How JustAnswer Works:
  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site. Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.
Ask DXJ Writer Your Own Question
DXJ Writer
DXJ Writer, Master's Degree
Category: Writing Homework
Satisfied Customers: 2269
Experience:  Research writer, educator, tutor with 20+ years experience.
50366526
Type Your Writing Homework Question Here...
DXJ Writer is online now
A new question is answered every 9 seconds

Week 6 - Discussion Question 1 1 unread reply. 1 1 reply. 1.

This answer was rated:

Week 6 - Discussion Question
1 1 unread reply. 1 1 reply.1. Please read the below case. After reading, please state what procedure the patient underwent and also, based on the documentation, what is (are) the correct code(s) for this case.CasePreoperative diagnosis: Herniated disk left L4–5 interspace, with sequestered fragment, left L5 radiculopathyPostoperative diagnosis: Herniated disk left L4–5 interspace, with sequestered fragment, left L5 radiculopathyProcedure: Left L4–5 partial hemilaminectomy, medial facetectomy, removal of herniated disk and sequestered far lateral diskAnesthesia: General anesthesiaEstimated blood loss: 30 mlEndotracheal anesthesia was administered, and the back was prepped and draped in the usual fashion. We used intraoperative x-ray to approximate the location of the L4–5 interspace such that we could center the incision over this area. An incision was made over the L4–5 interspace, and the incision carried down through the subcutaneous tissues, which in this lady were quite considerable. The lumbosacral fascia was opened on the left side only, and the paraspinal muscles were stripped subperiosteally to expose the spinous processes and laminae of L4 and L5. We obtained an x-ray with our marker at the L5 lamina. Once this was done, the L4–5 interspace was identified and a left L4–5 partial hemilaminectomy and medial facetectomy were performed. Verifying that was inferior enough sufficiently to be able to reach the L5 nerve root and sequestered fragment. Partially, the bony removal was accomplished also, in addition to the Midas Rex drill. It was performed using curettes and Kerrisons. The yellow ligament was removed, exposing the common dural sac, and I was able to identify the L4–5 interspace, which appeared to be indurated and consistent with a previous disc herniation. The L5 nerve root was identified and was gently mobilized medially, and I was able to identify the sequestered disc, which was actually in three large fragments. These were mobilized with a blunt hook and then delivered with a small pituitary punch. Perhaps the largest of the fragments actually appeared to extend out the foramina along with the L5 nerve root. After the fragments were released, the dura and nerve root appeared to be much more relaxed and I probed out the foramina using both a blunt hook and then a Woodson. No additional fragments were uncovered. I inspected the L4–5 disk with an Epstein curette. There were no additional rents that appeared to be scarred, and rather than risk a second disc herniation through an area that appeared to be already healed, this was left alone. The common dural sac was well decompressed en route. The area was irrigated with an antibiotic saline solution. A small autologous fat graft was harvested and placed over the root and dura and then covered with a Gelfoam thrombin slurry. The wound was infiltrated with25 percent Marcaine with epinephrine, and the wound was closed by re-approximating the muscles and fascia with O Vicryl: a 2-0 Vicryl subcutaneous closure and a running 4-0 subcuticular stitch in the skin. The wound was reinforced with Steri-Strips. A sterile dressing was applied. Throughout the case the patient remained hemodynamically stable

Hi, Crystal!

I'll review this late afternoon. OK?

Customer: replied 2 months ago.
thank you how are you? i hanging in there got a 2nd grader to get ready for the first day of school, can you say stressed?

It will all be fine, but I understand! Remember, I always think you're amazing!! Any source for this? Word count? Deadline is when? Tomorrow, too?

Customer: replied 2 months ago.
no word count,

Great!! Working on it now but I might not finish until after clinic:-) Hope your second grader has a wonderful day and that you can breathe a little easier............ Best to you, DXJ

Customer: replied 2 months ago.
thank you!!

:-) I'll get this to you tonight! Best to you, DXJ

Crystal,

This is the answer:

63047 Laminectomy,facetectomy and foraminotomy (unilateral or bilateral with decompression ofspinal cord, cauda equina and/or nerve root[s], [eg, spinal or lateral recessstenosis]), single vertebral segment; lumbar).

Source link here.

Crystal,

I hope this answer and additional source helped. Did you need further assistance with this?

Many apologies!!! I was so sick last night!!! Better today:-) Best to you, DXJ

DXJ Writer and other Writing Homework Specialists are ready to help you