Question Paper: Billing and Coding Applications with Simulations
User | Kristin Maze | Course | BC3030X: Billing and Coding Applications with Simulations (5-21-2012) Section 5 | Test | Week 1 - Coding Applications Test | Started | 5/27/12 1:52 PM | Submitted | 5/28/12 9:46 PM | Status | Completed | Score Time Elapsed | 59 minutes out of 1 hour. | Instructions | | * Question 1
0 out of 4.5 points | | | LOCATION: | Outpatient, Hospital | PATIENT: | Larry Frost | SURGEON: | Mohomad Almaz, MD | | |
DIAGNOSIS: Localized degenerative arthritis, left distal clavicle, with persistence of arthritic symptoms
OPERATIVE PROCEDURE: Removal of distal 1 cm (centimeter) left clavicle
After satisfactory level of general anesthesia was reached and patient was in the supine position, he was further placed in a beach chair position. A longitudinal incision was created over the region of the left AC joint. At this time, sharp dissection was conducted down to the fascial plane. The fascial plane was then further incised, reflecting both the deltoid and the trapezial fascia and the distal aspect of the clavicle undermining the clavicle; at this time we simply proceeded excising the distal 1 cm of the clavicle with use of a reciprocal saw. With completion of this element of the procedure, the margins of the bone were otherwise unremarkable in gross appearance. It was also significant to note at this time the acromial end of the articulation was unremarkable. The wound was irrigated, followed by controlling of punctate bleeding with use of electrocautery, followed by the closure of the deltotrapezial fascia. At this time I further imbricated sutures for stable repair, followed by repair of subcutaneous and dermal planes. A simple dressing was applied. The patient tolerated the procedure well and was transported to the recovery room in a stable manner.
CPT SERVICE CODE(S): ___________________________________________________
ICD-9-CM DX CODE(S): _______________________________________________Answer |
0 out of 4.5 points | | | LOCATION: | Outpatient, Hospital | PATIENT: | Larry Frost | SURGEON: | Mohomad Almaz, MD | | |
DIAGNOSIS: Localized degenerative arthritis, left distal clavicle, with persistence of arthritic symptoms
OPERATIVE PROCEDURE: Removal of distal 1 cm (centimeter) left clavicle
After satisfactory level of general anesthesia was reached and patient was in the supine position, he was further placed in a beach chair position. A longitudinal incision was created over the region of the left AC joint. At this time, sharp dissection was conducted down to the fascial plane. The fascial plane was then further incised, reflecting both the deltoid and the trapezial fascia and the distal aspect of the clavicle undermining the clavicle; at this time we simply proceeded excising the distal 1 cm of the clavicle with use of a reciprocal saw. With completion of this element of the procedure, the margins of the bone were otherwise unremarkable in gross appearance. It was also significant to note at this time the acromial end of the articulation was unremarkable. The wound was irrigated, followed by controlling of punctate bleeding with use of electrocautery, followed by the closure of the deltotrapezial fascia. At this time I further imbricated sutures for stable repair, followed by repair of subcutaneous and dermal planes. A simple dressing was applied. The patient tolerated the procedure well and was transported to the recovery room in a stable manner.
CPT SERVICE CODE(S): ___________________________________________________
ICD-9-CM DX CODE(S): _______________________________________________Answer |