Homework Help for Nursing

Examples of POS include:

a. wheelchairs, hospital beds, or portable IV pumps

b. cardiovascular, oncologic, or pediatric patients

c. doctor's offices, hospitals, or nursing facilities

d. surgeons, nurse practitioners, or therapists

Evaluation and Management Section: Assign a CPT code for preventive medicine service to a 56-year-old established patient.

Evaluation and Management Section: Assign CPT codes to well-child care of a 5-year-old established patient that includes the administration of TaP and polio (DTaP-IPV) vaccine, intramuscularly. (3 answers)

Compare codes 31622, 31623, 31624, and 31643 in your coding manual.

What is the best code for this procedure?

PREOPERATIVE DIAGNOSIS: Mass of lung

POSTOPERATIVE DIAGNOSIS: Carcinoma of the right lung

OPERATION PERFORMED: Bronchoscopy and right upper lobectomy

The patient was brought into the operating room, and after the

administration of anesthesia, the patient was prepped and draped in the usual sterile fashion. The patient was placed in the left lateral decubitus

position. A thoracotomy incision was made. This exposed the chest

muscles, which were incised and retracted. The fourth and fifth ribs were

visualized and transected to allow entrance to the chest. A tumor mass was

noted. This mass measured 7.0 cm in diameter, involving the right lung

upper lobe. The mass was excised in its entirety, and a biopsy of the mass

was taken and sent for frozen section. The frozen section revealed

squamous cell carcinoma. Nodes were then dissected around the pulmonary

artery and the trachea. The nodes were sent for frozen section. The nodes

were identified as negative per pathology. Saline was irrigated into the

chest. It was noted that the liver and diaphragm appeared to be normal with

no lesions seen. After verification that the sponge count was correct, chest

tubes were placed for drainage. The surgical wound was closed in layers

with chromic catgut and nylon. The patient tolerated this portion of the

procedure well.

The patient was then placed in the supine position for the bronchoscopy.

The patient was still under anesthesia. A flexible fiberoptic bronchoscope

was inserted. Patient bronchi were noted bilaterally. The scope was

withdrawn. The patient was awakened and sent to the recovery area in

stable condition.

a. 31622

b. 31623

c. 31624

d. 31643

Which of these first modifying term(s) apply to the scenario? (Check all

that apply.)

PREOPERATIVE DIAGNOSIS: Mass of lung

POSTOPERATIVE DIAGNOSIS: Carcinoma of the right lung

OPERATION PERFORMED: Bronchoscopy and right upper lobectomy

The patient was brought into the operating room, and after the

administration of anesthesia, the patient was prepped and draped in the usual sterile fashion. The patient was placed in the left lateral decubitus

position. A thoracotomy incision was made. This exposed the chest

muscles, which were incised and retracted. The fourth and fifth ribs were

visualized and transected to allow entrance to the chest. A tumor mass was

noted. This mass measured 7.0 cm in diameter, involving the right lung

upper lobe. The mass was excised in its entirety, and a biopsy of the mass

was taken and sent for frozen section. The frozen section revealed

squamous cell carcinoma. Nodes were then dissected around the pulmonary

artery and the trachea. The nodes were sent for frozen section. The nodes

were identified as negative per pathology. Saline was irrigated into the

chest. It was noted that the liver and diaphragm appeared to be normal with

no lesions seen. After verification that the sponge count was correct, chest

tubes were placed for drainage. The surgical wound was closed in layers

with chromic catgut and nylon. The patient tolerated this portion of the

procedure well.

The patient was then placed in the supine position for the bronchoscopy.

The patient was still under anesthesia. A flexible fiberoptic bronchoscope

was inserted. Patient bronchi were noted bilaterally. The scope was

withdrawn. The patient was awakened and sent to the recovery area in

stable condition.

a. Biopsy

b. Diagnostic

c. Exploration

d. Tumor

Do any of these instructional notes apply to this scenario?

EXCLUDES: Lung removal with bronchoplasty (32501)

Code also decortication (32320)

Code also excision of chest wall tumor, when performed (21601-21603)

Documentation:

PREOPERATIVE DIAGNOSIS: Mass of lung

POSTOPERATIVE DIAGNOSIS: Carcinoma of the right lung

OPERATION PERFORMED: Bronchoscopy and right upper lobectomy

The patient was brought into the operating room, and after the

administration of anesthesia, the patient was prepped and draped in the usual sterile fashion. The patient was placed in the left lateral decubitus

position. A thoracotomy incision was made. This exposed the chest

muscles, which were incised and retracted. The fourth and fifth ribs were

visualized and transected to allow entrance to the chest. A tumor mass was

noted. This mass measured 7.0 cm in diameter, involving the right lung

upper lobe. The mass was excised in its entirety, and a biopsy of the mass

was taken and sent for frozen section. The frozen section revealed

squamous cell carcinoma. Nodes were then dissected around the pulmonary

artery and the trachea. The nodes were sent for frozen section. The nodes

were identified as negative per pathology. Saline was irrigated into the

chest. It was noted that the liver and diaphragm appeared to be normal with

no lesions seen. After verification that the sponge count was correct, chest

tubes were placed for drainage. The surgical wound was closed in layers

with chromic catgut and nylon. The patient tolerated this portion of the

procedure well.

