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Thread Topic: 2014 the next step advanced medical coding and auditing
Topic Originator: Kelly
Post Date August 31, 2014 @ 3:34 PM
2014 the next step advanced medical coding and auditing


Kelly
August 31, 2014 @ 3:34 PM Reply  |  Email Friend   |  |Print  |  Top

LOCATION: Outpatient, Hospital
PATIENT: Roger Adams
SURGEON: Gary Sanchez, MD
PREOPERATIVE DIAGNOSIS: Malignant melanoma, mid
-
chest (1 cm)
POSTOPERATIVE DIAGNOSIS: Malignant melanoma, mid
-
chest (1 cm)
PROCEDURE PERFORMED: Wide excision of
malignant melanoma, mid
-
chest
PROCEDURE: The mid
-
chest was prepped, draped, and cleaned with Betadine solution.
A margin of 2 cm laterally and medially around the lesion site was taken. The incision
was carried down to the muscle fascia, which was included
in the specimen. Bleeding
was controlled by electrocautery, and we closed the defect with the running
subcuticular 4
-
0 undyed Vicryl using layered closure. Steri
-
strips and a sterile bandage
were applied. The patient tolerated the procedure well.
PATHOLO
GY REPORT LATER INDICATED: Malignant melanoma
What is the main term that you will look for in the alphabetical index of the ICD
-
9
-
CM
manual?



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