Transcribed Medical Transcription Sample Reports and Examples
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Sample Type / Medical Specialty: Surgery

The branch of medical science that treats disease or injury by operative procedures.



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Suboccipital Craniectomy
Right suboccipital craniectomy for resection of tumor using the microscope modifier 22 and cranioplasty.

Subperiosteal Abscess Debridement
Repeat irrigation and debridement of Right distal femoral subperiosteal abscess.

Subxiphoid Pericardial Window
Emergent subxiphoid pericardial window, transesophageal echocardiogram.

Subxiphoid Pericardial Window - 1
Subxiphoid pericardial window. A #10-blade scalpel was used to make an incision in the area of the xiphoid process. Dissection was carried down to the level of the fascia using Bovie electrocautery.

Subxiphoid Pericardiotomy
Subxiphoid pericardiotomy. Symptomatic pericardial effusion. The patient had the appropriate inflammatory workup for pericardial effusion, however, it was nondiagnostic.

Suction, Dilation, & Curettage
Missed abortion. Suction, dilation, and curettage.

Suction, Dilation, & Curettage - 1
Suction dilation and curettage for incomplete abortion. On bimanual exam, the patient has approximately 15-week anteverted, mobile uterus with the cervix that is dilated to approximately 2 cm with multiple blood colts in the vagina. There was a large amount of tissue obtained on the procedure.

Superior Labrum Lesions Repair
Superior labrum anterior and posterior lesion repair.

Surgical Closure of Gastrostomy
Closure of gastrostomy placed due to feeding difficulties.

Surgical Removal of Teeth
Right buccal and canine's base infection from necrotic teeth. ICD9 CODE: 528.3. Incision and drainage of multiple facial spaces; CPT Code: 40801. Surgical removal of the following teeth. The teeth numbers 1, 2, 3, 4, and 5. CPT code: 41899 and dental code 7210.

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NOTE: These transcribed medical transcription sample reports and examples are provided by various users and are for reference purpose only. MTHelpLine does not certify accuracy and quality of sample reports. These transcribed medical transcription sample reports may include some uncommon or unusual formats; this would be due to the preference of the dictating physician. All names and dates have been changed (or removed) to keep confidentiality. Any resemblance of any type of name or date or place or anything else to real world is purely incidental.
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Transcribed Medical Transcription Sample Reports and Examples