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[Verified Answer]: Answer the questions – ICD-10-PCS codes only…

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Answer the questions – ICD-10-PCS codes only nation Only. Other Repairs, or Other Objectives 15 Code Building Exercises Instructions: Answer the questions following each of the exercises. Exercise 1 DIAGNOSIS: Diverticulitis and Colovesical fistula PROCEDURE: 1. Laparoscopic exploration 2. Partial colectomy 3. Bladder repair INDICATION FOR PROCEDURE: This is a 44-year-old male patient who presented with chronic left lower quad rant abdominal pain as well as passage of flatus and stool with the urine. The patient underwent a CT scan. which showed air in the bladder. Previous colonoscopy showed diverticular disease. PROCEDURE IN DETAIL: The patient was then brought to the operating room and general anesthesia was admin- istered. The patient was then prepped and draped in the usual sterile fashion. Veress needle was placed in the left upper quadrant and pneumoperitoneum was then started. Other ports were inserted. The abdomen was then explored, and we noted adhesion and probable fistula between the sigmoid colon and the bladder in the area of the left lower quadrant fullness that was felt before surgery. Given the finding in the left lower quadrant, we elected to proceed with open procedure. The midline inci- sion was then done and the peritoneal cavity was then entered. The ports were then removed. A colovesical fistula was identified and then separated with blunt dissection and the bladder wall repaired with 2-0 Vicryl sutures. The proximal sigmoid colon was then examined and noted to be markedly inflamed and indurated. The sigmoid was then mobilized medially by cutting the peritoneal reflection. The distal sigmoid and upper rectum were noted to be within normal limits. The proximal sigmoid then dissected circumferentially and using the contour stapler. This part of the sigmoid was then stapled, divided and passed off the field. We then proceeded with end-to-end hand sewn anastomosis using 2-0 Vicryl continuous suture. Multiple interrupted imbricating sutures were done using 3-0 Vicryl sutures. Irrigation was done with suction of all the contents. Port incisions and abdomen were closed in the standard fashion. Questions: 1.1. How many procedures are represented in this report and what are they? 1.2. Which root operation is assigned for each procedure? 1.3. What code(s) should be assigned?

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