Apatient presented with a closed, displaced supracondylar fracture of the left elbow. after conscious sedation, the left upper extremity was draped and closed reduction was performed, achieving anatomical reduction of the fracture. the elbow was then prepped and with the use of fluoroscopic guidance, two k-wires were directed crossing the fracture site and piercing the medial cortex of the left distal humerus. stable reduction was obtained, with full flexion and extension. k-wires were bent and cut at a 90 degree angle. telfa padding and splint were applied. what cpt® code is reported?

The correct answer is 24538-LT.

This is a supracondylar fracture of the elbow repaired by percutaneous fixation. In the CPT index fracture/Supracondylar/Humerus/Percutaneous fixation is referred to as 24538. Modifier LT is attached to suggest the procedure is done on the left side. The application of the sphint or the first cast is included in the fracture codes.

i believe it is "they are not used up by reactions" as the answer to your question, text me back if this is correct because i just learned this.

answer: decrease

a limiting factor is the one which decrease the abundance, distribution and causes extinction of the population of species in a ecosystem. here, predators including hawks, owls and snakes are the limiting factor for the population of mexican free tailed bat.   although bats are nocturnal animals as they forge for food at night these predators also may remain active during night which can decrease the population of the mexican free-tailed bats. also, these bats eat only one type of insects that are moths. the food can also be a limiting factor as all 400 members are dependent upon same type of food needs that are moths. the decrease in the moth population can cause decrease in population size of the mexican free-tailed bats.

therefore, the scenarios will most likely to decrease the population size of the mexican free-tailed bats.