Study Guide

Only available on StudyMode
  • Download(s): 44
  • Published: June 15, 2013
Read full document
Text Preview
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.

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: ____________________

POSTOPERATIVE DIAGNOSIS: Mucosal lesion of bronchus.

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 bleeding. The main carina was sharp. All bronchial segments were visualized. There was an endobronchial mucosal lesion. This was located on the right lower lobe of the bronchus. The lesion was occluding the right lower lobe of the bronchus. No other lesions were seen. With use of fluoroscopic guidance, transbronchial biopsies were taken of the area of the lesion. Brush washings were also done for cytology analysis. The patient tolerated the procedure well and was sent to the recovery area in stable condition.

CPT CODE: ____________________

ICD·9 CODE(S): ____________________

POSTOPERATIVE DIAGNOSIS: Carcinoma of the right lung.
OPERATION PERFORMED: Bronchoscopy and right upper lobectomy.

The patient was brought into the operating room; and after the administration of anesthesia, the patient was prepped and draped in the usual sterile fashion. The patient was placed in the left lateral decubitus position. A thoracotomy incision was made. This exposed the chest muscles, which were incised and retracted. The fourth and fifth ribs were visualized and transected to allow entrance to the chest. A tumor mass was noted involving the right lung upper lobe. The right upper lobe was then removed. Saline was irrigated into the chest. It was noted that the liver and diaphragm appeared to be normal with no lesions seen. After verification that the sponge count was correct, chest tubes were placed for drainage. The surgical wound was closed in layers with chromic catgut and nylon. The patient tolerated this portion of the procedure well.

The patient was then placed in the supine position for the bronchoscopy. The patient was still under anesthesia. A flexible fiberoptic bronchoscope was inserted. Patent bronchi were noted bilaterally. The scope was withdrawn. The patient was awakened and sent to the recovery are in stable condition.

CPT CODE: ____________________

CPT CODE: ______________-_____

tracking img