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21. Provide the CPT code(s) for the following operative report from an inpatient hospital.
Operative Report
PREOPERATIVE DIAGNOSIS: Fracture/subluxation of neck, C6-7.
POSTOPERATIVE DIAGNOSIS: Fracture/subluxation of neck, C6-7.
PROCEDURE PERFORMED: Placement of halo.
ANESTHESIA: General.
PROCEDURE: Under general anesthesia, the patient’s head was prepped. The halo
was applied. The pins were secured. The vest was secured. The patient was monitored
with sensory evoked potentials. There were no changes throughout the case.
Films were done post-op, which showed the alignment was acceptable at C6-7.
CPT Code: ____________________
2 answers
99396