3. OFFICE Gender: F Age: 35 Reason for encounter: Suture removal from wound to right index...
3. OFFICE Gender: F Age: 35 Reason for encounter: Suture removal from wound to right index finger, sustained when she accidentally cut her finger with a butcher knife while preparing dinner Assessment: Wound is healed. Removed sutures. Tip: Assign a code for the injury with the appropriate seventh character for care provided during the healing phase. Do not assign external cause codes. 1 ICD-10-CM Code
CODING PRACTICE (continued) 2. INPATIENT HOSPITAL Gender: M Age: 23 Reason for admission: Patient arrived by ambulance after a barn fire that occurred on his own farm which is his job Assessment: Third degree burns to left forearm, second degree burns to left upper arm and shoulder, smoke inhalation Tip: Assign a code for the burns and a code for the smoke. Do not code the percentage of body area affected, activity, status, or location external cause codes. 2 ICD-10-CM...
3. OFFICE Gender: F Age: 45 Reason for encounter: Follow-up exam after completing treatment for surgical removal of uterus due to endometrial cancer Assessment: No new findings Plan: FU 6 months Tip: Remember to read all instructional notes in the Tabular List. 3 ICD-10-CM Codes 4. INPATIENT HOSPITAL Gender: F Age: 62 Reason for admission: Radical cystectomy followed by inpatient radiotherapy Assessment: Stage III carcinoma of the bladder, invasive into bladder, no metastasis found Plan: Continue radiotherapy as outpatient 2...
3. OFFICE Gender: F Age: 54 Reason for encounter: Difficulty seeing, gritty feeling in eyes, ocular hyperemia (bloodshot eyes) Assessment: Bilateral grade 2 corneal and conjunctival deposits, likely due to end-stage renal failure, patient has been on dialysis for about 18 months Plan: Schedule cornea scraping to remove deposits Tip: Instructional notes in the Tabular List guide you to the additional codes and sequencing. 4 ICD-10-CM Codes 2. OFFICE Gender: F Age: 53 ason for encounter: Blurred vision, eye pain,...
These are the questions 2. OFFICE Gender: F Age: 12 Reason for encounter: Left earache, fever, head congestion Assessment: Acute recurrent suppurative otitis media and acute recurrent sinusitis, mother is a heavy cigarette smoker in the home (continued) 2. (continued) Plan: Antibiotics for OM, decongestant, and fluids 3 ICD-10-CM Codes - 3. OFFICE Gender: M. Age: 19 Reason for encounter: Dizziness, nausea, low back pain, headache on right side Assessment: Dizziness, nausea, and headache due to labyrinthitis, right Plan: Refer...
I need the codes 2. OFFICE Gender: F Age: 12 Reason for encounter Left earache, fever, head congestion Assessment: Acute recurrent suppurative otitis media and acute recurrent sinusitis, mother is a heavy cigarette smoker in the home (continued) 2. (continued) Plan: Antibiotics for OM, decongestant, and fluids 3 ICD-10-CM Codes 3. OFFICE Gender: M Age: 19 Reason for encounter: Dizziness, nausea, low back pain, headache on right side Assessment: Dizziness, nausea, and headache due to labyrinthitis, right Plan: Refer to...
5. INPATIENT HOSPITAL Gender: M Age: 21 Reason for admission: Knife stab wounds to the chest after a gang fight in a public park Discharge diagnosis: Intrathoracic wound with laceration of right lung. Tip: External cause codes for activity and status are not needed. 3 ICD-10-CM Codes 6. INPATIENT HOSPITAL Gender: M Age: 22 Reason for admission: Admitted from ED. Patient was riding his bicycle for recreation through a parking lot and was hit by a bus. He impacted the...
I need the codes and the codes in the correct sequence 4. OFFICE Gender: M Age: 45 Reason for encounter: HIV positive patient with no related conditions presents with dysuria, weakness and fever Assessment: Urosepsis (UTI) d/t E. coli (non-Shiga toxin-producing) Plan: Antibiotics Tip: Urosepsis is not sepsis or septicemia. Refer to OGCR I.C.1.a.2)(d) and I.C.1.b. 3 ICD-10-CM Codes 5. INPATIENT HOSPITAL Gender: F Age: 77 Reason for admission: Admitted from SNF 1 day post-hospital-discharge with 102° F fever, dyspnea,...
10. INPATIENT HOSPITAL Gender: F Age: 22 Chief complaint: Admitted from physician's office after complaining of fast heartbeat Assessment: Supraventricular tachycardia that is a late effect of a heroin overdose during a suicide attempt 3 months ago Plan: Stabilized rhythm with vagal maneuvers. Discharged on regime of antiarrhythmic med. Referral for substance addiction. Tip: Assign codes for the injury and the current manifestation. 2 ICD-10-CM Codes
2. EMERGENCY DEPT Gender: F Age: 19 Chief complaint: Examination arter alleged date ro by her boyfriend Assessment: Conducted physical examination and urine test. Flunitrazepam was found in a urine test. The injury was determined to be sexual assault. Tip: Assign a code for the assault, a code from the Table of Drugs and Chemicals, and one external cause code that identifies the perpetrator. 3 ICD-10-CM Codes