I need help with these two cases for CPT coding. I have attached both files.

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LOCATION: Outpatient, Hospital PATIENT: Daniel Briggstad ATTENDING PHYSICIAN: Jeff King, MD SURGEON: Jeff King, MD PREOPERATIVE DIAGNOSES 1. Recurrent otitis media. 2. Retained right PE tube and granulation tissue. 3. Left otitis media with effusion. POSTOPERATIVE DIAGNOSES 1. Recurrent otitis media. 2. Retained right PE tube and granulation tissue. 3. Left otitis media with effusion. 4. Right tympanic membrane perforation. PROCEDURES PERFORMED 1. Removal of right PE tube and granulation tissue from the tympanic membrane. 2. Left myringotomy with tympanostomy tube placement. ANESTHESIA: General inhalation. SURGICAL INDICATIONS: A 4-year-old male with a history of bilateral PE tubes. Since extrusion of the PE tubes, he has had recurrent episodes of otitis media. There is also granulation tissue around the right PE tube. PROCEDURE: After consent was obtained, the patient was taken to the operating room and placed on the operating table in supine position. After the adequate level of general inhalation anesthesia was obtained, the patient was draped in the appropriate manner for PE tube placement. Attention was first focused on the right ear. Utilizing an ear speculum and microscope, the external canal was cleared of cerumen. The retained extruded PE tube was removed from the tympanic membrane. In addition, granulation tissue was also removed. Subsequent examination shows a perforation of the posterior inferior area. There is no effusion. Due to the significant size of the perforation, no PE tube was placed. Attention was then focused on the left side. The ear canal was cleared of wet debris and cerumen. The tympanic membrane was noted to be opaque. The myringotomy incision was then placed in the anterior inferior quadrant. Serous effusion was suctioned. A bobbin tympanostomy tube was then placed without difficulty. Cortisporin otic suspension and a cotton ball were then placed. The patient tolerated the procedure well, and there was no break in technique. The patient was awakened and taken to the postanesthesia area in good condition.
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LOCATION: Inpatient, Hospital PATIENT: Benito Castro ORDERING PHYSICIAN: Gregory Dawson, MD ATTENDING/ADMIT PHYSICIAN: Gregory Dawson, MD RADIOLOGIST: Morton Monson, MD PERSONAL PHYSICIAN: Ronald Green, MD EXAMINATION: Placement of a tunneled hemodialysis catheter. CLINICAL SYMPTOMS: End-stage renal disease. PLACEMENT OF TUNNELED #14.5 FRENCH HEMODIALYSIS CATHETER: The patient is a 62-year-old male with a history of renal failure. Placement of a tunneled hemodialysis catheter was requested by Dr. Green. Prior to the start of the study, the procedure was explained to the patient, including the risks, complications, and alternatives. The patient understood and consented to the exam. The patient was prepped and draped in the usual sterile fashion. An Ioban II (antimicrobial film) was placed on the skin. A 21-gauge micropuncture needle was advanced into the right internal jugular vein in the lower neck region using sterile technique under ultrasound guidance following administration of local anesthesia (1% lidocaine). Utilizing the Microvena kit, a 0.18 stainless steel wire was used to measure the distance from the junction of the right atrium/superior vena cava to the skin site, and the catheter was cut to size. A #5 French straight catheter was advanced into the internal jugular vein. The catheter was then placed to flush. A small skin incision was placed in the upper chest region. Following administration of local anesthesia (1% lidocaine), a tunnel was obtained between the two skin incisions. A vascular sheath was then placed through the tunnel, and the catheter was advanced through the peel-away sheath. The #5 French straight catheter was then removed under a Rosen wire, and a #10 French peel-away sheath was placed into the right internal jugular vein. The dilator and wire were then removed, and the end of the peel-away sheath was crimped to avoid blood loss with the patient holding his breath. The tip of the catheter was then advanced through the peel-away sheath with the tip of the junction of the right atrium/superior vena cava. The peel-away sheath was then removed and the catheter was adjusted to obtain a smooth transition. The cuff of the catheter was approximately 1 to 2 cm from the incision site. A single 2–0 Prolene suture was then placed at the catheter insertion
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medical diagnosis.docx