nstructions: Determine whether a physician query is appropriate in order
nstructions: Determine whether a physician query is appropriate in order to assign codes appropriately for this physician case. If so, what query should be made? OPERATIVE REPORT Preoperative Diagnosis: Forearm and elbow laceration Postoperative Diagnosis: Same Procedure(s) Performed: Laceration repair forearm and elbow Patient fell approximately 2-3 hours ago and suffered a significant laceration on the lateral forearm. There is a smaller laceration over the proximal elbow as well, requiring repair. Both locations were anesthetized with 1% Lidocaine. With adequate anesthesia, the elbow laceration was examined, however, required closure with steri-strips only. The forearm laceration extended into deep tissue. The deep layers were closed with 3-0 Dexon and then the skin was closed using 5-0 Ethilon. The forearm laceration was approximately 8 cm in length. a. No query is necessary b. Query the length of the elbow laceration c. Query how the injuries occurred d. Query whether the forearm laceration extended into the deep subcutaneous (only stated as “deep”)
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