COMBO COUNT AS TIMER 20XX SERIAL
COMBO COUNT AS TIMER 20XX SKIN
COMBO COUNT AS TIMER 20XX FREE

Follow-up serial CT scans have revealed a new lesion in the apical portion of the left lower lobe of the lung, which on needle biopsy was positive for adenocarcinoma. She has remained asymptomatic with no postoperative difficulty. She was treated with postop radiation and has done extremely well. Pathology at that time revealed a positive bronchial margin of resection.

This is a 63-year-old female who is two years status post left upper lobe resection for adenocarcinoma. What is the ICD-10-PCS Procedure Code(s)?Дischarge Diagnosis: Recurrent carcinoma, left lung

What is the ICD-10-CM Additional Diagnoses? What is the ICD-10-CM Principal Diagnosis? The patient was awakened in the operating room, extubated, and brought to the recovery room in satisfactory condition.

COMBO COUNT AS TIMER 20XX SKIN

The subcutaneous tissue and skin were closed in three sequential layers. The fascia was closed with interrupted 0 Vicryl suture. The wound was copiously irrigated with bacitracin solution. The cord was placed in the usual fashion, tensioned, and then finally tightened. Measuring of the cord device was performed bilaterally. AP and lateral x-rays were obtained, noting appropriate placement of the screws. These were drilled, probed, dilated, and then a combination of 7.2 mm Г— 40 mm screws and 7.2 mm Г— 45 mm screws were placed in the L5 and S1 pedicles bilaterally. Using the usual internal and external landmarks, pedicle screws were placed in the L5 and S1 pedicles bilaterally. After adequate decompression, attention was brought to stabilization. There was a small dural tear within the axilla of the L5 nerve root repaired with watertight seal with interrupted 4-0 Nurolon sutures.

COMBO COUNT AS TIMER 20XX FREE

There was a large free L5-S1 recurrent disc fragment, which was removed with a pituitary rongeur. Mobilization of the left S1 and L5 nerve roots was performed, although there was a significant amount of scar tissue. After adequate exposure, partial laminectomy was performed in a subperiosteal fashion with a combination Leksell and Kerrison rongeurs at the L5 and S1 levels. This was carried down to the transverse process of L5 and the sacral ala bilaterally. Based upon the x-ray, a direct posterior approach to the lumbar spine was performed. A lateral x-ray was obtained with an 18-gauge spinal needle placed for level localization. Lumbar spine was then prepped and draped in the usual sterile manner with a Betadine prep. Procedure Performed: Revision L5 laminectomy, revision S1 laminectomy and diskectomy, stabilization of L5 to S1 with flexible rod Dynesys systemД¬omplications: Intraoperative dural tear, which was repaired with watertight seal with interrupted 4-0 Nurolon suturesДescription of the Procedure: Under sterile conditions, the patient was brought to the operating room and was placed under general endotracheal anesthesia and placed in a prone position. Preoperative Diagnosis: Radiculopathy and degenerative disc disease at L5-S1 with recurrent disc herniation at L5-S1 Neuro: Left leg weakness, numbness, and painДЄssessment and Plan: Recurrent HNP L5 to S1 Past Medical History: Status post laminectomy and diskectomy two years ago History of Present Illness: 49-year-old male with left leg and back pain. Lumbar laminectomy, disc stabilization with Dynesys He was given Percocet and Flexeril for pain and spasms, as needed. He is to follow up in three weeks after discharge. He was subsequently discharged home with written instructions. The patient tolerated the procedure well and had an uneventful hospital course, except experienced acute pain after the surgery requiring additional physical therapy and pain control.Д«y postoperative day five, he was tolerating a regular diet, had obtained pain control, and cleared physical therapy. He underwent revision laminectomy and stabilization of his lumbar spine with a Dynesys system. The patient is a 49-year-old male who was admitted on November 15. Discharge Summary Admission Date: Discharge Date: Description: History and Physical Admit Diagnosis: Procedure:

Combo count as timer 20xx