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QUESTION 12

  1. CASE STUDY 20: Which diagnosis codes should be reported (based off the content of the medical record)?

    A.

    C44.300
    B.

    L98.9, Z85.820
    C.

    D22.39, Z83.820
    D.

    C43.39, D22.39CHAPTER 7 Advanced Outpatient Hospital Coding! 385 Case 20 Health Record. Face Sheet Record Number; Vestern. 02-99-81 Age: Ge
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Answer #1

Based on the content of the medical record option "D", diagnostic codes should be reported.

Rationale : C43.39 This indicates " Malignant Melanoma of other parts of the face ", In the above report Melanoma was mentioned but was not clearly given about the site.So it may be any part of the face or skin.

D22.39 This is the diagnosis code used to indicate or specify the diagnosis of melanocytic nevi.In the above report excision of graft was taken for the diagnostic purposes.

So these two codes can be reported.

The other codes Z85.820 indicates personal history of malignant neoplasm, but this was not actually mentioned in the scenario and also the situation described above is the present status and this code cannot be considered. C44.300 is used for unspecified malignant neoplasm, L98.9 is used for the disorders of skin and subcutaneous tissue.So of all the given codes option D clearly reports the scenario.

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