Two Case Studies for someone familiar with 3MEncoder and (ICD-10-CM)
Subject
Health Medical
Course
Current Procedural Terminology Coding with Lab
Question Description
This assignment is for someone familiar with 3MEncoder and (ICD-10-CM). Answer the questions in bold for both case studies. There are 13 questions in all.
Case Study 1
LOCATION: Outpatient, Hospital
PATIENT: Ray Darwin
PRIMARY CARE PHYSICIAN: Eugene Hightower, MD
SURGEON: Gary Sanchez, MD
PREOPERATIVE DIAGNOSIS: Traumatic amputation of tip of right middle finger.
POSTOPERATIVE DIAGNOSIS: Traumatic amputation of tip of right middle finger.
PROCEDURE PERFORMED: Volar V-Y advancement flap, right middle finger.
ANESTHESIA: 0.5% Marcaine local metacarpal block.
PREOPERATIVE NOTE: The patient sustained an injury yesterday when he partially amputated his dominant right middle fingertip, which was caught between a dock and a boat as a wave rocked the boat at the lake. He was seen at the local emergency room, he was given a tetanus booster, and the wound was dressed. He is scheduled for V-Y advancement flap to the finger today. He is originally from Manytown and will be having follow-up care from his family physician, Dr. Hightower.