Below Scenarios Code Question & Answer Guide (With Explanation)

This question focuses on applying theory to practical scenarios.

What This Question Is About

This question relates to below scenarios code and requires a structured academic response.

How to Approach This Question

Focus on explaining concepts clearly and supporting them with examples.

Key Explanation

This topic involves below scenarios code. A strong answer should include explanation, application, and examples.

Original Question

Below are the scenarios to code. These are all inpatient procedures. You are coding them for the facility, NOT for the physician. Code the procedures only, using the appropriate coding classification system. Do not code diagnoses. You should refer to coding policy and guidelines to accurately and thoroughly code each scenario. There are five (5) scenarios. Use common sense with these – I realize you do not have an operative report so for some of these, use your best judgment. I do not expect perfection, but I do expect you to think these through to be fairly close to a correct code, or at least part of it. For instance, the fact that necrotic muscle and jet lavage were used in #1 will help you to choose the best characters in #1, if you understand what necrotic means and what jet lavage is as compared to cutting out the dead tissue! Joann Smith underwent debridement of the right lower leg including removal of necrotic muscle using jet lavage. Gregory, a 42-year-old male underwent left inguinal herniorrhaphy with placement of synthetic MESH. Johnson performed a percutaneous transluminal angioplasty for right radial artery stenosis on 11/21/18. A 55-year-old female patient underwent an open right axillary lymphadenectomy of the complete chain. Pre and post-op diagnosis: Sleep apnea secondary to hypertrophic tonsils and adenoids (the procedure note continues below) Procedure performed: Tonsillectomy & adenoidectomy Procedure details: After preanesthesia with fentanyl, Robinul and Inapsine, this 15-year-old patient was taken into the OR and placed in the supine position. After satisfactory general endotracheal anesthesia was obtained, a medium Crowe-Davis mouth gag was inserted. The adenoids were palpated and found to be obstructing the nasopharynx and were removed using a curettage technique. The tonsils were removed using the dissection snare technique. Hemostasis in both cases was obtained with tonsil balls soaked in bismuth subgallate, as well as Bovie cogulum. Blood loss was minimal at 20 cc. The patient was returned to the PACU in stable condition. Do not code the anesthesia administration!

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