Case Study need to be coded - HIT 236

1. Dianna Marshant was diagnosed with a herniated orbital mass, OD (right inferior orbit). Dr. Deleon performed an excision of the mass and repair. From his notes, "The lower lid was everted and the inferior fornix examined. The herniating mass was viewed and measured at 0.81 cm in diameter. Wescott scissors were used to incise the conjunctival fornices.

The herniating mass was then clamped, excised, and cauterized. It appeared to contain mostly fat tissue, which was sent to pathology. The inferior fornix was repaired using running suture of 6-0 plain gut. Bacitracin ointment was applied to the eye followed by an eye pad."

Excision of Mass...No listing for Mass so look at lesion. Look for Excision, lesion, orbit

Also look at conjunctiva; Excision lesion conjunctiva up to 1 cm.

1. Edward Yankovic, a 53-year-old male, was working in a metal shop. As he was trimming a steel bar, some metal splinters got into his eye. Fortunately, Dr. Madison found that the metal pieces presented superficial damage, and had not embedded themselves in Edwards, conjunctiva. Dr. Madison removed all the metal pieces and placed a patch over Edward's eye. (Think about what the metal pieces are considered?)

Removal, Foreign Body, external eye, conjunctival

Auditory System

1. Rochelle McMillian, a 31-year-old female, has been deaf since she was 12.

She is admitted today for Dr. Donaldson to put a cochlear implant in her left ear. It is expected that Rochelle will gain back much of her hearing.

Cochlear Device, insertion