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CPC Exam - Question 144


View MT 004268 -

MT 004268 -

Operative Report -

Preoperative Diagnosis: History of colon polyps

Postoperative Diagnosis: Sigmoid diverticulosis

Procedure: Diagnostic colonoscopy

Anesthesia: IV sedation -

Technique: The patient was brought to the endoscopy suite and placed in the lateral decubitus position. Digital rectal examination was then performed The colonoscope was then inserted under videoscopic visualization with minimal insufflation. The scope went beyond the splenic flexure. The sigmoid colon did reveal some diverticulosis. Further advancement of the colonoscope was unable to be accomplished and did not reach the cecum due to retained stool in the transverse colon. It was decided not to advance the scope further due to poor prep. The colonoscope was then removed and the patient was given instruction to go back after one week for repeat colonoscopy.

How is the surgeon's service reported?

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Correct Answer:

Discussion

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TeeChee
Nov 27, 2024

the decision tree on page 376 says diagnostic and could not reach the cecum. The answer should be D. 45378-53.

mathunit1Option: D
Mar 20, 2025

Google results say that the answer is D.