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A 65-year-old man was admitted and underwent emergent surgery secondary to incarcerated ventral hernia due to adhesions. The surgeon carried out laparoscopic ventral hernia repair with mesh. Accord...
In this inst...
The patient had uterine adenocarcinoma and was admitted for surgery. The surgeon noted in the dictated report that numerous adhesions between the abdominal wall and uterus were carefully and thorou...
Yes. Assign ...
A patient underwent exploratory laparotomy with lysis of adhesions and colostomy with removal of polyp of the ascending colon and repair of umbilical hernia. The lysis of adhesions was undertaken c...
No, do not a...
How would a diagnosis of “postoperative seroma” be coded in ICD-10-CM?
...Currently, I...
A 55-year-old woman presents to the hospital with a five-day history of abdominal pain, fever and chills. An exploratory laparotomy was performed which revealed a perforated appendix. The entire ap...
An ileocecec...
A 69-year-old patient, who was diagnosed with volvulus of the right colon, underwent right colectomy. Would separate codes be assigned for the resection of the cecum with appendix and excision of t...
Although the...
A patient, status post right hemi-craniectomy, underwent a right hemi-cranioplasty to repair the cranial defect. In the process, two small dural rents were noted and repaired primarily. The cranial...
In this case...
Our facility is unclear regarding the coding of coronary artery bypass grafting (CABG) using the left internal mammary artery (LIMA). We are specifically debating whether the LIMA is considered a f...
Based on the...
Please provide clarification for coding the harvest of the saphenous vein for coronary artery bypass grafting (CABG). In the operative note, the physician documents harvest of left saphenous vein f...
ICD-10-PCS d...
A patient with cervical spondylosis, grade 1 cervical spondylolisthesis, severe facet arthropathy, and disk herniation with cord compression underwent cervical posterior fusion, hemilaminotomy, dis...
The interspi...