What is the first-listed diagnosis code

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ACT LIKE AN MEDICAL CODER FOR THIS ASSIGNMENTSURGEON(S): Patricia J Yoon, M.D. ASSISTANT(S): None PREOPERATIVE DIAGNOSIS: Adenotonsillar hypertrophy, sleep-disordered breathing, obstructive sleep apnea and obesity POSTOPERATIVE DIAGNOSIS: Same TITLE OF PROCEDURE: Tonsillectomy and adenoidectomy. ANESTHESIA: General endotracheal anesthesia. FINDINGS: ( Printed by [113902] at 8/14/14 11:09 AM Page 6 Operative Notes Op Notes (continued) Op Note by Yoon, Patricia J. at 7:03 PM (continued) 1. 3+ tonsils and 2+ adenoids. 2. Normal palate. SPECIMENS: Tonsils ESTIMATED BLOOD LOSS: < 10 ml COMPLICATIONS: None. CONDITION: Stable to recovery. INDICATIONS: Adenotonsillar hypertrophy, sleep-disordered breathing and obstructive sleep apnea (severe) DESCRIPTION OF PROCEDURE: Patient was brought to the operating room, placed in the supine position on the operating table. General anesthesia was induced and the patient was intubated. The table was rotated 90 degrees, the McIvor mouth gag was inserted and the palate was palpated. A red rubber catheter was placed through the nose and out the mouth to elevate the palate for visualization of the nasopharynx. The adenoids were removed using the suction Bovie and tonsils were removed using needlepoint cautery. Hemostasis was achieved using suction Bovie. The oropharynx was irrigated, suctioned and reexamined, the stomach was suctioned with an orogastric tube, and the patient was awakened, extubated and taken to recovery in good condition. tolerated surgery without problems

I. What procedure(s) did Dr. Patricia Yoon perform? How would you code the procedure(s)?

II. What coding guidelines did you use to help support the procedural code? Provide an explanation of why you feel the code listed for the procedure is appropriate for question number 1. Get the instant assignment help.

III. What is the first-listed diagnosis code? List and sequence all secondary codes.

IV. Which coding classification set should be used to code the procedure? Explain your answer.

Reference no: EM133839496

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