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

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

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CASE 14-22 Operative Report, Cesarean The anesthesia care for this delivery and sterilization was provided by a medically directed CRNA. There were 3 concurrent cases. CPT code 01961 (Anesthesia, Cesarean Delivery) has BUV of 7. CPT code 00851 (Anesthesia, Tubal ligation) has BUV of 6. LOCATION: Inpatient, Hospital PATIENT: Patricia Garrison SURGEON: Andy Martinez, MD PREOPERATIVE DIAGNOSES 1. Intrauterine pregnancy, 33 weeks 2. Insulin-dependent diabetes with diabetic nephropathy 3. Desire for sterilization 4. Previous cesarean section POSTOPERATIVE DIAGNOSES 1. Intrauterine pregnancy, 33 weeks 2. Insulin-dependent diabetes with diabetic nephropathy 3. Desire for sterilization 4. Previous cesarean section PROCEDURE PERFORMED: 1. Repeat low transverse cervical cesarean section 2. Bilateral tubal ligation ANESTHESIA: Subarachnoid block SURGICAL INDICATIONS: The patient is a 28-year-old gravida 2, para (to bring forth) 1 with an EDC (estimated date of conception) of 08/01 who had been hospitalized for the past several weeks with hypertension and diabetes. Her condition appeared to be worsening, her diabetes was Section suddenly poorly controlled, and she was having epigastric pain. Her platelet count and AST (aspartate aminotransferase [formerly SGOTI) was normal preoperatively. She had a previous C-section. She also desired permanent sterilization by tubal interruption. OPERATIVE DESCRIPTION: After induction of subarachnoid block anesthesia, a Foley catheter was placed and the Venodynes were placed as well. The abdomen was prepped and draped. The abdomen was opened through a Pfannenstiel incision. When we separated the rectus muscles, it became apparent that there was very little. room as there was so much scarring of the fascia; therefore, a Maylard incision was done by separating the bellies of the rectus. muscles transversely. Retractors were placed over the bladder. There was a poor bladder flap, but we dissected some of the bladder downward. An incision was made in the low transverse part of the uterus and entering the uterus was accomplished by blunting with i a Kelly clamp. A finger was introduced into the uterus to guide a bandage scissors for a low transverse incision. The infant's head was delivered through the incision, and the muscles were so tight that we were having a little difficulty extracting the head; therefore, I removed my hand and put a Murless retractor behind the head and then the baby was easily delivered. The cord was clamped and cut, and then a segment of cord was sent off for gases. The placenta was then delivered manually. The uterus was closed in two layers, first with a running locked 0 Vicryl, followed by a running horizontal Lembert 0 Vicryl. The pelvis was then irrigated with saline. A few small bleeders were bovie coagulated. The right fallopian tube. was elevated and the fimbriated end identified. The mesosalpinx underneath the ampullary portion was opened with bovie, and then the lateral mesosalpinx was cross-clamped on the lateral tube. The
CASE 14-22-cont'd lateral portion of the tube, including the fimbriated end, was then excised and pedicles were doubly tied with 2-0 Vicryl. An identical procedure was carried out on the left tube. With sponge and needle counts correct, attention was directed toward closure. The rectus muscles were closed with a series of mattress sutures of 0 Vicryl. A medium Hemovac drain was placed subfascially. The fascia was closed with running locked 0 Vicryl using two strands, one from either side to the middle and tied independently. The skin was then closed with staples, and the drain was sutured to the skin with silk. BLOOD LOSS ESTIMATION: 400-500 cc (cubic centimeter) SPECIMEN TO PATHOLOGY: Placenta FINAL SPONGE AND NEEDLE COUNTS: Correct The patient tolerated the procedure well and returned to the recovery room in stable condition. After the child was extracted, we did start some magnesium sulfate. Pathology Report Later Indicated See Case 11-9K. PHYSICIAN CODE: CRNA CODE (Answers to every other Case are located in Appendix E. The full answer key is only available in the TEACH Instructor Resources on Evol
Case 14-22 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 14-22 (page 486-487). Physician Code: CPT code- 1 (Code anesthesia, Cesarean Delivery) Needs two modifiers. CRNA Code: CPT code - 1 (Code anesthesia, Cesarean Delivery) Needs two modifiers