Learn How to Code
Since, we are here to learn about medical coding, we have to go through the charts as well. The medical coding charts are little difficult to understand in the beginning but once you become in reading the report then their won’t be any problem. Some of the medical coding examples or sample charts i am … Read more
Report 1 BILATERAL NEPHROSTOGRAMS PLACEMENT OF NEPHROURETERAL CATHETERS MODERATE CONSCIOUS SEDATION, FLUOROSCOPY CAN ULTRASOUND GUIDANCE AND UTILIZATION OF A STERILE SURGICAL TRAY.: INDICATION: Bilateral nephrolithiasis TECHNIQUE: Ultrasound and fluoroscopy guidance, fluoroscopy time is 14.7 minutes COMPARISON: None. FINDINGS: Having obtained informed consent prepping and draping the flanks in the usual aseptic fashion 1% lidocaine was … Read more
PREOPERATIVE DIAGNOSIS: Torn right medial and lateral menisci. POSTOPERATIVE DIAGNOSES: Torn right medial and lateral menisci, degenerative arthritis of medial femoral condyle, and chondromalacia patella. PROCEDURES PERFORMED: DISPOSITION: The patient tolerated the procedure very well. OPERATIVE PROCEDURE: The patient was brought to the operating room. He was properly identified and correct extremity was marked. The … Read more
PREOPERATIVE DIAGNOSES: Rule out rotator cuff tear of the right shoulder.
POSTOPERATIVE DIAGNOSES: 1. Partial thickness tear of supraspinatus, right shoulder.
Type II superior labral tear, right shoulder.
Degenerative joint disease with chondral injury and multiple loose bodies intraarticularly, right shoulder.
OPERATIVE PROCEDURES:
ANESTHESIA: General endotracheal.
ESTIMATED BLOOD LOSS: Minimal.
DESCRIPTION OF PROCEDURE: