Assign the ICD-10-CM code(s) to diagnoses and conditions and assign the CPT medicine code(s) and the...
Assign the ICD-10-CM code(s) to diagnoses and conditions and assign the CPT medicine code(s) and the appropriate HCPCS level II and CPT modifier(s). STRESS TEST (OUTPATIENT) FINDINGS: The patient is a 62-year-old female who has paroxysmal atrial tachycardia and takes Inderal 40 mg four times a day and Lanoxin 0.25 mg daily for this. She has also complained of some chest discomfort and has had some mild hypertension for which she takes Dyazide once a day. She is referred to take an outpatient stress test to rule out coronary artery disease. The patient was prepared in the usual fashion. Electrodes were applied to the chest. She was taken at 1.6 metabolic equivalents (METs), 3 METs, 6 METs, and 9 METs during her exercise on the treadmill. During that time, her pulse rate increased linearly from 60 up to 150. The systolic blood pressure increased from 140 to 160. The blood pressure at the final MET level apparently was not recorded. During the course of the test, the patient did not really complain of chest pain, but she did become quite noticeably tired and short of breath, complaining of some tightness in her chest and feelings of weakness and dizziness. The rhythm strips at 1.6, 3, and 6 METs did not show any real ST segment depression. However, at the 6-MET level, there was noted about a 1/2-mm horizontal ST segment depression. At 9 METs, the changes were somewhat more pronounced with about a 1-2 mm. ST segment depression was actually horizontal to downward sloping. With these changes at 9 METs, I would think that this is sort of a borderline test with indeed some signs of positive at 9 METs. At this point, I would think this lady probably could be watched. She is essentially asymptomatic at rest and at low levels of exercise. I will continue her medications and see her frequently in the office if her, symptoms increase. It may be that she should be restressed or at any rate that she should have yearly stress tests to keep tabs on the status of her coronary arteries. If the symptoms worsen and so forth, it might be worth referral for further studies. DIAGNOSES: Paroxysmal atrial tachycardia. Chest pain. Hypertension. Rule out coronary artery disease.
Homework Answers
ICD 10 CM Codes
Principal I48.0 Paroxysmal atrial fibrillation
Secondary :
R07.9 Chest pain, unspecified
I10 Primary essential hypertension
I25.10 Rule out coronary artery disease
HCPCS codes :
T1502 Administration of oral/intramuscular/ subcutaneous medication by health care agency / professional .per visit.
CPT Medicine codes
Lanoxin : 80162
Inderal : 84149
Dyazide : 3650
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Assign the ICD-10-CM code(s) to diagnoses and conditions and
assign the CPT medicine code(s) and the...
Instructions Assign the ICD-10-CM code(s) to diagnoses and conditions and assign the CPT medicine code(s) and...
Instructions Assign the ICD-10-CM code(s) to diagnoses and conditions and assign the CPT medicine code(s) and the appropriate HCPCS level II and CPT modifier(s) for the following case. ELECTROENCEPHALOGRAM (EEG) COMPLAINT: Seizure. CURRENT MEDICATIONS: Phenobarbital, Theo-Dur, Peri-Colace. STATE OF PATIENT DURING RECORDING: Awake. Current Procedural Terminology© 2016 American Medical Association. All Rights Reserved. DESCRIPTION OF EEG: The background is not well developed. Much muscle tension artifact is superimposed; electrode artifact also present at times. No spike-wave discharges, paroxysmal slowing, or...
Assign the ICD-10-CM code to diagnoses and conditions and assign the CPT surgery codes and the...
Assign the ICD-10-CM code to diagnoses and conditions and assign the CPT surgery codes and the appropriate HCPCS level II and CPT modifiers. Do not assign ICD-10-CM external cause codes. PREOPERATIVE DIAGNOSIS: Arteriosclerotic heart disease. POSTOPERATIVE DIAGNOSIS: Arteriosclerotic heart disease. PROCEDURE: Coronary artery bypass graft x 5. The patient was brought into the operating suite and placed in the supine position. Anesthesia was administered, and monitoring lines were placed. The patient was prepped and draped in the usual sterile fashion....
Assign the ICD-10-CM code to diagnoses and conditions and assign the CPT surgery codes and the...
Assign the ICD-10-CM code to
diagnoses and conditions and assign the CPT surgery codes and the
appropriate HCPCS level II and CPT modifiers. Do not assign
ICD-10-CM external cause codes.
4. PREOPERATIVE DIAGNOSIS: Arteriosclerotic heart disease. ton POSTOPERATIVE DIAGNOSIS: Arteriosclerotic heart disease. PROCEDURE: Coronary artery bypass graft x 5. The patient was brought into the operating suite and placed in the supine position. Anesthesia was administered, and monitoring lines were placed. The patient was prepped and draped in the usual...
Assign the ICD-10-CM code(s) to diagnoses and conditions and assign the CPT medicine code(s) and the...
Assign the ICD-10-CM code(s) to diagnoses and conditions and assign the CPT medicine code(s) and the appropriate HCPCS level II and CPT modifier(s) 8. Lisa Morales is a type 1 diabetic patient who presents for the refilling of her insulin pump. The pump is identified as a Paradigm model number 515/715, and 250 units per milliliter of insulin was placed in the pump. The patient is discharged.
Assign the ICD-10-CM codes to diagnoses and conditions and assign the CPT surgery code and the...
Assign the ICD-10-CM codes to diagnoses and conditions and
assign the CPT surgery code and the appropriate HCPCS level II and
CPT modifiers. Do not assign ICD-10-CM external cause codes.
