Audit Report 4.6 Transfusion Medicine
One or more of the following codes are reported incorrectly his case. Indicate the incorrect code or codes.
Delores, a laboratory technician, preforms splitting of blood products, 1 unit.
SERVICE CODES: Irradiation of blood products, 86945
2. Jessica, a laboratory technician, preforms screening of RBC antibodies, serum technique
SERVICE CODES: RBC antibody identification, 86870
INCORRECT/MISSING CODE(S):
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Audit Report 4.4 ImmunohematologyOne or more of the following codes are reported incorrectly for this case. Indicate the incorrect code or codes86156 Cold agglutinin, titer86277 Growth hormone, human, antibody86480 Tuberculosis, intradermal86592 Syphilis test: quantitativeINCORRECT/MISSING CODE(S):
Audit Report 4.2 Laboratory WorkupA patient with acquired hemolytic anemia reports to the lab for the following blood work:Ferritin:Iron:Hemoglobin:One of the following codes was incorrectly reported for this case. Indicate the incorrect codePROFESSIONAL SERVICES Ferritin, 82728; Iron, 83540; Hemoglobin, 83051ICD-10-CM DX; Anemia, D59.9INCORRECT CODE:
Audit Report 4.5 Body FluidsOne or more of the following codes are reported inconcty this case. Indicate the incorrect code or codes84160 Protein, serum total82547 Glucose89300 Semen Analysis, Complete85004 Cell Count w/DiffINCORRECT/MISSING CODE(S)
Audit the coding for the following reports.Audit Report 4.1 Laboratory WorkupA65-year-old female with ESRD, hypertension, diabetes mellitus type 2 ad atrial fibrillation on Coumadin presents to the lab for the followingComprehensive metabolic panel:Magnesium: Prothrombin time (PT):UA (Automated with microscope)One or more of the following codes are reported incorrectly for this case, Indicate the incorrect code or codesPROFESSIONAL SERVICES: Creatinine. B2565. Urinalysis. 81003. Comprehensive metabolic canal, 80053. Magnesium, 83735. Prothrombin time, 85610.ICD-10-CM DX: Hypertensive kidney disease, I12.0; End-stage renal disease, N18.6; Diabetes,...
Audit Report 5.4 Operative Report, DebridementLOCATION: Inpatient, Hespital PATIENT: Arnie HolmesPREOPERATIVE DIAGNOSIS: Right heel ulcerPOSTOPERATIVE DIAGNOSIS Right heel ulcer with Staphylococcus aureus infectionSURGEON: Gary Sanchez, MDPROCEDURE PERFORMED: Debridement of right heel ulcer down to the boneINDICATIONS FOR THIS PROCEDURE: Mr. Holmes is a 58-year-old male who has a large heel ulcer, measuring at least 7 cm x 3.5 cm in a curvilinear ovoid shape. This needs to be sharply debrided. There is a lot of necrotic tissue here. We need to...
Background INFO There are four types of blood: A, B, AB, and O (Figure 4). Each is characterized by the glycoproteins (proteins with a sugar attached) and lipoproteins (proteins with a lipid attached) embedded in the surface of red blood cells (RBCs). In addition to type, blood can be rhesus (Rh) factor positive or negative. These proteins are inherited and may differ from individual to individual. If, during a transfusion, an individual receives blood with the incorrect RBC proteins (for...
Audit Report 5.5 Operative Report Malignant MelanomaLOCATION: Outpatient HospitalPATIENT: Jane LoveSURGEON: Gary Sanchez MDPREOPERATIVE DIAGNOSIS: Large lipoma of the lower abdomen POSTOPERATIVE DIAGNOSIS: Malignant neurona, lower abdomenPROCEDURE PERFORMED: Radical excision of large nest of the abdomen, which measured 9 cm x 12 cmANESTHESIA: General anesthesiaINDICATION: The patient has a mass in the lower back. This is becoming quite bothersome to her. We docussed treatment options of observation versus surgical excision. She wishes to have this excised. We discussed the procedure as...
Audit Report 5.3 Operative Report, Carcinoma Lower LipLOCATION: Inpatient, HospitalPATIENT: Lary MontiffSURGEON: Mark Erickson, MDPREOPERATIVE DIAGNOSES:1. Squamous cell carcinoma, left lower lip 2. Submental and submandibular area massPOSTOPERATIVE DIAGNOSES: SamePROCEDURE PERFORMEDExcision of squamous cell carcinoma in skin of the left lower lip, 3.25 cm 2. Suprahyoid neck dissection 3. Bilateral advancement tap closure of surgical defect, 16 square cmANESTHESIA: Local with IV sedationESTIMATED BLOOD LOSS: Less than 25 ccsINDICATIONS: A 70-year-old male with a mass on the submental and submandibular areas....
1. The nurse recognized that NG had decreased filtration rate based on the finding of A. hematuria B. proteinuria C. elevated BUN and creatinine D. periorbital and peripheral edema 2. When planning care for N.G. the nurse considers the collaborative management indicated for patients with acute post streptococcal glomerulonephritis Select all that apply administration of antibiotics administration of antihypertensive agents administration of corticosteroids administration of diuretics daily weights intake and output moderate low protein diet sodium and fluid restriction •...