Female Reproductive System and Obstetrics; Placement, Administration, Measurement, and Monitoring; and Extracorporeal Assistance, Performance, and Therapies
- (TCO 5) The approach to be assigned for Cesarean Section procedures is
- (TCO 5) When twins are delivered by C-section and one twin is delivered using low forceps and the other is delivered using internal version,
- (TCO 3) When a patient has an injection of a steroid, the root operation assigned is
- (TCO 3) When a patient has stockings on to increase circulation, the root operation is
- (TCO 3) The reversal of a previous tubal ligation procedure is called tubotubal anastomosis and is coded with the root operation of
- (TCO 3) Typically a transurethral resection of the prostate (TURP) is assigned to the root operation of
- (TCOs 3, 4, 5, 6, 7) The ICD-10-PCS code(s) used when a woman has an episiorrhaphy due to perineal laceration during the delivery is _____.
- (TCOs 3, 4, 5, 6, 7) The ICD-10-PCS code(s) used for an extraperitoneal c-section, low transverse incision is _____.
- (TCO 5) The _____ are long, fibrous tubes that connect each kidney to the bladder.
- (TCOs 3, 4, 5, 6, 7) Using your coding manual and/or the encoder software, assign the correct ICD-10-PCS code(s) for the following procedure. NOTE: Code only the Medical and Surgical section codes.
PREOPERATIVE DIAGNOSIS: Ischemic cardiomyopathy.
POSTOPERATIVE DIAGNOSIS: Ischemic cardiomyopathy.
1. Orthotopic heart transplantation.
2. Removal of pacemaker.
3. Cutdown of radial artery with arterial line insertion.
4. Swan Ganz catheter insertion.
ANESTHESIA TYPE: General.
The patient is a 24-year-old with a history of ischemic cardiomyopathy, listed as 1A for cardiac transplantation a heart became available for the patient. The risks and possible complications
were discussed with the patient and he agreed to undergo the procedure.
PROCEDURE: The full procedure will be dictated by primary surgeon. Upon arrival with the donor heart, the patient was already on cardiopulmonary bypass and his heart had been explanted. The donor heart was removed from the cooler and was inspected and found to be intact. The left atrium was first anastomosed. This was followed by the IVC and SVC. Next, the pulmonary artery was re-anastomosed with a running 4-0 suture. The aorta was then anastomosed. The Swan Ganz catheter was directly placed into the pulmonary artery prior to the pulmonary artery anastomosis. The patient was then rewarmed. The cross clamp was removed and the heart began to beat in sinus rhythm. Echocardiogram revealed good cardiac function. At this time hemostasis was ensured. Pacer wires were placed. Bilateral pleural spaces were entered and a large right pleural effusion was drained. Three chest tubes were then inserted with one in each pleural space and a third in the mediastinum. Again hemostasis was checked and ensured. At this time sternal wires were then placed in a figure-of-eight fashion. The soft tissue was then approximated in layers. The skin was then closed with a running 3-0 Vicryl suture. The patient’s pacemaker was removed from the left chest pocket. Hemostasis was achieved in a pocket. This wound was then closed in multiple layers as well. The chest tubes were then watched for approximately 30 minutes in the operating room. There was no evidence of any significant bleeding. At this time the patient was then transferred to the cardiovascular intensive care unit in fair condition.
Note: Your answer should include 2 codes.