1.
A patient was admitted
with congestive heart failure and unstable angina. The unstable angina was
treated with nitrates, and IV Lasix was administered to manage the
heart failure. Both conditions improved, and the patient was discharged to be
followed on an outpatient basis.
2.
A patient was admitted
with occlusion of the carotid artery, and carotid endarterectomy was carried
out with extracorporeal circulation used throughout the procedure.
3.
A patient was admitted
with severe abdominal pain that began yesterday and progressed in severity.
Gastroscopy revealed an acute gastric ulcer, but no signs of
hemorrhage or malignancy were noted.
4.
A patient with bilateral
conductive sensorinueral hearing loss was admitted for right ear cochlear
implantation. A multiple-channel implant was inserted, and the patient was
discharged home.
5.
A patient was admitted
with a diagnosis of significant atherosclerotic heart disease and the patient
was advised to undergo bypass surgery. The surgery was carried out as follows:
Reverse saphenous vein grafts were brought from the aorta to the obtuse
marginal and the right coronary artery; the internal mammary artery was
loosened and brought down to the left anterior descending artery to bypass the
obstruction. The gastroepiploic artery was used to bypass the circumflex.
Extracorporeal circulation and intraoperative pacemaker were used during the
procedure.
Answers:
1. 428.0 and 411.1 (CHF is having higher DRG
value.)
2. 433.10. 38.10 and 00.40 (need to code number
of vessels treated along with endarterectomy code 38.10)
3. 433.10 and 44.13
4. 389.22 and 20.98
5. 414.01, 36.12, 36.16, 39.61 and 39.64.
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