Assignment Task:
From the health record of a 16-year-old male patient requiring fracture care in the outpatient surgical unit:
Operative Report
Preoperative Diagnosis: Displaced comminuted fracture of the lateral condyle, left elbow
Postoperative Diagnosis: Same
Procedure: Open reduction, internal fixation
Description: The patient was anesthetized and prepped with Betadine. Sterile drapes were applied, and the pneumatic tourniquet was inflated around the arm. An incision was made in the area of the lateral epicondyle through a Steri-Drape, and this was carried through subcutaneous tissue, and the fracture site was easily exposed. Inspection revealed the fragment to be rotated in two planes about 90 degrees. It was possible to manually reduce this quite easily, and the judicious manipulation resulted in an almost anatomic reduction. This was fixed with two pins driven across the humerus. These pins were cut off below skin level. The wound was closed with some plain catgut suture subcutaneously and 5-0 nylon in the skin. Dressings were applied to the patient and tourniquet released. A long arm cast was applied. Need Assignment Help?
Assign the correct diagnosis and procedure codes:
ICD-10-CM code:
CPT code and modifier:
*Enter with a dash between the CPT code and modifier like: 99212-25