Operative Report PROCEDURE: Pterygium removal with conjunctival graft, right eye PROCEDURE DETAILS: Local anesthesia was achieved with a 50:50 mixture of 2 percent lidocaine and 0.75 percent bupivacaine with hyaluronidase. The eye was prepped and draped in the usual sterile fashion. The lashes were isolated on Steri-Strips, and the lids separated with the wire speculum. The pterygium was marked with a marking pen, and subconjunctival injection of 1 percent lidocaine with epinephrine was injected underneath the pterygium. The pterygium was then resected, and the body of the pterygium was resected with sharp dissection with Westcott scissors. The head of the pterygium was dissected off the cornea with Martinez corneal dissector. The cornea was then smoothed with an ototome burr. Hemostasis was achieved with bipolar cautery. A conjunctival graft measuring 10 mm × 8 mm was harvested from the superior bulbar conjunctiva by marking the area and injecting it with subconjunctival 1 percent lidocaine with epinephrine. This was dissected with Westcott scissors and sutured in place with multiple interrupted 9-0 sutures. Subconjunctival dexamethasone and gentamicin injections were given. A bandage contact lens was placed on the eye. Neomycin, polymyxin B, and dexamethasone ointment was placed on the eye. A patch was placed on the eye. The patient tolerated the procedure well and was taken to the recovery room in good condition. First-Listed Diagnosis: First-Listed Procedure:

Physician Office NoteExamination of the ear canal on both sides revealed impacted cerumen, tightly on the right side and a little bit on the left. The physician irrigated both ears with saline solution and suctioned dry to clean out all debris. First-Listed Diagnosis: First-Listed Procedure: Hint: this code requires a modifier.

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A dot plot displays quantitative data by: