Note dictated by Dr. Nathan; procedure performed at the On-Time Day Surgery Center: This 45-year-old

Note dictated by Dr. Nathan; procedure performed at the On-Time Day Surgery Center: This 45-year-old patient has been followed for left ear conductive hearing loss. It was decided to proceed with surgery to correct the condition. The postoperative diagnosis is left ear otosclerosis. During the procedure, a markedly thickened stapes footplate was observed; however, the eustachian tube was intact, and there was normal mobility of the malleus and incus. The left ear stapedectomy with drillout of the footplate proceeded uneventfully. During recovery, the patient experienced atrial fibrillation. This was felt to be due to the surgery because the EKG was normal during the preoperative evaluation. A cardiology consult was requested. Assign the correct diagnosis and procedure codes for Dr. Nathan’s services: ICD-10-CM code, first-sequenced: ICD-10-CM code 2: ICD-10-CM code 3: CPT code and modifier: *Enter with a dash between the CPT code and modifier like: 99212-25

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