Practicode Cases Part 1 & Part 2 Practice Questions and Answers

Practicode Cases Part 1 & Part 2 Practice Questions and Answershttps://www.stuvia.com/user/edupac
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Practicode Cases Part 1 &
Part 2 Practice Questions
and Answers




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Practicode Cases Part 1 & Part 2 Practice Questions and Answers

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Practicode Cases Part 1
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1. OPD6986 OPD6986 MEDICAL RECORD
Age: 68 Sex: Male DATE OF OPERATION: 1/1/20XX PREOPERATIVE DIAG-
K62.3 NOSIS: PROLAPSE RECTUM. PROCEDURES: REDUCTION OF PROLAPSED
45900 RECTUM UNDER ANESTHESIA. POSTOPERATIVE DIAGNOSIS: PROLAPSE
RECTUM. SURGEON: M.D. ANESTHESIA: GENERAL VIA FACE MASK.
The diagnosis is pro-
ANESTHESIOLOGIST: RUNG-TAN Andrews ESTIMATE BLOOD LOSS: NIL.
lapsed rectum. Anoth-
DRAINS: NONE. IV FLUIDS: LACTATED RINGER'S COMPLICATIONS: NONE.
er name for this pro-
INDICATIONS: This is a male with history of constipation who presented to
lapse is procidentia. In
the ED with prolapse rectum that was not reducible by self. PROCEDURE:
the ICD-10-CM Alpha-
The patient was brought into the operating room and laid supine on the
betic Index, look for
operating table. After anesthesia was induced, the patient was placed in
Prolapse, rectum (mu-
the lithotomy position. A rectal exam was carried out digitally, and the
cosa)(sphincter) K62.3.
anal sphincter was noted to be lax. The prolapsed rectum was noted to
Verify all coding se-
be viable with no ulceration or ischemia, it was easily reduced back into
lections in the Tabular
the pelvis. A small Vaseline tampon was placed in the anal canal and the
List. The correct prima-
buttocks were taped together to discourage re-prolapse. The patient was
ry diagnosis coding is:
then returned back into the supine position. The patient was awoken in
K62.3.
the operating room and taken to the recovery room. Sponge, needle,
and instrument counts were correct at the end of the case. Electronically
The procedure per-
signed by: MD 1/1/20XX
formed is reduction of
rectal prolapse under
anesthesia. In the CPT
Alphabetic Index, look
for Prolapse, Rectum
45130-45135, 45900,
46753. Verify all coding
selections in the Tabu-
lar List. CPT 45900 is
for reduction of pro-
lapsed rectum under



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