Audit Following Codes Assignment Help: How to Answer This Question
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Key Explanation
This topic involves audit following codes. A strong answer should include explanation, application, and examples.
Original Question
Audit the following ICD-10-PCS codes that were assigned by the coder for Operative Report #2: 0PTM0ZZ, 01N54ZZ Read each operative report and review the codes reported. Then place your answers in the space provided after the report. Accurate spelling and grammar will be considered in grading. Coding guidelines should be directly applicable to the case study. Avoid submitting generalized coding guidelines that can be applicable to any or all coding scenarios e.g., A11. Step 1-After reviewing the operative report #1, review the two codes to be audited and determine if each code is correct or not. If not, give the correct code. Or indicate if the code should be deleted. Do this for both codes. Place answer in the space provided after the Operative Report. (5 points) Step 2- In your own words, explain your rationale for the auditing decisions you made in Step 1. In your rationale you should be specific as to why you changed the code and indicate coding guidelines, PCS definitions, and concepts to support your decisions when they apply. Place answer in the space provided after the Operative Report. (5 points) Operative report #2 Preoperative Diagnosis: Bilateral carpal tunnel syndrome. Procedure Performed: Right carpal tunnel repair. Indication for Surgery: The patient is a 36-year-old male with bilateral carpal tunnel syndrome, moderate to severe on the right, mild to moderate severity on the left. The patient is scheduled for carpal tunnel repair on the right with a planned steroid injection on the left in the near future. Risks and benefits were thoroughly discussed with the patient. The patient verbalized understanding of the risks and benefits and indicated a desire to proceed with the planned surgical intervention and treatment. DESCRIPTION OF PROCEDURE: The operative site was appropriately identified and informed consent was obtained from the patient. Following adequate administration of general anesthesia, a tourniquet was placed on the patient’s right upper arm. The right upper extremity was then prepped and draped in the usual sterile fashion. A skin incision was then made and carried down with scalpel to the level of the palmar fascia which was sharply divided. Bleeding points were identified with electrocautery using bipolar electrocautery. Retractors were then placed to allow direct visualization of the distal extent of the transverse carpal ligament which was then divided longitudinally under direct vision. Retractors were then replaced proximally to allow visualization of proximal extent of the transverse carpal ligament and the release was continued proximally until complete release of the median nerve was performed. No other abnormalities were noted. Wounds were then irrigated with normal saline and an antibiotic solution. The skin incision was closed with interrupted 5-0 nylon sutures. The wound was then dressed, and the tourniquet was deflated. The instrument count was accurate. Patient was released to the recovery room
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