I need the Physician and CRNA codes along with all the modifiers. Thank you.

[answerhappygod]

I need the Physician and CRNA codes along with all the
modifiers. Thank you.

I Need The Physician And Crna Codes Along With All The Modifiers Thank You 1 (84.38 KiB) Viewed 38 times

I Need The Physician And Crna Codes Along With All The Modifiers Thank You 2 (26.13 KiB) Viewed 38 times

CASE 14-20 Operative Report, Hysterectomy The anesthesia care was provided by a CRNA who was concurrent cases. The patient is otherwise normal and healthy medically directed by an anesthesiologist. There were 4 LOCATION: Inpatient, Hospital PATIENT Gloria Rhodes ATTENDING PHYSICIAN: Andy Martinez, MD SURGEON: Andy Martinez, MD PREOPERATIVE DIAGNOSIS: Endometriosis with resultant chronic pelvic pain POSTOPERATIVE DIAGNOSIS: Same with mild pelvic adhesions PROCEDURES PERFORMED 1. Total abdominal hysterectomy with bilateral salpingo-oophorectomy 2 Cystoscopy with placement of ureteral catheters (Dr. Avila) ANESTHESIA: General endotracheal SURGICAL INDICATIONS This patient is a 39-year-old, gravida 2. para (to bring forth) 2, who has had multiple operations in the past for endometriosis. She had recently been tried on hormonal suppression for her symptoms of pain, and this initially worked; however, she has had breakthrough bleeding and quite bothersome discomfort. At this point in time, she had elected definitive surgery. OPERATIVE FINDINGS. The uterus was normal size. There were a lot of anterior cul-de-sac adhesions over the bladder and anterior surface of the uterus. There were some adhesions between the left tube and ovary and the posterior aspect of the left broad ligament. The right adnexa was free of any significant adhesions. Both ovaries were small, but she had been on hormonal suppression for the past several months. PROCEDURE: After Dr. Avila did a cystoscopy and placed ureteral catheters, the patient was placed in the supine position, and the abdominal area was prepped and draped. The abdomen was opened through a Pfannenstiel incision. A Balfour retractor was placed. The adhesions in the anterior cul-de-sac and left adnexa were separated with Metzenbaum scissors. The bowel was packed off out of the pelvis with wet lap sponges. The uterus was elevated with Pean clamps. The left round ligament was clamped, divided, and suture ligated. All sutures heretofore are 1-0 Vicryl unless otherwise indicated. The round ligament was suture ligated and tagged. The peritoneum lateral to the left infundibulopelvic ligament was opened with Metzenbaum scissors. isolating the left ovarian vasculature. This pedicle was then clamped, divided, and doubly tied, first with a free tie and then a stick tie medial to the free tie The anterior leaf of the lett broad ligament was opened with Metzenbaum scissors. These structures were treated identically on the right side. The bladder was dissected free from the lower uterine segment and cervix with blunt and sharp dissection. The uterine artery pedicles were skeletonized on both sides with Metzenbaum scissors, The uterine artery pedicles were clamped with curved Rogers clamps. cut, and suture ligated with fixation sutures of a Heaney type. The cardinal ligaments were taken with straight Heaney-Ballantine clamps, cut, and suture ligated. The vaginal angles were clamped with curved Rogers clamps and incised, and then the apex of the vagina was incised across with right-angle scissors, removing the uterus, which was then handed off. Kocher clamps were placed in the vaginal apex and mucosa for identification. Angle sutures at both right and left angles were placed and then the middle of the vagina closed with several figure-of-eight sutures of 1-0 Vicryl. There was a small bit of oozing on the underside of the bladder, and this was isolated and oversewn with 3-0 Vicryl on a GI (gastrointestinal) needle. A small piece of Hemopad was then placed over the vaginal cuff. The bladder flap was loosely approximated over the vaginal cuff with a mattress suture of 3-0 Vicryl. The pelvis was irrigated with saline. There was no bleeding noted at this time. The sponges were removed and, with sponge and needle counts correct, attention was directed toward closure. The peritoneum was closed with a running 2-0 Vicryl. A medium Hemovac drain was placed subfascially to exit below the right side of the incision. The fascia was then closed with running locked 1-0 Vicryl using two strands, one from either side to the middle. The skin was closed with staples and the drain sutured to the skin with Prolene. Blood loss estimated by Anesthesia was 175 ml (milliliter). Specimen to pathology was the uterus with attached tubes and ovaries. Final sponge and needle counts were correct. Pathology Report Later Indicated: Mild chronic cervicitis with squamous metaplasia, adenomyosis, left and right ovaries: endometriosis PHYSICIAN CODE: CRNA CODE: TEACH lectorater Resources on Evolve
Case 14-20 Assign CPT anesthesia code(s) only for the following case. Do not assign surgery or ICD-10-CM codes. You will assign codes for the physician medically directing or supervising the anesthesia and also the codes for the CRNA. Type the correct CPT codes for Case 14-20 (page 485). Physician Code: CPT code- 1 (Code anesthesia, abdomen, intraperitoneal) Needs two modifiers. CRNA Code: CPT code - 1 (Code anesthesia, abdomen, intraperitoneal) Needs two modifiers