Reference no: EM133475669

Problem

Case Study Simulation:

A 52-year-old patient is admitted to the hospital for chronic cholecystitis for which a laparoscopic cholecystectomy will be performed. A transverse infraumbilical incision was made sharply dissecting to the subcutaneous tissue down to the fascia using access under direct vision with a Vesi-Port and a scope was placed into the abdomen.

Three other ports were inserted under direct vision. The fundus of the gallbladder was grasped through the lateral port, where multiple adhesions to the gallbladder were taken down sharply and bluntly: The gallbladder appeared chronically inflamed. Dissection was carried out to the right of this identifying a small cystic duct and artery, was clipped twice proximally, once distally and transected. The gallbladder was then taken down from the bed using electrocautery, delivering it into an endo-bag and removing it from the abdominal cavity with the umbilical port.

Question A. What CPT and ICD-10-CM codes are reported?

Question B. How would you start with this question?

Question C. Highlight the procedural statement in blue.

Question D. Highlight the diagnostic statement in yellow.

Question E. Now let's look at the answers A-D. Which manual would you look at first and why?

Question F. When you looked in said manual were there any answers you could get rid of right away? If so, which ones did you "cross" off?

Question G. Now that you have less answers to choose from, what is your final answer?