The patient was then placed in the supine position for the bronchoscopy.

The patient was still under anesthesia. A flexible fiberoptic bronchoscope

was inserted. Patient bronchi were noted bilaterally. The scope was

withdrawn. The patient was awakened and sent to the recovery area in

stable condition.

a. Yes

b. No

What procedure(s) will you need to code? (Check all that apply.)

Documentation:

PREOPERATIVE DIAGNOSIS: Mass of lung

POSTOPERATIVE DIAGNOSIS: Carcinoma of the right lung

OPERATION PERFORMED: Bronchoscopy and right upper lobectomy

The patient was brought into the operating room, and after the

administration of anesthesia, the patient was prepped and draped in the usual sterile fashion. The patient was placed in the left lateral decubitus position. A thoracotomy incision was made. This exposed the chest muscles, which were incised and retracted. The fourth and fifth ribs were visualized and transected to allow entrance to the chest. A tumor mass was noted. This mass measured 7.0 cm in diameter, involving the right lung pper lobe. The mass was excised in its entirety, and a biopsy of the mass vas taken and sent for frozen section. The frozen section revealed quamous cell carcinoma. Nodes were then dissected around the pulmonary artery and the trachea. The nodes were sent for frozen section. The nodes were identified as negative per pathology. Saline was irrigated into the chest. It was noted that the liver and diaphragm appeared to be normal with

no lesions seen. After verification that the sponge count was correct, chest tubes were placed for drainage. The surgical wound was closed in layers with chromic catgut and nylon. The patient tolerated this portion of the procedure well The patient was then placed in the supine position for the bronchoscopy.

The patient was still under anesthesia. A flexible fiberoptic bronchoscope was inserted. Patient bronchi were noted bilaterally. The scope was withdrawn. The patient was awakened and sent to the recovery area in stable condition.

a. Bronchoscopy

b. Lobectomy

c. Excision

d. Biopsy

What three code(s) would be required for this scenario?

Documentation:

Patient presented to the emergency department with three lacerations, one on her

right hand, one on her right forearm, and one on her left forearm as the result of

breaking a glass window by accident. Intermediate repair of the 4.0-cm laceration

on her right hand, a complex repair of the 4.0-cm laceration on her right forearm,

and a complex repair of the 4.0-cm laceration on her left forearm were performed

by the emergency department.

What two code(s) would be required for this scenario?

_____ and _____

Documentation:

Patient presented to the emergency department with two lacerations, one on her right wrist and another on her right forearm, as the result of breaking a glass window by accident. Simple repair of the 2.0-cm laceration on her right wrist and intermediate repair of the 4.0-cm laceration on her right forearm were performed by the emergency department.

What physical status modifier would apply to the scenario?

Documentation:

A morbidly obese 37-year-old hypertensive female with type 2 diabetes and high

cholesterol was admitted to a private hospital for bariatric surgery: A gastric ring

procedure was performed under general anesthesia. The anesthesia was

administered by the anesthesiologist.

a. PI

b. P2

c. P3

d. P4

e. PS

Review the code description: "Anesthesia for intraperitoneal procedures in upper abdomen including laparoscopy; gastric restrictive procedure for morbid obesity". Does this look like the correct choice for the case?

Documentation:

A morbidly obese 37-year-old hypertensive female with type 2 diabetes and high cholesterol was admitted to a private hospital for bariatric surgery. A gastric ring procedure was performed under general anesthesia. The anesthesia was administered by the anesthesiologist.

a.yes

b.no

Review the code description: "Anesthesia for intraperitoneal procedures in upper abdomen including laparoscopy; partial hepatectomy or management of liver hemorrhage (excluding liver biopsy)". Does this look like the correct choice for the case?

Documentation:

A morbidly obese 37-year-old hypertensive female with type 2 diabetes and high cholesterol was admitted to a private hospital for bariatric surgery. A gastric ring procedure was performed under general anesthesia. The anesthesia was administered by the anesthesiologist.

a.yes

b.no

During the day, while being admitted to the nursing unit from the emergency department, a patient tells the nurse "I'm having difficulty breathing" and has pain in her chest when she breathes. When she was asked by the nurse about the pain scale, she stated that it was 10. Her respiratory rate is 28 and she is coughing up yellow sputum. Her skin is hot and moist, and her temperature is 39°C. The laboratory results show white blood cell count elevation and the sputum result is pending. The patient says that coughing makes her head hurt and she aches all over. 

Based on the given scenario, what is your priority problem?

Which of the following is the correct sequence of the cardiac cycle?

a. SA node, AV node, the bundle of HIS, Purkinje fibers

b. AV node, SA node, the bundle of HIS, Purkinje fibers

c. The bundle of HIS, AV node, SA node, Purkinje fibers

d. Purkinje fibers, SA node, AV node, the bundle of HIS

DVT is a serious condition of clots in the deep veins of the _____ and pelvic areas.

a. femoral

b. popliteal

C. coronary

d. peripheral