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[Expert Solution]: WESTON HOSPITAL 629 Healthcare Way •…

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WESTON HOSPITAL 629 Healthcare Way • SOMEWHERE, FL 32811 • 407-555-6541 PATIENT: DRESDEN, NELDA ACCOUNT/EHR #: DRESNE001 Admission Date: 11/01/22 Discharge Date: 11/01/22 DATE: 11/01/22 Preoperative DX: Toxic epidermal necrolysis Postoperative DX: Same Procedure: Xenogaft Surgeon: William Dresser, MD Assistant: None Anesthesia: Local INDICATIONS: The patient is a 9-year-old female with a diagnosis of toxic epidermal necrolysis as a result of a reaction to procainamide, previously prescribed by a physician no longer in attendance. PROCEDURE: The patient was placed on the table in supine position. Local anesthesia was administered. As soon as patient stated a complete loss of feeling in the left forearm, the dermal xenograft proceeded. Procedure was repeated for right forearm. A total of 150 sq. cm of grafting was successfully completed. Bandages were applied. A prescription for Darvocet N100 po q4–6h prn was given to the patient before discharge. Follow-up appointment in office scheduled for 10 days. Be sure to list the codes, one code per box, in the correct sequence, from top to bottom, and in the proper row. Capitalization, punctuation, and spacing can impact whether or not your answer is correct. Follow coding best practices. Please list modifiers with the code they relate to as necessary. Include a hyphen in between the code and the modifier. Example Procedure: 43846-74 or for Anesthesia: 00797-P2. NOTE: The CPT Changes: An Insider’s View; CPT Assistant and Clinical Examples are not considered symbols or notations for this exercise. Determine the most accurate surgery CPT code(s) and modifier(s), if appropriate. The number of spaces provided does not indicate the number of codes required to accurately report this encounter.

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