Get Answer: Code Following Operative Question Guide

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Original Question

Code the following operative report: Preoperative Diagnoses: Right chronic sphenoid sinusitis Chronic cough Postoperative Diagnoses: Chronic sphenoid sinusitis Evidence of bilateral maxillary sinusitis Name of Procedure: Right endoscopic sphenoidotomy Anesthesia: General Indications: This patient has a long history of chronic throat clearing behavior. She has undergone allergy evaluation including a CT scan, which revealed a pacified right sphenoid sinus. Sphenoid sinus also revealed evidence of thinning of the bony wall. The chronic cough has continued despite appropriate antibiotic therapy. Description of Operation: The patient was brought to the operating room. General anesthesia was induced. An orotracheal tube was placed by anesthesia. The table was turned about 45 degrees. The patient was prepared and draped in the usual manner for endoscopic sinus surgery. Both sides of the nose were packed with pledgets soaked in Afrin. These were removed from the right side of the nose, and the right middle inferior turbinate and mid and posterior septum were injected with 1% Xylocaine with 1:100,000 epinephrine. The area was repacked, and the left nasal packing was removed. There were copious, thick secretions from the left middle meatus, a swab was placed in the area, and then this was sent for culture. The packings were removed from the right side of the nose. The area was endoscopically examined. The thick mucoid secretions were suctioned from the right middle meatus also. The middle turbinate secured approach to the sphenoid ostium and the inferior one third of the right middle turbinate was removed. A moderate amount of posterior ethmoidal air cells were removed to provide approach and the sphenoid ostium was identified. It was gradually enlarged using curette and a true cut forceps. The mucosa appeared normal. There was no significant purulent or mucoid fluid in the sphenoid sinus. The nose was suctioned copiously after irrigation, and there was no significant bleeding. The patient was awakened and brought to the recovery room in satisfactory condition. Question 5Select one: a. 31287 b. 31231, 31235 c. 31235 d. 31231, 31287

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