Question

During an ambulatory surgery visit for excision of a malignant melanoma of the right forearm, the attending surgeon listed history of benign breast cyst, history of hypertension currently on Tenormin, and a current hammer toe. Which conditions are to be coded?

Answer 1

The conditions to be coded include the malignant melanoma of the right forearm, history of benign breast cyst, history of hypertension, and the current hammer toe, as these are relevant to the patient's management and risk during their ambulatory surgery visit.

Step-by-step explanation:

During an ambulatory surgery visit for the excision of a malignant melanoma of the right forearm, the conditions that are to be coded include the malignant melanoma of the right forearm, history of benign breast cyst, history of hypertension currently on Tenormin, and the current hammer toe. The history of benign breast cyst and history of hypertension are significant past medical history that should be reported as they may affect patient management and risk stratification. The current hammer toe is another active condition that requires attention and may affect treatment or postoperative care.