Homework Answers
2) ICD-10-CM codes :-
Generalized Weakness - M62.81
Hyponatremia - E87.1
Alzheimer's disease - G30.9
Dementia - F03
Hallucinations - R44.3
3) ICD-10-CM codes :-
Persistent migraine with cerebrovascular infarction - G43.51
Cerebral stenosis of right cerebellar artery - I63.341
Hypertension - I15
5) ICD-10-CM codes :-
Anemia due to chemotherapy - D64.81
Chemotherapy - Z51.11
Left ovarian cancer - C56.2
Metastasis to brain - C79.31
Pain - R52
10) ICD-10-CM codes :-
Left sided hemiplegia - I69.052
Encephalitis - G04.90
7) ICD-10-CM codes :-
Obstructive sleep apnea - G47.33
Nutritional obesity - E66.9
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2. INPATIENT HOSPITAL Gender: M Age: 86 Reason for admission: Admitted from nursing facility due to...
INPATIENT HOSPITAL Gender: M Age: 48 for encounter: Admitted from emergency department for alcohol-induced gastritis with...
INPATIENT HOSPITAL Gender: M Age: 48 for encounter: Admitted from emergency department for alcohol-induced gastritis with hemorrhaging and intoxication with BAL of .09 Assessment: Patient has long-term alcohol use with dependence, prior cocaine abuser but states he no longer uses Plan: Patient agreed to counseling after discharge Tid: Follow instructional notes in the Tabular List to help determine sequencing. 4 ICD-10-CM Codes 3. INPATIENT HOSPITAL Gender: M Age: 56 Reason for encounter: Severe depression due to bipolar disorder Assessment: Patient...
I need #4,5 7, 9 10 4. INPATIENT HOSPITAL Gender: M Age: 42 Reason for admission:...
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need #4,5 7, 9 10
4. INPATIENT HOSPITAL Gender: M Age: 42 Reason for admission: Shortness of breath, general- ized weakness, agitation, elevated BP, fever, rapid pulse, history of hyperthyroidism Assessment: Cardiomyopathy due to thyrotoxicosis with thyroid storm Plan: Inhibit thyroid hormone synthesis with Methimazole. Beta blockers, body cooling, FU with cardiologist for cardiomyopathy management 2 ICD-10-CM Codes 5. INPATIENT HOSPITAL Gender: F Age: 26 Reason for admission: Feet and ankle edema, chest pain, shortness of breath, fever Assessment:...
I need the codes and the codes in the correct sequence 4. OFFICE Gender: M Age:...
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,...
8. OFFICE Gender: M Age: 48 Reason for admission: Admitted from emergency department, where he was...
8. OFFICE Gender: M Age: 48 Reason for admission: Admitted from emergency department, where he was seen after an accident while riding as a passenger in an off-road recreational vehicle. Assessment: Transverse fracture right tibia shaft, notified patient's oncologist, who is currently treating him for prostate cancer. Plan: FU with oncologist and orthopedic surgeon in office. Tip: Refer to OGCR I.C.2. 3 ICD-10-CM Codes
CODING PRACTICE (continued) 2. INPATIENT HOSPITAL Gender: M Age: 23 Reason for admission: Patient arrived by...
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...
4. INPATIENT HOSPITAL Gender: M Age: 45 Reason for admission: Admitted from emergency department due to...
4. INPATIENT HOSPITAL Gender: M Age: 45 Reason for admission: Admitted from emergency department due to skull fracture. He was unconscious for 90 minutes, but returned to his normal state of consciousness. Assessment: Open occipital condylar fracture (type 1) of base of skull with subarachnoid hemorrhage. (continued) 4. (continued) Plan: Craniotomy performed based on CT results which showed bleeding. Vessel occlusion performed. Patient in ICU following surg. RTO 4 days post discharge and weekly thereafter for two weeks. Tip: A...
