Please help with PCS coding worksheet that is attached.

HIM1126 Module 05 Coding Worksheet Code the following procedures. The first 10 are brief statements of documentation to code for 1 point each. The last 4 are case studies and are worth five points each. There is a total of 30 points possible. Place your answers in this word document and submit to your drop box. 1. The nurse changed the monitoring device for the products of conception via a natural opening. 2. A vaginal delivery of a baby (products of conception or POC). 3. The nurse drained amniotic fluid for diagnostic purposes. 4. A nurse inserted the monitoring device via a natural opening. 5. In Vitro Fertilization was done vaginally into the uterus. 6. The ER physician applied a splint to the patient's left finger before he was admitted as an impatient for his concussion and cranial hematoma due to a car accident. 7. The patient was kept on a ventilator for 31 hours after surgery and then extubated. 8. CPR was performed on the patient when a code blue was called by the nurse because the patient was in cardiopulmonary arrest. 9. During their inpatient stay, a patient with ESRD (End Stage Renal Disease) needed dialysis. The dialysis was performed once during the hospital stay. 10. During the patient's hospital stay, the nurse suspected that he had OSA (obstructive sleep apnea) and notified the physician. The physician ordered a 48 hr. sleep study to be done during the hospital stay. Code the sleep study. Case Study #1 Preoperative Diagnosis: A 37 week intrauterine pregnancy with a previous C-section. Postoperative Diagnosis: A 37 week intrauterine pregnancy with a previous C-section. Procedure: Repeat Cesarean section Operative Report: The patient was brought in to the operating room and under spinal anesthesia was prepped and draped in the usual manner for a gynecologic abdominal operation. Through the old suprapubic incision from the previous C section, an incision was made into the abdominal cavity without much difficulty. A midline low transverse incision was made at the lower uterine segment with a knife and carried down the uterine cavity without any difficulty. The incision was then extended to the level of the round ligament on both sides. A male infant in vertex position was delivered with a vacuum and handed over to the nursery staff in attendance. Birth weight was 6 pounds 5 ounces. Apgar was 9 and 9. Placenta was manually delivered. The uterine cavity was inspected and found to be normal, irrigated, and then closed by suture. Hemostasis was verified and found to be adequate. The abdominal cavity was irrigated and closed in layers. The pyramidal muscle was closed with suture, the fascia was closed with suture in two halves, and the skin was closed with staples. The patient tolerated the procedure well. Case Study #2 Chief Complaint in the ER: Alteration of Mental Status The Inpatient physician ordered an Electroencephalogram to be conducted immediately. Description: An 18-channel digital EEG recording was done on the 79 year old male with a chief complaint of alteration of mental status. The patient is also on insulin for diabetes. There is a diffuse slowing and disorganization in the background consisting of medium voltage theta rhythm at 4-6 Hz seen from all head areas. There was faster activity at beta range from the anterior. Eye movements and muscle artifacts were noted. Hyperventilation and Photic stimulation were not completed. Findings: There is an indication of moderate encephalopathic condition. Clinical correlation is required to rule out a structural lesion. Case Study # 3 Preoperative Diagnosis: Cardiogenic Shock Postoperative Diagnosis: Cardiogenic Shock Procedure Performed: Insertion of extracorporeal membrane oxygenation circuit Operative Report: The patient was placed on the OR table in the supine position. General anesthesia was induced. He was prepped and draped in the usual sterile fashion. A small transverse incision was made in the right groin and right femoral artery and vein isolated. A 10 mm Hemashield graft was then sewn end to side to the common femoral artery after administration of intravenous heparin. The Hemashield graft was then tunneled subcutaneously to exit the skin in the upper thigh. A 29 French percutaneous venous cannula was then placed in the femoral vein without difficulty. The cannula was then attached to the ankle circuit and flow initiated. There was excellent flow noted. Hemostasis was obtained and the wound closed in a layered closure and a suture for the skin. The patient was returned to the ICU in critical condition. 5A15223 Case Study #4: Preoperative Diagnosis: Retained Products of Conception (POC) Postoperative Diagnosis: Retained Products of Conception (POC) Procedure: Suction and D and C Operative Report: The patient was taken to the operating room where spinal anesthesia was found to be adequate. She was prepped and draped in the usual sterile fashion and placed in the supine position. A bivalve speculum was placed in the vagina. The cervix was adequately visualized. The anterior cervix was grasped with a one tooth tenaculum and the uterus was gently pulled forward. The uterus was dilated to 10 mm and a 10 mm suction curette was then gently advanced into the uterus. The suction device was attached and suction was started then a suction dilation and curettage was performed gently without difficulties. Three passes were done with the suction curette. Excellent hemostasis was noted. The tenaculum was removed from the anterior lip of the cervix. All instruments were removed and the patient tolerated the procedure well