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Eastern Iowa Community College District *
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Course
205
Subject
Medicine
Date
Dec 6, 2023
Type
Pages
3
Uploaded by ConstableFoxMaster495
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2022).
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Laparotomy
&
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A
laparotomy
is
an
incision
into
the
abdominal
cavity
(Dorland
201,
4
Acute
an
2
laparotomy
is
for
the
purposes
of
opening
the
cav1ty3
.the
definitive
procedu’re
)y
9-
L
the
cavity
is
coded
with
the
approach
Open.
The
definitive
procedure
may
b,
abmm
‘*
o
DO
of
postoperative
bleeding,
drainage,
lysis
of
adhesions
(relegse),
OF
Temovy|
ofp;y‘%
.
yrritab
the
laparotomy
is
for
exploratory
purposes
only,
the
root
operation
Inspectioy
i
.
eiw‘%
1
—
approach
Open.
Yy
qectal
P
\
/
-
ICD-10-CM
and
ICD-10-PCS
Review
Exerci
L,
powe
Assign
the
correct
ICD-10-CM
diagnosis
codes
and
ICD-10-PCS
procedure
codes
t
the
foloy
43.
postgas
exercises.
g
i
1.
Recurrent
right
inguinal
hernia
with
gangrene
and
obstruction
14
Diverti
2.
Acute
gastric
ulcer
with
hemorrhage
and
perforation
15.
PROC
3.
Acute
appendicitis
with
generalized
peritonitis
and
abscess
16.
PRO
ICD-10-PCS
Procedure
Coding
for
Diseases
of
the
Hepatobiliary
System
and
Pancreas
:ggpter
14
(continued)
:
piffuse
acute
infarction
of
large
intestine
I3
10-CM
and
ICD-10-PCS
Review
Exercises:
chronic
duodenal
ulcer
with
hemorrhage;
Chronic
blood
loss
anemia
The
patient
is
a
65-year-old
female
who
was
admitted
to
the
hospital
for
repair
of
an
incisional
nernia.
During
her
preanesthesia
evaluation,
it
was
determined
that
she
had
both
hypertension
that
was
not
well
controlled
and
acute
on
chronic
diastolic
heart
failure.
The
anesthesiologist
and
attending
physician
advised
the
patient
that
her
surgery
would
be
cancelled
in
order
to
manage
her
medical
conditions.
The
patient
stayed
in
the
hospital
two
days
for
treatment
of
the
heart
failure
and
hypertension
and
then
was
discharged
with
an
appointment
to
see
her
attending
physician
in
one
week
to
evaluate
if
and
when
the
hernia
surgery
can
be
rescheduled.
7.
The
patient
is
a
56-year-old
male
who
was
admitted
with
cellulitis
of
the
abdominal
wall
due
to
an
infection
at
the
patient’s
colostomy
site.
It
was
determined
that
the
infection
was
due
to
enterococcus,
and
it
was
treated
successfully
with
intravenous
antibiotics.
Code
the
diagnoses
only.
8.
Chronic
alcoholic
hepatitis
with
ascites;
Chronic
alcoholism
Tocedure
per?)'
If
the
9.
Acute
and
chronic
cholecystitis
with
cholelithiasis
p
Y,
con
e
tro]
.
n.lov;f]
of
a
device,
|
10
Irritable
bowel
syndrome
with
diarrhea
Ction
is
coded
witp
the
11.
Rectal
polyp
12,
Acute
and
chronic
alcohol
induced
pancreatitis
Hes
to
the
following
13,
Postgastrectomy
malabsorption
syndrome
14.
Diverticulitis
of
small
intestine
with
abscess
and
perforation/rupture
with
peritonitis
15
PROCEDURE:
Laparoscopic
cholecystectomy
16,
PROCEDURE:
Colonoscopy
with
excision
of
colon
polyp,
descending
colon
and
biopsy
of
sigmoid
colon
I
403
(Continued
on
next
page)
Chapter
14
Disease
of
h
||
estive
Systell
KOO‘
“95)
(
S
the
D
g
Vi
p-10-CM
and
;
'g:tapter
14
(continued)
h
resection
of
a
portion
of
the
jejunum
17.
PROCEDURE:
Laparotomy
wit
i
holedocholithotomy
tectomy
with
open
¢
:
Open
cholecys
18.
PROCEDURE
i
iver
19.
PROCEDURE:
Percutaneous
needle
biopsy
of
live
PROCEDURE:
Left
inguinal
herniorrhaphy
with
mesh
(synthetic
material)
20.
'
References
American
Hospital
Association
(AHA).
2006.
Coding
Clinic
for
ICD-9-CM.
Fourth
Chicago:
American
Hospital
Association.
Qua:
Centers
for
Disease
Control
and
Prevention
(CDC),
National
Center
for
Health
Sz,
(NCHS).
2021.
ICD-10-CM
Official
Guidelines
for
Coding
and
Reporting,
2022.
it/
.cdc.gov/nchs/icd/icd10cm.htm
Centers
for
Medicare
and
Medicaid
Services
(CMS).
2021.
ICD-10-PCS
Official
Guidelna
for
Coding
and
Reporting,
2022.
http://www.cms.
gov/Medicare/Coding/ICD10/.
Dorland,
W.A.N.,
ed.
2012.
Dorland
s
Illu
strated
Medical
Dictionary,
32nd
ed.
Phila:
Elsevier
Saunders.
Stedman,
T.
2012.
Stedman’s
Medica
Philadelphia:
Wolters
Kluwer/Lip
Strand,
N.,
D,
Feliciano,
an
Inguinal
and
Femoral
Re
/groin_hernia.ashx.
I
Dictionary
for
the
Health
Professions
and
Nursing.
T8
pincott
Williams
&
Wilkins.
d
M.
Hawn.
2018.
American
College
of
Surgeons.
Groin
tk‘“l‘e
pair.
https://www.facs.org/~/media/files/education/panenl
2
At
the
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