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A patient had laparoscopic partial left salpingectomy to treat left tubal pregnancy. During surgery, a portion of the left fallopian tube, its ectopic pregnancy, and the mesosalpinx were coagulated...
For the lapa...
A patient status post implantation of dual chamber permanent pacemaker presents due to atrial lead dislocation. The patient is brought to the operating room to have the previously placed right atri...
Although the...
A patient presented to the electrophysiology laboratory for removal of implantable cardioverter defibrillator (ICD) generator and lead. An incision beneath the clavicle was reopened and was carried...
Although the...
The patient presents for cleft lip repair, and underwent Millard technique, which consisted of rotating the medial segment and advancing the lateral flap. The Cupids bow with piltrum is preserved w...
Assign code ...
The patient had previously undergone a Mitrofanoff procedure and now presents with Mitrofanoff channel polyps. The polyps were excised via cystourethroscope, and the surgeon documented “three fai...
For the exci...
A 19-year-old patient, status post ileal conduit urinary diversion surgery, developed tortuosity and kinking of the left ureter due to recurrent urinary tract infection. At surgery, the left ureter...
This patient...
A patient had insertion of a Swan Ganz catheter for monitoring of pulmonary artery pressure. Are two codes assigned to describe both the catheter insertion and pressure monitoring? Additionally, is...
When a Swan ...
An 84-year-old patient was admitted to our long-term care hospital (LTCH) for posttraumatic subarachnoid hemorrhage and subdural hematoma. She was treated medically at an acute care facility and wa...
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Surgical treatment is provided in the Official Coding Guidelines as an example of active treatment for the selection of the 7th character for initial encounter for codes in Chapter 19. If a patient...
Assign the 7...
The patient presents for surgical treatment of a malunion of a fracture of the humeral greater tuberosity. This is the first time the malunion is being surgically treated, and the patient did not d...
Assign the 7...