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[Answered]: Using the coding techniques you have learned,…

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Using the coding techniques you have learned, carefully read through the case study and determine the most accurate procedure code(s) and modifier(s), if appropriate.PRADER, BRACKER, & ASSOCIATES A Complete Health Care Facility159 Healthcare Way SOMEWHERE, FL 32811 – 407-555-6789PATIENT: HOLDER, ANDREW ACCOUNT/EHR #: HOLDAN001DATE:Procedure Performed: CT brain w/o contrastRadiologist: Michael B. Hawkins, MDClinical Information: Evaluation for VP shunt, postsurgicalAttending Physician: Renee O. Bracker, MD TECHNICAL INFORMATION: Contiguous 3-mm-thick axial images were obtained through the skull base and posterior fossa structures followed by 7-mm-thick axial images through the remainder of the brain. The examination was performed without the use of intravenous contrast material.The scan was performed at an independent imaging center and sent to me via secured PACS system, so I could interpret.INTERPRETATION: Evaluation of the posterior fossa demonstrates bilateral vertebral artery calcification. No abnormal intra- or extra-axial collections are noted. There is no evidence of midline shift.Analysis of the region of the sella turcica demonstrates calcification, likely atherosclerotic involving the cavernous carotid arteries bilaterally seen on series 2 image 7.Supratentorially, the lateral ventricles are prominent in size. A ventriculostomy catheter is seen coursing from the region of the postcentral sulcus with its distal tip terminating within the frontal horn of the right lateral ventricle abutting the septum pellucidum.Hypodensity is seen within the periventricular white matter particularly abutting the frontal horns of the lateral ventricles bilaterally.There is a mild degree of cerebral volume loss. No abnormal intra- or extra-axial collections are noted.Evaluation of the visualized skull and paranasal sinuses demonstrates a right parietal burr hole defect for placement of the patient’s ventriculostomy catheter. A subcutaneous ventriculostomy valve is seen on series 3 image 26RECOMMENDATIONS: There is mild prominence of the lateral ventricles bilaterally without evidence of dilation of the cerebral aqueduct or fourth ventricle.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.Determine the most accurate CPT code(s) and necessary modifier(s) for the CT scan.The number of spaces provided does not indicate the number of codes required to accurately report this encounter.

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