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A man goes to his doctor complaining of chronic pain in his throat. The doctor performs a laryngoscopy with a flexible fiberoptic scope. While performing the procedure, the doctor completely excises a 1 centimeter lesion in the patient's larynx. The pathology report identifies a benign lesion, and the man's throat pain goes away. Code this diagnosis and procedure.

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Final answer:

The man had a laryngoscopy with a flexible fiberoptic scope where a benign lesion was completely excised from his larynx. The diagnosis code should reflect the benign lesion, and the CPT code for laryngoscopy with excision should be used. Fiber optics significantly enhance the ability to view and treat conditions in procedures like laryngoscopy.

Step-by-step explanation:

The scenario describes a man with a chronic sore throat who undergoes a laryngoscopy performed with a flexible fiberoptic scope. During this procedure, the doctor successfully removes a 1 centimeter benign lesion from the man's larynx. For coding this medical scenario, the diagnosis would be chronic pain in the throat due to a benign lesion of the larynx. The procedure code for the laryngoscopy with excision would be selected from the Current Procedural Terminology (CPT) codes, which are used to report medical, surgical, and diagnostic procedures and services.

It's essential to use the correct codes to ensure proper documentation and reimbursement for the healthcare services provided. Since the pathology report identified the lesion as benign, it would determine the specific diagnosis code within the International Classification of Diseases (ICD) coding system. The procedure coding must accurately reflect the complete excision of the lesion during the laryngoscopy.

Laryngoscopy is often aided by advancements in fiber optics, providing minimally invasive techniques to visualize internal structures and perform precise surgical interventions with better patient outcomes

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