Final Examination Booklet for Medical Billing and Coding

Topics: Surgery, Hernia, Spigelian hernia Pages: 2 (341 words) Published: August 27, 2012
1. Discuss two differences between inpatient and outpatient coding.

2. You’ve started your first day at Venture Outpatient Surgery Center. Code the following operative report:
Operative Report
PREOPERATIVE DIAGNOSIS: Left flank soft tissue mass
POSTOPERATIVE DIAGNOSIS: Left flank soft tissue mass
OPERATIONS: Excision of left flank soft tissue mass with
layered closure measuring 4 cm, with margins, prior to
ANESTHESIA: Sedation with 1% lidocaine with epinephrine and sodium bicarbonate OPERATIVE INDICATIONS: This is a pleasant female who comes in with a soft tissue lesion in the left flank over what appeared to be a spigelian hernia site as well. However, it was not reducible and did not appear to be consistent with a hernia. Consequently, the procedure, risks, benefits, and alternatives of excision of this lesion were discussed with the patient, and she understood and wished to proceed with the excision. OPERATIVE FINDINGS: Large soft tissue lesion measuring

about 6 cm in greatest dimension
OPERATIVE PROCEDURE: The patient was brought into the operation room after informed consent was obtained. The patient then underwent sedation with a sterile prep and drape. We then anesthetized with 1% lidocaine with epinephrine and sodium bicarbonate, made a 4-cm incision, and used sharp dissection to dissect circumferentially around this soft tissue lesion, being careful to make sure that we were not entering any kind of hernia sac secondary to spigelian hernia. As we continued to dissect circumferentially around it without sharp dissection, it was noted that it did go down to a muscle, but no evidence of hernia was identified. The lesion was excised in its entirety, and electrocautery was used to control hemostasis. We then irrigated with saline solution and closed the subcutaneous tissue with 3-0 Vicryl interrupted and running sutures. We then used 4-0 Vicryl sutures to close the skin in a subcuticular fashion. Benzoin and...
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