Question

A female patient is admitted for a second-degree cystocele. A repair is performed. In order to code this accurately, what document provides the required additional information?

-History and physical
-Discharge summary
-Consultation
-Operative report

Answer 1

The operative report provides the required additional information for accurately coding a repair performed for a second-degree cystocele in a female patient.

Step-by-step explanation:

The document that provides the required additional information for accurately coding a repair performed for a second-degree cystocele in a female patient is the Operative report. The operative report contains detailed information about the surgical procedure, including the diagnosis, procedure performed, and any additional relevant details such as surgical techniques, instruments used, and any complications encountered.