AAPC - Chapter 13 Practical Applications 2023/2024

AAPC - Chapter 13 Practical ApplicationsCASE 1 DIAGNOSES: Stage III cystocele, stage II uterine prolapse. (Do not code the cystocele separately as it is included in the diagnosis code for the uterine prolapse.) PROCEDURE: Pessary fitting. INDICATIONS: A 75 year-old, gravida 4, para 4,(This information indicates that the patient has had four pregnancies with four term births and the last two babies were quite large.) female with pelvic organ prolapse. She had atrophic vaginitis so we had her use Premarin vaginal cream twice a week for six weeks. She is back for a pessary fitting today. FINDINGS: She has a third-degree cystocele, and after examination we've determined she actually has a third-degree uterine prolapse.(The diagnosis is cystocele with uterine prolapse. Stage III uterine prolapse is considered a complete prolapsed.) Her vaginal tissues are improved, although still atrophic, but much less thin than prior appointment. DESCRIPTION OF PROCEDURE - correct answer 57160 N81.3 CASE 2 DIAGNOSES: 1. Complete procidentia (The stated diagnosis is Complete Procidentia, and this is well supported in the body of the operative note. A review of several medical dictionaries shows the definition of Procidentia, prolapse of an organ or part.) 2. Recurrent urinary tract infections (A history of postmenopausal vaginal bleeding, anemia and recurrent urinary tract infection (UTI).) 3. Postmenopausal vaginal bleeding (Select codes for the definitive diagnoses.) PROCEDURES: 1. Vaginal hysterectomy 2. Anterior and posterior colporrhaphy 3. Cystoscopy 4. Vaginal vault suspension SPECIMENS: Uterus and cervix. FINDINGS: A thick hypertophic ulcerated cervix was noted. The adnexa were small and atrophic. Complete procidentia with cystocele and rectocele. (All of these problems are addressed in the body of the note below.) Cystoscopy done after indigo carmine was administered,(Indigo carmine is a dye i - correct answer 57260 58260-51 57283-59 N81.3 N95.0 N32.89 CASE 3 Indications: 21-year-old, G3, P1-0-2-1,(Patient has been pregnant three times, has given birth to a term