I need the Physician and Qualifying Circumstances codes aling with all modifiers. Thank you.

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I need the Physician and Qualifying Circumstances codes aling
with all modifiers. Thank you.

I Need The Physician And Qualifying Circumstances Codes Aling With All Modifiers Thank You 1 (61.66 KiB) Viewed 29 times

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CASE 14-18 Operative Report, Debridement Anesthesia was personally performed by the MDA. Patient is noted to have severe systemic disease. LOCATION: Outpatient, Hospital PATIENT Viola Reynolds SURGEON Mohamad Almaz. MD ANESTHESIA General PREOPERATIVE DIAGNOSIS: Left frozen shoulder POSTOPERATIVE DIAGNOSIS: Left frozen shoulder adhesive pericapsulitis PROCEDURE PERFORMED: Arthroscopic debridement, left shoulder. Joint manipulation, left shoulder. CLINICAL HISTORY. This 73-year-old woman presents with a history of progressive pain and discomfort of her left shoulder. Evaluation confirmed evidence of a left frozen shoulder. After the risks and benefits of anesthesia and surgery were explained to the patient, the decision was made to undertake the procedure. PROCEDURE: Under general anesthetic, the patient was laid in the beach- chair position on the operating room table. The left shoulder was prepped and draped in the usual fashion. A standard posterior arthroscopic portal was created, and the camera was introduced into the back of the joint. We had excellent visualization. It was immediately apparent that there was Maswers to queniather Casoara in substantial inflammation and adhesions throughout the entirety of the joint Using a switch-stick technique, an anterior portal was created and the 7-mm (millimeter) cannula was then brought in from the front. Using a 4.0 double-biter resector, the synovium was then debrided throughout the entirety of the rotator cuff over the surface of the biceps and the anterior ligamentous structures as well as inferior ligamentous structures. With this completed, the joint was then thoroughly irrigated to remove any blood. The articular surfaces were inspected and were found to be normal. The attachment of the biceps was normal, although it had been covered with synovium. Anterior ligamentum structures were free from the subscapularis. The joint was then infiltrated with 80 mg (milligram) of Depo-Medrol and 12 cc of Marcaine. The instruments were removed. The arthroscopic portal was closed with absorbable sutures and Steri-Strips. The joint was then manipulated. Before the manipulation, we had about 90 degrees of elevation passively. After manipulation, elevation was free up to 180 degrees, and external rotation in an abducted position was possible to 90 degrees, as was internal rotation. Extension was possible to 40 degrees, and adduction was possible to 50 degrees. The wounds were then dressed with Myopore dressing. The patient was then placed in a Cryo Cuff sling, awakened, placed on her hospital bed, and taken to the recovery room in good condition. PHYSICIAN CODE: QUALIFYING CIRCUMSTANCES CODE: TEAGULL
Case 14-18 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 14-18 (page 484). Physician Code: CPT code-1 (Code anesthesia, arthroscopic procedure, shoulder) Needs two modifiers. Qualifying Circumstances Code: CPT-1 (Code anesthesia, special circumstances, extreme age)