Research the format of Operative
Report. Provide the missing/necessary requirements of an Operative Report using Project 4
Case Scenario. Read the Operative Report and use online search engines to provide the
definition of clinical vocabularies, illustrations / diagrams of surgical equipment / supplies and
meaning of Medical Terms used. Review the Operative Report to identify the documentation
supporting the diagnosis and the procedure. Assign the correct ICD-10-CM diagnostic code(s)
and ICD-10-PCS procedural code(s) using both coding manuals. Indicate the principal
diagnosis, comorbid conditions, complication (if any). Use the CMS website to identify the DRG
weight, MDC, Title, ALOS, and GLOS. Explain the process of choosing the DRG.
Part II: Compare the coded data submitted by provider with your answer in Part I. Enumerate
the discrepancies between the coded data and supporting documentation. Provide
Sample Solution
