Question

PLEASE ANSWER ALL THE QUESTIONS:

1)What is the first number that is used in the code when covering the Endocrine and Nervous systems? What do you think is the most often used modifier?

2) How do the attributes of ICD-10-PCS compare with the previous structure of the codes in ICD-9-CM, Volume 3?

3) Mrs. Tabb is an 80 year-old female who has just been diagnosed with pneumonia. She is a patient who has just had a stroke and now has been diagnosed with pneumonia. Explain the condition to her family. List the signs and symptoms?What do you think is her prognosis? How many die each year from pneumonia?

4) Mr. Jones is a 70 year-old male with classic symptoms of Cholelithiasis. What is this condition? Break down the word Cholelithiasis parts for a definition. What causes this condition and what is the treatment?

5) Renal Failure is the failure of the kidneys to perform the function of cleansing the blood of waste products. If the toxic levels of circulating ammonia are not cleansed from the body - the following systems of the body are affected. The Nervous system, Respiratory system, Digestive system, Urinary system & Integumentary system are affected - LIST what the symptoms would be for each of these systems ( five systems listed above) of the body in Renal Failure when there is an increased of toxic amounts of ammonia in the body because the kidneys are not able to removing it.

Answer 1

1. D49.7 is a billable ICD code used to specify a diagnosis of nervous and endocrine system.

2. The ICD-10 code set is not just a simple update to the ICD-9 codes set. They are both different in the fundamental structure and concepts but have certain similarities. The ICD-9-CM contains procedural codes and are used in reporting inpatient admissions and outpatient statistical reporting purposes. However, these codes cannot be used by other Medicare party payers. The ICD-10-PCS has on action since 1992 to study a new design based on to build a new procedural coding system. They designed as very specific than ICD-9-CM and has more literality. It provides detailed description on methodology and approach procedures and have flexible spaces for adding new codes.

3. Pnuemonia is an infection of the lungs with a range of possible causes. It can be a serious life-threatening disease. It is the leading cause of death in children younger than 5 years of age and ranked 8th in the leading cause of death in the U.S. The signs and symptoms includes a) cough b) green colored sputum secretions c) fever d) fast breathing and shortness of breath e) shaking chills f) pleuritic pain g) fast heartbeat h) confusion i) cyanosis j) fatigue and weakness. It is important that patient condition to be explained to the family members. It should be explained clearly and accurately without any false statement. The doctor should explain about the condition of the patient like how the pateint is responding to the treatment and what is her prognosis. Also, the doctor should clear the doubts of the family members related to the disease and treatment by answering adequately. The prognosis of pneumonia is different in all age groups. Moreover, it is a life-threatening condition to old age groups. Based on the tretament and its effectiveness in reducing the symptoms the prognosis varies.

4. Cholelithiasis is a disease condition in which stones are formed in the gall bladder. The word chole meaning bile and lithos meaning stones. So in together stone formation in gall bladder or bile ducts. The causes includes a) too much of cholestrol in the gall bladder b) excess bilirubin in the bile or occurs due to c) if it does not empty bile production completely. The treatment plan for cholelithiasis includes a) Medications to dissolve gallstones and b) Cholecystectomy: a surgery to remove gall bladder.

5. NERVOUS SYSTEM: Elevated concentrations of ammonia in brain causes cerebral dysfunction and other neurological symptoms like a) impaired memory b) attention span deficit c) sleep wake inversions d) brain edema e) intracranial hypertension f) seizures g) ataxia and h) coma.

RESPIRATORT SYSTEM: It causes pulmonary toxicity in lungs.

DIGESTIVE SYSTEM: It denotes liver damage which shows the symptoms like a) jaundice b) swelling in the abdomen c) bleeding d) general itiching and e) ascites.

URINARY SYSTEM: The symptoms include a) hematuria b) back pain c) fever d) pain with urination e) feeling of urgency and f) urine smells like ammonia.

INTEGUMENTARY SYSTEM: The skin becomes a) dry due to dehydration b) sweaty odor due to high ammonia.