Operative Report Preoperative Diagnosis: Internal derangemen…

Operative Report Preoperative Diagnosis: Internal derangement left knee Postoperative Diagnosis: Tear of lateral meniscus Operative procedure: Left knee arthroscopy, partial meniscectomy The arthroscope was insetrted through the routine superolateral portal as well as an inferomedial portal for insertion of scope and instruments. The knee joint was then examined in routine manner, the medial meniscus was intact. The lateral meniscus was partially detached and this portion was removed. No other defects were noted. The knee was irrigated well using normal saline. The instruments were removed from the knee.  Wound closed with #4-0 nylon and dressed. Estimated blood loss 0. Intravenous fluids 1000 cc. Specimen: meniscus.

A surgeon performs a cholecystectomy on a morbidly obese fem…

A surgeon performs a cholecystectomy on a morbidly obese female who has multiple adhesions. Documentation supports that the surgeon spent over two hours performing lysis of adhesions before the cholecystecyomy could be performed. Which of the following modifiers would be applicable for the surgeon to communicate this circumstance?