Coding Audit Chapter 18 Audit #2 ICD-10-PCS READ THE CASE STUDY. IS…
Question Answered step-by-step Coding Audit Chapter 18 Audit #2 ICD-10-PCS READ THE CASE STUDY. IS… Coding Audit Chapter 18 Audit #2 ICD-10-PCSREAD THE CASE STUDY.IS THE FOLLOWING THE CORRECT PROCEDURE CODE? NOProcedure Code: 0VLQ0ZZ, Occlusion, bilateral vas deferens, open, no device, no qualifierIF NOT, WHAT SHOULD BE CODED?I chose as the correct codes:0VBQ3ZZ – Excision of Bilateral Vas Deferens, Percutaneous Approach0 Medical and Surgical V Male Reproductive System B Excision Q Vas Deferens, Bilateral3E023BZ – Introduction of Anesthetic Agent into Muscle, Percutaneous Approach3 Administration E Physiological Systems and Anatomical Regions 0 Introduction 2 MuscleAssignment:SINCE THIS WAS CODED INCORRECTLY (Procedure Code: 0VLQ0ZZ, Occlusion, bilateral vas deferens, open, no device, no qualifier) YOU NEED TO MAKE A TRAINING BULLETIN OUTLINING HOW TO PREVENT THE CODING ERROR FROM HAPPENING AGAIN. YOUR CODING STAFF SHOULD BE ABLE TO READ THIS TRAINING BULLETIN AND KNOW HOW TO APPLY THE CODING GUIDELINES CORRECTLY NEXT TIME FOR THE SITUATION.Preoperative diagnosis: desired sterilizationpost operative diagnosis: desired sterilizationfindings: normal male anatomyindications for procedure: the patient has two healthy children and has been married for 26 years. He and his spouse desire a permanent form of birth control. After the alternatives, potential risks, and complications were discussed with the patient, and informed consent was obtained. He understands that he will not be considered sterile until confirmed by a negative semen analysis at approximately 8 weeks from now.Procedure: the patient was taken to the procedure room, where he was placed in the supine position, prepped, and draped for scrotal surgery. The right vas deferens was identified and isolated. Local anesthesia was infiltrated using 1% Xylocaine without epinephrine. The vas was fixed in position with a towel clip. An incision was made overlying the vas. The vas was identified and brought through the incision. A 2.5-cm segment of the vas deferens was excised between hemostats. Hemostasis was achieved with Bovie electrocautery. The distal end was secure ligated and folded back on itself with3-0 chromic. the proximal end was secure lie gated and folded back upon itself and sutured in place with a separate2-0 chromic. The distal end was then buried in the adventitia with 3-0 chromic. Hemostasis was verified. Then, attention was directed to the left wherein identical procedure was done in mere image fashion. He must say sis was again verified and both vas was returned to the scrotum in their normal positions. The skin and dartos layers were closed using interrupted sutures of 3-0 chromic. The patient was returned to the recovery room in good condition. Science Health Science HIT 2131 Share QuestionEmailCopy link Comments (0)
