PLEASE ANSWER ALL THE QUESTIONS: 1) ICD-10-CM, coding conventions dictate that for coding an inpatient hospital...
PLEASE ANSWER ALL THE QUESTIONS:
1) ICD-10-CM, coding conventions dictate that for coding an inpatient hospital stay, the principal diagnosis, the diagnosis arrived after study is the code that is listed first. In the outpatient setting this is not the case. In the outpatient setting, the study of the patient's disease may make many visits and have many tests and other procedures before the diagnosis is determined. In the outpatient setting instead of a principal diagnosis, it is instead the first-listed diagnosis. What are the outpatient coder's guidelines for selecting codes?
2)In the Urinary system CPT text what part is listed first? What are the codes 52310 and 52315 used for? What is lithotripsy used for?
3)The endocrine system is a very complex system of many glands. The hormones help the body's growth, regulation, and metabolism. Overproduction or underproduction of any one gland can cause dysfunction in other systems.What is the most common endocrine disorder - what disease? Acromegaly is another condition ? Describe the features of Acromegaly ?Name the complications (at least 3) of Acromegaly that can shorten the person's life?
Homework Answers
1. The guidelines to be followed in outpatient services
are:
• Selection of first listed condition like outpatient surgery or
observation stay because in outpatient services diagnosis is not
established at the initial visit. It may take two or more
visits.
• Codes from 001.0 to V84.8 is used
• The diagnosis should be reported accurately.
• Codes 001.0 to 999.9 is used commonly
• Codes are used for signs and symptoms
• Codes are given to circumstances other than the disease or
injury
• Do not code uncertain diagnosis
• Chronic cases are coded for several times
• All the documented conditions are coded at the outpatient
visit
2. 76700 is the first cpt code in urinary system. It is given for
ultrasound of the urinary system. Code 52310 is used for urethra
and bladder transurethral surgical procedures and for simple
cystourethroscopy and code 52315 is used for complicated
cystourethroscopy. Lithotripsy is a procedure that uses shock to
break the kidney stones. After this procedure the tiny pieces of
stones are passed out of the body through urine.
3. The most common endocrine disorder is diabetes. Acromegaly is a
hormonal disorder in which the pituitary gland produces too much of
growth hormones. The features are enlarged hands and feet,
coarsened, enlarged facial features, coarse, oily, thickened skin,
excessive sweating, increased body odur, skin tags, facial and
muscle weakness, husky voice, snoring, impaired vision, enlarged
tongue and barrel chest. The life threatening complications are
cardiomyopathy, spinal cord compression and hypertension.
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