Transcribed Medical Transcription Sample Reports and Examples
Transcribed Medical Transcription Sample Reports and Examples
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Sample Type / Medical Specialty: Surgery
Sample Name: Esophagoscopy & Foreign Body Removal - 1

Description: Esophagoscopy with removal of foreign body. Esophageal foreign body, no associated comorbidities are noted.
(Medical Transcription Sample Report)

PRIMARY DIAGNOSIS: Esophageal foreign body, no associated comorbidities are noted.

PROCEDURE: Esophagoscopy with removal of foreign body.

CPT CODE: 43215.

PRINCIPAL DIAGNOSIS: Esophageal foreign body, ICD-9 code 935.1.

DESCRIPTION OF PROCEDURE: Under general anesthesia, flexible EGD was performed. Esophagus was visualized. The quarter was visualized at the aortic knob, was removed with grasper. Estimated blood loss 0. Intravenous fluids during time of procedure 100 mL. No tissues. No complications. The patient tolerated the procedure well. Dr. X Pipkin attending pediatric surgeon was present throughout the entire procedure. The patient was transferred from OR to PACU in stable condition.

Keywords: surgery, esophagus, foreign body, esophagoscopy, esophageal,
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