3ZX
14.
Question 13
A physician removes a small Lego from a child’s right nostril using forceps. The PCS code for this procedure is:
09CKXZZ
15.
Question 14
Neurolysis of the right median nerve utilizing a needle through the skin. The PCS code for this procedure is:
01N53ZZ
16.
Question 15
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Code the following case study. One code is required.
Preoperative Diagnosis: Age-related cataract of right eye
Postoperative Diagnosis: Age-related cataract of right eye
Procedure: Cataract removal and insertion of lens
Lens: Bausch and Lomb MX60E, Power +21.5 diopter, serial number: 1234567 EOXP
Procedure Notes: The patient was brought to the operating room and
prepped and draped in the usual sterile manner. A wire lid speculum was placed in the eye. The anterior chamber was filled with viscoelastic and a corneal incision was made. The anterior chamber was entered with the Utrata forceps. Mechanical dilation was performed, and the lens was freed. Phacoemulsification was performed
with the Nagahara chopper in a stop and go fashion. All cortical material was removed. A 21.5 diopter MX60E lens was placed. The wounds were hydrated and the pupil was noted to constrict equally and round. Lid speculum was removed. Vigamox were given to the patient who left the operating room in good condition.
ICD-10-PCS code:
Your Answer
08PJ3YZ
17.
Question 16
A patient had a gastroscopy done for diagnostic purposes. The PCS code for this procedure is:
0DJ68ZZ
18.
Question 17
Code the following case study. One code is required.
Preoperative Diagnosis: Low back pain with lumbar facet arthropathy, lumbar radiculopathy
Postoperative Diagnosis: Low back pain with lumbar facet arthropathy, lumbar radiculopathy
Procedure: Spinal Cord Stimulator implant with neural modulation. (Code only the lead implant)
Procedure Notes: The patient was placed in the prone position and the back was aseptically prepped and draped. A local anesthesia was given. An epidural needle was then guided under fluoroscopic guidance
to reach the epidural space by loss of resistance technique. The needle
was then advanced to T8-9 level. The stimulator was analyzed, had good coverage of all her painful spots, the lead was anchored by extending the incision at the Para spinal area around L1-2 and then lead was anchored in the spinal canal with 2-0 silk. Dr. X did the pocket
for the generator and completed the implant. The patient was discharged uneventfully. (Be careful with the body part on the implant. Read the documentation carefully.)
ICD-10-PCS code (for the spinal cord stimulator lead implant):
Your Answer
00HU4MZ
19.
Question 18
Open excision of the entire right axillary lymph node chain. The PCS code for this procedure is: 07T50ZZ
20.
Question 19
A tracheostomy formation is performed using an open approach. The PCS code for this procedure is: 0B110F4
21.
Question 20
The patient had the distal portion of the right lower (inferior) parathyroid removed using an open approach. The PCS code for this procedure is:
0GBN0ZZ
22.
Question 21
Laparoscopic partial splenectomy. The PCS code for this procedure is:
07BP4ZZ
23.
Question 22
A patient has a portion of the sigmoid colon removed via an open approach. The PCS code for this procedure is: 0DBN0ZZ
24.
Question 23
Recession of left superior rectus muscle for a patient with hypertropia, open approach.
The PCS code for this procedure is: 08SM0ZZ
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