instructions: Review each case study and select the correct
ICD-10-CM diagnostic code. Please be aware that when an
answer consists of more than one code, there will be an
answer blank for each code.
Case 6
Emergency Department Visit
A 59-year-old male presented to the ED with dyspnea on exertion,
fevers, and cough. A routine chest x-ray was completed to rule out
pneumonia. The x-ray revealed a mass in the left lung. The patient
was instructed to follow up with Dr. Ram in oncology.
Diagnosis: Probable neoplastic lung disease
ICD-10-CM Code Assignment.......x........
Case 7
Inpatient Admission
A 40-year-old female was admitted with severe abdominal pain. She
has a history of cervical cancer that was excised 4 years ago. An
MRI showed possible metastasis to the left ovary, which was
confirmed during this admission as ovarian carcinoma, malignant
secondary site.
ICD-10-CM Code Assignment......x....... ,
......x.......
Case 8
Inpatient Admission
This 89-year-old female patient was transferred from a nursing home
due to a suspected urinary bladder mass, after she underwent a
series of diagnostic tests that concluded that she has malignant
primary adenocarcinoma of the posterior wall of the urinary
bladder. She has requested no treatment and was discharged to
hospice care.
ICD-10-CM Code Assignment......x.......
Case 9
Office Visit Note
This 65-year-old female patient will return to the office today for
follow-up for her breast cancer. The cancer was treated three years
ago, via a bilateral mastectomy, and at this time, she is showing
no signs of recurrence or metastasis. Vital signs as recorded by
nurse.
Heart: Normal rate and rhythm
Lungs: Clear
Abdomen: Soft, nontender, no masses
Assessment: status post mastectomy, no recurrence at this
time.
Plan: Follow-up in 6 months.
ICD-10-CM Coding Assignment......x......
,......x........
Case 10
Office Note
This 35-year-old female patient is being seen today because she has
been experiencing abdominal pain for the last month. She is
concerned because her mother died of stomach cancer when she was 40
years old.
Vitals: B/P 120/75 Weight: 165 pounds.
The patient reports no weight loss.
HEENT: Normal
Heart: Normal rate and rhythm
Lungs: Clear, no rales.
Abdomen: No masses, no hepatomegaly or splenomegaly noted. Bowel
sounds normal.
Breast: Symmetrical, no masses noted.
Plan: Orders as written for diagnostic testing.
The patient should follow up with me following test results.
ICD-10-CM Coding Assignment.......x......
,.....x.........
Case 6
R91.8 - Other nonspecific abnormal finding of the lung field
Case 7
C79.62 - Secondary malignant neoplasm of left ovary
Z85.41 - Personal history of malignant neoplasm of cervix uteri
Case 8
C67.4 - Malignant neoplasm of posterior wall of the bladder
Case 9
Z85.3 - Personal history of malignant neoplasm of breast
Z90.13 - History of bilateral mastectomy
Case 10
R10.9 - Unspecified abdominal pain
Z80.0 - Family history of malignant neoplasm of digestive organs
instructions: Review each case study and select the correct ICD-10-CM diagnostic code. Please be aware that...
Instructions: Review each case study and select the correct ICD-10-CM diagnostic code. Please be aware that when an answer consists of more than one code, there will be an answer blank for each code Case 1 Physician Office Note 4/25/XX Weight: 154 pounds, decrease from 2 weeks ago; weight then was 160. CHIEF COMPLAINT: loss of weight, here for follow-up from breast biopsy. Sally was seen 2 weeks ago, and I palpated a mass in her left breast. She was...
Instructions: Review each case study and select the correct ICD-10-CM diagnostic code. "Please be aware that when an answer consists of more than one code, there will be an answer blank for each code." Case 6 Inpatient Progress Note This 74-year-old patient was admitted 3 days ago with symptoms of nausea, vomiting, and abdominal pain. Diagnostic testing confirmed botulism food poisoning. Nursing has been instructed to follow appropriate protocol documented by myself at the time of admission. ICD-10-CM Code Assignment……x…….....
Instructions: Review each case study and select the correct ICD-10-CM diagnostic code. Please be aware that when an answer consists of more than one code, there will be an answer blank for each code. Case 1 Discharge Summary PATIENT NAME: Polly Patch AGE: 72 years old Polly was admitted from home because she passed out from dizziness. Her daughter called my office, and I admitted her to the medical unit because this is the third time in 2 weeks that...
Instructions: Review each case study and select the correct ICD-10-CM diagnostic code. Please be aware that when an answer consists of more than one code, there will be an answer blank for each code. Case 1 Physician Office Visit This 39-year-old female recently underwent GYN surgery and now is experiencing sleeplessness, headache, and lack of concentration. Her physical exam is negative. Diagnostic workup concludes ovarian failure. I am referring her to a specialist. Diagnosis: symptomatic postprocedural ovarian failure. ICD-10-CM Code...
Instructions: Review each case study and select the correct ICD-10-CM diagnostic code. Please be aware that when an answer consists of more than one code, there will be an answer blank for each code. Case 1 Physician Office Note This 50-year-old patient was seen today in follow-up for renal insufficiency, HISTORY OF THE PRESENT ILLNESS: The patient had a renal biopsy that showed focal and segmental glomerular sclerosis. He was placed on Vasotec but developed hyperkalemia, and then the Vasotec...
Instruc Instructions: Review each case study and select the correct ICD-10-CM diagnostic code. Please be aware that when an answer consists of more than one code, there will be an answer blank for each cod tions: Review each case study and select the correct ICD-10-CM diagnostic code. Please be aware that when an answer consists of more than one code, there will be an answer blank for each code, NO hand writing and code all the cases Case 1 Office...
Instructions: Review each case study and select the correct ICD-10-CM diagnostic code. "Please be aware that when an answer consists of more than one code, there will be an answer blank for each code. Case 1 S: A 55-year-old male presents today with severe abdominal pain, nausea, and vomiting, persistent over the last 24 hours. Diarrhea has developed, and abdominal cramping is also present. The patient states that he cannot keep anything down. Upon questioning, he states that he attended...
Instructions: Review each case study and select the correct ICD-10-CM diagnostic code.no hand writing and answer all the cases Case 1 Emergency Department Note This 9-year-old male patient was brought to the ER by his mother. His left external ear is warm to touch, and it appears red and swollen. He has had a fever of 100 for the past 2 days. Upon otoscopic exam, the middle and inner ear are reviewed with no findings. There is definitely cellulitis of...
Instructions: Review each case study and select the correct ICD-10-CM diagnostic code. Do not assign place of occurrence, activity code, or external cause status code unless instructed to do so for the case. Please be aware that when an answer consists of more than one code, there will be an answer blank for each code. Case 6 Emergency Department Note This 29-year-old male was riding his motorcycle with other cyclists on a recreational ride and hit a deer when he...
instructions: Review each case study and select the correct ICD-10-CM diagnostic code. Do not assign place of occurrence, activity code, or external cause status code unless instructed to do so for the case. Please be aware that when an answer consists of more than one code, there will be an answer blank for each code. I need the code not the category Case 1 Emergency Department Note Justin was brought to the emergency room with a broken left tibia. Justin...