Can someone please help me? I have been posting coding assignments all week and no one has answered any of my assignments. Are there any expert medical coders on here who can help? Here is another assignment that I need to turn in by tomorrow night. Please help!
V.B.1 Analyze current regulations and established guidelines in clinical classification systems.
Case 5.7 Coding and UHDDS
You are giving feedback on the codes that a student assigned to the following scenario. Explain in detail, by tying your feedback to the Uniform Hospital Discharge Data Set Guidelines and reimbursement, justify what the correct coding should be.
Patient: John Smith MR#121212 Acct. # 000633553
Patient came to ER complaining of chest pain. EKG and labs, including troponin levels, were performed. Nitroglycerin was administered and oxygen therapy initiated. Results of the tests indicated the patient was having an anterior wall myocardial infarction. The patient was taken to the cath lab for immediate single vessel angioplasty. Following the percutaneous coronary intervention, the patient was admitted to the floor. He was monitored continuously. Beta blockers and Coumadin therapy were begun. The patient’s hypertension was addressed and he received medication for low potassium levels as well. His diabetes was managed by medication and diet with no significant issues during the admission. After four days the patient was discharged home to continue his medication regime and begin cardiac rehab.
Codes assigned by the student:
Principal Diagnosis: R07.9
Secondary Diagnoses:
I10
E87.6
I21.09
E11.9
Principal Procedure: 02703ZZ
For reimbursement impact, you would need to plug in the codes in the 3M encoder for both the student codes and your codes and compare the DRG change and impact on Reimbursement.
Codes assigned by student
Primary diagnosis: R07.9 - Chest pain
Secondary diagnosis:
I10 - Hypertension
E87.6 - Hypokalemia
I21.09 - ST elevation myocardial infarction involving other coronary artery of anterior wall
E11.9 - Type 2 diabetes mellitus without complications
Principal procedure: 02703ZZ - Dilation of coronary artery, one artery, percutaneous approach
Feedback of codings
R94.31 - for EKG
R79.89 - for troponin levels
I21.9 - acute myocardial infarction
02Q03ZZ - single vessel angioplasty, percutaneous coronary intervention
Can someone please help me? I have been posting coding assignments all week and no one...
You are a coding supervisor at a local hospital. You have agreed to accept an HIM student for their professional practice experience at your facility. Today you are working on coding. You are giving feedback on the codes that the student assigned for the following scenario. Give your feedback to the student, tying your feedback to the Uniform Hospital Discharge Data Set and reimbursement and justify what the correct coding should be. Patient: John Smith MR121212 Acct 000633553 Patient came...
patient came to ER complain chest pain. result of test : patient was having an anterior wall myocardial infarction. taking to the cath lab for immediate single vessel angioplasty. percutaneous I convention. hypertension was addressed, medication for low potassium levels as well. diabetes was managed by medication. codes assigned by student Px Dx: R07.9 I10 E87.6 I21.09 E11.9 PX Px 02703ZZ explain in detail, feed back to UHDS and reimbursement, justify what correct coding should be. you can tell to...
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