Question

Scenario: The encounter form and progress notes both show that the diagnosis for this patient encounter is acute colitis. Locate the most accurate ICD-10-CM code for this diagnostic statement. Equipment and Supplies: • ICD-10-CM manual (current year) or • Encoder software such as TruCode Standard: Complete the procedure and all critical steps in _______ minutes with a minimum score of 85% within two attempts (or as indicated by the instructor). Scoring: Divide the points earned by the total possible points. Failure to perform a critical step, indicated by an asterisk (*), results in grade no higher than an 84% (or as indicated by the instructor). Time: Began_________ Ended_________ Total minutes: _________ Steps: Point Value Attempt 1 Attempt 2 Alphabetic Index 1. Determine and locate the main terms from the diagnostic statement in the Alphabetic Index. 10 2. Locate the essential modifiers listed under the main term in the Alphabetic Index. 10 3. Review the conventions, punctuation, and notes in the Alphabetic Index. 10 4. Choose a tentative code, codes, or code range from the Alphabetic Index that matches the diagnostic statement as closely as possible. 15* Tabular List 5. Look up the codes chosen from the Alphabetic Index in the Tabular List. 10 6. Review notes, conventions, and the Official Coding Guidelines associated with the code and code description in the Tabular List. a. Review conventions and punctuation. b. Review instructional notations: • Includes and excludes notes • Code first, code also, and code additional notes • and, or, and with statements 10