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Author Archives: Anonymous

The meaning of the root myring/o is:

The meaning of the root myring/o is:

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A 55-year-old woman visits the clinic complaining of chronic…

A 55-year-old woman visits the clinic complaining of chronic lower back pain. The physician diagnoses her with lumbar spondylosis and suggests osteopathic manipulative treatment (OMT) to alleviate her pain and increase mobility. The osteopathic physician manipulates the lumbar and sacral regions during the session. What CPT® and ICD-10-CM codes are reported for the OMT?

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A patient with deep vein thrombosis requires heparin to main…

A patient with deep vein thrombosis requires heparin to maintain therapeutic anticoagulation levels. He has regular PTT’s drawn to monitor his level of anticoagulation. What CPT® code is reported?

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A patient with right and left prominent ears presents for ot…

A patient with right and left prominent ears presents for otoplasty on both ears. What CPT® and ICD-10-CM codes are reported?

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A patient with a previous low transverse incision cesarean d…

A patient with a previous low transverse incision cesarean delivery is attempting VBAC (vaginal birth after cesarean), also known as TOLAC (trial of labor after cesarean) with her second child. During labor her uterus ruptured. She had an emergency cesarean section followed immediately by hysterectomy to remove her ruptured uterus. Mother and baby survived. The same obstetrician provided her antepartum and postpartum care. What are the CPT® and ICD-10-CM codes reported for this service?

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A patient with a status post (after or following) lumbar pun…

A patient with a status post (after or following) lumbar puncture headache receives an epidural blood patch. The patient’s venous blood is injected into the lumbar epidural space; this blood forms a clot sealing the leak of CSF from the lumbar puncture. What CPT® and ICD-10-CM codes are reported?

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A couple has been trying to conceive for nine months without…

A couple has been trying to conceive for nine months without success. Preliminary studies show the woman ovulates and the husband’s sperm count is good. A sperm sample is submitted for both a post coital Huhner test and a hamster penetration test. Report the codes.

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A provider is performing an experimental cervical sympathect…

A provider is performing an experimental cervical sympathectomy on a patient with Raynaud’s Syndrome. What CPT® and ICD-10-CM codes are reported?

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What is the correct CPT® code for the wedge excision of a na…

What is the correct CPT® code for the wedge excision of a nail fold of an ingrown toenail?

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Operative ReportPREOPERATIVE DIAGNOSIS: Squamous cell carcin…

Operative ReportPREOPERATIVE DIAGNOSIS: Squamous cell carcinoma, scalp.POSTOPERATIVE DIAGNOSIS: Squamous carcinoma, scalp.PROCEDURE PERFORMED: Excision of Squamous cell carcinoma, scalp with Yin-Yang flap repairANESTHESIA: Local, using 4 cc of 1% lidocaine with epinephrine.COMPLICATIONS: None.ESTIMATED BLOOD LOSS: Less than 5 cc.SPECIMENS: Squamous cell carcinoma, scalp sutured at 12 o’clock, anterior tipINDICATIONS FOR SURGERY: The patient is a 43-year-old male patient with a biopsy proven squamous cell carcinoma of his scalp measuring 2.1 cm. I marked the area for excision with gross normal margins of 4 mm and I drew my planned Yin-Yang flap closure. The patient observed these markings in two mirrors, to understand the surgery and he agreed on the location. We proceeded with the procedure.DESCRIPTION OF PROCEDURE: The area was infiltrated with local anesthetic. The patient was placed prone, his scalp and face were prepped and draped in sterile fashion. I excised the lesion as drawn to include the galea. Hemostasis was achieved with the Bovie cautery. Pathologic analysis showed the margins to be clear. I incised the Yin-Yang flaps and elevated them with the underlying galea. Hemostasis was achieved in the donor site using Bovie cautery. The flap rotated into the defect with total measurements of 2.9 cm x 3.2 cm. The donor sites were closed and the flaps inset in layers using 4-0 Monocryl and the skin stapler. Loupe magnification was used. The patient tolerated the procedure well.What CPT® and ICD-10-CM codes are reported?

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