36 hours ago 4. During the patient's admission assessment, it is determined that even with a hearing aid the patient has difficulty understanding the conversation. Which intervention should be added to … >> Go To The Portal
A patient was assessed for a hearing aid. Report code V5010 A patient received an injection of morphine sulfate, 10 mg (preservative-free sterile solution).
Provision of digitally programmable monaural hearing aid, analog, in the canal (ITC). Assign HCPCS level II code(s): V5245 Dispensing fee, binaural contralateral routing of signals (BICROS).
V5140 Provision of digitally programmable monaural hearing aid, analog, in the canal (ITC). Assign HCPCS level II code(s): V5245 Dispensing fee, binaural contralateral routing of signals (BICROS).
C1717-AF A cardiac event recorder was implanted in the patient as a medically necessary service/supply. Assign HCPCS level II code(s): C1764-SC
Patient underwent diagnostic radiology procedure, which required injection of one 30-mCi dose of ammonia N-13 as the radiopharmaceutical diagnostic imaging agent.
Patient received basic life support (BLS) during emergency transport from his home to the hospital via ambulance.
Catheterization for collection of specimen was performed for one patient.
Three days of respite care services were provided to the patient in the hospice unit of the hospital.
Listening to television and the radio and reading aloud can help the patient get used to new sounds. With hearing aids, background noises are amplified so the patient must learn to concentrate and filter out background noises. The patient should start using the hearing aid slowly, at first wearing it only at home and only during part of the day. The cost of smaller hearing aids is actually greater than for larger ones.
Hyperacusis is the intolerance of sound levels that do not bother others. The sensation of being "off-balance" or dizziness is recorded as "vertigo." In patients with chronic gout, collections of uric acid crystals result in irregular, painless nodules on the pinna called "tophi." Small, crusted, and indurated lesions on the pinna that fail to heal could be squamous cell carcinoma.
The presence of a red, dull, thick, and immobile eardrum with perforations is usually observed in mastoiditis. Red, visible pulsations of a mass extending to the external ear canal are seen in tumors of the middle ear. In the third stage of otitis media, a red, thickened, and bulging eardrum with loss of landmarks is observed. In the initial stages of otitis media, otoscopic examination reveals a retracted eardrum with clear landmarks.
Otoscopic examination is performed to examine the ear with the help of an otoscope. It helps assess the patency of the external ear canal, identify lesions or excessive cerumen in the canal, and assess the condition of the eardrum. Electronystagmography is performed to detect changes in balance. Computer tomography is done to show the structures of the ear in great detail. To determine whether the patient has hearing loss or normal hearing, pure-tone air-conduction testing is required.
Other causes of sensorineural hearing loss include acoustic neuroma, diabetes mellitus, and presbycusis. Conductive hearing loss occurs when sound waves are blocked from contact with inner ear nerve fibers because of external ear or middle ear disorders. Presence of cerumen in the ear, perforation of the tympanic membrane, and presence of a foreign body in the ear are some of the causes of conductive hearing loss.
Hearing is initially worse after a stapedectomy. The patient should be informed that improvement in hearing may not occur until 6 weeks after surgery. At first, the ear packing interferes with hearing. Swelling in the ear after surgery reduces hearing, but this condition is temporary. Vertigo, nausea, and vomiting are common after surgery because of the nearness of the surgical site to inner ear structures. Patients should not drink through a straw for 2 to 3 weeks after surgery. Antibiotics are used to reduce the risk for infection.
It is not appropriate for the nurse to speak loudly because the patient is experiencing difficulty hearing only certain types of sounds.
The HCPCS level ll modifier that is assigned to indicate anesthesia services performed personally by an anesthesiologlist is
Review of a pt. record reveals the following:The anesthesia code has a basic unit value of 5, & the physical status modifier-P2 has a relative value of 0. Anesthesia time is 30 min. A conversion factor of $17.04is assigned to Alabama. Payment for anesthesia services is calculated as
A pt. underwent a costochondral cartilage graft procedure. She also underwent a nasal septal cartilage graft procedure during the same operative session.
Some HCPCS level l & ll services are not payable by Medicare
Dr. Lee saw Kenya Yatani in her office for the first time for treatment of a mild sprain.
A general guideline for assessing the patient's need for a hearing aid is a hearing loss exceeding 30 dB in the range of 500 to 2,000 Hz (units of cycles/second).
The most incapacitating symptom of Ménière's disease is vertigo. When the client is experiencing vertigo or dizziness, the gate is unsteady. Having a person assist the client when ambulating is most helpful in preventing falls. Keeping a bucket at the bedside is helpful if the client is experiencing nausea. Photophobia is not a main symptom of Ménière's disease. If the client experiences hearing loss, being able to see the client's lips may be helpful.
Degeneration of the organ of Corti causes a decreased ability to discriminate high frequencies or to interpret consonant sounds. Refer to Table 48-2 in the text. Alterations in the vestibulospinal reflex affect balance and gait.
The Romberg test is used to evaluate a person's ability to sustain balance. The client stands with the feet together and arms extended. In the event that the client begins to sway (an abnormal result), the nurse is most helpful to stand on the lateral side of the client, opposite side to where the physician is standing to ensure that the client does not fall.