5. PREOPERATIVE DIAGNOSIS: Mass of lung. POSTOPERATIVE DIAGNOSIS: Carcinoma of the right lung. OPERATION PERFORMED: Bronchoscopy and right upper lobectomy. The patient was brought into the operating room; and after the administration of anesthesia, the patient was prepped and draped in the usual sterile fashion. The patient was placed in...
Assign the ICD-10-CM code(s) to diagnoses and conditions and assign the CPT surgery code(s) and the...
Assign the ICD-10-CM code(s) to diagnoses and conditions and
assign the CPT surgery code(s) and the appropriate HCPCS level II
and CPT modifier(s). Do not assign ICD-10-CM external cause
codes.
9. PREOPERATIVE DIAGNOSIS: Term pregnancy in active labor. POSTOPERATIVE DIAGNOSIS: Same, with midline episiotomy repaired. OPERATION: Ful-term vaginal delivery of a term male, with midline episiotomy repaired and rupture of membranes. This very pleasant 23-year-old gravida 1, para o female presented to the obstetrical suite in ostetrician is currently out...
Assign the ICD-10-CM codes to diagnoses and conditions and assign the CPT surgery code and the...
Assign the ICD-10-CM codes to diagnoses and conditions and
assign the CPT surgery code and the appropriate HCPCS level II and
CPT modifiers. Do not assign ICD-10-CM external cause codes.
8. PREOPERATIVE DIAGNOSIS: Lesion of vocal cords. POSTOPERATIVE DIAGNOSIS: Tumor of left vocal cord. OPERATION PERFORMED: Laryngoscopy. The patient was a 25-year-old student of opera who presented with a lesion of her left vocal cord seen on office laryngoscopy. Today she was seen in the ambulatory suite for further examination...
Assign the ICD-10-CM codes to diagnoses and conditions and assign the CPT surgery code and the...
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Assign the ICD-10-CM code(s) to diagnoses and conditions and assign the CPT surgery code(s) and the...
Assign the ICD-10-CM code(s) to diagnoses and conditions and
assign the CPT surgery code(s) and the appropriate HCPCS level II
and CPT modifier(s). Do not assign ICD-10-CM external cause
codes.
7. PREOPERATIVE DIAGNOSIS: Bladder stone with hydronephrosis. POSTOPERATIVE DIAGNOSIS: Same. PROCEDURES: Cystoscopy with laser lithotripsy of bladder calculus and placement of stent. ANETHESIA: Local. The patient was placed in the relaxed dorsal lithotomy position, Betadine prepped, and sterilely draped. With use of a 21- French panendoscope, a bladder stone measured...
Assign the ICD-10-CM code(s) to diagnoses and conditions and assign the CPT surgery code(s) and the...
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Assign the ICD-10-CM code to
diagnoses and conditions and assign the CPT surgery codes and the
appropriate HCPCS level II and CPT modifiers. Do not assign
ICD-10-CM external cause codes.
4. PREOPERATIVE DIAGNOSIS: Arteriosclerotic heart disease. ton POSTOPERATIVE DIAGNOSIS: Arteriosclerotic heart disease. PROCEDURE: Coronary artery bypass graft x 5. The patient was brought into the operating suite and placed in the supine position. Anesthesia was administered, and monitoring lines were placed. The patient was prepped and draped in the usual...
Assign the ICD-10-CM codes to diagnoses and conditions and
assign the CPT surgery code and the appropriate HCPCS level II and
CPT modifiers. Do not assign ICD-10-CM external cause codes.
5. PREOPERATIVE DIAGNOSIS: Mass of lung. POSTOPERATIVE DIAGNOSIS: Carcinoma of the right lung. OPERATION PERFORMED: Bronchoscopy and right upper lobectomy. The patient was brought into the operating room; and after the administration of anesthesia, the patient was prepped and draped in the usual sterile fashion. The patient was placed in...
Assign the ICD-10-CM code(s) to diagnoses and conditions and
assign the CPT surgery code(s) and the appropriate HCPCS level II
and CPT modifier(s). Do not assign ICD-10-CM external cause
codes.
9. PREOPERATIVE DIAGNOSIS: Term pregnancy in active labor. POSTOPERATIVE DIAGNOSIS: Same, with midline episiotomy repaired. OPERATION: Ful-term vaginal delivery of a term male, with midline episiotomy repaired and rupture of membranes. This very pleasant 23-year-old gravida 1, para o female presented to the obstetrical suite in ostetrician is currently out...
Assign the ICD-10-CM codes to diagnoses and conditions and
assign the CPT surgery code and the appropriate HCPCS level II and
CPT modifiers. Do not assign ICD-10-CM external cause codes.
8. PREOPERATIVE DIAGNOSIS: Lesion of vocal cords. POSTOPERATIVE DIAGNOSIS: Tumor of left vocal cord. OPERATION PERFORMED: Laryngoscopy. The patient was a 25-year-old student of opera who presented with a lesion of her left vocal cord seen on office laryngoscopy. Today she was seen in the ambulatory suite for further examination...
Assign the ICD-10-CM code(s) to diagnoses and conditions and
assign the CPT surgery code(s) and the appropriate HCPCS level II
and CPT modifier(s). Do not assign ICD-10-CM external cause
codes.
7. PREOPERATIVE DIAGNOSIS: Bladder stone with hydronephrosis. POSTOPERATIVE DIAGNOSIS: Same. PROCEDURES: Cystoscopy with laser lithotripsy of bladder calculus and placement of stent. ANETHESIA: Local. The patient was placed in the relaxed dorsal lithotomy position, Betadine prepped, and sterilely draped. With use of a 21- French panendoscope, a bladder stone measured...
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