General Surgery Coding Alert

General Surgery Coding:

Snip the Confusion From This Tonsillitis Case

Question: An 11-year-old patient with a history of tonsillitis presented to our department with a recent acute nine-day bout of painful sore throat with inflamed tonsils. Here’s a sample of the op note: Procedure performed: Bilateral tonsillectomy Procedure description: After anesthesia induction, a Crowe-Davis mouth gag was used to suspend the oropharynx and visualize the tonsils and palate. Forceps were then used [...]
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