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Study Guide

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Coding Applications

The following Coding Application statements are intended to familiarize you with the coding process in a more concentrated and definitive manner. Please feel free to share with your instructor and with your fellow students your findings and methods. If you have questions this is the time to ask for clarity and explore the outcomes.

Review the ten Coding Application statements below and provide the answer for each problem as instructed. To print and review the problems before completing the Test click here.

To submit your answers, click on Tests in the left menu then Week 2 - Coding Applications Test.

PREOPERATIVE DIAGNOSIS: Lesion of vocal cords.
POSTOPERATIVE DIAGNOSIS: Tumor of left vocal cord.
OPERATION PERFORMED: Laryngoscopy.

The patient is a 25-year-old student of opera who presented with a lesion of her left vocal cord seen on office laryngoscopy. Today she is seen in the ambulatory suite for further examination of this lesion, using the operating microscope. After the administration of local anesthesia, a direct endoscope is introduced. The operating microscope is brought into the field, and the pharynx and larynx are visualized. The pharynx appears normal. There was a mass noted of the left vocal cord. The mass was approximately 2.0cm in size and was removed in total and sent to pathology for analysis. All secretions were suctioned, and the area was irrigated with saline. The patient had minimal blood loss. It should be noted that the pathology report stated benign tumor of the vocal cord.

CPT CODE: ____________________

ICD·9-CM CODE: ____________________

PREOPERATIVE DIAGNOSIS: Hemoptysis.
POSTOPERATIVE DIAGNOSIS: Mucosal lesion of bronchus.
OPERATION PERFORMED: Bronchoscopy.

The bronchoscopy was passed through the nose. The vocal cords were identified and appeared normal. No lesions were seen in this area. The larynx and trachea were then identified and also appeared normal with no lesions or...