What did you look under in the index of the manuals

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Reference no: EM133513001

Problem

Name: Willow, McIntyre

Date of operation: 07/15/2021

Preoperative diagnosis: multiparity, seeking permanent family planning.

Postoperative diagnosis: multiparity, seeking permanent family planning.

Procedure performed: bilateral partial salpingectomy.

Surgeon: gina leshay, md

Description of procedure: After informed consent was obtained, the patient was taken to the operating suite and placed in the supine position. She had her abdomen appropriately prepped and draped and her bladder emptied. The skin in and about the umbilicus was injected with a mixture of Marcaine and Xylocaine with epinephrine and then a vertical incision was made through the umbilicus and then carried through the natural defect into the abdominal cavity. The fascia was then incised. The patient was placed in slight Trendelenburg. The right fallopian tube was visualized and grasped with a ring clamp and then Babcock clamps and followed to its fimbriated end. The midportion was then elevated and a window was made in the mesosalpinx. Two Kelly clamps were placed proximally and distally, and the midsection removed. The tube was then tied proximally and distally using 2-0 plain gut. The tubal segments were then injected with the same local anesthetic. A similar procedure was done on the left. The peritoneum and fascia were closed in one layer using 0 Vicryl in a running nonlocked fashion. The skin edges were reapproximated using a subcuticular stitch of 4-0 undyed Vicryl. A sterile dressing was applied. The patient was taken to the recovery room in stable condition. The patient will be discharged later today.

The ICD-10-PCS code that was submitted was 0UT7FZZ
The ICD-10-CM code that was submitted was Z30.2

Answer the following questions:

1. Do you agree with the codes that were found?

2. If so, provide the exact steps (Index term, numbers found, tabular located etc.) that you took to verify that the code was correct.

3. If you believe the codes are not correct, provide the steps you took to find the correct codes.

4. What did you look under in the Index of the manuals?

a. PCS RO
b. ICD-10-CM

5. What code did you find?

a. PCS
b. ICD-10-CM

6. Where did you look in the tabular?

a. PCS chart
b. ICD-10-CM

7. How did you find the code?

Reference no: EM133513001

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