Audit Report Emergency Assignment Help: How to Answer This Question

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Audit Report 3.2 Emergency Brain CT Scan On today’s CT examination, I believe there has been acute or subacute hemorrhage into the neoplasm of the meninges. The hemorrhage has LOCATION: Inpatient, Hospital decompressed into the ventricular system with resultant blood in the PATIENT: Annabelle Castaneda posterior portions of both lateral ventricles. I believe there is some PHYSICIAN: Ronald Green, MD swelling of the right hemisphere. However, the patient had previously RADIOLOGIST: Morton Monson, MD had much of the right frontal lobe removed. Presently, there is no shift EXAMINATION OF: Emergency brain CT of midline structures from right to left. Left lateral ventricle is larger than normal. Although it has previously been larger than normal, today’s CLINICAL SYMPTOMS: Hematoma, meninges of brain examination shows increased enlargement of the frontal and temporal COMPUTED TOMOGRAPHIC EXAMINATION OF THE BRAIN was performed horns. Therefore, there might be some obstruction, although it certainly without contrast material as an emergency procedure. The patient has had might not be acute. Cerebral sulci of the left hemisphere can be visualized, multiple CT examinations, the most recent being last month. She also has as are basal cisterns. Overall, I do not feel that there is significant raised had multiple MR examinations, the most recent being 6 months ago. The intracranial pressure. patient is known to have a large extradural neoplasm adjacent to the right hemisphere. She has had several operative procedures for this neoplasm. One of the following codes is reported incorrectly for this case. Although the neoplasm is thought to be a meningioma, it is obviously Indicate the incorrect code. aggressive in that it has recurred so frequently. The most recent brain examination was on March 18th of last year. PROFESSIONAL SERVICES: Brain CT scan, 70470-26 Apparently that study again showed a solid contrast-enhancing mass ICD-10-CM DX: Hemorrhagic meninges, 160.8; Meninges neoplasm, (with low-density portions) in relation to the front frontoparietal junction. D49.7 Significant encephalomalacia of the right frontal lobe is again noted. INCORRECT CODE:

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