AAPC CHAPTER 15 PRACTICAL
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Term 1 of 10
CASE 2
PREOPERATIVE DIAGNOSIS: Dacryostenosis, both eyes.
POSTOPERATIVE DIAGNOSIS: Dacryostenosis, both eyes.
PROCEDURE PERFORMED: Nasolacrimal duct probing, both eyes.
ANESTHESIA: General.
CONDITION: To recovery, satisfactory.
COUNTS: Needle count correct.
ESTIMATED BLOOD LOSS: Less than 1 ml.
,Don't give up now! Trust the process.
, INFORMED CONSENT: The procedure, risks, benefits, and alternatives were
thoroughly explained to the patient's parent who understands and wants the
procedure done.
PROCEDURE: The patient was prepped and draped in the usual sterile manner under
general anesthesia.(General anesthesia is used for this procedure.) Starting on the
right eye (This indicates the procedure is performed on the right eye.) the upper
punctum was dilated with doubleended punctal dilator, and starting with a 4-0
probe, increasing up to a 20 probe, the nasolacrimal duct was dilated until probed
patent.(This indicates the nasolacrimal duct is probed.) Then, using a curved 23-
gauge punctal irrigator, 0.125 ml of sterile fluorescein stained saline was easily
irrigated down the nasolacrimal duct into the nostril where it was carefully collected
with a clear #8 catheter. The instruments were removed and an identical procedure
was done on the opposite eye nasolacrimal duct.(The same procedure is performed
on the left eye.) TobraDex eye drops were placed in each lower cul-de-sac. The
eyelids were closed. The patient left the operating room for recovery in satisfactory
condition, accompanied by myself and Dr. Smith.
What are the CPT® and ICD-10-CM codes reported?
68811-50, H04.553 66982-RT, H26.9
67107, H33.021 42830, 69436-50-51, J35.2, H65.93
Your time: 1 min. Next steps
APPLICATIONS
LATEST
0%
UPDATED
Correct 0QUESTIONS AND ANSWERS | 10 missed terms
10 EXPERT CURATED
Incorrect 10 QUESTIONS & ANSWERS |
Practise terms in Learn
Practise your missed terms more until
GRADED A+ | GUARANTEED PASS you get them right.
10 question & answers
Term 1 of 10
CASE 2
PREOPERATIVE DIAGNOSIS: Dacryostenosis, both eyes.
POSTOPERATIVE DIAGNOSIS: Dacryostenosis, both eyes.
PROCEDURE PERFORMED: Nasolacrimal duct probing, both eyes.
ANESTHESIA: General.
CONDITION: To recovery, satisfactory.
COUNTS: Needle count correct.
ESTIMATED BLOOD LOSS: Less than 1 ml.
,Don't give up now! Trust the process.
, INFORMED CONSENT: The procedure, risks, benefits, and alternatives were
thoroughly explained to the patient's parent who understands and wants the
procedure done.
PROCEDURE: The patient was prepped and draped in the usual sterile manner under
general anesthesia.(General anesthesia is used for this procedure.) Starting on the
right eye (This indicates the procedure is performed on the right eye.) the upper
punctum was dilated with doubleended punctal dilator, and starting with a 4-0
probe, increasing up to a 20 probe, the nasolacrimal duct was dilated until probed
patent.(This indicates the nasolacrimal duct is probed.) Then, using a curved 23-
gauge punctal irrigator, 0.125 ml of sterile fluorescein stained saline was easily
irrigated down the nasolacrimal duct into the nostril where it was carefully collected
with a clear #8 catheter. The instruments were removed and an identical procedure
was done on the opposite eye nasolacrimal duct.(The same procedure is performed
on the left eye.) TobraDex eye drops were placed in each lower cul-de-sac. The
eyelids were closed. The patient left the operating room for recovery in satisfactory
condition, accompanied by myself and Dr. Smith.
What are the CPT® and ICD-10-CM codes reported?
68811-50, H04.553 66982-RT, H26.9
67107, H33.021 42830, 69436-50-51, J35.2, H65.93
