AAPC - Chapter 14 Practical Applications 2023/2024 updated to pass

AAPC - Chapter 14 Practical ApplicationsCASE 1 PREOPERATIVE DIAGNOSIS: Right thyroid follicular lesion. POSTOPERATIVE DIAGNOSIS: Right thyroid follicular lesion.(Diagnosis to report if no further detail is found in the note.) OPERATIVE PROCEDURE: Right thyroid lobectomy.(Planned procedure. Review the operative report to verify this is the procedure performed.) FINDINGS: A large thyroid mass in the inferior aspect of the right thyroid.(The findings confirm the diagnosis.) The right recurrent laryngeal nerve was identified intact and there were bilateral movements of vocal cords post procedure. DESCRIPTION OF OPERATIVE PROCEDURE: The patient was identified and taken to the operating room. She was placed in a supine reverse Trendelenburg position on the operating table. Once adequate sedation was given, the patient was intubated. The neck was prepped and draped in a standard surgical fashion. Using a #15 blade, a linear incision was made approximately 2. - correct answer 60220, E04.1 CASE 2 PREOPERATIVE DIAGNOSIS: Papillary thyroid cancer. POSTOPERATIVE DIAGNOSIS: Papillary thyroid cancer.(Diagnosis to report if no further positive findings are found in the note.) OPERATIVE PROCEDURE: Near total thyroidectomy.(Procedure planned. Review the body of the operative report to verify this is the procedure performed.) ANESTHESIA: General endotracheal. FINDINGS: Nodular right thyroid with parathyroids visualized. ESTIMATED BLOOD LOSS: Approximately 100 cc. DESCRIPTION OF OPERATIVE PROCEDURE: The patient was identified and taken to the operating room. She was placed in the supine position on the operating table. Once adequate sedation was given, the patient was intubated. A towel was placed behind the patient's shoulder blades and the neck slightly extended. The neck was prepped and draped in the standard surgical fashion. Using a #15 blade, the patient's old incision was excised. The incision was - correct answer 60225, C73 CASE 3 PREOPERATIVE DIAGNOSIS: Papillary carcinoma of the thyroid POSTOPERATIVE DIAGNOSIS: Papillary carcinoma of the left thyroid (Diagnosis to report if no further positive findings are found in the note.) Lymph nodes exhibiting metastasis (This is a working diagnosis. The lymph node exhibited signs of metastasis and was sent for pathologic testing. There is otherwise no confirmation of this status in the record.) PROCEDURE: Approximately 85% thyroidectomy (subtotal) (This is the procedure planned. Read the body of the operative report to verify this is the procedure performed.)