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[Verified Answer]: Required information CASE 1 (Process 1:…

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Required information CASE 1 (Process 1: CPT) Preoperetive disgnosis: Tracheal stenosis, subglottic Postoperetive diegnosis: Same Procedure performed: Fiber-optic bronchoscopy Surgeon: Stine, Frank, MD Indicetions: Trached stenosis Detalls of the procedure. and potential risks and alternatives, were explained, and patient consent was obtained. Medications: Xylocaine spray was applied to the throat and Xylocaine gel placed in the nostrils. The patient received 50 mag of fentanyl and 8 mg of Versed intravenous. Procedure: The bronchoscope was placed orally once sufficient sedation was obtained. The vocal cords were visualized, and the patient appeared to have some right true vocal cord weakness. Just below the vocal cords, in the subglottic area, scar tissue was noted and moderate narrowing of the upper trachea with almost complete closure of the airway on exhalation Airways were immediately examined. The trachea; carina, right upper-, middle-, and lower-lobe bronchi; and left main stem bronchus and upper- and lower-lobe bronchi were examined and found to be normal and without significant mucosal abnormalities. The patient tolerated the procedure well. No specimens were collected. What is the procedure?Locate the main term in the index. what additional questions or set of questions can be determined?Upon review of all the code choices identified in the index what additional questions can be determined?based on the determination, what are the correct CPT codes for this case?What is the ICD 10 code for this case?Based on the operative report header, what is the preoperative diagnosis?Is the postoperative diagnosis the same as or different from the pre-operative diagnosis?Is the postoperative diagnosis supported?What is the main term for this condition?Based on the sub term choice what questions can be developed for those condition?Based on the information in the tabular list is additional information needed to determine the appropriate diagnosis code?Is any sign, symptom, or additional condition documented?Is the additional condition sign or symptom integral part of the primary or other condition coded?

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