For this exercise you will need to open the ICD-10-CM Index to Diseases and Injuries, ICD-10-CM...
For this exercise you will need to open the ICD-10-CM Index to Diseases and Injuries, ICD-10-CM Index to External Causes, the ICD-10-CM Table of Drugs and Chemicals, the ICD-10-CM Tabular List, ICD-10-CM Official Guidelines for Coding and Reporting, and Coding Clinic for ICD-10-CM and ICD-10-PCS. The purpose of this exercise is to demonstrate that you can follow the basic coding steps.
1. Diagnosis: Acute lacunar infarction and encephalopathy due to infarction. While in a patient room in the emergency department, tissue plasminogen activator (tPA) was administered. This tPA administration resulted in cerebral hemorrhage as an adverse effect of tPA, initial encounter.
Code assignment (Hint – 5 codes are needed here):
2. Diagnosis: Initial encounter for gunshot wound with retained bullet fragments in the right upper arm. The bullet caused a puncture wound. The patient had just finished shopping, and while walking outside in the parking garage of the store, was intentionally shot by another person using an unknown type of firearm. The foreign body (bullet fragments) remained in the upper arm after the patient was treated and released.
Code assignment (Hint – 6 codes are needed here):
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For this exercise you will need to open the ICD-10-CM Index to
Diseases and Injuries, ICD-10-CM...
For these scenarios you will need to utilize the ICD-10-CM Index to Diseases and Injuries, ICD-10-CM...
For these scenarios you will need to utilize the ICD-10-CM Index to Diseases and Injuries, ICD-10-CM Index to External Causes, the ICD-10-CM Table of Drugs and Chemicals, the ICD-10-CM Tabular List, and the ICD-10-CM Official Guidelines for Coding and Reporting 1. Diagnosis: This patient was admitted non-ST elevation myocardial infarction which progressed to an ST elevation myocardial infarction of the anterior wall. Coding Assignment: 2. Diagnosis: This patient was seen for acute heart failure with preserved ejection fraction. The patient...
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Code Assignment and Clinical Criteria Assign ICD-10-CM codes to 151-155 151. Patient admitted for severe pain,...
Code Assignment and Clinical Criteria Assign ICD-10-CM codes to 151-155 151. Patient admitted for severe pain, left hand. Physician discharge diagnosis is a fracture, left hand. 152. Patient admitted for an upper respiratory infection. Physician discharge diagnosis is acute sinusitis. 153. Patient admitted for enlarged cervical lymph nodes. Physician discharge diagnosis is Hodgkin Lymphoma. 154. Patient admitted for chest pain. Physician discharge diagnosis is myocardial infarction. 155. Patient admitted for painful urination. Physician discharge diagnosis is urinary tract infection.
REVIEW CASES ce applicable codes to the ICD-10 conversion, you may use an electronic review cases...
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1.Read the mini-medical-record of the patient’s encounter, then abstract, assign, and sequence ICD-10-CM diagnosis codes using...
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CODING CASE: Read the mini medical record for each patient encounter. Abstract, assign and sequence ICD-10-CM diagnose(s) using the Index and Tabular List. Write the code(s) on the line provided. INPATIENT HOSPITAL Gender: F Age: 81 Reason for admission: admitted from Emergency Department after collapsing at home, arrived by ambulance Assessment: dehydration and hyponatremia due to chemotherapy for metastatic bilateral ovarian cancer. ICD-10-CM Codes
Instructions Assign ICD-10-CM codes to the following diagnostic statements. When multiple codes are assigned, make sure...
Instructions Assign ICD-10-CM codes to the following diagnostic statements. When multiple codes are assigned, make sure you sequence them property according to coding conventions and guidelines, including the definition of first-listed diagnosis. Refer to the diagnostic coding and reporting guidelines for outpatient services in your textbook when assigning codes. Fever, difficulty swallowing, acute tonsilitis Chest pain, rule out arteriosclerotic heart disease 2 3 Hypertension, acute bronchitis, family history of lung cancer Lipoma, subcutaneous tissue of left thigh 4. Audible wheezing,...
9. Assign the appropriate ICD-10-CM and ICD-10-PCs code(s): A 52-year-old woman was admitted to the hospital...
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Only need the CPT code for the op note, not diagnosis. Instructions Assign the ICD-10-CM code(s)...
Only need the CPT code for the
op note, not diagnosis.
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How is the Index to Diseases and Injuries organized? Know about ICD-10-CM volumes 1, 2 and 3. . What is resource value unit? What does a high resource value unit mean? . How can you support your ICD and CPT codes? When submitting a claim, what insurance form should be submitted to Medicare? When must a patient sign the Advance Beneficiary Notice (ABN)? Know the information you should document on an encounter form? Name the most restrictive type of health...
REVIEW CASES ce applicable codes to the ICD-10 conversion, you may use an electronic review cases that follow Use these coding steps to assign the to the encoder, or refer to the ICD-10-CM draft code set, or use a website such as www.icd10data.com to either look up the ICD-10 codes or convert the ICD-9 codes to ICD-10 codes. 1. Read the documentation contained in the medical record. 2. Determine the reason for the visit (the diagnoses). 3. Determine what treatment...
Instructions Assign ICD-10-CM codes to the following diagnostic statements. When multiple codes are assigned, make sure you sequence them property according to coding conventions and guidelines, including the definition of first-listed diagnosis. Refer to the diagnostic coding and reporting guidelines for outpatient services in your textbook when assigning codes. Fever, difficulty swallowing, acute tonsilitis Chest pain, rule out arteriosclerotic heart disease 2 3 Hypertension, acute bronchitis, family history of lung cancer Lipoma, subcutaneous tissue of left thigh 4. Audible wheezing,...
9. Assign the appropriate ICD-10-CM and ICD-10-PCs code(s): A 52-year-old woman was admitted to the hospital with urinary stress incontinence and is scheduled for surgical repair of a paravaginal cystocele. An open anterior colporrhaphy is performed to repair the cystocele that was causing the incontinence. The patient has mild type 2 diabetes that is also treated during hospital stay 10. Assign the appropriate ICD-10-CM code(s): Hypertensive heart disease with chronic (systolic and diastolic) heart failure 1. Fill in the blank:...
Only need the CPT code for the
op note, not diagnosis.
Instructions Assign the ICD-10-CM code(s) to diagnoses and conditions and assign the CPI surgery code(s) and the appropriate HCPCS level II and CPT modifier(s). Do not assign ICD-10-CM external cause codes. 1. PREOPERATIVE DIAGNOSIS: 1.5-cm perianal cyst. POSTOPERATIVE DIAGNOSIS: 1.5-cm perianal cyst. OPERATION PERFORMED: Excision of perianal cyst. The patient was placed on the operating table in the prone position. In the left perianal region, a 1.5-cm perianal cyst...
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