[Verified Answer]: NAME: Pedro Rodriguez Date of Surgery:…

NAME: Pedro Rodriguez Date of Surgery: 6/21/202x Surgeon: Peter Chen, MD Preoperative Diagnosis: Screening for malignant neoplasm of the colon Postoperative Diagnosis: Colon polyps – sigmoid colon Procedure(s): Colonoscopy Description of Procedure: After reviewing the risks and benefits of the procedure, the patient was deemed in satisfactory condition to undergo the procedure. The anesthesia plan was to use monitored anesthesia care (MAC). Immediately prior to administration of medications, the patient was reassessed for adequacy to receive sedatives. The heart rate, respiratory rate, oxygen saturations, blood pressure, adequacy of pulmonary ventilation and response to care were monitored throughout the procedure. After I obtained informed consent, the scope was passed under direct vision. Throughout the procedure, the patient’s blood pressure, pulse, and oxygen saturations were monitored continuously. The colonoscope was introduced through the anus and advanced to the cecum, identified by appendiceal orifice and ileocecal valve. Two polyps were removed in the sigmoid colon via snare technique The colonoscopy was performed without difficulty. The patient tolerated the procedure well. The quality of the bowel prep was adequate. Assign the Surgical CPT Code(s) and modifier(s) if applicable _______________________________