pcs mod 3

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Rasmussen College, Saint Cloud *

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1126C

Subject

Medicine

Date

Feb 20, 2024

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docx

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10

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1. Question 1 1 Point A patient had a portion of the pancreas removed for biopsy via FNA (fine needle aspiration). The PCS code for this procedure is: Blank 1 o Blank 1 2. Question 2 1 Point Laparoscopic partial splenectomy. The PCS code for this procedure is: Blank 1 o Blank 1 3. Question 3 1 Point Percutaneous drainage of left axillary lymph node. The PCS code for this procedure is Blank 1 o Blank 1 4. Question 4 1 Point Insertion of pacemaker lead into right ventricle. The PCS code for this procedure is: Blank 1 o Blank 1 5. Question 5 1 Point Code the following case study. One code is required. Preoperative Diagnosis: Age-related cataract of right eye Postoperative Diagnosis: Age-related cataract of right eye
Procedure: Cataract removal and insertion of lens Lens: Bausch and Lomb MX60E, Power +21.5 diopter, serial number: 1234567 EOXP Procedure Notes: The patient was brought to the operating room and prepped and draped in the usual sterile manner. A wire lid speculum was placed in the eye. The anterior chamber was filled with viscoelastic and a corneal incision was made. The anterior chamber was entered with the Utrata forceps. Mechanical dilation was performed, and the lens was freed. Phacoemulsification was performed with the Nagahara chopper in a stop and go fashion. All cortical material was removed. A 21.5 diopter MX60E lens was placed. The wounds were hydrated and the pupil was noted to constrict equally and round. Lid speculum was removed. Vigamox were given to the patient who left the operating room in good condition. ICD-10-PCS code: 6. Question 6 1 Point Neurolysis of the right median nerve utilizing a needle through the skin. The PCS code for this procedure is: Blank 1 o Blank 1 7. Question 7 1 Point Code the following case study. One code is required. Preoperative Diagnosis: Low back pain with lumbar facet arthropathy, lumbar radiculopathy Postoperative Diagnosis: Low back pain with lumbar facet arthropathy, lumbar radiculopathy Procedure: Spinal Cord Stimulator implant with neural modulation. (Code only the lead implant) Procedure Notes: The patient was placed in the prone position and the back was aseptically prepped and draped. A local anesthesia was given. An epidural needle was then guided under fluoroscopic guidance to reach the epidural space by loss of resistance technique. The needle was then advanced to T8-9 level. The stimulator was analyzed, had good coverage of all her painful spots, the lead was anchored by extending the incision at the Para spinal area around L1-2 and then lead was anchored in the spinal canal with 2-0 silk. Dr. X did the pocket for the generator and completed the implant. The patient was discharged uneventfully. (Be careful with the body part on the implant. Read the documentation carefully.) ICD-10-PCS code (for the spinal cord stimulator lead implant): 8.
Question 8 1 Point A patient has a portion of the sigmoid colon removed via an open approach. The PCS code for this procedure is: Blank 1 o Blank 1 9. Question 9 1 Point Bone marrow aspiration biopsy obtained via needle from posterior iliac crest, left side. The PCS code for this procedure is: Blank 1 o Blank 1 10. Question 10 1 Point Open excision of the entire right axillary lymph node chain. The PCS code for this procedure is: Blank 1 o Blank 1 11. Question 11 1 Point Total thymectomy performed via open approach. The PCS code for this procedure is Blank 1 o Blank 1 12. Question 12 1 Point A patient had an open colostomy performed from the descending colon to the abdominal wall. The PCS code for this procedure is: Blank 1
o Blank 1 13. Question 13 1 Point Percutaneous drainage of a cyst of the right auricle of the ear. The PCS code for this procedure is: Blank 1 o Blank 1 14. Question 14 1 Point Laparoscopic right adrenalectomy. The PCS code for this procedure is Blank 1 o Blank 1 15. Question 15 1 Point Repair of laceration sclera of right eye. The PCS code for this procedure is: Blank 1 o Blank 1 16. Question 16 1 Point A physician removes a small Lego from a child’s right nostril using forceps.   The PCS code for this procedure is: Blank 1 o Blank 1 17. Question 17
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