To correctly assign codes for any surgical procedure, coders need to have an operative (OP) report. But simply having the OP report isn't enough. Coders also must be able to read the report and pick out the important information.
A Boston resident is at a New York Yankees game in the Bronx cheering on his beloved Boston Red Sox. Despite his best efforts to catch a foul ball coming into the stands, he misses, and the ball bounces off his head. He's woozy, and ballpark officials suggest he get to a hospital for precautionary reasons.