2. INPATIENT HOSPITAL Gender: F Age: 76 Reason for admission: COPD with exacerbation Assessment: COPD with...
2. INPATIENT HOSPITAL Gender: F Age: 76 Reason for admission: COPD with exacerbation Assessment: COPD with acute bronchitis exacerbation and chronic bronchitis (continued) 2. (continued) Plan: Antibiotics for the infection, begin oxygen therapy, patient must cease cigarette smoking as it continues to impact her respiratory conditions, counseled her regarding treatment options for tobacco dependence Tip: Read the instructional notes in the Tabular List for sequencing instructions. 3 ICD-10-CM Codes 3. INPATIENT HOSPITAL Gender: F Age: 78 Reason for admission: Asbestosis...
5. INPATIENT HOSPITAL Gender: M Age: 21 Reason for admission: Knife stab wounds to the chest...
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...
3. OFFICE Gender: F Age: 45 Reason for encounter: Follow-up exam after completing treatment for surgical...
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...
10. INPATIENT HOSPITAL Gender: F Age: 22 Chief complaint: Admitted from physician's office after complaining of...
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
INPATIENT HOSPITAL Gender: M Age: 48 for encounter: Admitted from emergency department for alcohol-induced gastritis with hemorrhaging and intoxication with BAL of .09 Assessment: Patient has long-term alcohol use with dependence, prior cocaine abuser but states he no longer uses Plan: Patient agreed to counseling after discharge Tid: Follow instructional notes in the Tabular List to help determine sequencing. 4 ICD-10-CM Codes 3. INPATIENT HOSPITAL Gender: M Age: 56 Reason for encounter: Severe depression due to bipolar disorder Assessment: Patient...
I
need #4,5 7, 9 10
4. INPATIENT HOSPITAL Gender: M Age: 42 Reason for admission: Shortness of breath, general- ized weakness, agitation, elevated BP, fever, rapid pulse, history of hyperthyroidism Assessment: Cardiomyopathy due to thyrotoxicosis with thyroid storm Plan: Inhibit thyroid hormone synthesis with Methimazole. Beta blockers, body cooling, FU with cardiologist for cardiomyopathy management 2 ICD-10-CM Codes 5. INPATIENT HOSPITAL Gender: F Age: 26 Reason for admission: Feet and ankle edema, chest pain, shortness of breath, fever Assessment:...
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,...
8. OFFICE Gender: M Age: 48 Reason for admission: Admitted from emergency department, where he was seen after an accident while riding as a passenger in an off-road recreational vehicle. Assessment: Transverse fracture right tibia shaft, notified patient's oncologist, who is currently treating him for prostate cancer. Plan: FU with oncologist and orthopedic surgeon in office. Tip: Refer to OGCR I.C.2. 3 ICD-10-CM Codes
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...
4. INPATIENT HOSPITAL Gender: M Age: 45 Reason for admission: Admitted from emergency department due to skull fracture. He was unconscious for 90 minutes, but returned to his normal state of consciousness. Assessment: Open occipital condylar fracture (type 1) of base of skull with subarachnoid hemorrhage. (continued) 4. (continued) Plan: Craniotomy performed based on CT results which showed bleeding. Vessel occlusion performed. Patient in ICU following surg. RTO 4 days post discharge and weekly thereafter for two weeks. Tip: A...
2. INPATIENT HOSPITAL Gender: F Age: 76 Reason for admission: COPD with exacerbation Assessment: COPD with acute bronchitis exacerbation and chronic bronchitis (continued) 2. (continued) Plan: Antibiotics for the infection, begin oxygen therapy, patient must cease cigarette smoking as it continues to impact her respiratory conditions, counseled her regarding treatment options for tobacco dependence Tip: Read the instructional notes in the Tabular List for sequencing instructions. 3 ICD-10-CM Codes 3. INPATIENT HOSPITAL Gender: F Age: 78 Reason for admission: Asbestosis...
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...
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...
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
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